(¯`·._. MA SEP, MON ENNEMIE INTIME. ._.·¯)Atteinte d'une SEP (sclérose en plaques) de forme progressive rapide depuis 98, je m'efforce d'apprivoiser mon ennemie intime. Coups de blues, de gueule et éclats de rire!
While I appreciate your patient-centered approach to medical queries on your radio show, as a neurologist I was very concerned to hear how you answered a question regarding nonspecific nighttime leg symptoms. On September 12, 2010, a caller asked about her uncomfortable leg sensations. Without a complete history or physical examination, you informed her that she has restless legs syndrome (RLS) and should ask her doctor to place her on Requip(R) (Ropinirole). Not only is this favoring one medication over others. You did not encourage the patient to look for the source of her symptoms, for example if this is truly RLS, iron deficiency should be looked for.
Most concerning, it is unclear that this patient even has RLS. There are many other causes of nonspecific nighttime symptoms, such as spasticity, peripheral neuropathy, skin disorders etc.
I am concerned because this patient may have then gone primary care physicians and told her that she has RLS and needed to be on Requip(R). This unexpecting physician, may have taken the diagnosis as an established one and not investigated it fully, nor treated it appropriately. This patient may have then had the rare side effect of suicide, all because she was on an unneeded medication.
Once again, I implore you to stick to your excellent expertise and comingling of CAM (complementary and alternative medications) and approaches because whenever you make an assumption and recommendation outside your specialty area, it raises doubt over all your other answers.
Please remember, Primum Non Nocere (First Do No Harm).
Daniel Kantor, MD BSE Medical Director Neurologique
Free from pain. Brampton resident Mark Stewart, 41, pictured here with son Dylan, 3, traveled to Mexico recently where he underwent a controversial procedure that helps curb the debilitating pain brought on by multiple sclerosis, a condition he's had for the last eight years. The procedure was developed by an Italian doctor last year and has since become the centre of a huge debate among patients, Canadian health officials and politicians. Photo by George Beshiri
Former territorial health minister Don Roberts wants the current Yukon government to offer more than just lip service to local multiple sclerosis (MS) patients and a new medical procedure said to alleviate symptoms of the disease.
Dr. Paolo Zamboni , whose revolutionary research into Multiple Sclerosis suggests that it is a vascular disease rather than a autoimmune condition, is seen here at the American Academy of Neurology Conferece in Toronto For the Globe and Mail