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		<title>Post neurology questions - Digest</title>
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		<description>Here you post your new questions for our panel of experts.

&lt;b&gt;Statistics&lt;/b&gt; : 405 Topics || 872 Posts
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		<item>
			<title>What could cause Numb Bladder, Colon, and Stomach?</title>
			<link>http://forum.asktheneurologist.com/post-neurology-questions-f6/what-could-cause-numb-bladder-colon-and-stomach-t697.html</link>
		<pubDate>Mon, 08 Mar 2010 06:50:50 GMT</pubDate>
			<description>&lt;h5&gt;&lt;a href=&quot;http://forum.asktheneurologist.com/post-neurology-questions-f6/&quot; title=&quot;Post neurology questions&quot;&gt;Post neurology questions&lt;/a&gt;&lt;/h5&gt;


&lt;u&gt;Post subject : What could cause Numb Bladder, Colon, and Stomach?&lt;/u&gt;

My symptoms are:

Numb Bladder, Colon, Stomach.  I can't tell when I'm hungry/full and I can't tell when it's time to go to the bathroom.  The only way I can do it is &amp;quot;time it&amp;quot; every so often.

Bloating, Nausea, Abdominal Pain  (Abdominal Cat Scan normal)  

Numb left foot off and on

Right upper arm and hand pain.  Sometimes it get so bad I can't even write.

Headaches that only develop when I'm actually sleeping.  When I sleep more the headache gets worse until I get up.  Most of the time they last until late afternoon.  Nothing relieves it, not even a prescription migraine medicine.  In time the headaches go away by themselves.  These headaches usually happens about 2 times a week.

At night, when I lay on my right side, my right arm starts hurting.  When I lay on my back, I get abdominal pain.  I have to sleep on my left side to go to sleep pain free.  

Any advice would be highly appreciated.

Scott
&lt;b&gt;Statistics&lt;/b&gt; : 6 Replies || 57 Views
Post by &lt;span style=&quot;color: #6600FF;&quot;&gt;&lt;b&gt;valuedinsights&lt;/b&gt;&lt;/span&gt;



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		<item>
			<title>Re: What could cause Numb Bladder, Colon, and Stomach?</title>
			<link>http://forum.asktheneurologist.com/post-neurology-questions-f6/what-could-cause-numb-bladder-colon-and-stomach-t697.html#p1785</link>
		<pubDate>Mon, 08 Mar 2010 06:50:50 GMT</pubDate>
			<description>&lt;h5&gt;&lt;a href=&quot;http://forum.asktheneurologist.com/post-neurology-questions-f6/&quot; title=&quot;Post neurology questions&quot;&gt;Post neurology questions&lt;/a&gt;&lt;/h5&gt;
&lt;u&gt;Replies : Post subject : Re: What could cause Numb Bladder, Colon, and Stomach?&lt;/u&gt;

Please clarify . Are you waiting for the scan results or were they normal?
&lt;b&gt;Statistics&lt;/b&gt; : 6 Replies || 57 Views
Last post by &lt;b&gt;MG (Admin)&lt;/b&gt;

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		<item>
			<title>Thoracic Spinal Stenosis and Kyphosis in 25yr old Male</title>
			<link>http://forum.asktheneurologist.com/post-neurology-questions-f6/thoracic-spinal-stenosis-and-kyphosis-25yr-old-male-t713.html</link>
		<pubDate>Sun, 07 Mar 2010 19:13:21 GMT</pubDate>
			<description>&lt;h5&gt;&lt;a href=&quot;http://forum.asktheneurologist.com/post-neurology-questions-f6/&quot; title=&quot;Post neurology questions&quot;&gt;Post neurology questions&lt;/a&gt;&lt;/h5&gt;
&lt;u&gt;Post subject : Thoracic Spinal Stenosis and Kyphosis in 25yr old Male&lt;/u&gt;

25 yr old MALE: Large boned overweight approx 360lbs &amp;amp; 6'2&amp;quot;

Current diagnosis:  thoracic kyphosis and stenosis; lymphedema in legs; floppy eyelid syndrome
Also has major fungal problems on foot but can barely feel feet - barely can walk -- only with walker has large loss of feeling
in lower extremities and is in very beginning of stages starting to experience issues w loss of bowel and bladder function

ALSO- has been diagnosised with ADD, took speech therapy classes when younger for stuttering
when much younger was going to specialist for hormonal therapy due to testicles not dropping (not sure of exact diagnosis) saw pediatric endroconlogist


is scheduled to go into back surgery end of this month will perform decompression, fusion, and instrumentation (remove spurs, fuse bones, have steel rod put in back)
we live in Wisconsin and are considering going to Madison for second opinion, just wanting to make sure doctors are looking
at the big picture... taking everything into consideration:

Any thoughts Doctors?
We just want to make sure he is doing the right thing!

