Living with multiple sclerosis. Personal experience of a strong woman. Doctor on multiple sclerosis: “Everything is in your hands. And they can't be put down

Foci of multiple sclerosis

1. Multiple sclerosis is a very common disease. More than 2 million people suffer from it in the world. In Russia - 150 thousand. Women get sick more often, but an unfavorable progressive form is more common in the stronger sex.

2. In the words "multiple sclerosis" there is not a hint of human absent-mindedness or forgetfulness, which in everyday life is called sclerosis. Absent-mindedness in our case (or rather, we hope, in the case of a disease that will not affect you, readers), means the prevalence of foci of the disease in the brain and spinal cord. No wonder in English the disease is called multiple sclerosis ( multiple sclerosis).

3. For early diagnosis of the disease, the so-called McDonald criteria are used, linking the frequency and severity of exacerbations of the disease and the presence of clinical manifestations of sclerosis foci and MRI data. But for the actual MRI diagnostics, other criteria are used - the Fazekas criteria and the Pati criteria.

4. There are many varieties of multiple sclerosis - from relapsing (a disease with exacerbations and remissions, but without worsening) to Marburg's disease (not to be confused with Marburg fever, in the case of MS it is a very fast current form that kills in a few months).

5. At least three diseases used to be considered forms of multiple sclerosis, but now they are considered independent: Balo's concentric sclerosis, acute disseminated encephalomyelitis and Devic's disease (optocomyelitis).

St. Lidwin

6. One of the first practically reliably ill with this disease was the Dutch saint Lidwina of Schiedam (1380-1433), revered as the sick and those who are stricken with a serious illness, sacrifice their suffering for others. Lidvina spent 35 years without movement, and the symptoms described in her life are very typical for multiple sclerosis.

Robert Carswell

7. The clinical manifestations of multiple sclerosis were first described by the Scottish physician Robert Carswell (1793-1857) in 1838. But he never singled it out as a separate disease, although he sketched the scars that sclerosis leaves on the brain stem and spinal cord. I had to wait another three decades, until Jean-Martin Charcot took up the disease. I wonder if at least some neurological disease did not get his attention?

"Scars" from multiple sclerosis. Carswell's drawing.

8. The famous photographer of the late 19th century, Edward Muybridge, made his contribution to the study of multiple sclerosis. It was he who began to study movement with the help of photography and took photographs of individual phases of movement, and animation of movement from photographs. In 1887, he took a series of photographs illustrating the difficulty in moving a woman with multiple sclerosis.

Photo series of movement of a patient with MS

9. It has sometimes been suggested that the heroine of the famous painting by the American artist Andrew Wyeth "Christine's World", written in 1948, was sick with multiple sclerosis, but at a recent conference in the USA, she was "" diagnosed with Charcot-Marie-Tooth syndrome (motor-sensory neuropathy ).

"Christine's World"

10. In 1917, The Diary of a Disappointed Man was published in the UK, in fact, a blog of the early 20th century, signed by Wilhelm Nero Pilate Barbellion (W. N. P. Barbellion). Now this work is forgotten, but then it was valued at the level of the best works of Kafka and Joyce. In this work, the Briton Bruce Frederick Cummings, who took such a pseudonym, described his life and struggle with the disease. In fact, it was the first ever blog of a terminally ill person. One of the last entries in the Diary was this: “I am only twenty-eight years old, but I have an acceptably long life stretched out over these few years: I have loved and married, I have a family; I wept and rejoiced, struggled and overcame, and when the hour comes, I will be content to die.” Cummings died at 30 in 1919.

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Multiple sclerosis is a disease little known to a wide range of people. However, this disease is quite common and can lead to complete immobility. More than 2 million people in the world suffer from multiple sclerosis, and no one is immune from its development.

Irina Pigasova spoke about her life story with multiple sclerosis and about ways to cure the disease.

How it all began

- I had my first attack of multiple sclerosis almost 10 years ago, shortly before my 40th birthday - the age at which, as the heroine of the famous film said, everything is just beginning.

At that moment, the phrase "multiple sclerosis" meant absolutely nothing to me.

But my mother, having learned about the alleged diagnosis, was frightened in earnest and kept saying that it was very scary and that it was urgent to get the drug betaferon somewhere, the annual course of which (and you need to take it for life) costs about 15 thousand dollars and who is the only one who can help ...

