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Good afternoon, I am Dr Ruff. Sorry it has taken some time to for someone to pick up your question. I promise you I am not a bot. Please allow me a few minutes to read your text.
Thank you for your information regarding your wife, I am very sorry that she is going through this. Has she not seen anyone about this at all?
It is a Saturday sir, but I assuming you are still sceptical, but I am pretty certain my medical education is best suited to your medical question
Please do not worry, I am a doctor.
An offer will come up shortly re a telephone call - I cannot stop this, you do not have to accept as it will charge you more money.
She isn't under the care of a neurologist?
Oh I see, that is frustrating. do you know what the MRI showed?
Okay thanks, ***** ***** your original question, unilateral symptoms go against both MND and MS. But a generalised weakness that is progressive with associated cognition/memory problems if associated with bilateral symptoms are more suggestive of MS.
If this is rapidly progressing then it would be very reasonable to attend hospital for this.
This certainly wouldn't be the case now given hospitals are far from capacity.
I am sorry but I don't think I am going to give you answers that you haven't already been given. This is something that certainly cannot be managed of an advice website, she needs to be under the care of someone.
If she is having chest pain and a fast heart rate, she needs to go to hospital.
I see, have been through this a lot then I gather. I am happy to speak with you if you like, but this would only be as advice/discussion. I cannot request investigations, refer or prescribe through this service. I don't want you to spend your money unnecessarily
Okay, no problem
you are welcome to continue on here
not for me to be able to start a phone call sorry, I think if the money goes through then I have the option to call you. But we can continue as a text conversation
Well despite the unilateral symptoms, my first thought would be a condition along the lines of MS. This is what the MRI would hopefully identify
I see, she hasn't had an MRI of her head?
So I would consider it urgent for her to have an MRI scan. Your GP can request this, they are being done. Plus routine services are restarting over the next few weeks. I feel this would warrant an urgent referral to a neurologist as well as an urgent MRI scan
I would assume so, but I haven't been offered to call you. Is there an option your end to convert this to a call or request a call back? It is normally listed as or via a button saying premium service
Great, I can now call...did you still want me to call you?
So I would be attending hospital due to chest pain and a fast heart rate. I would mention that your wife is having a progressive weakness and worsening memory. Could this be a space occupying lesion? However they may say inform your GP.
If they do, which wouldn't be unreasonable as it is urgent, but not an emergency, I would ask your GP for an urgent MRI head and an urgent neurology 2 week wait referral as ? a space occupying lesion or a progressive neurological condition.