Dr Xxxxx has presented information about the Paill Spectrum syndrome and related conditions at conferences in Australia, New Zealand, and Florida. Information about psychosis has been published in the Internet Journal Online. Dr Xxxxx has been active in the media during his career with minor publications in Time Magazine, Brisbane TV media on Schistosomiasis.
I have already presented the clinical syndrome has been presented to
It has taken approximately a year of lead-time to organise this level of exposure
for my medical syndrome model Back to References top
Purpose:
GPs are the most accessible and available medical practitioners in the health care system to identify the variable presentations of patients with chronic fatigue in a newly identified symptom clusterTo allow GPs to identify and treat patients with chronic tiredness and other related symptoms.
Long-term work with general practice patients has allowed identification of a characteristic symptom cluster. Longitudinal case control observations of these identified patients have further identified consistent patterns of pathology testing and responses to treatment.
This symptom cluster consists of:
Chronic fatigue, Sweaty hands, Chest and Elbow pain, and Loss of Balance
These are the most basic and important symptoms of the symptom cluster. They form a distinct reliably recognisable case description.
The symptom intensity is variable. Many patients do not realise they have tender areas until the doctor performs the examination. Static and dynamic balance testing is required to reveal the extent of the loss of balance. Illness appears over a very long time and very gradually. People often are embarrassed to mention the symptoms because they feel they are not important. Most people know they have something wrong with themselves, but have been often unable to find an effective treatment
The symptom pattern and blood test findings form a distinct recognisable clinical entity. The symptom cluster is associated with a characteristic profile of pathology test results. The blood tests measure: disease presence, diseases flares, disease remissions with treatment, relapses. Back to References top
There are two main types of blood tests.
The challenge in general medical practice is to diagnose the symptoms cluster early and to prevent progressive worsening of the symptoms.
1. I have called the symptom cluster and the other presentations of the illness: Paill Spectrum. The condition causes a variety of illnesses, including chronic fatigue. Abnormal behaviours and irritability as may be seen in people with Road Rage or trolley rage are common. Back to References top
2. What does this illness look like?
Author: Dr Andrew Xxxxx
31 Samuel St
Camp Hill
Queensland Australia 4152.
Ph. 61 7 3398 6233 Fax. 61 7 3398 6433
Contact for general enquiries, contact us at:
A number of patients with characteristic specific symptoms and signs have been identified in a general practice clinic. These cases are all associated with a characteristic pattern of medical symptoms and signs, as well as a characteristic pattern of blood tests findings. The “symptom and blood test” patterns were identified through longitudinal case control observations of patients in general practice.
The basic symptoms form a distinct reliably recognisable “syndrome” description. Illness appears over a very long time and very gradually. The symptom cluster is associated with a characteristic profile of pathology blood test results. This syndrome description has been named Paill Spectrum.
(More details on the Quizdoc website www.quizdoc.com) Back to References top
Cases A, B, C form a subset of this case description, in that they all demonstrate thought disorder.
Case A showed a disorganized type of thought disorder, with inability to answer questions logically. This changed rapidly on treatment, with return of normal thought processes.
Case B was fixated on a single illogical thought that was stated as “no bones.” All questions to the patient were answered with disorganised versions of this statement. The symptoms of thought disorder improved rapidly on treatment.
Cases A & B were acute illnesses with symptoms less than six months old.
Case C was able to speak coherently but was experiencing auditory hallucinations. The voices had prompted him to jump out of a moving car and to stab himself with a knife on several occasions. The auditory hallucinations disappeared on treatment. The deliberate self-harm and other risky behaviours eased considerably on treatment.
The basic symptom cluster of the Paill Spectrum Syndrome found "variably" in all these patients includes:
There are blood tests measuring nutrition and inflammation status in Paill Spectrum Syndrome:
While the EPP Gamma has been used as an assessment for initial cases, it has been replaced by a quantitation of IgG+IgA+IgM. When the calculation IgG+IgA+IgM-1.0 g/l is used, the resulting number is called the "GAM1".
