Improvement of ALS for Mr. A from Chile in Our Hospital, Huaihua, China.

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Improvement of ALS for Mr. A from Chile in Our Hospital, Huaihua, China.

 

 

 

 

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Brief Summary: Mr. A, from Saudi Arabia, suffers from hyperglycemia and high blood fat. After about 15-day treatment in our hospital, his condition has been improved quite a lot.

 

Picture taken on September 28, 2005, in the in-patient room of our Huaihua Red Cross Hospital, Dr. Ming is introducing the treatment to the international students from England and Israel about an international patient from South America who suffers from ALS. His weight is increased one and half kilograms after about 70 days comprehensive treatment here. This case is listed on our website on December 25, 2005. (Christmas Day)

 

Record Of Hospitalization

Name: Mr. A                                                                     Sex: Male

Age: 61                                                                              Nationality: Chile, South America

Height: 1.91 m                                                                    Weight: 82.5 kilograms

Profession: Manager                                                            Time of Hospitalization: September 23, 2005, 14:00.

 

Major complaint:

Loss of muscles and weakness of the limbs for one and half years.

One and half years ago, there is no obvious reason that Mr. A felt that the right thumb almost very hard to use the key to operate the engine of the car. 2003, the March, he felt the weakness of the tendons of the right elbow, maybe due to hard work on computer for two weeks or playing tennis.

So in August of 2004, the local hospital made an electromyography to report neuro motor disease. In December, 2004, Mr. A went to Miami, USA to see a famous Dr. Richard Bradley to show all his laboratory check result made in Chile, thus Dr. Richard Bradley confirmed ALS. No treatment was offered there. But Rilutek was given. Two tablets each day. It means that Mr. A has been using this tablet for ten months already. No obvious side effects such as headache, dizziness, vomiting and so on.

In January, Mr. A came to Beijing and Shanghai to see four TCM doctors without special treatment. In February, when Mr. A was in Lima of Peru, he started to feel feeble right leg, inconvenient walking of the right leg. So step by step, the right leg was losing both muscles and power. In mid February, the right arm began to lose power and muscles.

In May, 2005,, Mr. A began to feel pain and discomfort on the back.

In mid May, Mr. A flew to China again to Shanghai to get TCM treatment, including herbal tea, herbal powder, acupuncture, injection, almost 24 days treatment a month for four months in Shanghai TCM University Affiliated Hospital. No obvious improvement.

In the mid July, Mr. A fell down in the street, broken his nose. So stitches in the mouth and nose. The patient was in bed for three days. After that, Mr. A feels more feeble. Before the accident, Mr. A could walk at least three kilometers with some difficulty. But after the accident, Mr. A felt much more weaker to walk.

During recent nine months, Mr. A has lost three kilograms in weight. Also after this accident, Mr. A felt the left hand and left leg are influenced.

Right now, the patient feels no headache, no dizziness, no tinnitus. No runny nose. No bitterness in the mouth. No thirst. Both the hot water and cold water, he could drink. Do not drink much daily. No smoking and no drinking of alcohol. No sore throat. Ten percent problem of swallowing. The speaking ability is not influenced. No phlegm in the throat. No chest oppression, no palpitations. No shortness of breath. No liver pains.

No stomach distention, no vomiting sense. The appetite is good. There is no obvious fatigue in the daytime. The average sleep is 8 hours a day. The average night urination is two the three times.  

The bowel movement is once a day, normal shape. There is no urinary urgency and frequent urination. The urine is sometimes yellowish and sometimes whitish.

There is no heavy sense over the body. Sometimes, there are spasms on the arms, the rib-side and lower abdomen.

From May to August, it is winter in Chile, and Mr. A felt a little bit cold sense in the hands and feet.

There is no hot sense in the soles and palms in the afternoon. Rarely sweat.

There is no emotional frustration and stressful experience. There are not many dreams in sleep.

The right hand is hard to comb the hair. He could not squat. He could bend down with the hand touching the feet.

Typing with the right hand, writing with the right hand, seem to be very difficult. To tie the buttons is very difficult as well. 

The power of the hands is obviously weak when I shake his hands. The right side is weaker.

The right fingers could not straighten well and shake a little bit.

The right pulse is moderate and slightly slippery. The left pulse is moderate, slightly slippery and excessive.