Thanks!
Jackie &amp;amp; Ellen, concerned sister and mother
&lt;b&gt;Statistics&lt;/b&gt; : 1 Post || 2 Views
Post by &lt;b&gt;millenniumars&lt;/b&gt;

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		<item>
			<title>aneurism</title>
			<link>http://forum.asktheneurologist.com/post-neurology-questions-f6/aneurism-t712.html</link>
		<pubDate>Sun, 07 Mar 2010 17:46:22 GMT</pubDate>
			<description>&lt;h5&gt;&lt;a href=&quot;http://forum.asktheneurologist.com/post-neurology-questions-f6/&quot; title=&quot;Post neurology questions&quot;&gt;Post neurology questions&lt;/a&gt;&lt;/h5&gt;
&lt;u&gt;Post subject : aneurism&lt;/u&gt;

Hello!  I am doing some research for a short story that I am trying to write and would like some input regarding the plausibility of a scenario that I have in mind.  It is important to the story that the main character dies unexpectedly during childbirth, but the baby survives.  My thesis is that the woman has an undiagnosed intracranial aneurism which will rupture during the birth.  The only evidence, up until then, that she has this condition will be occasional stress induced headaches; i.e., while anticipating telling her mother about a dangerous job she is taking.  So, is this plausible?  Can you suggest a more plausible scenario?  It just needs to be natural (no foul play) and preserve the life of the infant&#8230;

Thanks for any help;
Michael
&lt;b&gt;Statistics&lt;/b&gt; : 1 Post || 2 Views
Post by &lt;b&gt;bigdaddyrox4574&lt;/b&gt;

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			<title>progressive supranuclear palsy</title>
			<link>http://forum.asktheneurologist.com/post-neurology-questions-f6/progressive-supranuclear-palsy-t711.html</link>
		<pubDate>Fri, 05 Mar 2010 15:11:44 GMT</pubDate>
			<description>&lt;h5&gt;&lt;a href=&quot;http://forum.asktheneurologist.com/post-neurology-questions-f6/&quot; title=&quot;Post neurology questions&quot;&gt;Post neurology questions&lt;/a&gt;&lt;/h5&gt;
&lt;u&gt;Post subject : progressive supranuclear palsy&lt;/u&gt;

My 82 year old mother had a small hemoragic stroke the end of December.  While she was in rehabilitation, we cleaned her house for her.  We found an MRI that was taken about three years ago, before she had a pacemaker.  The interpretation stated that she has multiple spaces in the Basal Ganglia.   About four weeks ago, she was diagnosed with progressive supranuclear palsy.  Could there be a relationship between the spaces in the basal ganglia and progressive supranuclear palsy?
&lt;b&gt;Statistics&lt;/b&gt; : 1 Post || 2 Views
Post by &lt;b&gt;roxy&lt;/b&gt;

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			<title>Progressive supranuclear palsy</title>
			<link>http://forum.asktheneurologist.com/post-neurology-questions-f6/progressive-supranuclear-palsy-t710.html</link>
		<pubDate>Fri, 05 Mar 2010 14:56:48 GMT</pubDate>
			<description>&lt;h5&gt;&lt;a href=&quot;http://forum.asktheneurologist.com/post-neurology-questions-f6/&quot; title=&quot;Post neurology questions&quot;&gt;Post neurology questions&lt;/a&gt;&lt;/h5&gt;
&lt;u&gt;Post subject : Progressive supranuclear palsy&lt;/u&gt;

My mother had a mild hemoragic stroke this past December.  While she was in rehab, we cleaned her house up and found a copy of an MRI that was done approximately three years ago, before she had a pacemaker.  The interpration stated that she had multiple spaces in the basal ganglia.  About four weeks ago, she was diagnosed with progressive supranuclear palsy.  Could there be a correlation between the spaces in the basal ganglia and supranuclear palsy?
&lt;b&gt;Statistics&lt;/b&gt; : 1 Post || 1 Views
Post by &lt;b&gt;roxy&lt;/b&gt;

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			<title>Tingling sensations in feet/ hands/ legs, advice needed</title>
			<link>http://forum.asktheneurologist.com/post-neurology-questions-f6/tingling-sensations-feet-hands-legs-advice-needed-t709.html</link>
		<pubDate>Thu, 04 Mar 2010 19:13:41 GMT</pubDate>
			<description>&lt;h5&gt;&lt;a href=&quot;http://forum.asktheneurologist.com/post-neurology-questions-f6/&quot; title=&quot;Post neurology questions&quot;&gt;Post neurology questions&lt;/a&gt;&lt;/h5&gt;
&lt;u&gt;Post subject : Tingling sensations in feet/ hands/ legs, advice needed&lt;/u&gt;

Hi there, 

for the past month or so I have been experiencing strange sensations in my arms, feet, hands and legs. They initially started as a cramp which affected my lower left leg (just below my calf) with my left arm also feeling week with shooting pains. I went to my local accident and emergency to have an ecg done which came back fine. The pains subsided after about a week or so however I am now experiencing tingling and slightly numb sensations mainly in my feet and hands (predomnately on my left side), these come and go in different areas but are pretty much constant throughout the day! They sometimes occur as a slow throbbing like sensation or can just be felt when pressure is applied to the area. I had a physical examination with a neurologist on Tuesday who could find nothing wrong with me, I was under quite abit of stress leading up to the first symptoms starting and the neurologist I saw believes that the sensations are linked to anxiety and advised that i could have an mri scan but this would be more for my reasurance rather than because he thought there was anything wrong with me.

