Browsing articles tagged with "Bell's Palsy | Jun Xu, M.D. (203) 637-7720, 1171 E Putnam Ave, Greenwich, CT 06878"

67. Dr. Jun Xu’s calling from West Africa

Mar 5, 2017   //   by drxuacupuncture   //   Blog, Case Discussions, Uncategorized  //  No Comments

Dr. Jun Xu went to Leprosy village in 2013, 2014 and 2016, soon he will go to the leprosy village on March 31, 2017.

In 2013, there was no a single room being used for treatment in the leprosy village, Dr. Xu and his team had to use a tent. The temperature was around 125 Fahrenheit degrees.

The leprosy patients were waiting for their turn to be attended. Dr. Jun Xu saw about 200 patients a day.

Typical leprosy patient:
Early Stages
Spots of hypopigmented skin- discolored spots which develop on the skin
Anaesthesia(loss of sensation) in hypthese opigmented spots can occur as well as hair loss
“Skin lesions that do not heal within several weeks of and injury are a typical sign of leprosy.” (Sehgal 24)

Progression of disease

“Enlarged peripheral nerves, usually near joints, such as the wrist, elbow and knees.”(Sehgal 24)
Nerves in the body can be affected causing numbess and muscle paralysis
Claw hand- the curling of the fingers and thumb caused by muscle paralysis
Blinking reflex lost due to leprosy’s affect on one’s facial nerves; loss of blinking reflex can eventually lead to dryness, ulceration, and blindness
“Bacilli entering the mucous lining of the nose can lead to internal damage and scarring that, in time, causes the nose to collapse.”(Sehgal 27)
“Muscles get weaker, resulting in signs such as foot drop (the toe drags when the foot is lifted to take a step)”(Sehgal 27)

Long-term Effects
“If left untreated, leprosy can cause deformity, crippling, and blindness. Because the bacteria attack nerve ending, the terminal body parts (hands and feet) lose all sensations and cannot feel heat, touch, or pain, and can be easily injured…. Left unattended, these wounds can then get further infected and cause tissue damage.” (Sehgal 27)
As a result to the tissue damage, “fingers and toes can become shortened, as the cartilage is absorbed into the body…Contrary to popular belief, the disease does not cause body parts to ‘fall off’.” (Sehgal 27)

Every year, Dr. Jun Xu and his team bring around $300,000 worth of medicine donated from his team members and Americares in Stamford, CT to treat the leprosy and other patients in Senegal and Guinea Bissau., in 2017, his team also received medicine donation from Direct Relief in California,
Dr. Jun Xu and his team finally established a clinic in the leprosy village, one building for the clinic, and another building for the living of doctors and nurses.

Leprosy village people were celebrating the opening of the clinic.

There are 8 wards, which could hospitalize the patients if it is medically necessary.

Dr. Jun Xu’s team usually stay in Senegal for 10 to 14 days, these are the foods his team brought from US in order to keep them health and safe. They do not dare to eat street food.

The above are the coolants contained food Dr. Jun Xu’s team brought from US

Dr. Jun Xu and his team from US in 2006.
If you are interested in joining Dr. Jun Xu’s team or donating to his work in Senegal, please address your check payable to AGWV, and send to
Jun Xu, MD, 1171 E Putnam Avenue, Riverside, CT 06878, USA.
Dr. Xu promises that all your donation 100% will go to Senegal and his team will nerve use a penny from your donation. You will receive the tax deductible receipt. Any amount is a great help for Africa patients.
For more info, please visit our websites at and

49. Acupuncture and Post-Treatment Lyme Disease Syndrome

Jan 25, 2013   //   by drxuacupuncture   //   Blog, Case Discussions, Uncategorized  //  No Comments

News Letter, Vol. 5 (1), January , 2013, © Copyright


Jun Xu, M.D. Lic. Acup., Hong Su, C.M.D., Lic. Acup.

Robert Blizzard III, DPT

Rehabilitation Medicine and Acupuncture Center

1171 East Putnam Avenue, Building 1, 2nd Floor

Greenwich, CT 06878

Tel: (203) 637-7720

Fax: (203)637-2693


Post-Treatment Lyme Disease Syndrome

My dear friends,

Before you read my case discussion, please read the following ,

I was the president of American Traditional Chinese Medicine Society  (www.  between March 2010 and March, 2012. Now, I am honorary  president of ATCMS.  On behalf of ATCMS,  I advise you sign the petition to  urge Obama Administration recognize acupuncturist  as  healthcare providers  and allow Medicare to pay acupuncture treatment.