This figure allows comparison of quantitated total immunoglobulin levels (IgG+IgA+IgM) with the EPP Gamma (semi-quantitative) assay, by allowing for an characteristically average migration of 1.0 g/l of IgA immunoglobulin in the Beta band of the EPP. The actual amount of IgA migrating in the Beta band of the EPP is quite variable, so direct measurement of immunoglobulin is preferable in assessment.
Case A:
Case A: Comment
Case B:
Case B: Comment
Case C:
Case C: Comment
Treatments instituted for the Paill Spectrum Syndrome were:
.
Results: in all cases:
Improvement or Resolution of the thought disorder becomes obvious from within two weeks. Substantial obvious mood improvement in terms of reduced irritability and reduced anger were also noticed within two weeks. Changes were obvious to the patient, their relatives and their carers. Treatment achieves a plateau of mood improvement and thought disorder improvement, within about three months. Back to References top
Dr. Andrew Xxxxx (Contact via quizdoc.com website : Clinical Contact pages)
Contact for general enquiries, contact us at:
Author: Dr Andrew Xxxxx
31 Samuel St, Camp Hill, 4152.
Contact for general enquiries, contact us at:
GPs are the most accessible and available medical practitioners in the health care system to identify the variable presentations of patients with dyslexia in a newly identified symptom cluster
Objectives:
Simple assessment techniques rapidly reveal children who have characteristic, significant, and medically treatable learning disabilities. Nutritional factors important to treatment can often be addressed by the provision of basic information to both parents and children. Medical therapy needs to be followed by intensive education of affected children.
Methods:
Long term work with general practice patients has allowed identification of a characteristic symptom cluster. Longitudinal case control observations of these identified patients has further identified consistent patterns in responses to treatment. Back to References top
Results and Findings:
Simple recall testing of numerical sequences reveals a characteristic pattern of memory errors. These errors are easily identified and are unique to the dyslexia-like symptom pattern identified. The symptom intensity is variable. Many children do not complain of symptoms and cases must be suspected and identified by doctors, teachers, and educators.
Failure to identify affected children results in a very poor outlook for the affected children from their treatable learning disability. Social complications for the affected children also occur. These include: sleepiness, tiredness, poor memory, lower physical activity, mood changes, and irritability. Many of the more severely affected children will often have low weight in spite of their relative physical inactivity, due to basic underlying nutritional problems.
The symptom cluster is associated with a characteristic profile of pathology blood test results.
The challenge in early childhood is to identify the symptoms early and to prevent progressive worsening of the learning disability. Back to References top
I have called the symptom cluster and the other presentations of the illness: Paill Spectrum. The condition causes a variety of illnesses, including chronic tiredness. Abnormal behaviours and irritability as may often also be seen.
Author: Dr Andrew Xxxxx
31 Samuel St, Camp Hill, 4152.
Ph: 07 3398 6233 Fax.: 07 33986433
Contact for general enquiries, contact us at:
Submission: Contemporary Australian Research Paper ( General Practice)
Purpose:
Behavioural changes in adolescents presenting in a suburban general practice can be influenced by medical and nutritional therapies.
Objectives of Presentation:
To allow health and educational workers to identify a symptom cluster characteristic of potentially treatable adolescents with behavioural changes. Back to References top
Methods:
Long term work with general practice patients has allowed identification of a characteristic symptom cluster. Longitudinal case control observations of these identified patients has further identified consistent patterns of pathology testing and responses to treatment.
Results and Findings:
This symptom cluster in adolescents consists of :
Fatigue, Sweaty hands, Abdominal Pain, Loss of Balance. A characteristic learning disability may also be present. These basic symptoms form a distinct reliably recognisable case description.
Illness appears over a very long time and very gradually, though usually is exacerbated substantially by the appearance of puberty. Back to References top
The symptom cluster is associated with a characteristic profile of pathology blood test results. The blood tests measure nutrition and inflammation.