I still feel concerned however, firstly because the sensations seem to occur randomly and not when Im feeling particularly anxious, I also find it difficult to understand how anxiety can cause such sensations, I have heard about panic attacks and how hyperventerlation can cause pins and needles but I've never had a panic attack and Im pretty sure Im breathing normally! I am particularly concerned as to why the sensations occur when I apply pressure to a particular area but then subside afterwards. The final thing that is getting to me is the concern that I may have the first signs of a neurological condition such as MS as I have heard that it can be difficult to diagnose.

If I could please have some information about the likelyhood of anxiety causing my symptoms and an explanation as to why they are occuring this would be very much appreciated. Id also like to know if the symptoms can persist for a while after my anxiety levels have lowered and if I should go have the mri done considering my symptoms and having a clear physical examination.


Thanks in advance,

Dan
&lt;b&gt;Statistics&lt;/b&gt; : 1 Post || 11 Views
Post by &lt;b&gt;dan80&lt;/b&gt;

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			<title>Muscle Fasciculations</title>
			<link>http://forum.asktheneurologist.com/post-neurology-questions-f6/muscle-fasciculations-t704.html</link>
		<pubDate>Tue, 02 Mar 2010 09:09:29 GMT</pubDate>
			<description>&lt;h5&gt;&lt;a href=&quot;http://forum.asktheneurologist.com/post-neurology-questions-f6/&quot; title=&quot;Post neurology questions&quot;&gt;Post neurology questions&lt;/a&gt;&lt;/h5&gt;


&lt;u&gt;Post subject : Muscle Fasciculations&lt;/u&gt;

Hello I am a 27 year old male who has been experiencing whole body muscle fasciculations for over a year now and worried about MND.  I have had 2 emgs and the were both clean except for fasciculations found on the emg.  I currently take adderall, which seems to really freak me out because I am so scared it is turning into something more serious.  I have read up on BFS and ALS and very worried because the fasciculations do not stop unless I am moving.  They occur everywhere...thighs, biceps, buttock, forearms, and even my tongue sometimes.  All of the neurologist have said it is benign and that anxiety can increase the symptoms.  I was wondering if the adderall could be causing the fasciculations and if anyone else has had experience with adderall or BFS.  Thank you for all responses.
&lt;b&gt;Statistics&lt;/b&gt; : 2 Post || 14 Views
Post by &lt;span style=&quot;color: #6600FF;&quot;&gt;&lt;b&gt;jn69&lt;/b&gt;&lt;/span&gt;



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		<item>
			<title>Re: Muscle Fasciculations</title>
			<link>http://forum.asktheneurologist.com/post-neurology-questions-f6/muscle-fasciculations-t704.html#p1776</link>
		<pubDate>Tue, 02 Mar 2010 09:09:29 GMT</pubDate>
			<description>&lt;h5&gt;&lt;a href=&quot;http://forum.asktheneurologist.com/post-neurology-questions-f6/&quot; title=&quot;Post neurology questions&quot;&gt;Post neurology questions&lt;/a&gt;&lt;/h5&gt;
&lt;u&gt;Replies : Post subject : Re: Muscle Fasciculations&lt;/u&gt;

Firstly I would advise you to look at &lt;a href=&quot;http://www.asktheneurologist.com/scared-its-ALS.html&quot; class=&quot;postlink&quot;&gt;this article about someone with very similar symptoms to you&lt;/a&gt;.
Secondly...it very much DOES look like BFS.
I assume your neurological examination is normal. A normal exam with a normal EMG (excepting the fasciculations) usually provides full reassurance and peace of mind for the sufferer .

So my advice is...if the neuro exam is normal and the EMG is normal then you can be 100% reassured that you do not have ALS.
In terms of treating BFS the best treatments are:-
1) Get reassurance that you do not have ALS!
2) More sleep
3) Less stress
4) Regarding Adderal....it probably does increase the symtpoms as caffeine certainly does and many of the mechanisms are the same....this is more likely when adderal affects the sleep quality...speak to your treating doc aboput ctrying to change this.
5) Ignore the twitching as much as you can.

Let us know how it goes.....I am sure you will be fully reassured very soon!

all the best

MG
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			<title>Strange jerks</title>
			<link>http://forum.asktheneurologist.com/post-neurology-questions-f6/strange-jerks-t667.html</link>
		<pubDate>Tue, 02 Mar 2010 08:34:35 GMT</pubDate>
			<description>&lt;h5&gt;&lt;a href=&quot;http://forum.asktheneurologist.com/post-neurology-questions-f6/&quot; title=&quot;Post neurology questions&quot;&gt;Post neurology questions&lt;/a&gt;&lt;/h5&gt;


&lt;u&gt;Post subject : Strange jerks&lt;/u&gt;