The slightly red tongue, with granules on the tongue and slightly yellowish coating. The weight today is 82.5 kilograms. The eyelid is not so pale, the lips have slight blood stasis. The nails are slightly pale.

The chest bone are becoming sharper on two sides, the middle line of the chest is sinking. The muscle loss on the right hip is more obvious than the left hip.

Diagnosis:

ALS (amyotrophic lateral sclerosis) Western Medicine

Deficiency of liver and kidney, yin deficiency and blockade of channels (TCM)

 

Treatment strategy: Tonify the spleen, enrich the livery and kidneys, quicken blood circulation, opening channels, moisten yin.

Formula:

codonopsis root 15g,  ovate atractylodes root  15g,  poria 10g,  mulberry  15g,  cuscuta seed  10g,  lycium berry 10g,  etc.

                                                                                                                                            Dr. Ming

September 24, 2005. Today the treatment starts, including herbal tea, twice a day, 180 milliliters each time, and acupuncture and general body massage once a day.

                                                                                                                                             Dr. Ming

September 25, 2005. The patient said yesterday evening, it is easier to sleep. In the past a few months, it took one hour to go to sleep. Only one night urination last night, in the past, always two to three times of night urination. He gets used to the herbal tea, acupuncture and massage. The tongue is less moist, slightly yellowish coating, teeth marks seen.

poria 10g,  mulberry 15g,  cuscuta seed 10g, lycium berry 10g, earthworm 10g,  turtle shell 20g, etc.

                                                                                                                                              Dr. Ming

The power of muscle of the right hand is IV degree. The power of muscles of the left hand is V degree.

September 26, 2005. It took 20 minutes for the patient to go to sleep last night. He got up three times to urinate. The energy is returning to the state when he was in Shanghai for 4 months after his journey from Shanghai to Huaihua.

The appetite is normal. Yesterday the acupuncture on his legs made him feel painful locally. Today, he has electricity feeling as to the acupuncture. The acupuncture and massage are carried out by Dr. Li Jinguang. The tongue coating is slightly less yellowish.

                                                                                                                                                Dr. Ming

September 27, 2005. Last night, he took more than half an hour to go to sleep. Got up to urinate once. But turned and tossed on the bed a little bit. He said that yesterday afternoon, he walked 40 meters, then he felt tired; in the past a few weeks, he walked 20 meters, then felt tired. The appetite is the same. The energy of the body has no change.

astragalus root 15g,  ovate atractylodes root 15g,  turtle shell 20g, cimicifuga root 7g, etc.

                                                                                                                                                 Dr. Ming

September 28, 2005. Mr. A could walk 180 meters on the third floor of our hospital before felt tired. The appetite is the same. Half an hour to go to sleep. Twice night urination. The third floor is about 56 meters long.

                                                                                                                                                  Dr. Ming

September 29, 2005. Mr. A could walk 180 meters on the third floor before felt tired. Half an hour to go to sleep. Once night urination. The tooth marks are not so obvious. The tongue coating is slightly yellowish. The blood pressure is 130/90mmHg. In the past a few days, it is 140/90mmHg to 150/90mmHg.

millettia root and stem  10g,  earthworm 10g, turtle shell  20g, turmeric 12g   chaenomeles fruit 10g, etc.                                            

                                                                                                                                                    Dr. Ming

September 30, 2005. Mr. A walks 225 meters on the third floor before felt tired. More than half an hour to go to sleep. Twice night urination. The tongue coating is little bit thicker and yellowish. The pulse is less tight. When the neck turns to the right side, there is no point pains on the neck. The neck turns to the left side with point pains. The appetite is normal. Slight coughing.

                                                                                                                                                     Dr. Ming

October 1, 2005. Mr. A walks 225 meters on the third floor before felt tired. Fast to go to sleep. Twice urination at night. A little bit more difficult to use the left thumb and index finger. The tongue coating is slightly yellowish. Strengthen to tonify the qi and yin fluids.

crataegus fruit 10g, codonopsis root 30g, astragalus root 15g,  ovate atractylodes root  15g,  poria  10g,  mulberry  15g, cuscuta seed 10g,  etc.

                                                                                                                                                     Dr. Ming

October 3, 2005. Mr. A walks 450 meters on the third floor before felt tired. The sleep is not so calm. Twice night urination. The tongue is moist. The tongue coating is little bit less. Make a relatively bigger change to the formula.

codonopsis root  30g, ovate atractylodes root  15g,  poria 10g, mulberry 15g, cuscuta seed 10g,  lycium berry  10g, anemarrhena root  10g, etc.

