Neil Antony Verner-Amyotrophic Lateral Sclerosis-(Britain)

The third round of treatment:

Name: Neil Antony Verner   
Sex:
Male
Nationality:
Britain
Age:
52Y
Diagnosis:
Motor Neuron Disease 
Discharge Date:
2019/08/13

Before treatment:
Four years ago the patient began to develop weakness of the right leg without obvious inducement and his running was affected. Three years ago his arms were weak and the weight loss was obvious. In October 2016 he was diagnosed as having "motor neuron disease" and was given "riluzole" orally. After taking the drug his limbs were stiff and difficult to move so the drug was stopped. The patient's condition continued to progress, muscle bundle tremor, the strength of both arms decreased obviously, his balance ability decreased, it was difficult to go down the stairs and he needed assistance. After that the patient came to our hospital twice for treatment and there was a certain improvement of motor function after each treatment. The progression of the disease was significantly slower than before. Four months ago his condition progressed again, he began choking and coughing when drinking water, there was a weakening of the muscle strength in the proximal end of both arms, he was unable to lift things and his lifestyle relied on the help of his family.
The patient has a good mental appetite, poor sleep, constipation with one defecation in 3-4 days and normal urination.

Admission PE:
Bp: 129/89mmHg, Hr: 76/min, breathing rate: 19/min, body temperature: 36.1 degrees. The patient had normal physical development and good nutrition.. There is no injury or bleeding spots of his skin and mucosa and no cyanosis around the lips. He had a symmetrical chest, clear sounds of both lungs, no dry or moist rales were heard, no bulge of the precordia, strong heartbeat, regular heart rhythm and no murmur was heard in the valves. He had a flat abdomen, no masses or tenderness, normal spleen and liver, negative shifting dullness, normal spinal column and no edema of the legs.

Nervous System Examination:
The patient was alert, had good spirit, normal articulation, clear speech, normal memory, calculation and coordination. Both pupils were round and equal in size, with a diameter of 3 mm and reacting sensitively to light. He had free eyeball movement, no nystagmus, symmetrical forehead wrinkle and nasolabial fold, the tongue was in the middle when extended and there was no deviation when showing his teeth. He had flexible tongue muscle movement, normal cheek-bulging, chewing, soft palate-lifting bilaterally and the uvula was in the middle. He had a soft neck and flexible neck-turning movement. There was obvious muscle atrophy of the interosseous muscle of both hands, the thenar muscles, supraspinatus muscle, infraspinatus muscle and the deltoid muscle. The 4 limbs muscle volume was not strong. The left arm proximal abductor muscle power was 2 degrees; adductor and distal side abductor and adductor muscle power were 3- degrees. The right arm proximal side abductor muscle power was 2 degrees, adductor and distal side abductor, adductor muscle power were 3- degrees.  Bilateral gripping power was 4- degrees. Bilateral leg muscle power was 4- degrees. The 4 limbs muscle tone was normal. The tendon reflex of the arms was not induced and  it was normal in the legs. Hoffmann sign of both sides were negative, the bilateral palm-jaw reflex was positive and the Babinski sign of both sides were negative. The finger to nose test of both sides cannot be done. The both hands fast alternate movement was difficult, finger opposite movement was slow, the heel-knee-tibia test was stable and accurate. The meningeal irritation sign is negative.

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

Post-treatment:
After 10 days treatment his movement endurance got better, the muscle power increased 20%, he could now raise his arms higher and his limbs were more flexible. He could grasp easier and his hands can do fine movement better. He now raised his legs higher and faster and he could  walk longer and better. 

