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Symptom Onset

On March 4th, 2001, I began to experience myclonic jerks which involved involuntary jerks of the legs (primarily left) and jerking of the head. This followed a respiratory infection which started around February 13th, 2001 and lasted approximately 3 weeks. This infection precipitated myoclonus by approximately 3 to 4 weeks. With these myoclonic jerks, there was no involvement of the upper limbs. These jerks were mostly mild in intensity; however, they occurred very frequently after onset, often occurring more than 30 times a day. These myoclonic jerks continued daily.

Imitrex was introduced in 2001 at the onset of a 6 week migraine starting April 1st, 2001. Imitrex was not tolerated due to increase in blood pressure, chest pain, and difficulty breathing. This medication was eliminated.

On April 18th, 2001, I received an MRI which showed no structural abnormalities. I also received an EEG on this date which also showed no abnormalities. At this time in 2001, there were no known allergies.

In approximately May of 2001, I began to experience growing anxiety, paranoia, depression, and irritability. I sought help through my health insurance plan and was referred to a CBT Therapist for evaluation. After some time seeing this therapist, my psychiatric symptoms increased and she felt that I needed to be evaluated by a psychiatrist. I was referred to a Dr. S.P. during this time who gave me the following diagnosis’: BiPolar Disorder, Borderline Personality Disorder, Post Traumatic Stress Disorder, Generalised Anxiety Disorder, and Attention Deficit Hyperactivity Disorder. He noted my intelligence to be “average” at this time.

I was treated by Dr. S.P. with several psychotropic drugs during an approximately one year period starting in mid-2001. I was treated initially with Valporate for mood disturbances associated with BiPolar disorder. It is to be noted that in journal entries at this time, I had also been told Valporate would treat my myoclonus. My myoclonus and migraines did respond to Valproate.

Dr. S.P. added Effexor in June of 2001 after a voluntary hospitalisation for depression and suicidal ideation. I later note in journals that I was told the medication would take time to become effective but I did not see benefits from this combination of medications. To this list of medications was added Lithium, Seroquel, Zyprexa, Klonopine because of increasing depression, anxiety, insomnia, and mania. I began to suffer panic attacks around this time.

It is noted in  journals that on August 19th, I suffered from dizziness and muscle weakness. My partner strongly suggested that I go to the ER or Urgent Care. I declined, reporting that I had been suffering these symptoms for several weeks. I had also reported weakness in the hands around the time of some of the myoclonic episodes which were accompanied by migraine.

In December, under Dr. S.P.’s care, I noted to him that I was frequently experiencing fevers.

At the beginning of January, 2002 I noted to my CBT therapist that I was having lucidity issues and exhibiting erratic behaviour, aggressiveness, strange behavour, depression, and suicideal ideation. I also noted that I had no desire to harm myself or others.

In February of 2002, Dr. S.P. added Adavan to my list of medications. Lithium is mentioned in my journals but I did not note nor do I recall what or when this was added and removed from my list of medications.

In April of 2002, I report a list of medications perscribed by Dr. S.P. of: Valproate, Zyprexa, Adavan, Ambien, Effexor, Seroquel, and Klonopine. During this month, I experienced a severe depressive episode which lead to serious self-harm and was seen by a crisis counselor.  A few days later, on April 27th, I was admitted to Urgent Care with high blood pressure and a fever of 100.9 F. I had been complaining for several days of fevers and increasing psychiatric disturbances. Less than a week later I was admited to the ER by ambulance for a drug over dose of the above medications over a four day period.

After discharge, I was taken home by my parents and no further psychitric evaluation was made. It was noted in a prior in-patient stay that I was admitted with “fever” by Dr. S.P.  At the conclusion of this ER stay, I subsequently lost my home, insurance, and was receiving some CBT therapy and occasional appointments with Dr. S.P., who later discharged me as I was not responsive to psychotropic medications, intensive outpatient therapy, or private CBT therapy.

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