                                                                                                                                                      Dr. Ming

October 5, 2005. Mr. A walks 560 meters on the third floor before felt tired. He said from today he feels his legs could walk a little bit longer. The night urination twice. The pulse is little bit less tight. The tongue coating is thin and slightly yellowish. The previous formula for 2 days.

                                                                                                                                                       Dr. Ming

October 6, 2005. Mr. A walks 670 meters on the third floor before felt tired. The night urination is twice. The tongue coating is thin and slightly yellowish.

                                                                                                                                                        Dr. Ming

October 8, 2005. Mr. A walks 780 meters on the third floor before felt tired. The sleep is calm and one night urination. The sleep is calm and one night urination. The tongue coating is little wider, and thin and very slightly yellowish. The appetite is OK and the spirit is normal. Add turmeric 10g in the previous formula.

                                                                                                                                                        Dr. Ming

October 9, 2005. Mr. A walks 670 meters on the third floor before felt tired. The sleep is calm and two night urination. The appetite is OK.

                                                                                                                                                         Dr. Ming

October 10, 2005. Mr. A walks 670 meters. The blood pressure is dropping to 120/78mmHg which is normal range. The pulse is milder. The tongue coating is thin and yellowish.

                                                                                                                                                          Dr. Ming

October 11, 2005. Mr. A walks a lot in another western hospital for muscle check. The appetite is good and pulse is milder and blood pressure is normal 126/78mmHg.

codonopsis root 30g, ovate atractylodes root 15g,  anemarrhena root 7g, cinnamom twig 10g, mulberry twig10g, earthworm 10g, etc.

                                                                                                                                                           Dr. Ming

October 12, 2005. Mr. A walks 560 meters. The appetite and spirit are normal. The pulse is little string-like. The blood pressure is 140/90mmHg. Teeth marks on the edges of the tongue.

                                                                                                                                                            Dr. Ming

October 13, 2005. Mr. A walks 670 meters. The appetite and spirit are normal. The muscles on the two upper arms are not so much water-like when you touch them. The tongue coating is slightly greasy.

                                                                                                                                                             Dr. Ming

October 14, 2005. Mr. A walks 728 meters. Everything seems to be stable. The muscles on two upper arms are not so water-like as before. The weight today is 82 kilos. Add amomum fruit 10g, fritillaria bulb 10g in the previous formula.                                              

                                                                                                                                                             Dr. Ming  

October 15, 2005. Mr. A did not walk. Everything is stable. Now the muscles on the upper hands, and two thighs seem to be tight and stronger. Also the muscles on the back and scapula seem to be stronger. The major muscle loss part focus on two hips, and the two shoulders.                                                                                

codonopsis root 30g,  anemarrhena root 10g, turmeric 10g, mulberry twig 10g, earthworm 10g, amomum fruit 10g, etc.                                       

                                                                                                                                                               Dr. Ming 

October 16, 2005. Mr. A walks 784 meters. He tries to support the upper body up and down for ten times with two arms when he lies flat on the bed. When he came to our hospital, he could only make the up and down action for three times. The appetite and sleep are normal. Two night urination. Easy to sleep. The tongue coating is slightly yellowish and greasy.

                                                                                                                                                               Dr. Ming 

October 17, 2005. Mr. A walks 784 meters. He tries to support the upper body up and down for ten times. The sleep is calm and two night urination. The pulse is milder, not so tight. The tongue coating is slightly greasy and yellowish. The previous formula for two days. The appetite is increasing a little.

                                                                                                                                                                Dr. Ming 

October 18, 2005. Mr. A walks 896 meters. He tries to support the upper body up and down for ten times, twice a day. The blood pressure is better 120/80mmHg today. The appetite is OK, increasing a little bit.

                                                                                                                                                                Dr. Ming  

October 19, 2005. Mr. A walks 784 meters. He tries to support the upper body up and down for ten times, twice a day. The blood pressure is 114/74mmHg. The weight today is 82.2 kilos.  

codonopsis root 30g, ovate atractylodes root 15g, poria 15g, mulberry 15g, anemarrhena root 7g, etc.                                             

                                                                                                                                                                 Dr. Ming  

October 20, 2005. Mr. A walks 896 meters in 12 minutes. Ten times to support up and down the body by two hands, twice. The appetite is increasing. The blood pressure is 120/84mmHg. So suggest Mr. A to stop western medication for hypertension step by step. 