Thank you for your support! Please sign the petition now!

Jun Xu, MD

Recognize Acupuncturist as Healthcare providers

Despite overwhelming evidence of the positive impact acupuncturist have on patient health, they are not recognized as healthcare providers under the Social Security Act and, therefore, cannot be paid by Medicare for therapy management.

Please visit the website at:, and sign this petition to urge President to recognize acupuncturists as Medicare providers. We do need at least 25000 signatures by February 10, 2013, in order to get a response from the White House. Please forward this email to your family members, friends, and patients, and ask them to do so. Your participation will make a difference.

Thanks for your efforts and participating!

American TCM Society (ATCMS)


Fig 1-1


Janet, a 36 year old woman, came to me with complaints of body aches and multiple joint pain for the past 6 months.  Janet reported, “Every inch of my body is achy, I am depressed.” She reports having a tick bite about ten months ago, while she was playing with her son in the backyard of her house.  A dead tick was found on her neck close to her hair line with a bull’s  eye rash prompting her to see her physician immediately and receiving antibiotics (doxycycline) for three weeks. She felt fine at that time. However, after one month, she started to develop some flu like symptoms; feeling fatigue, poor sleep, stomach cramps and poor appetite. She took advil for 2 weeks without any improvement. She also felt poor concentration along with severe headaches. Later she developed bilateral knee joint swelling, difficulty walking, a tingling like snake sensation at both legs and hands. She went to many different doctors for her symptoms, though no one could give her a definite answer and treatment, therefore, she came to me for help.

Janet is most likely to have Post-Treatment Lyme Disease Syndrome

Approximately 10 to 20% of patients treated for Lyme disease with a recommended 2–4 week course of antibiotics will have lingering symptoms of fatigue, pain, or joint and muscle aches. In some cases, these can last for more than 6 months. Sometimes it is called “chronic Lyme disease,” this condition is properly known as “Post-treatment Lyme Disease Syndrome” (PTLDS).

The main symptoms of PTLDS are listed as following,

  • Arthritis. After several weeks of being infected with Lyme disease, approximately 60% of those people not treated with antibiotics develop recurrent attacks of painful and swollen joints that last anywhere from a few days to a few months. The arthritis can shift from one joint to another; the knee is most commonly affected and usually one or a few joints are affected at any given time. About 10% to 20% of treated patients will go on to develop lasting arthritis. The knuckle joints of the hands are only very rarely affected.
  • Neurological symptoms. Lyme disease can also affect the nervous system, causing symptoms such as stiff neck and severe headache (meningitis), temporary paralysis of facial muscles (Bell’s palsy), numbness, pain or weakness in the limbs, or poor coordination. More subtle changes such as memory loss, difficulty with concentration, and a change in mood or sleeping habits have also been associated with Lyme disease. People with these latter symptoms alone usually don’t have Lyme disease as their cause.

Nervous system abnormalities usually develop several weeks, months, or even years following an untreated infection. These symptoms often last for weeks or months and may recur. These features of Lyme disease usually start to resolve even before antibiotics are started. Patients with neurologic disease usually have a total return to normal function.

  • Heart problems. Fewer than one out of 10 Lyme disease patients develops heart problems, such as an irregular, slow heartbeat, which can be signaled by dizziness or shortness of breath. These symptoms rarely last more than a few days or weeks. Such heart abnormalities generally appear several weeks after infection, and usually begin to resolve even before treatment.
  • Other symptoms. Less commonly, Lyme disease can result in eye inflammation and severe fatigue, although none of these problems is likely to appear without other Lyme disease symptoms being present.


The exact cause of PTLDS is not yet known. Most medical experts believe that the lingering symptoms are the result of residual damage to tissues and the immune system that occurred during the infection. Similar complications and “auto–immune” responses are known to occur following other infections, including Campylobacter (Guillain-Barre syndrome), Chlamydia (Reiter’s syndrome), and Strep throat (rheumatic heart disease). In contrast, some health care providers tell patients that these symptoms reflect persistent infection with Borrelia burgdorferi. Recent animal studies have given rise to questions that require further research, and clinical studies to determine the cause of PTLDS in humans are ongoing.