About six months later, already having an officially confirmed diagnosis, I purchased a used laptop, and with it I got access to an endless sea of ​​​​information contained on the Internet.

I began to study the topic - read articles, went to forums. I found out that multiple sclerosis is an incurable autoimmune disease in which the immune system fails: immune cells begin to attack not “enemies”, but native myelin (a substance that is a protective sheath, which, like an electrical wire with electrical tape, nerve fibers are covered) brain and spinal cord, destroying it.

Thus, the passage of nerve impulses is hindered or completely interrupted, which causes various disorders - from slight changes in sensitivity to complete paralysis.
Lost functions are partially restored over time, but the degree of recovery is poorly predicted and depends on many factors.
Exacerbations of the disease are relieved by high doses of hormones. The frequency and severity of these exacerbations can be reduced by drugs that change the course of multiple sclerosis, interferons b and glatiromer acetate (Copaxone).

I think many people know about the side effects of hormone therapy. Interferons, on the other hand, have many extremely unpleasant side effects, including fever, chills, fever, muscle pain, affect immunity, suppressing it, and it happens that against the background of “killed” immunity, people develop cancer.

In addition, the frequency of relapses with the use of both interferons and copaxone decreases only by 30-35% on average, and if the drug is not suitable for the patient (and drugs are prescribed in Russia according to the principle “what is in stock”, and preliminary tests before no one makes an appointment to the patient), then the patient's condition may even worsen.

The search for truth and an attempt to compromise

– Having received a disability in the same year, I nevertheless stood in line to receive Copaxone. I waited for a long time, but even after the aggravation (to be fair, it was rather mild), which happened to me three years after the debut, I was denied Copaxone for unknown reasons.
By that time, scheduled visits to a neurologist had turned into purely formal events, for show: the “gentleman’s set” of preventive drugs (nootropics, antioxidants, vascular, vitamins) is known to every patient, and in order to conduct their course 2-3 times a year, it’s completely you don't have to go to the hospital.
Left alone with the disease, I read a lot, thought, trying to find the cause, because I was sure that there was a reason - but not in the malfunctions of the body, but in the errors of the soul.
Why I got sick, I then guessed. Much later, in one of the books on psychosomatics, I read that multiple sclerosis “... arises in response to deep, hidden sadness and a sense of meaninglessness. Years of … overexertion in order to achieve something very valuable destroys the meaning of life.”

These words confirmed my guesses: indeed, for many years I was striving for a certain goal, which in the end turned out to be unattainable, and in this striving I stopped noticing what lay under my feet, I forgot how to just live, enjoy the sunrise, spring, summer rain ...

However, having found out the root cause, for some reason I didn’t dig further into the depths - maybe I got scared, or maybe I decided that it was enough to understand the reason. At the same time, I remained interested in the stories of healing and the methods that the patients themselves and those who helped them resorted to on their way to recovery.

On this path, someone pays special attention to breathing and relaxation, someone gives priority to the spine, someone puts nutrition at the forefront. Some combine different directions, demonstrating a comprehensive approach. The options here are very different, but in all cases we are also talking about the importance of solving psychological problems, changing the worldview. After all, if you do not change your consciousness, then sooner or later everything will return to normal - without the healing of the soul, there can be no physical health. I understood it then with my mind, but I did not accept it with my heart. I thought that if you just follow the rules, then everything will be fine, but I was cruelly mistaken.

A Sound of Thunder

“It's been another six years. There were no exacerbations during this time, and I felt generally good. At some point, I just relaxed, presumptuously deciding that it would always be like this.
Life went on as usual, and it seemed to me that it was moving in the right direction. In the meantime, a serious shock occurred in my life - my beloved dog Trofim died, and negativity began to accumulate in my soul, unable to cope with this loss.

My internal problems were not solved, my relationships with close people were rapidly deteriorating, and my soul, losing the ability to see goodness and light, became callous and seemed to be dying.
That May night, I woke up with a strange pain in my side. When I got out of bed and took a few steps, I felt that my legs were being taken away. I instantly understood what was happening, and just as quickly I understood why: the causal relationship was so obvious that it scared me.

In a day, I turned from a healthy person into an immobile disabled person - the torso below the waist was paralyzed, so I could not only sit down or roll over on my side, but even move my toe. At the same time, an incredible clarity arose in my consciousness, as if a ray of sunlight had pierced the darkness. From that moment began the countdown of my new life.

