Web Avatars: Erasmus and Kinkajou 
Web Avatars: Erasmus and Kinkajou
DR Xxxxx : Case 7: Comments 2
The patient complains that there is something wrong. He states that there is “No Bone.”
This statement is stated repeatedly in spite of multiple reassurances to the contrary from mother and doctor.
The patient points to lots of areas of “no bone.”
These are symptoms of psychosis or thought disorder. The patient has an intensely held belief in spite of evidence to the contrary including the evidence of his own senses. Intense thoughts can take many different forms and many different intensities. They are a classical hallmark of second wave Paill Spectrum disease.
On examination:
Slightly sweaty hands
Parasternal chest tenderness in all quadrants
Faint instability on balance testing
(Romberg: standing with feet close together with both eyes closed).
The classical symptoms of Paill Spectrum are beginning to show as the patient’s illness progresses. It is likely that the thought disorder associated with the illness further worsens nutrition, resulting in further disease progression and damage.
Treatment:
Serenace: 0.5 mg nocte
Minocycline 50 mg: two daily
Standard medical therapy as in an anti-psychotic medication givers very rapid symptomatic relief of the “crazy” thought. In the long term, over a few weeks, as the Paill Spectrum protocol controls the disease, the symptomatic medication becomes unnecessary.
