Hennie Fitzpatrick, MD, AFMCP
I treated Patient X while working in a new Integrated Medicine Center affiliated with a large hospital system in New Jersey. I did not have access to CRT, HRV, IV therapy, or neural therapy, and the patient chose not to do muscle testing. This patient had the sudden onset of severe, debilitating neurological and gastrointestinal symptoms and was then traumatized by a series of specialists who had no effective solutions.
(I will provide specific details of the treatment protocol, if requested.)
This case demonstrates that, regardless of the diagnosis or prognosis, if one begins with a stepwise evaluation to look for dysfunction, followed by gentle rebuilding (without overloading the system), one can obtain remarkable results. Please be encouraged to offer bioregulatory treatments that you already know. Do not hesitate to begin practicing in this way. Always remember to collaborate with the patient. Give your patient tools one step at a time and engage the patient in strategic planning along the way.
There are many treatment approaches to this and any case, and I invite your input.
I worked closely with a very skilled massage therapist and a gifted acupuncturist who had been trained in China without “translation” into allopathic medicine. Both of these colleagues embraced the patient’s initial skepticism and recognized that his illness had been exacerbated by 6 months of diagnoses and ineffective treatments. During the time spent to make a diagnosis his illness progressed and his spirit was completely broken.
Diagnosis: Idiopathic Choreoathetosis (random uncontrollable muscle movements with twisting and contortions of large muscles); Myalgic Encephalopathy (previously known as Chronic Fatigue); IBS with Diarrhea.
This is a 22-year-old white male who presented with sudden onset of episodic severe muscle spams, involuntary muscle movements, debilitating fatigue and severe IBS.
He was in good health in his junior year of college (majoring in Computer Science and minoring in Fine Arts) when he began noticing random muscle tension and soreness particularly in his biceps and eventually in his quadriceps and feet bilaterally. Over the next week he started having involuntary contractions in various large muscle groups followed by tightness, pain and weakness. He developed severe diarrhea, abdominal pain in his left upper quadrant and fatigue.
His illness progressed quickly. He was forced to take a leave of absence in March of 2016 and was unable to return to school. I met him in October 2016 and by that time he was completely bedridden and living at home with his supportive and bewildered parents.
Several specialists at both NYU and Cornell University have evaluated him. The Neurologist diagnosed Choreoathetosis and Myalgic Encephalopathy (this is a new medical name for what used to be called Chronic Fatigue Syndrome, to make it sound less descriptive and more medical).
At the initial visit, Patient X was sullen and resistant to many of my questions because he was resigned to the fact that his prognosis was very bad. He had been told that he would continue to deteriorate and was advised to apply for disability.
At our initial consult, Patient X and his father asked how much experience I had with treating Idiopathic Choreoathetosis (Patient X had chosen to consult with me because they would have to wait another 8 months for an appointment with an expert geneticist).
He had been seen for Myalgic Encephalopathy at a new ME Center. The physicians there were expert at creatively prescribing combinations of stimulants, mostly Adderall and Ritalin. Patient X did not tolerate these and therefore was told that his diagnosis of Chronic Fatigue/ME was incorrect; and he was referred to a rheumatologist.
The gastroenterologist diagnosed Irritable Bowel Syndrome with possible atypical Crohn’s disease although his endoscopy and colonoscopy with multiple biopsies were negative for inflammatory bowel disease, celiac disease sprue, H. pylori or giardia. In the past 6 months he had been tried on antispasmodics, antidepressants, anti-epileptics, NSAIDs and narcotic pain medications with no relief.