The challenge is to diagnose the symptom cluster early and to prevent progressive worsening of the symptoms. Failure to identify affected children results in a very poor outlook for the affected children. Learning disabilities and social complications are common long term difficulties experienced by these adolescents.
I have called the symptom cluster and the other presentations of the illness : Paill Spectrum. The condition causes a variety of illnesses, including chronic fatigue. Abnormal behaviours and irritability are common. Back to References top
Keywords: Paill Spectrum, Sweaty Hands, Dizziness
Purpose: To assist doctors to identify cases of potentially treatable psychosis
Methods:
Long-term work with general practice patients has allowed identification of a characteristic symptom cluster. Longitudinal case control observations of these identified patients has further identified consistent patterns in responses to treatment. A case cluster of patients with thought disorder identified over two years, demonstrate response to antibiotic therapies.
Thought disorder is a rare accompaniment of the symptom/ blood tests cluster.
Objectives:
Develop recognition of the Paill Spectrum symptom cluster amongst doctors, as a potentially treatable form of psychosis. Back to References top
Relevant to mental health issues as a form of potentially antibiotic treatable psychosis.
Results and Findings:
These symptom and blood tests patterns were identified through longitudinal case control studies of patients in general practice.
The symptom cluster found variably in these patients includes:
Chronic Fatigue or tiredness, Sweaty hands, Abdominal Tenderness in para-aortic regions and Loss of Balance, often called dizziness. A characteristic learning disability (dyslexia like), may also be present. The symptom cluster is associated with a characteristic profile of pathology blood test results. The blood tests measure nutrition and inflammation.
These cases are all associated with a characteristic pattern of medical symptoms and signs as well as a characteristic pattern of blood tests.
Other symptoms and signs of illness may be found in other patients with this condition. The symptom intensity is variable. Back to References top
Failure to identify affected patients results in a very poor outlook for the affected children from their treatable medical condition. Social complications for the affected patients also occur.
Topic Heading: Insulin Resistance
Methods:
Observation of general practice patients has allowed identification of a characteristic symptom cluster. A long-term complication of this syndrome cluster is the “sudden” appearance of weight gain over several years. The weight effects of the syndrome appear to be mediated both via behavioural and metabolic processes.
Objectives:
Develop recognition of the Paill Spectrum symptom cluster amongst doctors, as a cause of weight gain in a number of patients.
Results and Findings:
These cases are all associated with a characteristic pattern of medical symptoms and signs as well as a characteristic pattern of blood tests. Back to References top
The symptom intensity is variable. These symptom and blood tests patterns were identified through longitudinal case control studies of patients in general practice.
The symptom cluster found variably in these patients includes:
Chronic Fatigue or tiredness, Sweaty hands, Abdominal Tenderness in para-aortic regions and Loss of Balance. Other symptoms and signs of illness may be found in other patients with this condition.
The symptom cluster is associated with a characteristic profile of pathology blood test results. The blood tests measure nutrition and inflammation.
Social complications for the affected patients also occur, in addition to the problems directly related to the weight gain Back to References top.
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CD Book Information
The CD Books are not currently available. (Planned release date is early 2008).
More information is available on Paill Spectrum in Dr. Andrew Xxxxx’s two CD Books:
The CD Book with much more specific medical detail is called CTC-DTM . This CD gives full detail on identification of symptoms, signs of illness as well as full detail on treatment.
CTC-PSS is a discussion on the development of the PaillSpectrum model and the treatment of Chronic Fatigue. A number of cases are included to teach identification of key symptoms & signs on medical history & examination. :-0 Back to References top
Accessing Information
Downloadable Information files (zip = pdf +mp3), are available directly through the web site.
(File on the Download Page: approximately 12MB download). :-? :-O
Copyright AMT Pty Ltd
The Paill Spectrum Disease Model has been developed by Dr. Andrew Xxxxx. It will be some time before the knowledge of the syndrome becomes independently tested and accepted. Disclaimer
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