Hi,

I have been having some strange jerks.. Firstly I get a strange sensation, then a pin-prick, then a jerk which can be my upper body or head. It all happens very quickly. I also noticed I am getting some sensations very very frequently which are noticeable when things are quiet, particularly when I am lying down at night. There is no jerk as such. I woke the other night and noticed these and its very frightening. I have not been able to concentrate for the past two days through worry. As far as the jerks go, I have had these for about 10 months or so.. Help appreciated.
&lt;b&gt;Statistics&lt;/b&gt; : 10 Replies || 113 Views
Post by &lt;span style=&quot;color: #6600FF;&quot;&gt;&lt;b&gt;dude1965&lt;/b&gt;&lt;/span&gt;



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			<title>Re: Strange jerks</title>
			<link>http://forum.asktheneurologist.com/post-neurology-questions-f6/strange-jerks-t667.html#p1775</link>
		<pubDate>Tue, 02 Mar 2010 08:34:35 GMT</pubDate>
			<description>&lt;h5&gt;&lt;a href=&quot;http://forum.asktheneurologist.com/post-neurology-questions-f6/&quot; title=&quot;Post neurology questions&quot;&gt;Post neurology questions&lt;/a&gt;&lt;/h5&gt;
&lt;u&gt;Replies : Post subject : Re: Strange jerks&lt;/u&gt;

Let us know what the neurologist finds on exam.
What drugs are you on now?
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Last post by &lt;b&gt;MG (Admin)&lt;/b&gt;

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			<title>Wrong meds causing extreme anxiety, balance issues?</title>
			<link>http://forum.asktheneurologist.com/post-neurology-questions-f6/wrong-meds-causing-extreme-anxiety-balance-issues-t702.html</link>
		<pubDate>Tue, 02 Mar 2010 07:45:32 GMT</pubDate>
			<description>&lt;h5&gt;&lt;a href=&quot;http://forum.asktheneurologist.com/post-neurology-questions-f6/&quot; title=&quot;Post neurology questions&quot;&gt;Post neurology questions&lt;/a&gt;&lt;/h5&gt;


&lt;u&gt;Post subject : Wrong meds causing extreme anxiety, balance issues?&lt;/u&gt;

Since last summer my youngest sister has been in a horrible state of anxiety, with several suicide attempts. I posted questions back in Nov. 2009 about having her tested, which we did. The neurologist said the tests came out normal (however she had been put on lithium beforehand, yet he was not concerned about possible false results).
She has been hospitalized several times, was inpatient twice, went through psychiatric &amp;quot;daycare&amp;quot;, and nothing has made a difference in her condition. She currently has a psychiatrist who prescribes her meds but she has made NO IMPROVEMENT at all. All of the supposed experts have discharged her, with no real change.

I am quite sure she is on too many and/or the wrong drugs. She is getting worse. 
The morning is worst for her as she wakes up in a panic and worries about everything. (By the way, her life is wonderful and she has no financial problems) She is now AFRAID TO SHOWER, and cannot stand up correctly because of balance issues. Her hands shake constantly and she has not smiled in a very long time. She is getting worse, not better.

The doctor has her on these drugs: 
Lithium 300 mg (3 per day)
Risperidone 2 mg at night
xanax 1 mg (2 or 3 per day)

WHAT CAN I DO TO HELP HER? Should she change doctors, and if so, how can I help her find someone? It seems we have already tried EVERYTHING and yet her life is passing by because she is miserable.
&lt;b&gt;Statistics&lt;/b&gt; : 2 Post || 13 Views
Post by &lt;span style=&quot;color: #6600FF;&quot;&gt;&lt;b&gt;hersister&lt;/b&gt;&lt;/span&gt;



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		<item>
			<title>Re: Wrong meds causing extreme anxiety, balance issues?</title>
			<link>http://forum.asktheneurologist.com/post-neurology-questions-f6/wrong-meds-causing-extreme-anxiety-balance-issues-t702.html#p1773</link>
		<pubDate>Tue, 02 Mar 2010 07:45:32 GMT</pubDate>
			<description>&lt;h5&gt;&lt;a href=&quot;http://forum.asktheneurologist.com/post-neurology-questions-f6/&quot; title=&quot;Post neurology questions&quot;&gt;Post neurology questions&lt;/a&gt;&lt;/h5&gt;
&lt;u&gt;Replies : Post subject : Re: Wrong meds causing extreme anxiety, balance issues?&lt;/u&gt;

What are her most recent lithium levels?
She may be having toxicity from the lithium...but DO NOT make any dose changes without speaking to the treating physician first!

looking forward to hearing back
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			<title>Odd symptoms my neurologist doesn't have an answer for</title>
			<link>http://forum.asktheneurologist.com/post-neurology-questions-f6/odd-symptoms-neurologist-doesn-have-answer-for-t707.html</link>
		<pubDate>Sat, 27 Feb 2010 14:53:04 GMT</pubDate>
			<description>&lt;h5&gt;&lt;a href=&quot;http://forum.asktheneurologist.com/post-neurology-questions-f6/&quot; title=&quot;Post neurology questions&quot;&gt;Post neurology questions&lt;/a&gt;&lt;/h5&gt;
&lt;u&gt;Post subject : Odd symptoms my neurologist doesn't have an answer for&lt;/u&gt;

Hi, I'm wondering if the experts here can suggest what may be going on with me.