A light in the end of a tunnel

“I spent a month in a hospital bed in absolute solitude, looking at the cracks in the ceiling and thinking about what had happened. The chaos that reigned in my head until quite recently was replaced by silence, in which I was finally able to hear the answers to the questions that tormented me.

The head of the department of the hospital in which I was lying called the exacerbation that covered me not just strong, but the strongest. However, this was understandable. But it was also clear that if multiple sclerosis had not attacked me at that moment with all its might, I would have had a stroke or some serious injury.

I thanked the disease for waking me from a terrible dream.

I never once had the thought of what it was for me, why it was with me - I knew perfectly well why, and why, and even for what. I am convinced that we ourselves, by wrong thoughts and actions, attract illnesses into our lives - through them, life tells us that the time has come to change.

If we wandered in the wrong direction, then we get a hard blow from fate, but at the same time we are given a chance to understand our mistakes and rise.

Further, it seems to me that it is very important to ask yourself the question: why do I want to get well, why do I need to be healthy? It should be understood that healing should not be an end in itself, that this is only a step on the way to opening new horizons, to understanding oneself and understanding the world around.

It is also worth asking yourself: why do I live at all, what is the meaning of my existence, what do I want - to take everything from life or to give unselfishly? If you find answers to all these questions and start moving in the right direction, then, who knows, perhaps life will get better by itself and diseases will recede ...

I'll start again for the hundredth time...

Exactly a year has passed since that night. Now I am starting life from scratch, from a clean white slate, letting go of anger, resentment and fear, forgiving the world its imperfections, reopening my heart to goodness and light.
The path to myself goes to infinity, and I am only at the very beginning of this path. I am learning to walk again, learning to understand, forgive and love those who walk beside me.
Recorded

Valeria LAPShINA
Vitaportal.ru

After learning about your diagnosis, the first question that comes to mind is how to live with multiple sclerosis. Patients with MS should carefully monitor the quality of life. Otherwise, relapses may be provoked, and the circle of restoration work will begin again. Droppers - rehabilitation - drugs. Each new exacerbation increases disability to varying degrees.

Living with multiple sclerosis

Remember the following few rules of life for quality and normal life with MS. Most of them are suitable for everyone. People with such a serious diagnosis should pay special attention to them every day.

Rest better

Rest is perhaps the key, very important factor in multiple sclerosis, which should not be overlooked. Try to organize your day ahead of time. The best way to fight fatigue is not to fight it at all. Allow yourself to take a nap for a couple of hours during the day, but no more.

Of course, all figures are approximate, no one but you feels your body better. But if you fall asleep for a longer period, it will increase the chance to go already at night. Remember, there will be nothing catastrophic in this.

In order to fall asleep quickly, follow a few simple rules. Ventilate the room, do not overeat, drink a glass of plain water before going to bed, go to the toilet, postpone things for tomorrow, follow the regime (it is better to go to bed no later than 23:00, wake up at 7-8), 8-9 hours of sleep is more than enough for complete relaxation of your body, it is best to turn on quiet music, relax and close your eyes.

To get better sleep at night, try meditation, deep breathing, or yoga during the day.

The life of patients with multiple sclerosis differs from the lives of other people not only in symptoms and periodic exacerbations, as in the case of the relapsing type, but also in the routine, work schedule and organized daily routine. Food and water are an integral part of human life.

To increase energy, try to eat instead of 3 times a day in large portions, 4-6 times smaller.

Eat low-fat, high-fiber foods to help prevent heart disease and diabetes, which make multiple sclerosis worse. You can follow special diets for MS.

To normalize toilet issues, keep your bladder under control. To do this, reduce your coffee intake. The drink makes you want to go to the toilet.

If you love traveling, remember a few rules. Drink more, but watch what you drink. Water in glass bottles is the highest quality product. Be careful when taking local water and raw foods.

Use Gadgets

Put a fan on your desk to keep you cool while you work. Keep an eye on the humidity level, for this the easiest way is to buy a humidifier in the room.

Control the room temperature. Heat provokes changes in the body, unfortunately, not for the better for a person with MS. Hypothermia, however, can provoke a cold. Don't let the heat make you tired. Open the window periodically, change clothes at work, pick up the best home clothes.

