brain scan MRI revealed no abnormalities considering age (little white spots on front cortex – impacts memory but result seen as a normal ageing process) and whilst the EEG showed a slight slowing down of brain signals this was not seen as a concern.
Although Clare’s blood tests revealed an Epstein-Barr blood virus (recorded at 173 when normal level would be 20 or less) and could result in fatigue it was considered that this infection (virus) was contracted some time ago and little can be done to remedy that situation in the blood stream.
Also Clare’s blood test revealed a recording of 2.07 on a normal band of 1.1 on VZV (Varicella Zoster Virus) which infects nerves and other symptoms can arise but this was not felt to be of concern.
Clare also recorded a slightly lower level on her thyroid than normal - this was not seen to be a major issue although an ultra-sound test on the thyroid gland was recommended (we will do this locally).
The severe head pains Clare suffers was diagnosed as probably a recurring migraine issue.
The cognitive full test results were not available as thought although Dr Vanda Freitas gave a short summary - showed some signs of an issue (especially figures) but once again not thought to be too bad.
Dr Vanda Freitas discussed Clare’s behavioural issues (confusion, short term memory loss etc) with me and concluded that Clare may be depressed – I was not surprised as I think I would feel quite low/depressed with such symptoms.
So the recommendation on medication for the severe head pain is to take the prescription given in Cape Town (Rizatriptano) which had a better effect than those previously prescribed by Dr Isabel Pavao Martins and for Clare’s major issue re feelings of confusion, short term memory loss and lack of focus etc then to take an increasing doseage of anti-depressant/brain stimulant medication - Venlafaxine.
We also discussed the possibility of Clare undergoing “re-training of the brain” at times in the day when she did not feel fatigued.
So, to me, it appears unclear re what, if any, physiological or mental health issue Clare has been diagnosed with – migraine and depression appear to be the symptoms but the cause is not quite clear?