I'm a 50 year old male in seemingly good health, I exercise vigorously 2-3 times per week but I did have the habit of drinking about 4-6 'standard' drinks per night. 

In December I got a UTI which was untreated until mid-January when it was found to be an enterococcus. I was then given nitrofurantoin. After 5 capsules I experienced tingling and hypersensitivity/numbness in my hands and feet and discontinued the drug. An ultrasound showed normal bladder, coarse calcifications in the prostate, and spelnomegaly of about 14cm. A week later I started on ampicillin 500mg 4x a day for 7 days. 

After 2 days on the ampicillin, the numbness and tingling returned and started to get worse. It increased, with windburn-type sensations on the upper feet, backs of hands, and moving up the lower legs. On the 4th day, the tip of my tongue became numb, followed by my lips and teeth, which felt as if they had lidocaine injected into them.

The next day, the sides of my face became numb, and it moved up to my eyes. My right eye started to feel as if I had been given eye drops with peppermint in them. 

I was seen by a neurologist who gave me bloodwork and other tests, which found nothing abnormal. He also tested strength, reflexes, proprioception and sensitivity to touch, all normal. 

At that time I did some online research and found several supplements which I thought could be useful, and I started taking them. They are:

- 7.5G of n-acetylglucosamine, which some researchers found corrected autoimmune problems (in case I was having an autoimmune demyelination problem)
- 2G of Omega-3 fatty acids and 2G of gamma linoleic acid (to help repair myelin)
- 800mg of r-lipoic acid
- 800IU of gamma vitamin e
- 1G of n-acetyl-cystine
- 2G of time-released vitamin C
- multivitamins including folic acid
- 5mcg of methyl vitamin b12
- 10mg of biotin
- 5000IU of vitamin D3
- 300mg of CoQ10
- 1G of quercetin
- 2G of magnesium
- green tea extract
- 1G of acetyl-l-carnitine
- 75mg of DHEA
- 2.5mg of melatonin
- 500mg of resveratrol
- a mixture of 12 probiotic bacteria (to replace those killed by antibiotics)

I take these divided into two doses over the day. After a few days on these, either due to the supplements or by coincidence, my symptoms started to decrease. After a night of drinking, they increased, so I stopped drinking alcohol entirely.

Now, after 3 more days of not drinking my symptoms are:

- numb tongue
- slightly numb lips
- numbness on the outside edges of my hands (going up from the pinkies). 
- Some odd sensations on the backs of my hands.
- Slight hypersensitivity on my hands (touching things feels annoying rather than pleasurable).
- Some hypersensitivity on the bottoms of my feet
- Slight burning sensations around my ankles

The neurologist I have been seeing doesn't know what to make of the symptoms because all tests have been normal so far. Does anyone have any ideas?

Thanks a bunch!
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Post by &lt;b&gt;frank&lt;/b&gt;

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			<title>Weird changes in brain..... Please help</title>
			<link>http://forum.asktheneurologist.com/post-neurology-questions-f6/weird-changes-brain-please-help-t706.html</link>
		<pubDate>Sat, 27 Feb 2010 12:32:31 GMT</pubDate>
			<description>&lt;h5&gt;&lt;a href=&quot;http://forum.asktheneurologist.com/post-neurology-questions-f6/&quot; title=&quot;Post neurology questions&quot;&gt;Post neurology questions&lt;/a&gt;&lt;/h5&gt;
&lt;u&gt;Post subject : Weird changes in brain..... Please help&lt;/u&gt;

Hello
I suffered from severe depression for nearly 2.5 years which has ended just a few months ago (My age is 25 and I'm male). After the depression episodes my brain started behaving strangely. I visited a psychiatrist. He gave me a questionaire that contains 15 questions (some thing called depression index) and after a brief discussion he said that I'm no more in the state of depression and everything is ok with me. When I explained about the strange things happening in my brain, he said its just a negative feeling. I'm sure there is something wrong which I'm finding it difficult put in words and I dont know how to convince him. 

I can vaguely explain the following symptoms of my current situation: (not all of these symptoms exist at the same time, they change from time to time, some times a combination of these, seldom I feel perfectly ok)
--Feeling of Uneasiness
--Burning sensation in head and mild headache
--Feeling numb in some areas of the head (especially in the centre of the head towards down the neck)
--Difference in language fluency (I don't find words and I speak broken english, But when I'm ok I speak it fluently)
--Difference in level of confidence, energy level and ability to do things
--muscle &amp;amp; tissue twitches in head

Kindly please reply, I am confused what this situation is and how do I explain this to neurologist (I'm planning to visit him soon)

Thank you.
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Post by &lt;b&gt;jhonny&lt;/b&gt;

