Anthony Maw-Alzheimer's disease-(Australia)

Name: Anthony Maw 
Sex: Male
Nationality: Australian
Age: 78Y
Diagnosis: 1. Alzheimer's Disease 2. Depression 3. Sleep Apnea
Discharge Date: 2018/11/08

Before treatment:
The patient always forgot things since 2014  and the condition became worse day by day. He was diagnosed with Alzheimer’s disease in 2016, his memory ability, calculation ability and other cognitive abilities decreased too. For now, he can talk with others with simple words but it is hard for him to express the right words. He can eat and wash by himself and he can also go out for a walk near his house.
His diet and sleep are normal, his urination and defecation functions are normal. He has depression and sleep apnea.

Admission PE:
Bp: 125/74mmHg, Hr: 64/min, breathing rate: 28/min, body temperature: 36.7 degrees. Height 176 cm, weight 60Kg. The respiratory sounds in both lungs were clear and there was no dry or moist rales. The heart beat is powerful with regular cardiac rhythm and no obvious murmur in the valves. The abdomen was flat and soft with no masses or tenderness. The liver and spleen were normal and there was no edema of the legs.

Nervous System Examination:
Patient was alert with normal mental status and he can communicate with others normally. His memory, comprehension and calculation abilities were decreased . Both pupils were equal in size and round, diameter of 3 mm, the reaction to light was sensitive with no nystagmus. Eyeballs can move normally and he could close his eyes powerfully. The bilateral forehead wrinkle and nasolabial fold are symmetrical, he could make his tongue extend out normally, showing teeth was normal and the soft palate could lift powerfully. The 4 limbs muscle power were normal and the muscle tone were normal also. Tendon reflex of the 4 limbs were normal, abdominal reflex was normal, sucking reflex was negative. The bilateral Hoffmann sign was negative, Palm-jaw reflex was positive, the Babinski sign of both sides were negative. The 4 limbs coordinate movement were normal and the meningeal irritation sign was negative.

Treatment:
After the admission he received 3 nerve regeneration treatments (neural stem cells and mesenchymal stem cells) to repair his damaged nerves, replace dead nerves, nourish nerves, regulate his immune system and improve blood circulation. This was combined with rehabilitation training.     

Post-treatment:
After 14 days treatment his mental status was stable, short term memory improved as he could now  remember what he ate yesterday. The patient's calculation ability got better and he could do add and subtract calculations. His comprehension ability was improved and he could respond much better than before. His motor functions were improved and he could now move faster.

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