Regardless of the cause of PTLDS, studies have not shown that patients who received prolonged courses of antibiotics do better in the long run than patients treated with placebo. Furthermore, long-term antibiotic treatment for Lyme disease has been associated with serious complications. The good news is that patients with PTLDS almost always get better with time; the bad news is that it can take months to feel completely well.

If you have been treated for Lyme disease and still feel unwell, see your doctor to discuss how to relieve your suffering. Your doctor may want to treat you in ways similar to patients who have fibromyalgia or chronic fatigue syndrome. This does not mean that your doctor is dismissing your pain or saying that you have these conditions. It simply means that the doctor is trying to help you cope with your symptoms using the best tools available.

It is normal to feel overwhelmed by your ongoing symptoms. Some things that may help you manage your PTLDS include:

  • Check with your doctor to make sure that Lyme disease is not the only thing affecting your health.
  • Become well-informed. There is a lot of inaccurate information available, especially on the internet. Learn how to sort through this maze.
  • Track your symptoms. It can be helpful to keep a diary of your symptoms, sleep patterns, diet, and exercise to see how these influence your well being.
  • Maintain a healthy diet and get plenty of rest.
  • Share your feelings. If your family and friends can’t provide the support you need, talk with a counselor who can help you find ways of managing your life during this difficult time. As with any illness, Lyme disease can affect you and your loved ones. It doesn’t mean that your symptoms are not real. It means that you are a human being who needs extra support in a time of need.
  • Being strong mind, if you know the mechanism of your illness and have strong mind to fight this illness, you will finally get out of the control of the disease.

It is important to note that people with a history of Lyme disease have more musculoskeletal impairments when compared to those without a history of the disease.  Physical Therapy is very effective at treating musculoskeletal impairments such as pain and muscle spasms though multiple means of massage, heat, ultrasound, electrical stimulation.  Muscle weakness and limited endurance are other symptoms that can be greatly improved with treatment.

A common impairment is decreased standing balance and impaired gait pattern that a routine of lower body strengthening, core training and balance exercises would help to restore.  Functional limitations would include difficulty with stair negotiation; sit to stand transfers and the inability to continue to work.  It is important not to over stress yourself with exercise or daily activities to prevent from exacerbating your PTLDS

A few exercises would be a light general warm-up that is easy on the knees being the exercise bike at low-moderate intensity taking breaks as needed.


Fig 1-2

After warmed-up, a whole body exercise that also works on a common ailment of decreased transfer ability with sit to stands would be chair squats.  With this exercise it is important not to allow your knees to track beyond your toes and to barely allow the hips to touch the seat before standing back up again.  Start with 10 pain free reps and working up to 30 reps total.



Fig 1-3



Balance is another ailment that can be worked with exercise.  Start out on a flat surface with eyes open for one minute, once that becomes easy start to challenge yourself by closing your eyes only as long as you are standing in front of a couch or table that you can grab hold of if needed.  Continue to progress by then standing on a foam pad to make the surface uneven or stay on the flat surface and stand on one foot at a time with eyes open and then closed.

Fig 1-4

A light stretching routine is encouraged to decrease joint stiffness and improve range of motion.  Shown is a simple stretch that if held for 1 minute on each leg will loosen muscles around the most common effected area with PTLDS being the knees.

Fib 1-5

Acupuncture is an excellent alternative way to treat your symptoms. It has no side effects and can be combined with traditional western medicine to relieve your symptoms. The choice of acupuncture treatment of PTLDS  is as following,