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			<title>suspicious to ALS</title>
			<link>http://forum.asktheneurologist.com/post-neurology-questions-f6/suspicious-als-t705.html</link>
		<pubDate>Thu, 25 Feb 2010 14:39:38 GMT</pubDate>
			<description>&lt;h5&gt;&lt;a href=&quot;http://forum.asktheneurologist.com/post-neurology-questions-f6/&quot; title=&quot;Post neurology questions&quot;&gt;Post neurology questions&lt;/a&gt;&lt;/h5&gt;
&lt;u&gt;Post subject : suspicious to ALS&lt;/u&gt;

Hello:

My father is 59 years old. About 7 months ago his lower lip started twitching occasionally. It twitches more when he bends His neck to the right. About 1 month ago or a little more he started having nasal speaking. Sometimes he speaks like he is drunk. The MRI from the brain was normal. Level of lead (Pb) and cadmium (Cd) were normal. 
Cervical Spine MRI showed small central protrusion between c3-c4 and tiny central extrusion between c4-c5,
Disk dehydratin:c5-c6 with decreased disk space and partial dehydration at other levels.
C5-c6: diffuse bulging and posterolateral spur-disk complex with moderate canal stenosis.
Bones and bone narrow: mild degenerative spondylosis
Cervical spine curve:reversed lordosis of upper cervical spine and mild scoliosis with convexity to the right side.
The X-ray form his chest was normal.
EMG/NCV results:
1-normal CMAP amplitude of all tested nerves and some slow NCV that maybe due to hand coolness.
2-No FIB/PSW in tested muscles, but significant slow fasciculation  potential in tongue, and triceps muscles.
His nasal speaking comes and goes, most of the time after eating it becomes worse. When it goes it&#8217;s not normal but the difference is noticeable.
Some days it&#8217;s better than the others.
His tongue is weak. Other parts of his body are still powerful, sometimes his arm twitches too but there is no weakness in it.
He is using these drugs:
Gabapentin 300mg(3 times a day)
Zoloft  50mg
Atorvastatin 40mg
Selegiline Hcl 5mg
B-complex
Vitamin E

The blood test:
SGOT, SGPT, alkaline phosphatase, Ca, inorganic phosphate, Total protein , IGG,IGA,IGM,IGE, serum protein electophresis,thyroid 
were normal.
Anti HTLV1-2(ELISA) is 0.1(negative) 

Stool test:
Occult blood was negative&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;

May it be ALS bulbar onset? How much would it progress in a month? Does it come and go (sometimes better than other times?)
Can stress cause nasal speaking and tongue weakness?
&lt;b&gt;Statistics&lt;/b&gt; : 1 Post || 8 Views
Post by &lt;b&gt;m_h_ans&lt;/b&gt;

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			<title>Seizures?</title>
			<link>http://forum.asktheneurologist.com/post-neurology-questions-f6/seizures-t686.html</link>
		<pubDate>Thu, 25 Feb 2010 07:01:18 GMT</pubDate>
			<description>&lt;h5&gt;&lt;a href=&quot;http://forum.asktheneurologist.com/post-neurology-questions-f6/&quot; title=&quot;Post neurology questions&quot;&gt;Post neurology questions&lt;/a&gt;&lt;/h5&gt;


&lt;u&gt;Post subject : Seizures?&lt;/u&gt;

I am so glad I found this site- now just hoping someone can help me!
My first symptom was at about 16 (I am 25 now), and was an intense, painful burning/stinging pain that lasted a few seconds but could be anywhere on my body. Arms, legs, face, head. At first maybe one or two a day, now several. Doctor said everyone gets pains sometimes. 
About 5 years ago I had my first &amp;quot;episode&amp;quot;- The best I can describe it is: All of a sudden I feel dizzy/lightheaded. Surreal, like an out-of-body experience. Feel like I'm flying, sinking, ect. Extremely sleepy, can't hold my eyes open. Communication is hard for me, I feel like I'm fighting to stay consious. Feel cold.  Thinking about anything &lt;span style=&quot;font-weight: bold&quot;&gt;AT ALL &lt;/span&gt;is difficult and my brain feels &amp;quot;clogged&amp;quot; or &amp;quot;foggy&amp;quot;.  I have no choice but to go to sleep, and usually I feel normal when I wake up.  Sometimes the &amp;quot;episode&amp;quot; has lasted all day, which I will stay in bed and sleep until I feel better. Rarely, I will have a headache afterwards that doesn't last long.  
This was infrequent at first, once every 6 months or so.  When it started happening once, twice a month I said something to my doctor, who suggested I might be having complex partial seizures.  He sent me to a neurologist, who looked at me, checked my reflexes, and said Your 25. Your fine! After that, I lost my insurance so I was not able to go somewhere else.
Now the symptoms have gotten worse, with a lot more:
&lt;span style=&quot;font-weight: bold&quot;&gt;MOST OF THESE ARE ALL THE TIME, NOT JUST DURING AN &amp;quot;EPISODE&amp;quot;&lt;/span&gt;
I have chills/goosebumps 85% of the day. I always feel cold.(I live in Florida) Sometimes the goosebumps are only on one side, like the chill doesn't go all the way through my body. The chills shake my whole body.
My arms, legs, hands, or fingers will be numb when I wake up.
During an episode my eyes &amp;quot;jump&amp;quot;- and I have a hard time focusing.
Now the bottom of my feet and sometimes the palm of my hand start burning, lasting about 15 minutes at a time.
I have a hard time thinking.
Can't remember simple things, like what I ate for dinner. I get confused about a lot, like how to spell words or what my phone number is.
That is a big deal to me- I graduated hs with honors and now I am in college- I am not stupid and hate feeling like I am. 
I have started to have a hard time speaking- I think I say something-people say I said something different. Sometimes I will say things backwards. Like instead of PARKING THE CAR I will say THE CAR PARKING, ect.
I also feel like my skin is sensitive- light touches are sometimes painful, again, a burning sensation.
I know this is a long explanation, but thank you for reading and any help you may be able to give is very much appreciated. This is now affecting my everyday life. I have insurance again, but I am hesitant because the last neurologist made me feel crazy.
&lt;b&gt;Statistics&lt;/b&gt; : 2 Post || 26 Views
Post by &lt;b&gt;tiff831296&lt;/b&gt;