                                                                                                                                                                  Dr. Ming 

October 21, 2005. Mr. A walks 896 meters in eleven minutes. He supports the upper body up and down twice a day, twenty times each time. So it is forty times. In recent three times, he fails to control the urination one time a day. 

codonopsis root 30g, ovate atractylodes root 15g, poria 15g, mulberry 15g, anemarrhena root 7g,  etc.                                           

                                                                                                                                                                   Dr. Ming 

October 22, 2005. Mr. A walks 672 meters in eleven minutes. He supports the upper body up and down three times a day, twenty times each time. So it is sixty times. He tries to control his urination. The urine is whitish. The tongue coating is yellowish.                                         

                                                                                                                                                                    Dr. Ming  

October 23, 2005. Mr. A walks 784 meters in eleven minutes. He supports the upper body up and down three times a day, twenty times up and down for each action. So it is sixty times in all. The appetite and spirit are normal. The urine is whitish and the tongue coating is yellowish. The blood pressure is 120/76mmHg.  

                                                                                                                                                                    Dr. Ming  

October 24, 2005. Mr. A walks a slope, which is a 900 meters long slope in the country side. He walks to and fro with some difficulty. So it is 1800 meters walk. He supports the upper body up and down for 57 times. His weight increases a kilo today to 83.2 kilos. Five days ago, it is 82.2 kilos. But Mr. A said the actions of the hands are becoming more difficult for some minor actions. We tried to stop acupuncture on the hands, and strengthen massage on the hands for a few days.  

codonopsis roo 30g, ovate atractylodes root 15g, cinnamom twig 10g, turmeric 10g, earthworm 10g,  silkworm 10g, etc.

                                                                                                                                                                     Dr. Ming 

October 25, 2005. Mr. A walks only ten times since a Chinese friend invited him to do something. He supports the upper body up and down for sixty times. The appetite and sleep are normal. He could control the urine since the muscles on the abdomen is less loose. The blood pressure is fine 112/70mmHg. So I suggests the patient to reduce the western medicine for hypertension step by step now.  

                                                                                                                                                                     Dr. Ming

October 26, 2005. Mr. A walks only 488 meters. He pushes the body up and down with two hands for 160 times with the face upward. Also he pushes the body up and down with two hands for 40 times with the face downward. The appetite and sleep are fine. The muscles on the two skinny hands are starting to become thicker. The shaking power of the two hands is increasing obviously too.  

codonopsis root 30g, ovate atractylodes root 15g, turmeric 10g, etc. 

                                                                                                                                                                      Dr. Ming  

October 27, 2005. Mr. A walks 672 meters. He pushes the body up and down 120 times with the face upward. The sleep is calm. The appetite is increasing. The tongue coating is slightly yellowish. The urine is white in the morning and slightly dark in the afternoon.

                                                                                                                                                                       Dr. Ming 

October 28, 2005. Mr. A walks 784 meters in 12 minutes. He pushes the body up and down 120 times with the face upward, and another 40 times with the face downward. The sleep is calm and once night urination. The tongue coating is slightly yellowish. 

codonopsis root 30g,  ovate atractylodes root 15g,  poria 15g,  mulberry 15g, lycium berry 10g, tangkuei 10g, etc.   

                                                                                                                                                                        Dr. Ming  

October 29, 2005. Mr. A walks 784 meters only. He pushes the body up and down 160 times in all. The appetite and sleep are normal. 

codonopsis root 30g,  ovate atractylodes root  15g,  poria 15g, mulberry 15g, etc. 

                                                                                                                                                                         Dr. Ming  

October 31, 2005. Mr. A walks 448 meters and pushes the body up and down for 80 times. The appetite is normal. Today, the formula focus on nourishing the yin. 

codonopsis root 20g, ovate atractylodes root 10g, astragalus root 15g, eucommia bark 10g, etc. 

                                                                                                                                                                          Dr. Ming 

November 1, 2005. Mr. A walks 560 meters. He pushes up and down the body for 100 times. The spirit and appetite are normal. The tongue coating is a little bit more yellowish.