  1. Common used points: Du20 Bai Hui,  GB8 Shuai Gu, UB9 Yu Zhen, Ht7 Shen Men, GB20 Feng Chi, UB15 Xin Shu, UB20 Pi Shu, UB18 Gan Shu, UB23 Shen Shu, St6 Zu San Li, Sp6 San Yin Jiao, Lv3 Tai Cong, UB2 Zan Zhu, Kid3 Tia Xi.
  2. Arthritis: Shoulder: LI 15 Jian Yu, SI 9 Jian Zhen, SJ 14 Jian Liao, SI 10 Nao Shu, SI 11 Tian Zhong, LI 16 Ju Gu  Wrist: LI5 Yang Xi and SJ 4 Yang Chi.    Knee: LI 4 He Gu, LI 11 Quchi, St 35 Du Bi, Nei Xi Yan, Sp 10 Xue Hai, St 34 Liang Qiu, He Ding, UB 40 Wei Zhong,  ,
  3. Neurological Symptoms: Fatigue, Depression and Poor Sleep: Major points: St 36 Zu San Li, PC6 Nei Guan,  LI4 He Gu, Ht7 Shen Meng, Sp6 San Yin Jiao, GB20 Feng Chi, Du20 Bai Hui, EX-HN1 Si Shen Cong, assistant points: Du14 Da zhui, Ren12 Zhong Wan, Ren14  Ju Que, Ren6 Qi Hai, Ren4 Guang Yuan, UB21 Wei Shu and UB23 Shen Shu.
  4. Bell’s Palsy: GB14 Yang Bai penetrating  Ex Yu Yao, and Si Bai, Tai Yang  penetrating  St7 Xia Guan, St4 Di Chang penetrating  St6 Jia Che, LI20 Ying Xiang, UB2 Zan Zhu, Ren24 Cheng Jiang.
  5. Heart Palpitation: PC6 Nei Guan, Ht7 Shen Men, UB15 Xin Shu, Ren14 Ju Que, UB14 Jue Yin Shu
  6. Dizziness: Si Shen Chong, Du20 Bai Hui, Du12 Shen Zhu, UB12 Feng Men, UB43 Gao Huang, Sp6 San Yin Jiao, St36 Zhu San Li, LI11 Qu Chi.

Janet’s Treatment:

Janet was treated with me for 2 x per week for 8 weeks. I first try to decrease her pain at the joints and body with the points of group 1 and 2 , then, I used the group 3 points to help her to improve her fatigue and depression, after about 2 month’s treatment, Janet felt much improved. Her pain scale decreased from 9/10 to 2/10. She then had maintenance treatment for once a week for another 2 weeks, she finally discharged without pain.

Tips for Patients:

  1. Early diagnosis and early treatment: Always suspect you might have Lyme disease if you have exposed to wild environment with skin rash. Early treatment is the key to reduce the rate of  Post Treatment of Lyme Disease Syndrome.
  2. Multiple Therapy is the best way to treat PTLDS.  Anti-inflammatory Medication, Physical Therapy and Acupuncture Treatment together will help you a lot.

Tips for Acupuncturists:

  1. Treat your patients as a whole person, you not only treat their pain symptom, but also their stress, fatigue, and depression. To relieve the mental stress is the key for the effects of your acupuncture treatment.
  2. Encourage your patients to have at least 8 weeks treatment. It is very important to have a long term treatment to achieve the best results.




Reviews of human research

Marques, A. Chronic Lyme disease: a review. Infect Dis Clin North Am 2008; 22:341–60.

Feder, et al. A critical appraisal of “chronic Lyme disease”. New Eng. J. Med. 2008; 357:1422–30.

Non-human research

The following publications refer to studies in mice and monkeys. Please note that while animal studies are helpful, further research is necessary to determine whether these results correlate with human disease.

Barbour A. Remains of infection. J Clin Invest. 2012 Jul 2;122(7):2344–6. doi: 10.1172/JCI63975. Epub 2012 Jun 25.

Bockenstedt LK, Gonzalez DG, Haberman AM, Belperron AA. Spirochete antigens persist near cartilage after murine Lyme borreliosis therapy. J Clin Invest. 2012 Jul 2;122(7):2652–60. doi: 10.1172/JCI58813. Epub 2012 Jun 25.

Embers ME, Barthold SW, Borda JT, Bowers L, Doyle L, et al. (2012) Persistence of Borrelia burgdorferi in Rhesus macaques following antibiotic treatment of disseminated infection. PLoS ONE 7(1): e29914.

Reference resource:



41. Acupuncture and Bell’s Palsy

May 23, 2012   //   by drxuacupuncture   //   Blog, Case Discussions, Uncategorized  //  No Comments

News Letter, Vol. 4 (5), May  , 2012, © Copyright


Jun Xu, M.D. Lic. Acup., Hong Su, C.M.D., Lic. Acup.