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			<title>Re: Seizures?</title>
			<link>http://forum.asktheneurologist.com/post-neurology-questions-f6/seizures-t686.html#p1766</link>
		<pubDate>Thu, 25 Feb 2010 07:01:18 GMT</pubDate>
			<description>&lt;h5&gt;&lt;a href=&quot;http://forum.asktheneurologist.com/post-neurology-questions-f6/&quot; title=&quot;Post neurology questions&quot;&gt;Post neurology questions&lt;/a&gt;&lt;/h5&gt;
&lt;u&gt;Replies : Post subject : Re: Seizures?&lt;/u&gt;

I finally seen a new neurologist. She said she thinks its narcolepsy- with possible partial seizures. She ordered a sleep study (haven't done yet), EEG (also not done), and MRI (just got it back-normal). She also put me on Nuvigil, which seems to be working pretty good. Strange thing is, I can tell when the medicine wears off because I start getting sleepy, but the chills and goosebumps come back full force. Does anyone know if narcolepsy always shows in an MRI? What test gives an accurate diagnosis of narcolepsy?
&lt;b&gt;Statistics&lt;/b&gt; : 2 Post || 26 Views
Last post by &lt;b&gt;tiff831296&lt;/b&gt;

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			<title>Unequal pupil size and other symptoms</title>
			<link>http://forum.asktheneurologist.com/post-neurology-questions-f6/unequal-pupil-size-and-other-symptoms-t703.html</link>
		<pubDate>Sat, 20 Feb 2010 00:43:46 GMT</pubDate>
			<description>&lt;h5&gt;&lt;a href=&quot;http://forum.asktheneurologist.com/post-neurology-questions-f6/&quot; title=&quot;Post neurology questions&quot;&gt;Post neurology questions&lt;/a&gt;&lt;/h5&gt;
&lt;u&gt;Post subject : Unequal pupil size and other symptoms&lt;/u&gt;

Hi, I have trying to figure out what is wrong for years and can't.   Sorry in advance, this is long!

Here are my symptoms:

Always in good health I(I am a 44 year old female) until about 6 years ago when I felt like I was having a heart attack. I had very high blood pressure, hyperventalating and crushing chest pain, sweating, naseau, very lightheaded. 

At the emergerncy room they gave me antianxiety meds because my ekg was fine. But the meds didn't work and my blood pressure was still very high.  I ended up in the hospital for 3 days and they couldn't figure out what it was. They thought maybe blood clot but no sign of it. (family history) 

I still had the chest pain on the left side of my sternum off and on for 6 years. Also during that time I started haveing high blood pressure( its allways been about 110/70)  Anemia ( ended up having eight iron transfusions and then a hysterectomy)  constant rash on my arms and legs and torso,  and now I have this bad burning sensation on my back, from my hairline at the back of my neck all the way to my last rib. I have looked and there is nothing there, but the pain is really intense.  

Also I keep forgetting the words for object or if there is two words together I mix up the first letters.

Now, I go to the eyedoctors and he tells me that my pupils are no longer both the same size. ( I went to the same doctor about 18 months ago )

I have been to my primary a lot and I don't really get any answers, he just treats each condition seperately. I am on Atenelol, Norvasc and Lidex for the rash.  He gave me Dilaudid for the chest pain, but it makes me sick.

