Friday, October 3, 2008

Discharge Summary from the doctor

Admission Conditions: Pancy complaints of vague words and unstable gait for 6 years. Nystagmus (+); Dystagmus present; finger to nose test (+), heel-knee-shin test (+). Unable to stand with feet together and eyes either open or closed; Tandem gait is impaired; Hypotonia of four limbs; Berg scores:41

Admission Diagnosis: Spinocerebellar Ataxia

In-hospital Conditions: Pancy has accepted four times Stem Cells transplantations altogether. One time Stem cells transplantations via IV (Aug 29 2008) and three times via Lumber puncture (Sep 3 2008; Sep 8 2008; Sep 12 2008) were completed and physiotherapy treatments were performed. Now, the patient can speak words much clearer and fluenter than before. finger to nose test expressed more accurate than before. Nystagmus (-), heel-knee-shin test(-).Pancy can control balance much better on walking.Berg Scores:47

Pancy mentioned that she has experienced cold feeling of all toes for nearly 8 years. We ordered ultrasound for the arteries of both lower limbs which showed a angiosclerosis changes. After ST treatment, the condition improved a lot.

Related Lab tests were done completely. The results of Triglycerides, Cholestorol, HDL and LDL are all in normal range. The WBC account and Bacteria account were abruptly high in Urine test for 3 consistent tests. It was considered Asympomatic Bacteriuria since Pancy had no any symptoms.

Affiliated medical treatment: Physiotherapy


Pathology Result: N/A

Discharge Diagnosis: 1 Spinocerebellar Ataxia
2 Asympomatic Bacteriuria
3 Angiosclerosis of Both lower limbs

Treatment outcomes: Much Improvement

Discharge Advices: 1 Keep physiotherapy rehabilitation
2 Continue the ST treatment in 6 months.

2 comments:

Toronto Indian said...

Hi Pansy
Just checking to see how things are. Have you been OK and have you retained the improvements noted in the last post?
Hope to hear from you soon.

Toronto Indian said...

pansy - if you see this, do get in touch.