The second round of treatment:
Age: 49Y
Diagnosis: 1. Amyotrophic Lateral Sclerosis (ALS) 2. Hypertension (1 degree) 

 

Before treatment:
The patient felt right leg weakness one and half years ago and it was hard for him to run. 15 months ago his arms became weak and he lost a lot of weight. He went to a local hospital and was diagnosed with ALS in October 2016.  He was prescribed Riluzole 50 mg. One month later his disease progressed, he had muscular fasciculation and right arm weakness. His balance function was bad 8 months ago, it was hard for him to go down stairs and he needed help to walk. He went to our hospital 6 months ago, his leg muscle power was increased and he walked better. For now his arms are weak, he needs help to go down stairs but he is able to take care of himself sometimes.
His spirit and appetite are good, his sleep has not been very good for a  year. His urination and defecation functions are basically normal. His swallowing function is good. He has hypertension and takes medicines to control it.

Admission PE:
Bp: 130/90mmHg, Hr: 65/min, breathing rate: 19/min, body temperature: 36.5 degrees. There is no injury or bleeding spots of his skin and mucosa, no blausucht. The chest development is normal, 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, shifting dullness is negative. The spinal column is normal and there was no edema in either leg.

Nervous System Examination:
Patient was alert and his mental status is good with clear speech. His memory, orientation and calculation abilities were normal . Both pupils were equal in size and round, diameter of 3 mm, react well to light and the eyeballs can move freely. There was no nystagmus. Bilateral forehead wrinkle and nasolabial fold are symmetrical and showing teeth is normal. His tongue is in middle with no tongue muscle atrophy and he can move his tongue freely. He can chew food and blow out the cheeks as normal. Soft palate of both sides is normal, the uvula is in normal position. Neck is soft and he can turn his neck freely. There is obvious muscle atrophy of the interosseous muscle of both hands, the thenar muscles, supraspinatus muscle and deltoid muscle. The  muscle volume of the four limbs is reduced. Left arm proximal abductor muscle power was 3 degrees, adductor and distal side abductor, adductor muscle power were 4- degrees, the right arm proximal side abductor muscle power was 3 degrees, adductor and distal side abductor, adductor muscle power were 4- degrees. Grip force of both hands were 4 degrees. The leg muscle power was 5- degrees. All 4 limbs muscle tone were normal. The tendon reflex of the arms was normal, of the legs was active. The bilateral ankle clonus were positive, Hoffmann sign of both sides were positive. The bilateral palm-jaw reflex were positive. The Babinski sign of both sides were negative. The finger to nose test of both sides were stable. The both hands fast alternate movement test results were basically normal. Finger opposite movement was normal. The heel-knee-tibia test was stable and accurate, the meningeal irritation sign is negative.

Treatment:
After the admission he received related examinations and received 3 times nerve regeneration treatment to repair his damaged nerves, replace dead nerves, nourish nerves, regulate his immune system and improve blood circulation. This was done with rehabilitation training.     

Post-treatment:
After 13 days treatment the patient's muscle fasciculation reduced and the sport endurance is better. The arm muscle power increased 10-20%, his limbs are more flexible and his grip is improved. The muscle power of the legs also increased and he walks better.

The first round of treatment:


Age: 49Y
Diagnosis: Amyotrophic Lateral Sclerosis (ALS) 

Before treatment:
Patient had no obvious indication of the onset of right lower limb weakness 1 year ago but he was unable to run well 9 months ago. The upper limbs then appeared weaker and his weight dropped significantly. He went to hospital and was diagnosed with "amyotrophic lateral sclerosis" in October 2016. He was given riluzole 50mg twice daily but after taking the pills he felt limb stiffness and difficulty in movement so he stopped taking it. He had muscle tremor, right arm strength decreased significantly, his balance ability was bad and within three months it was difficult for him to go down stairs without assistance. At present the right arm strength of the patient is significantly reduced and the strength of the other limbs are reduced. He has poor balance, needs to be assisted going down stairs but he could take care of himself mostly. He came to our hospital for further treatment.
Patient has good spirit and appetite, he has had shallow sleep patterns for nearly 4 months. It is easy for him to be woken up and he doesn’t use any sleeping pills. He has normal urination and defecation ability. He could swallow well and he has lost 10 kgs already.

