2. Date of Dx: 31 December 1993 Location: Brisbane Australia.
3. Age a Dx: 50 years 6 months. Location: Brisbane Australia.
4. Current age: 55 years 3 months. Location: Brisbane Australia.
5. Birth Location: Brisbane Australia.
6. Unusual Circumstances: Employment at time of Dx, Tour coach Driver doing
a lot of inbound Asian tours, also several extended tours over periods 6-14
days.
7. Current Medications: a. Ditropan 2 tabs each day, bladder control.
b. Coloxyl and Senna 2 tabs each
day assist bowel function.
8. Non working medications. a. Dantroline, 25mg put me to sleep.
b. Baclofen 25mg ceased
to be useful
plus caused chemical
imbalance
thus causing extra
fluid retention and
caused tiredness and
impaired
walking mobility.
9. Dr Vernon Hill Spinal Injuries Specialist } Princess Alexandra
Dr Sue Urquhart " " " } Australia
Dr Boyle Neurologist }
61-07-3240-2111
Dr Bruce Hansen (My local GP)
10 None to mind.
-----Original Message-----
From: Doc <doc09(AT)sprintmail.com>
To: tmic-list(AT)eskimo.com <tmic-list(AT)eskimo.com>
Date: Sunday, 11 October, 1998 3:26 PM
Subject: QUESTIONNAIRE
>Hello to all:
>
>Back on 8/10 I posted a brief questionnaire at the suggestion
>of Sayward. I have completed tallying the data from the 43
>folks that responded. If you misplaced the original questionnaire,
>are new or just didn't have time at that time I'm posting it again
>below. Thanks for your help from all fellow TMers.
>
>__________________________________________________
>
>I will collate this data and I will not release any of it on any
>individual unless given permission. The geography questions
>are related to MS research. I would ask that everyone, visitors,
>just readers, helpers etc., to complete the questionnaire if it
>applies to you, family members or friends with a Dx of
>Transverse Myelitis. Hopefully we can make a difference.
>
>1. NAME: (optional)
>GENDER:
>
>2. DATE OF Dx: LOCATION: (City,State)
>
>3. AGE AT dx: LOCATION: (City, State)
>
>4. CURRENT AGE: LOCATION: (City, State)
>
>5. BIRTH LOCATION: (City, State)
>
>6. UNUSUAL CIRCUMSTANCES: (Lived in one place, Dx'd in
> another location. There were a few subscribers who were on
> vacation or business).
>
>7. CURRENT MEDICATIONS: (Please List)
>
>8. MEDICATIONS TRIED BUT DID NOT WORK FOR YOU (Please list)
>
>9. IF YOU FEEL THAT YOUR PHYSICIAN/NEUROLOGIST IS
> EXPERIENCED WITH TM (or atleast willing to learn) PLEASE
> LIST HIM AS SOMEONE YOU WOULD RECOMMEND TO OTHERS:
>
> NAME:
> SPECIALTY:
> HOSPITAL AFFILIATION:
> CITY, STATE:
> TELEPHONE:
>
>10. IF YOU HAVE BEEN TREATED BY A PHYSICIAN/NEUROLOGIST
> THAT SHOULD BE AVOIDED AT ALL COSTS BY THOSE WITH TM.
>
> NAME:
> SPECIALTY:
> HOSPITAL AFFILIATION:
> CITY, STATE:
> TELEPHONE:
>
>I hope this information will aide many.
>
>
>Doc
>