Wear light shoes with good tread to avoid falls when going out for a walk. Yes, in principle, good shoes are important for everyone since we spend most of our lives on our feet. (well, or on the pope)

Learn to deal with stress

We believe that the ability to manage stress and act in stressful situations is the most important skill when you are diagnosed with multiple sclerosis. Stress management can play an important role in combating fatigue. Stress and multiple sclerosis must learn to coexist under your careful guidance. Here are some tips to help keep stress under control:

• Manage your expectations.
  For example, if you have a list of 10 things you want to do today, cut it down to the two most important. A sense of accomplishment leads to a significant reduction in stress. Proven!
• Help others understand and support you.
  Family and friends can be three times as helpful if they "put themselves in your position" and try to understand that being tired means more to you than it does to others. Support groups can be a source of comfort. Talking to other people who have MS also helps you understand what you are feeling and going through.
• Relaxation methods.
  Audio recordings that teach deep breathing or visualization can help reduce stress. If you do not like this kind of music, listen to the calm composition that you like. Things that are nice to you will always be set in the right way.
• Get involved.
  Participation in activities that divert your attention from fatigue. For example, activities such as knitting, reading or listening to music, or watching movies require little physical energy but require attention. The ability to shift attention from a growing stressful situation to something else is very important.

If your stress seems to be getting out of hand, talk to your doctor. They exist to help you. The main thing will be the fact of a trusting relationship between you and the doctor.

Total:

Rest. If you feel tired during the day, take a nap.

Eat small meals more than 3 times a day. Add vegetables and fruits to your diet.

Make the environment around you comfortable: ventilate regularly, monitor the temperature and humidity in the room.

Learn to deal with stress. Relaxation, working with expectations and a support group will help you do this.

Do what you love and surround yourself with things you love.

Fortunately, people have parents, families, children, brothers and sisters. In any life situation, we can, one way or another, count on the support of our relatives and friends. When a person is diagnosed with "multiple sclerosis", then this is exactly the case when everyone around is obliged to support a loved one in all possible and impossible ways.

In my experience, it's not easy for both parties to hear the news that a person has been diagnosed with MS. The situation is aggravated by the fact that sometimes medical workers themselves escalate the situation even more. I personally had to see twice the conversations of doctors and patients who, in their opinion, were “sentenced”. At the same time, they often look at people as if they were walking mummies, and speak in such a manner as if it was not a person standing in front of them, but already a phantom.

The first time I saw such a picture was when my wife and I were in the hospital and they told her that they had found all the signs of multiple sclerosis. And the second time it was with the father-in-law. He had cancer of some organs, including the blood, and after the operation they put him in an artificial coma. Professors-doctors took a maximum of two months of life and asked us (family) to talk to the "necessary" people so that they complete all the documents on time and find a free "place" in the "quiet place" of the city. But we are not talking about that now.

If you have a family member with symptoms or already diagnosed with multiple sclerosis, then his whole future life largely depends on you personally. These are by no means empty words, and here's why. Imagine that you are driving a car on a very long journey. Another person is driving, and you are the navigator. A navigator is a person who tells the driver about upcoming turns, obstacles, dangerous sections of the road, and so on. In fact, the navigator acts as the head of the driver of the car. He calculates, shows, tells the driver what to do now or what can happen. And the driver must firmly hold the steering wheel and drive the car in a given direction.

So, the navigator is you. A person who has recently been told that he has multiple sclerosis is often overwhelmed by such "news". Let's add the factors that he surfs the Internet and reads numerous forums, where every second person writes that “everything is lost”, “we will all die”, “no one will help us”, and so on. The mood doesn't improve at all. We are talking about more or less adult people who are from 25 to 40 years old. And if you imagine a teenager aged 14-18? After all, he has not yet seen life, he has not yet learned to separate the bad from the good, the important from the unimportant, truth from lies, and much more. I have seen enough videos of young people and teenagers from all over the world on the Internet that they post. This is a very sad picture when a person at the age of 18 does not have the fire of life in his eyes, but only a picture that everyone around describes to him. And there are millions of such people.

Whether you are a mom, dad, brother, sister or husband to the person who has been “pasted” with this label, it is you who should become his head and suggest the right path. It is difficult for us to understand what emotions a person experiences when he is “sentenced to life”. Watching my wife for many years, I realized that the psyche is not just changing, but sometimes she can not withstand such a load. And your task is to catch such moments, help, support a person and, as a result, direct them in the right direction, namely, to the health recovery system.

