Case study: physical fatigue

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Case study: physical fatigue
CASE STUDY: PHYSICAL FATIGUE
Rudolph Garvin was a college student, the son of a physician, who wanted to follow in his father's footsteps. His prospects were dim because of his failing grades. For many years he had suffered from minus-one symptoms, such as rhinitis. He had repeatedly been examined for sinus infections, but none could be found. He also suffered from repeated "colds."
When he entered college, his localized minus-one symptoms gave way to systemic minus-two symptoms: headaches and bouts of extreme tiredness. These would generally come on around 3 p.m. Tiredness and head pain interfered with his ability to study, concentrate, or perform his tasks. He had to try to sneak in some studying before the head-pain problems became too distracting.
Inexplicably, his fatigue fluctuated and was much worse on certain days. In general, his tiredness was associated with bouts of nervousness, tension, and feelings of frustration. He also experienced brain-fag, characterized by impaired reading comprehension and unretentive memory. For instance, he would read his assignment the night before a class but would be unable to remember what he had read the next day. When he first came for ecologic management, his afternoon fatigue had spread to the morning as well. Even after sleeping for eight or nine hours, he awakened tired. Like many such patients, his sleep was restless.
In office tests, two glasses of milk brought on a headache and a feeling of extreme fatigue. He had to lie down until he was able to return home. This was accompanied by stomach upset.
After eating eggs, on another occasion, he suffered a headache after forty minutes. Milk and eggs were daily foods in his diet. He was therefore taken off these items, as well as beef and peanuts, which were both suspected on the basis of his history. After two weeks on the diet, he reported feeling much less tired. He was then instructed to return beef to his diet for three days, followed by peanuts. His headache and fatigue did not reappear. The return of dairy products and eggs, however, was accompanied by a return of his physical fatigue and pain. By eliminating these foods from his diet in all their forms, he recovered his health. After a while, he was able to reintroduce these foods into his diet according to the principles of the Rotary Diversified Diet. His grades improved, and he was admitted to medical school. Today he is a successful physician.
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