Admission PE:
Bp: 126/89mmHg, Hr: 65/min, breathing rate: 19/min, body temperature: 36 degrees. Nutrition status is good with normal physical development. There is no injury or bleeding spots of his skin and mucosa, no blausucht. The chest develop is normal, the respiratory sounds in both lungs were clear, there was no dry or moist rales. The heart beat is powerful with regular cardiac rhythm and with no obvious murmur in the valves. The abdomen was flat and soft, with no masses or tenderness. The liver and spleen were normal, shifting dullness is negative. The spinal column is normal, there was no edema in either leg.

Nervous System Examination:
Patient was alert and his mental status is good with clear speech. His memory, orientation and calculation ability were normal. Both pupils were equal in size and round, diameter of 3mm, react well to light, eyeballs can move freely. No nystagmus. Bilateral forehead wrinkle and nasolabial fold are symmetrical, showing of teeth is normal. His tongue is in the middle and there is no tongue muscle atrophy, he can move his tongue freely. He can chew food and blow out the cheek as normal. Soft palate lift of both sides is normal, the uvula is in normal position. Neck is soft and he can turn his neck freely. There is obvious muscle atrophy of the interosseous muscle of both hands and the thenar muscles. The muscle volume is not very high. The muscle power of the left arm is 4 degrees, right arm is 4- degrees, the grip force of both hands is 5- degrees, muscle power of the legs is 5- degrees. Muscle tone of all 4 limbs is normal. The tendon reflex of the arms is normal, of the legs is active. The bilateral ankle clonus were positive; the Hoffman sign of both sides were positive; the Palm-jerk reflex of both sides were positive; Babinski sign of both sides were negative. Finger to nose test was stable and the patient can perform the fast alternate movement as normal. Finger opposite movement is normal. The bilateral Heel-knee-tibia test is stable, the meningeal irritation sign is negative.

Treatment:
After the admission, he received related examinations and diagnosed with ALS. He received 3 times nerve regeneration treatment to repair his damaged nerves, replace dead nerves, nourish nerves, regulate his immune system and improve blood circulation. This was done with rehabilitation training.     

Post-treatment:
After 14 days treatment he has better spirit and energy, muscle fasciculation is reduced and physical endurance is better. The muscle power of both arms is increased with the left arm increased to level 4+ and the right side increased to level 4. He can now walk longer distances.

E-mails:

Dear Dr. Wang

All my functions including height and weight remain constant,

Blood pressure is normal, occasionally slightly high but within acceptable tolerance.

Recently I had blood tests and sent them to Evelyn, please review, all were good but my CK was even higher, why would that be?

My General strength is up, BUT MY SHOULDERS ARE GETTING SIGNIFICANTLY WEAKER, please advise what I can do immediately.

I do my exercise daily exactly as prescribed.

My oxygen saturation is between 98-99%

Please see my photo

 

 

 

 


Kind regards,

Neil

 

Date: 2019/9/13
Dear doctors

Something amazing is happening to me, My strength has improved massively in my legs, my balance is significantly better, my shoulders and arms have a little improvement, I have never felt this level of improvement,

My question to you is how can I keep the improvement going? If I came back to Wu Medical  in a few months time and even stayed for one month so I could get two rounds of IV medicine would this help?

I would like to tell the world about my improvements, so anyone suffering neurological conditions can benefit from the fantastic service you provide.
Tomorrow I have my flu immunisation, and hopefully my blood test results that I can provide you.

Once again thank you for everything you are doing to me.

Kind Regards

Dr. Neil Verner Ph.D.

Date: 2019/9/20
Dear Crystal

My strength and balance is still continuing to improve, so far I would suggest I have a 25% increase in strength in my legs,  my core body strength is 10 of 15%, my shoulders and arms are about 3 to 5% increase in strength. My balance is so much better, my endurance has also increased about 50%.

Would it be possible for me to visit and stay with you on the 24th of October to the 17th of November?

I want to increase my knowledge of occupational and physiotherapy, I will also get more used to the sleeping patterns and be able to concentrate much more on recovery.

Thank you for the birthday wishes

Kind Regards

Dr. Neil Verner Ph.D.

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