It is extremely important not to become a “weeder” and a “whiner” yourself, who no longer believes in anything. If you take such a position, then the person will drive himself into a hole and bury himself. This question is much more acute when it comes to a teenager. In adolescents, the psyche is just being formed, and many neural connections in the brain are simply absent as a class. Sometimes we try to explain something to them, but the brain does not yet have all those connections (they have not arisen) that can receive and process information. Therefore, try to support with all your looks and deeds.

What does it look like in real life? You know this person best of all and therefore you can clearly determine what mood he is in. One of the first rules - do not leave him alone with your thoughts. If you see that he has been walking around busy for hours and does not talk much, try to talk him. It is important for you to understand what is going on in his head. You may not believe it, but so many are considering the topic of leaving this life. Of course, this can be understood if everyone around them does not believe in anything. The question arises: what is the point of waiting? A little earlier is better than later." In this case, you will have to learn how to be his personal psychologist. Whether you want it or not. Whether you can do it or not. If you are not indifferent to his life, then you must become his personal psychologist, who will be available 24 hours a day and 7 days a week. This is the least you can do.

Second. It will be important for you to slip him various articles and books in which people successfully overcome all difficulties and live normally, sometimes they even forget about everything that happened to them. Of course, to get started, you will also need to read different opinions and talk to different specialists, doctors, professors, and so on, in order to understand how to proceed. You do not forget that you are a navigator who acts as a navigator. Indeed, at any moment the driver may not see some trifle, and an accident will occur. Your role is to be a reliable assistant and navigator, especially in health matters.

When a person finds himself in such a difficult situation, even with the most stable psyche and a sound mindset, many things are often seen differently. A person often loses touch with reality. This is quite normal and understandable. Our psyche is not a steel rope, but a very “soft” and pliable “substance”. Of course, it will not be easy to direct and persuade to do one way or another. However, it is important to remember that you are a family (family is derived from the word "Seed"). And it should not be indifferent to what will happen next with this "seed" of kinship. Of course, it will often be difficult for you yourself. Sometimes it will seem that it is even harder for you than for that person. However, this is not at all the case.

As for you, that is, the person who will be a support and a psychologist. Oddly enough, but you will also need a person who will support you. Many parents who play the role of navigator periodically cry and are themselves depressed. This condition is understandable to any person who has a child. It is possible that you will break down and even be angry with that person. We will not delve into this topic now, but this is also a normal reaction. Regardless of the fact that this is your child, husband, wife, brother or sister - being strong and reliable is not always easy.

Firstly, no one is often ready for this. All people have their own interests, occupations, work, study, and so on. And then suddenly it turns out that you will have to push a lot of your life priorities into the background. Maybe refuse altogether. In my case, I had to give up a lot. And it wasn't easy for me. The younger a person is, the more he wants to enjoy life, and not give his life to someone completely. Yes, yes, all people are selfish, ultimately. Especially in the society and economic structure in which we live now. From each "iron" they only broadcast that "enjoy life, no matter what." And then it turns out that all plans go downhill. How to be?

Everyone decides for himself how to be. I heard about different cases. There are many cases of husbands leaving their wife who was diagnosed with multiple sclerosis or cancer. There are completely different examples when the family rallied even more after such news. Here everyone has to talk to himself and decide what role he will or will not play. In any case, it is important to remember, any! (emphasize) any! help will only bring a person back to life, and direct him on the right path.

It will be great if you, as a navigator, constantly develop in the field of health and psychology. Not immediately, but over time, you can and should learn to get out of different life situations and react to them more calmly. Often people think that everything “unhappy” happens to others, but not to you. And when such a situation occurs, people ask themselves the question “Why me?”. Only the Creator knows the answer to this question. However, do not reproach yourself or other people for the fact that MS has come to your life. multiple sclerosis more a fairly easy thing, compared to so many cases and the fate of people. In my opinion, this should always be remembered. When it's not easy for me, I remember one oriental parable.

In short, one high-ranking official is constantly in a good mood and enjoys life. When asked what the secret is, he replied, “I see people who have nothing to eat and remember myself when I was just as hungry and poor. So I'm glad that I'm doing well." It is important to remember that there are always millions of people who are (as you think) doing better. But there are millions of people who are much worse than you. It is important to enjoy every minute of life and take the best of what is.