Can anyone give me any ideas?
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Post by &lt;b&gt;kellyla&lt;/b&gt;

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			<title>Unexplained numbness, loss of taste and smell, possible MS?</title>
			<link>http://forum.asktheneurologist.com/post-neurology-questions-f6/unexplained-numbness-loss-taste-and-smell-possible-t670.html</link>
		<pubDate>Sat, 20 Feb 2010 00:24:08 GMT</pubDate>
			<description>&lt;h5&gt;&lt;a href=&quot;http://forum.asktheneurologist.com/post-neurology-questions-f6/&quot; title=&quot;Post neurology questions&quot;&gt;Post neurology questions&lt;/a&gt;&lt;/h5&gt;


&lt;u&gt;Post subject : Unexplained numbness, loss of taste and smell, possible MS?&lt;/u&gt;

I have been having left-sided body numbness from my neck (sternocleidomastoid muscle) down, to my left forearm, hand, and pinky and ring fingers, down to my left hip, buttox, and in my big toe. Again, predominantly secluded to the left side. I have similar sensations on the right side of my body, but this has mainly manifested itself on the left side of my body. My head experiences the most discomforting of the numbness because it begins in my neck, and exists in my lips, chin, and top forehead, on both sides. I frequently complained of a feeling of a frog in my throat, and this all seems to have started shortly after I started methimazole 5 mg (very small dosage) to control my hyperthyroidism caused by graves. So far, no one has addressed that feeling other than by saying I have muscle spams.  I also get regular headaches, secluded to top of my head.  I have also had a severe loss of taste and smell, and this has also been the most discomforting thing in all this (numbness #1 and #2 near total loss of taste/smell), and so far the doctors are still attempting to make a diagnosis. I had a brain mri in December, and won't know the results until the end of January. I find myself a little too patient to wait for the results, but the way I see it, if it were something truly bad, then they would have called me to tell me about it instead of making me wait. So, that's something I'm holding onto and certainly is comforting. I have advised both the regular md and the neurologist that stress is a factor that cannot be ruled out, and they have decided to rule out other things before they diagnose me with stress. I have had blood tests which came back fine, including the lyme disease test (but nothing for bells palsy as I never brought it up). So, stress is definitely something I am dealing with, but not mentally.  Amazingly enough, I have had severe life changes, and my mind has not emotionally dealt with this. I have no emotional reaction whatsoever.  My theory is, barring anything bad going on in my brain or having some cancer due to smoking for 7 years (although I have been smoke free since December), since I'm not dealing with my stress emotionally, then my body must have found a way to manifest stress in a physical way. I know this can case many symptoms and eventually lead to problems. The thing is, I find myself impatient in waiting for the doctor to tell me the results at the end of this month. My unreasonably overly critical eye (the other eye's lazy/amblyopia) observes odd things in the mri I just had. Since I'm waiting for my doctor to tell me what's going on, I decided to get the pictures ahead of time on the off chance someone can tell me their general impression of things, and I do know it definitely does not constitute any advice whatsoever. I'm merely seeking an internet opinion, so that I can continue my search for similarities amongst the possibilities that may be afflicting me. My doctors seem to be focusing no seizures, strokes, and MS. I am of the opinion this is stress.  However, after memorizing my MRI pictures, it raises a few questions. With the research I have done thus far, it is unclear to me whether the small little spots, and a few bright ones, are something to worry about in my MRI, in conjunction with the location they are in. So, if this forum gives me the option to post my pictures, I intend on posting my pictures in the hopes that someone, even if it's not a qualified person, to make such an opinion/impression, can opine as to what the little black spots are. I find that with my lack of ability to communicate effectively with words these days, sometimes the pictures themselves can be worth a thousand words. Any information offered in response to this inquiry will be greatly appreciated. Nothing will supercede the information that my doctor will provide, but I am interested in other opinions so that I can be prepared to ask the right questions should my doctor seem dismissive. Thank you in advance again. 


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Post by &lt;b&gt;law.para.ti&lt;/b&gt;



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			<title>Re: Unexplained numbness, loss of taste and smell, possible MS?</title>
			<link>http://forum.asktheneurologist.com/post-neurology-questions-f6/unexplained-numbness-loss-taste-and-smell-possible-t670.html#p1763</link>
		<pubDate>Sat, 20 Feb 2010 00:24:08 GMT</pubDate>
			<description>&lt;h5&gt;&lt;a href=&quot;http://forum.asktheneurologist.com/post-neurology-questions-f6/&quot; title=&quot;Post neurology questions&quot;&gt;Post neurology questions&lt;/a&gt;&lt;/h5&gt;
&lt;u&gt;Replies : Post subject : Re: Unexplained numbness, loss of taste and smell, possible MS?&lt;/u&gt;

I am just another patient, so I have no opinion about your images and will NOT even look at them.

However, I HAVE been through very similar problems with numbness, complete loss of taste and smell, and headaches. The loss of taste and smell was total and bothered me the most. Being a smoker, I knew it was not from smoking.

I have regained my sense of taste and smell, plus many of the other issues are gone. I was finally treated for hypothyroid, which may be part of it. BUT I also had extremely low cortisol levels and very low vitamin D (even after months of high dose prescriptions).  I was given hydrocortisone 10mg four times per day along with the thyroid meds and after just a few days everything started getting better. My taste and smell are back! The headaches are not a problem like they were, and I rarely if ever experience numbness anymore.

This may or may not have anything to do with your issues, but if you have very low cortisol levels it might be worth a try.  Good luck and hope you feel better.
&lt;b&gt;Statistics&lt;/b&gt; : 3 Replies || 62 Views
Last post by &lt;span style=&quot;color: #6600FF;&quot;&gt;&lt;b&gt;hersister&lt;/b&gt;&lt;/span&gt;

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