                                                                                                                                                                          Dr. Ming 

November 2, 2005. Mr. A walks 672 meters. He pushes the body up and down for 80 times. The spirit and appetite are normal. The tongue coating is yellowish. 

codonopsis root 20g,  ovate atractylodes root 10g, poria 10g, astragalus root 20g, tangkuei 10g, etc.

                                                                                                                                                                           Dr. Ming 

November 3, 2005. Mr. A walks 896 meters in 16 minutes. He pushes the body up and down for 80 times. The sleep is calm. Twice night urination. Once bowl movement a day. No thirst. The urine is sometimes yellowish and sometimes whitish. The face and eyes look spirited today. The same formula as above. 

                                                                                                                                                                           Dr. Ming 

November 4, 2005. Mr. A walks 896 meters in 15 minutes. He is gaining more muscles and weight. Today, the weight is 83.7 kilos. When he came here, the weight is 82.5 kilos. No thirst. Calm sleep. The face and eyes look spirited. The tongue coating is less yellowish. The next step is to strengthen qi.  

                                                                                                                                                                            Dr. Ming 

November 5, 2005. Mr. A walks 560 meters. The appetite and sleep are normal. The tongue coating is less yellowish.

                                                                                                                                                                            Dr. Ming 

November 6, 2005. Mr. A walks 1008 meters. But he feels very tired after walking 1008 meters. The appetite and sleep are normal. Twice night urination. 

                                                                                                                                                                            Dr. Ming 

November 7, 2005. Mr. A walks 560 meters. The appetite and sleep are normal. Twice night urination. The tongue coating is slightly yellowish. 

codonopsis root 20g,  ovate atractylodes root 10g, poria 10g, etc. 

                                                                                                                                                                            Dr. Ming 

November 8, 2005. Mr. A is advised to walk only ten minutes which is 560 meters. The appetite and sleep are normal. Three times night urination. The muscles on the hips are increasing.

                                                                                                                                                                           Dr. Ming 

November 9, 2005. Mr. A walks ten times which is 560 meters. Pushing the body up and down for 80 times. Three night urinations. The tongue coating is slight yellowish. The muscles on the hips are increasing.  

codonopsis root 20g, millettia root and stem 10g, earthworm 10g, etc. 

                                                                                                                                                                          Dr. Ming 

November 10, 2005. Mr. A pushes the body up and down for 80 times. Twice night urinations. The tongue coating is slight yellowish.  

                                                                                                                                                                         Dr. Ming 

November 11, 2005. Mr. A walks 672 meters. He pushes the body up and down for 80 times. Once night urination. The tongue coating is slightly yellowish. The urine is whitish. 

codonopsis root 20g,  ovate atractylodes root 10g, poria 10g, etc. 

                                                                                                                                                                          Dr. Ming                                

November 12, 2005. Mr. A walks 672 meters. He pushes the body up and down for 60 times. Twice night urination. Appetite and sleep are normal. The legs are little bit more tired.

                                                                                                                                                                          Dr. Ming 

November 13, 2005. Mr. A walks 672 meters. He pushes the body up and down for 60 times. Twice night urination. Appetite is normal. The legs are little bit more tired. 

                                                                                                                                                                          Dr. Ming 

November 14, 2005. Mr. A walks 672 meters. He pushes the body up and down for 100 times. Twice night urinations. Appetite is normal. The legs are a little bit more tired.

                                                                                                                                                                         Dr. Ming 

November 15, 2005. Mr. A walks 336 meters. He pushes the body up and down for 100 times. Twice night urination. Appetite is normal. The legs are a little bit more tired.  

tangerine peel  6g, scrophularia root 10g, platycodon root 10g, etc. 

                                                                                                                                                                         Dr. Ming 

November 16, 2005. Mr. A walks 448 meters. He pushes the body up and down for 80 times. Twice night urination. Appetite is normal. The legs are more little bit tired.

                                                                                                                                                                         Dr. Ming 

November 17, 2005. Mr. A walks 672 meters. He pushes the body up and down for 100 times. Twice night urinations. Appetite is normal. The legs are little bit more convenient. The same formula as above. 

                                                                                                                                                                         Dr. Ming 

November 18, 2005. Mr. A walks 672 meters. He pushes the body up and down for 80 times. Twice night urination. Appetite is normal. The legs are not so much heavy. The weight continues to increase a little bit to 83.5 kilos. 

                                                                                                                                                                         Dr. Ming 

November 19, 2005. Mr. A walks 560 meters. He pushes the body up and down for 80 times. Twice night urination. Appetite is good. The tongue coating is yellowish. 