Robert Blizzard III, DPT

Rehabilitation Medicine and Acupuncture Center

1171 East Putnam Avenue, Building 1, 2nd Floor

Greenwich, CT 06878

Tel: (203) 637-7720

Fax: (203)637-2693


Bell’s Palsy

Bell’s Palsy

Joan S, a forty-five-year-old woman, awoke one morning to find that when she brushed her teeth she felt numbness on the left side of her face. Her left eye was dry and she had difficulty closing it, plus her mouth tasted odd and she could not hold water in it. When she realized she was drooling, and began to feel that the left side of her face was paralyzed, she immediately called her husband who arranged for an ambulance to take her to the hospital, where she was given a CT scan and an MRI of the brain. The results showed she had not suffered a stroke, but during the physical examination she felt dizzy and realized she was again drooling out the left side of her mouth. She had a dry mouth, her left facial muscles were twitching, she was hypersensitive to sound, and she had developed slurred speech. The doctors diagnosed her condition as Bell’s Palsy and gave her a corticosteroid patch for ten days, decreasing the dosage daily. When there was no improvement after the ten-day treatment, she consulted her primary care physician who prescribed acyclovir, which was supposed to prevent further damaging of the facial nerve.

After a week of acyclovir, she still felt no improvement, so she returned to this same doctor and he said her symptoms should disappear spontaneously within three to six months. After three months of no improvement, she became extremely frustrated with her condition. She still felt numbness on the left side of her face and had difficulty closing her eyes and mouth, which were both drooping; she was drooling and could not smile using the left side of her mouth. Once again back with the same doctor, he advised her that things should right themselves if she gave it more time. At this point, Joan started to feel scared, so she asked around and was referred to me by her friends.

Joan’s condition, Bell’s Palsy, is a form of temporary facial paralysis resulting from damage or trauma to cranial nerve VII, one of the two facial nerves. This paralysis causes muscle distortion and interferes with such facial functions as closing the eyes, eating, and using one side of the mouth. The onset of Bell’s Palsy is usually sudden—many people wake up one morning to discover that one side of their face is paralyzed. Sometimes the symptoms are confused with a stroke, but Bell’s Palsy is definitely not a stroke, it is only due to injury to the cranial nerve VII.

Functions of Cranial Nerve VII

  • Cranial nerve VII has many nerve fibers, which are distributed to the scalp, the face, and the facial muscles. It supplies some of the salivary glands, which provide lubricants to the eyes and mouth and is responsible for sensations to the hearing organs—the ear canal and behind the ear.
  • Its nerve fibers affect the forehead and the upper eyelids, including eyebrow elevation, forehead wrinkling, frowning, and tight closing of the eyes.
  • Its nerve fibers in the lower face include showing the teeth, whistling, puffing the cheeks, and having a natural smile; it is also responsible for impulses to two-thirds of the tongue, including the ability to taste.

See the figure 5-1

Discovery, Symptoms, and Causes of Bell’s Palsy

The disease is named for Sir Charles Bell, a Scottish surgeon who discovered the nerve and its effects on the facial muscles about 200 years ago. It affects about 40,000 people in the United States each year, and is most commonly seen in young adults.

Many people think it is an inflammation and swelling of the facial nerve that leads to an the onset of Bell’s Palsy. This condition can be triggered by a virus infection, such as chicken pox, herpes simplex, herpes zoster, HIV, mononucleosis, or mumps, or by a bacterial infection, such as Lyme disease or tuberculosis. Others believe that brain-stem tumors, skull fractures, or neurological conditions, such as diabetic neuropathy or Guillain-Barré syndrome, can lead to Bell’s Palsy.

The most common symptoms are the sudden onset of paralysis or weakness of one side of the face, with difficulty closing the eyes, facial droop and difficulty with facial expressions, pain behind or in front of the ear with an amplification of sounds on the affected side, headache, loss of taste, and changes in the amount of tears and saliva.


Treatments in Western Medicine

The treatment of Bell’s Palsy is controversial in Western medicine; many people are given no treatment and are expected to recover spontaneously.

Some Western doctors prescribe the following treatments.

  • Medications. The one most usually prescribed is a corticosteroid, sometimes mixed with antiviruses, such as acyclovir, which are expected to help in recovery.
  • Physical therapy. It is believed that physical therapy can relax the strain in the facial muscle and prevent the symptoms from recurring.
  • Surgery. Surgery is very controversial. If the facial paralysis has not recovered after 6 months, a person can manifest many symptoms, including drooping eyes and difficulty closing them, and distortion and spasms of the facial muscles. Although such surgical procedures as facial nerve repair, facial nerve graft, facial nerve substitution, and muscle transposition are not able to completely restore normal function, they can significantly improve the face’s appearance and ability to function.