Summing up in this topic, it is worth saying that so many paths are surmountable. Much of what seems difficult and insurmountable to us is only a temporary obstacle that we will overcome.

At the very beginning of the article, I wrote about my father-in-law, to whom the doctors took 2 months to live and advised us to book a place in the cemetery. It is worth saying that my father-in-law is still alive and well as a bull. More than 4 years have passed since the best professors decided to put him into an artificial coma and after the withdrawal from the coma they said to take him out of the hospital, since “medicine is already powerless”. We took him away, signed all the papers that we have no claims, and he was at home. Of course, they did everything that was prescribed. And radiation, and chemistry, and surgery, in general, a complete set. As you already understood, in the end they “gave it” to us and said “we did everything we could”.

Thank God, there were people who advised the necessary books, which he himself read and comprehended. Mother-in-law helped him with everything. As a result, after a few weeks he was able to walk again, and a few months later he was driving again, although he had not driven for a long time. He is now 68 and doing well. This is despite the fact that he was given a couple of months of life. There was a funny incident when he went to this hospital for some information and that "professor" saw him. Of course, he was very surprised, but at the same time he said, “Are you still alive?”

And if we talk about multiple sclerosis, then type in youtube the name of one woman Palmer Kippola. She is American and the video is in English. The important thing is that she tells her way and even from the pictures you can understand what she is saying. She was diagnosed with multiple sclerosis at a young age, but she didn't want to put up with it. She fought for most of her youth. After several decades, she was able to understand herself and her body and reverse almost all the symptoms of MS. Speaking of which, her MS health program is very strong. similar to mine. When she began to live a normal life again, she went to those doctors and said, "I'm fine." They checked and it's true, everything is in order. At the same time, they said, “So you didn’t have multiple sclerosis.”

From this we can conclude that professionals may not always be right in their conclusions? Maybe in your case too? In any case, I wish you to be patient, strong and believe in yourself!

Sincerely,

Yes how to say. I didn't feel better for them. But, as the head neurologist of the Kem.reg. Karatkevich, the effect is not that it will get better, but that it will not get worse. The side effects are, of course, a nightmare. At first I put Copaxone, there is a syringe with medicine right away, it's convenient. After him, the injection itched and I was freezing, just awful. Then its deliveries to our region stopped, I was without medicine for 2 months, and I was prescribed our Russian Ronbetal. After the first injection, I began to DREAM about Copaxone. Feelings were ten times worse. The temperature rose, the whole body ached, the head ached, the injection site burned with fire.

The dose was gradually increased from 0.25 to 1 ml. The first 2 months were hell. The only consolation was the thought that it is better to endure now than to wake up one day and not be able to move, or lose one's mind.

I endured it. And then it turned out that it was impossible to put a cube on my weight of 60 kg with a height of 175 cm, my dose is 0.75. Wanted to kill them. Now I live at 0.75, I’m used to it, I can tolerate the medicine better now, but I can’t say that the side effects have disappeared. And it is necessary to put it in the evening, otherwise you won’t be able to work all day.

Another problem is that I have almost no subcutaneous fat, only the last year I started to get a little fat. And you need to put it strictly in the subcutaneous layer. Since the shoulders as a zone fell off immediately, I had to alternate the buttocks, stomach and legs. The bumps from the injection did not have time to dissolve, and it was already necessary to make the next injection.

About a year later, I learned how to properly inject:

• Dry Needle Principle. After you collect the medicine and release the air, change the needle and then do not drive the air out, when the needle is dry, it enters much easier.
• Without blood! The place must be chosen so that it is not visible next to the vessels. When you insert the needle, you need to pull the piston towards you and only if there is no blood, put it in. Manufacturers do not write about this, but if you get into a vessel, then it hurts terribly and the bump resolves for a long time. If it gets into a vessel, it is better to puncture it.
• If there is little subcutaneous fat, the needle must not be inserted completely, otherwise the muscles can be hurt.
• Demand from the health visitor a pamphlet describing how to administer the medicine. She is obliged to teach and show how it is done.

With the rest of the treatment, the song came out. The head physician prescribed Ronbetal, and the rest of the treatment, she said, let the local neurologist write out the symptoms according to the symptoms. She has no time to explain everything to everyone, this is understandable. And in the clinic, my neurologist sees the appointment, and is afraid to change it - they say, who is he, after the regional neurologist, to prescribe something. Since nothing else has been added, then it is not necessary. Wow...