                                                                                                                                                                         Dr. Ming 

November 20, 2005. Mr. A pushes the body up and down for 80 times. Twice night urination. Appetite is fine. The tongue coating is less yellowish. But he walks upstairs with tiredness of the legs. 

scrophularia root 10g, platycodon root 10codonopsis root15g,   millettia root and stem10g, etc. 

                                                                                                                                                                         Dr. Ming  

November 21, 2005. Mr. A pushes the body up and down for 100 times. His legs feel weak after walking for 560 meters. Try to use electricity acupuncture to strengthen the irritation. Appetite and sleeping are well. 

scrophularia root 10g, platycodon root 10g, fritillaria bulb 10gcodonopsis root 15g, ovate atractylodes root 15g, etc. 

                                                                                                                                                                         Dr. Ming  

November 22, 2005. Mr. A walks 576 meters. He pushes the body up and down for 100 times. Appetite is OK. Sleeping is fine.  

                                                                                                                                                                         Dr. Ming 

November 23, 2005. Mr. A walks 576 meters. He pushes the body up and down for 80 times. Appetite is OK. The weight is 83 kilos. 

scrophularia root 10g, platycodon root 10g, fritillaria bulb 10g, codonopsis roo15g, etc. 

                                                                                                                                                                         Dr. Ming 

November 25, 2005. Mr. A walks 576 meters. He pushes the body up and down for 60 times. Sleeping is normal. Twice night urination. Appetite is normal. The tongue is slightly red with thin and yellowish tongue coating. Try to enrich the spleen qi only. The formula is changed to the following one: 

codonopsis root 25g, ovate atractylodes root 20g, dioscorea root 10g, poria10g, astragalus root 20g, cimicifuga root 10g, etc. 

                                                                                                                                                                         Dr. Ming 

November 27, 2005. Mr. A walks 576 meters. He pushes the body up and down for 100 times. Sleep and appetite are normal. Thin and yellowish coating.  

ovate atractylodes root 20gdioscorea root 10gporia10g, etc. 

                                                                                                                                                                         Dr. Ming 

November 28, 2005. Mr. A has to be back home. His weight is 84 kilos today. Appetite is normal. Sleep is normal. But after walking 576 meters, he feels tiredness of the two legs. So Mr. A takes herbs back to Chile and continue to report the progress. Advice him to keep relaxed and happy, good rest and proper exercise. 

codonopsis root 25g, ovate atractylodes root 20g, dioscorea root 10g, poria10g, astragalus root 20g, etc.                                                                               

Continue with massage and acupuncture in Chile.

                                                                                                                                              Dr. Ming 

Some of other ALS cases that we treat distantly online:

Dear Dr. Ming,

I have been taking the tea since the package arrived.

Major change is in the quality of sleep and the energy level. I can now get up in the morning and feel well rested. I am getting out more and my energy lasts usually until the late afternoon. It used to be that I would have to take an extra nap during the mid day to rest and recover. When I first started to take the tea, I think I felt tired and rested -- took me about 3 days to get used to the tea.

My arms are still weak (may be slightly better). My legs are, at times, still now a bit wobblely (or feel weak) at the knees. I was wondering if I
you would recommend me taking the tea for a longer period of time to see if I can get more improvements.

Please let me know.  Thank you. I can see a definite improvement in how I feel more energetic. Another question is at what point do you decide to stop taking the tea? Thank you very much for answering these questions.

Sincerely,
Juri

(Check the details here)

----------

Dear Dr. Ming,
Below are the update from my wife after start taking your herbal tea. Please suggest if any advise if needed based on this changes.  Is it
necessary that she relax and take rest while taking this herbal tea?  Do you need to change anything?

4/21/06:  Hand raising good, right leg weight bearing sometimes good, reading better today, tarting trouble reduced to half than previous day.
Side walk through window side.  Ball throwing slightly better than yesterday. Muscle pain still while moving. Performance good but getting tired faster than before. Urination good.  Talking struggle still not changed. 4/20/06:  in the morning feels good with all movements, hands raised almost full height and morning right leg more stable, around noon got muscle pain on  both thigh and upper half of the hand and felt very sleepy. Thus evening activities reduced. Talking struggle not changed starting more strain.

Thanks,
Mohanan

(Check the details here)

 

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