In Joan’s case, her primary care doctor thought medication alone would be sufficient treatment, so she waited three of the six months he suggested without becoming better. It was at this point that she decided to consult me.


Treatments in Traditional Chinese Medicine

Traditional Chinese medicine believes that facial paralysis is due to wind invasion. The wind attacks the facial nerve and causes nerve and muscle paralysis. Because the nerve supplies the impulses to the facial muscle, the taste buds, and the eye, paralysis causes muscle dysfunction and makes treatment of acupuncture at the appropriate points most important. And the sooner treatment starts, the better. It is not good to wait six months, or even three, as Joan did, to see if there is a spontaneous recovery; it is best to start treatment immediately because the viability of the facial nerve decreases every day. Even after six months, there is still a good chance of recovering from the paralysis, but instead of waiting that long, it is better to treat the affected person as soon as possible.

People with Bell’s Palsy are almost always nervous about their condition, and feel extremely stressed, believing their symptoms could be the signs of a stroke. For this reason, the acupuncture treatment should not only treat the paralysis, but also utilize points intended to relieve stress.

The following points used for this condition are locally selected—most of them are on the face.

Yang Bai penetrating Yu Yao, and Si Bai, Tai Yang penetrating Xia Guan, Di Chang penetrating Jia Che, Ying Xiang, Zhuan Zhu, Cheng Jian, Feng Chi, Yi Feng, and He Gu.

Table 5.1

Points Meridian Number Conditions Helped
1 Yang Bai GB 14See Figure 27.1 Frontal headaches, eye pain, vertigo, twitching or drooping eyelids, tearing up
2 Yu Yao Ex-HN 4See Figure 27.1 Pain above the eye, twitching or drooping eyelids, cloudiness of the cornea, redness, swelling, and pain in the eye
3 Si Bai St 2See Figure 27.1 Redness, pain, and itching of the eyes, facial paralysis, twitching eyelids, pain in the face
4 Tai Yang Ex-HN 5See Figure 15.2 See Table 15.2
5 Xia Guan St 7See Figure 26.9 See Table 26.3
6 Di Chang St 4See Figure 26.9 See Table 26.3
7 Jia Che St 6See Figure 26.9 See Table 26.3
8 Ying Xiang LI 20See Figure 27.1 Nasal obstruction, smell impairment, itching and swelling of the face
9 Zan Zhu UB 2See Figure 27.1 Headaches, blurred and failing vision, pain in the ridge above the eye, tearing, redness, swelling and pain of the eye, twitching of eyelids, glaucoma
10 Chen Jiang Ren 24See Figure 27.1 Facial puffiness, swelling of the gums, toothache, salivation, mental disorders
11 Feng Chi GB 20See Figure 22.4 See Table 22.1
12 Yi Feng SI 17See Figure 25.1 See Table 25.1
13 He Gu LI 4See Figure 12.2 See Table 12.1

Please refer to the accompanying Figures (illustrations) for the

locations of the points. And please note that these illustrations are

for information only and may not show all the exact locations of the

acupuncture points.

Figure 5.2



Joan’s Treatment

Joan was treated with the above acupuncture points, which helped supply the blood flow to the nerve and decreased the muscle spasms and inflammation. She also received massages, and after one month of these treatments she completely recovered from Bell’s Palsy.


Tips for People with Bell’s Palsy

  • I cannot stress enough the importance of treatment as soon as possible; waiting is not an option.
  • Daily massages, 20 minutes per session and 3 sessions per day, combined with the above acupuncture points, will greatly help recovery. Acupressure the points with your thumb or knuckle, pressing with comfortable pressure on the points; count to 20, then change to another point. You should work symmetric points at the same time.
  • Tips for acupuncturists:

    1. Mainly put needles on the paralyzed side, however, you also have to put a few needles on the healthy side, which will help the energy flow go through the paralyzed side.
    2. After acupuncture treatment, massage for about 10 to 15 minutes will greatly help the patient’s recovery.
    3. Most of the time, your patients will get 90% to 100% recovery, again, the earlier the treatment, the better the results.


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