| 1._____ |
fatigue (95%) usually worse after
exercise |
6._____ |
painful lymphnodes-especially on sides
of the neck and under the arms (60%) |
| 2. |
COGNITIVE DYSFUNCTION PROBLEMS (80%) |
_____ |
sore ears |
| _____ |
attention deficit disorder |
7._____ |
sever nasal and other allergies-often
worsening of previous mild problems (40%) |
| _____ |
memory disturbance |
8._____ |
weight change-usually gain, sometimes
loss (70%) |
| _____ |
spatial disorientation |
9._____ |
muscle and joint aches with tender
"trigger points" (65%) |
| _____ |
frequently saying the wrong words |
10._____ |
abdominal pain, diarrhea, nausea-"irritable
bowel syndrome" (50%) |
| 3. |
PSYCHOLOGICAL PROBLEMS (80%) |
11._____ |
low grade fevers or feeling hot often
(70%) |
| _____ |
depression |
_____ |
sensitive to heat and cold |
| _____ |
anxiety which may include panic attacks |
12._____ |
night sweats (40%) |
| _____ |
personality changes-usually worsening
of a previous mild tendency |
13._____ |
heart palpitations (40%) |
| _____ |
emotional lability (mood swings) |
14._____ |
severe premenstrual syndrome (70%) of
woman |
| _____ |
psychoses (1%) |
15._____ |
rash of herpes somplex or shingles
(20%) |
| 4. |
OTHER NERVOUS SYSTEM PROBLEMS (75%) |
16._____ |
uncomfortable or recurrent
urination-pain in prostrate (20%) |
| _____ |
sleep disturbance |
17._____ |
aching on left side due to enlarged
spleen or liver (40%) |
| _____ |
headaches |
18. |
OTHER SYMPTOMS SEEN (10%) OR LESS. |
| _____ |
changes in visual acuity |
_____ |
rashes |
| _____ |
seizures |
_____ |
hair loss or hair texture changes (30%) |
| _____ |
numb or tingling feelings |
_____ |
impotence |
| _____ |
disequilibrium (balance) |
_____ |
chest pain |
| _____ |
lightheadedness-feeling spaced out |
_____ |
dry eyes and mouth |
| _____ |
frequent unusual nightmares |
_____ |
cough |
| _____ |
difficulty moving tongue to speak |
_____ |
TMJ Syndrome |
| _____ |
ringing in the ears |
_____ |
Mitral valve prolapse |
| _____ |
paralysis |
_____ |
frequent cancer sores |
| _____ |
severe muscular weakness |
_____ |
cold hands and/or feet |
| _____ |
blackouts |
_____ |
serious rhythm disturbances of the
heart |
| _____ |
intolerance of bright lights |
_____ |
carpal tunnel syndrome |
| _____ |
intolerance of alcohol |
_____ |
pyriform muscle syndrome causing
sciatica |
| _____ |
alteration of taste, smell, hearing |
_____ |
thyroid inflammation |
| 5. |
RECURRENT FLU LIKE ILLNESSES (75%) |
_____ |
various cancers (a rare occurrence) |
| _____ |
often with chronic sore throat, or recurrent
sore throat. |
|
|
| _____ |
recurrent upper respiratory tract
illnesses |
|
|