Quote:
Originally Posted by xanadu
This is all very interesting.
Alice - you may be interested to know I am pigeon toed, and have memories of my brothers and school mates laughing at the way I walked from about 10. Not just the walk but the lack of arm swing as well. I guess it looked different - don't know now - kids can be cruelly honest! My calf bones actually curve - no one else in the family has this - but I have long forgotten about it. Could this mean the muscle weakness was there before the bones had grown strong ?
And I seem to be remembering another uncle that had swallowing problems and another great aunt ? Nothing serious ever found but very problematic for them. May mean nothing of course but they are siblings to the ones with severe general muscle weakness.
And I also found that a treatment for DOK7 is salbutamol. Interestingly enough I have been prescribed this on and off for the last 10 years to help my breathing episodes. The pattern of asthma I had was odd but the GPs kept using it. I did not have asthma as a child and was told it is very unusual to develop it as an adult - but non the less that was my 'diagnosis' until last year. Last year I had tests which confirmed the poor lung function but was told it was not asthma and to stop the puffer. Hard to know really ( trying to stay neutral here) but I think I have worsened in the last year.
Yes I can see this is would need a specialist working with the new discoveries. But why does a Neuro who is obviously out of his field try to intimidate and ridicule me ? Why not say - this is atypical, I do not know - let me think about this and make some calls ... 
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salbutemol via inhaler can increase the diaphragmatic muscle stregth.
it may not be as effective as taking pills, but will still have an effect.
its mode of action is probably by increasing the calcium induced calcium release, brought about by the depolarization of the muscle membrane (which is in turn caused by activation of the recpeptor with acetyl-choline).
an inexperienced pulmonologist can easily mistake respiratory muscle weakness, for asthma, as both can lead to a decrease in the peak flow.
as to your question about the neurologist, all I can say is a quote of william Osler- the more the ignorance, the more the arrogance.
you need a certain amount of knowledge and understanding in order to know that you don't know.
hope you do find one that does, just like I eventually did, soon.
alice