Kenneth Kee

Willis-Ekbom Disease (Restless Leg Syndrome), A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions (eBook, ePUB)

• Format: ePub

Produktbeschreibung

This book describes Willis-Ekbom Disease or Restless Leg Syndrome, Diagnosis and Treatment and Related Diseases

Restless Legs Syndrome every one hates you.
You rob people of the sleep and make them blue
Out of the blue my legs started feeling funny
My RLS leaves me with very little energy

You make me have the urge to move my legs
I feel that ants are crawling on my skin and laying eggs
I only feel comfortable when my legs are kicking
These sensations becomes worse when I am sleeping

Even at rest the patient come and irritate me
When can I ever stop suffering and be free
Because of you I had to quit the job I loved
Every day I watched for triggers that make my RLS worse

Please help me, doctor, be kind
I think that I am going out of my mind
Please help me to stop my legs from fidgeting
And allow me at least some hours of good sleeping

-An original poem by Kenneth Kee

The other day I had one patient who could not sleep for a few nights before of jerking movements of his legs one leg after the other.

He felt that he just has to move his legs because of the funny sensations he felt in the legs.

They occur only when he was lying still trying to sleep.
Primary
I found out that he was taking a high dose of antihistamine for his cold symptoms and asked him to stop them.

I also gave him some clonazepam (a mild tranquillizer with anti convulsant effect) to be taken only if he still has the jerking movements.

Happily for him after stopping the antihistamine his jerking movements stopped and he did not have to take the clonazepam.

Willis-Ekbom disease or Restless Legs Syndrome is a neurological movement disorder featured by a distressing need or urge to move the legs or arms (akathisia) normally followed by an uncomfortable deep-seated sensation in the legs that is activated by:
1. Rest;
2. Sitting or lying down,
3. Worsening at night or in the evening.
It is relieved by moving or walking.
It most often affects the legs, but can affect the arms, body, head, and even phantom limbs.
People who have RLS depict the unpleasant feelings as creeping, crawling, pulling, itching, tingling, burning, aching or electric shocks.
There is sleep disturbance and a link with involuntary jerking movements of the legs during sleep called periodic leg movements of sleep.

There are 2 types of Restless Legs Syndrome:
A. Primary or idiopathic central nervous system (CNS) disorder can be familial with a pattern of autosomal dominant or recessive inheritance happening at an earlier age of onset of 45 years and slower disease progression.
Psychiatric factors, stress, and fatigue can make the symptoms of restless legs syndrome worse.
B. Secondary Restless Legs Syndrome can happen due to some linked disorders such as:
1. Iron deficiency (especially); blood ferritin below 50 µg/L (seen in 20% of cases)
2. Peripheral neuropathy
3. Hypoglycemia
4. Parkinson's Disease
5. Folate or magnesium deficiency
6. Vitamin B-12 deficiency
7. Diabetes mellitus
8. Frequent blood donation
9. Rheumatic disease and Rheumatoid arthritis
10. Uremia
11. End-stage renal disease (seen 25-50% of patients with End stage renal disease may improve after kidney transplant)
12. Pregnancy (seen in 25-40% of pregnant women normally subsides within a few weeks after delivery).
Restless legs syndrome is diagnosed on history taking and 4 diagnostic criteria:
1. An urge to move the legs, normally accompanied by unpleasant sensations;
2. Occurrence of symptoms during rest;
3. Relief of symptoms by movement; and
4. Worsening of symptoms in the evening or night.
For primary Restless Leg Syndrome, drug therapy is mainly for symptomatic relief.

TABLE OF CONTENT
Introduction
Chapter 1 Willis-Ekbom Disease or Res...

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Produktdetails

• Verlag: Kenneth Kee
• Erscheinungstermin: 7. Dezember 2019
• Englisch
• ISBN-13: 9780463599648
• Artikelnr.: 75904530

Autorenporträt

Dr. Kenneth Kee is a well-known medical doctor from Singapore who has been practicing medicine since 1972.
He graduated from the University of Singapore and furthered his studies with a Master of Science in Health Management in 1991, followed by a Ph.D. in Healthcare Administration in 1993.
Dr. Kee established Kee Clinic in 1974, located in the Holland Drive area of Singapore. The clinic has been a prominent feature of the community, offering general medical services for 5 decades.
Dr Kee also served his country Singapore as a national service police Inspector at night from 1975 to 1985 while working at his clinic during the day.
He had served as a police guard to the Woodland Petroleum Tanks at night during the Indonesian Confrontation period, took part in police rounds at night in the Beach Road area and taught First aid and emergency resuscitation to Police recruits.
He received the Singapore Police Bicentennial 2020 Medallion on 1st March 2024 as recognition for his work in the Singapore Police.
Even as he grew older, Dr. Kee continued to work actively in his clinic, although he eventually reduced his consultation hours.
Beyond his medical career, Dr. Kee is also an author.
He started writing about medical conditions in 2007, using blogs and other online platforms to share his knowledge with a broader audience.
Over time, he published various books, many of which provide simple and accessible guides to different health conditions.
His works include "A Family Doctor's Tale," "My Personal Singapore History," and numerous medical guides, available through platforms like Amazon.
His books often combine his personal experiences as a family doctor with insights into Singapore's healthcare system and history.
Dr. Kee has written extensively on health topics, contributing to both medical literature and general knowledge resources.

Dr. Kenneth Kee has written numerous books, primarily focused on health education and personal experiences as a family doctor. Some of his notable titles include:
"A Family Doctor's Tale"
This book is a blend of Dr. Kee's personal experiences and his reflections on being a family doctor in Singapore. It's a great choice if you're looking for a narrative that combines both medical knowledge and human stories.
"Specialized Medical Conditions"
Books like **"Congestive Heart Failure: Diagnosis and Treatment"** focus on specific conditions, offering in-dept...