A case of Plumbum_The mask por Dr. César Erazo

CASE
A 56 year old patient who comes for a visit with chronic cystitis. Her problem started 35 years ago, after she married, having every time similar symptoms: fever, pain after urination, trickle and blood in the urine and two or three times per year, the cystitis ended up in pyelonephritis, what made necessary her entrance in hospital… the bacterial culture of the urine gave positive and yielded to antibiotics, but surely reappeared.
She has received many medical treatments, gall bladder and bacteriological exams, that she does not remember. The last time, seeing that she was always given the same treatment, she decides to consult with us.


Medical records: 4 years ago she goes blind on the right eye, which progress on a right hand paralysis and feebleness and atrophy of the right leg. The neurologist said that it was a possible sclerosis(?). it was treated with steroids, with which she improved. She has followed under the same control, but without relapses until this moment.
She has been operated of bilateral venous insufficiency 10 years ago.
Her teeth were damaged, “they fell to pieces” in her youth, for which reason she has dental implants.
Hair loss since she remembers, being now very scant and profoundly grey.
Chronic constipation, which improves with whole-grain cereals, but never dissipate.
Progressive loss of memory, since she was little; she could not study, besides that she did not like it, she retained nothing learned.


Personal story: She is the younger of three children, but she was the one who would always help in the farm works, not only because she did not like school, but also because her father said that she was of his children the most lively and the better prepared because she was strong and never complained. Once at home she helped her mother, she went out to sell at the marketplace since very little. When she was 13 years old her father died, and because of the economic situation they were into, they established themselves in Madrid, Spain's capital, where she finds easily a job in a shop. 7 years after she marries the owner of the shop where she is the only employee. One year after marriage they have a daughter, and without rest, she continues to work from Monday to Sunday, until one year ago, that his husband, 10 years older than her, decides to sell the business and live from the savings, what they have been doing until this moment.

Mood: she only relates having “numb days” once in a while. Not knowing for which reason, she does not want to get out of bed, she would cry over the slightest thing (without motive), and nevertheless she gets up and works, because she needs to look after her daughter, her husband, the shop, and without her, nothing works well, as her husband relates.