Diagnose Yourself Problem Description Worksheet. Problem Description Part 1

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1 Problem Description Part What is the condition for which you need to know the underlying cause? 4. Who are all the people you know for 5. Who else do you know, who you might a fact that are experiencing these (same) expect to experience these same symptoms, symptoms (including you)? but you know for a fact do not? 6a. What type of pain or other sensations 7a. What other sensations would you expect are you experiencing? (Check all that to experience with this problem, but never do? apply.) (Place an X though all that apply.) aching aching bloating bloating burning burning cool/cold/clammy cool/cold/clammy cramping cramping dizzy/lightheaded dizzy/lightheaded dryness dryness exhaustion/fatigue exhaustion/fatigue itchy itchy nausea nausea numbness numbness piercing piercing pins and needles pins and needles pressure pressure prickling prickling pulsing pulsing radiating radiating shooting shooting sleepy/drowsy sleepy/drowsy spasming spasming stinging stinging stretching stretching swelling swelling tender to touch tender to touch throbbing throbbing tightness tightness tingling tingling wet/moist wet/moist other sensations: other sensations:

2 6b. What other (types of) symptoms do 7b. What other symptoms (similar or related in you commonly experience with those nature to what you are presently experiencing) listed in above? What else? would you expect to see, hear, feel, taste, or smell, but you never do? What else? 8. Describe where precisely on the 9. In what other (most closely related) areas outside of your body and on the inside of your body would you expect to experience of your body where you experience each these same symptoms, but you never have? of the symptoms you ve described so far. Where else? Use the body outline profiles Where else? Also use the body outline on the following page to indicate these areas profiles shown on the following page to with an X on both the front and back of pinpoint with an or with an arrow your body. exactly where you experience each symptom on the front and back of your body. 10. When did you first experience these 11. When else, in nearest proximity to the specific symptoms, and on what specific actual first occurrence of your problem, date and time? would you have most expected to first experience this problem, but did not? 12. When since the first occurrence have 13. At what other times (since the first you experienced your problem? How occurrence of the problem) would you have often, and on what specific dates and expected to experience your symptoms, but times? Mark the graph on the following did not? Mark on the same graph (and/or page (identifying the time scale as describe in your own words below) when these necessary) with a for each occurrence, precise times are, as well as alternate timing or use a shaped line if it is an ongoing trends and patterns (besides the observed problem, and also describe below in your pattern and trend) that you would expect, own words the pattern and trend of the but did not see. symptom presentation.

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4 Time Scale of Symptom Occurrence Diagnose Yourself Problem Description Worksheet Symptom Occurrence and Severity

5 14a. What was happening in your life 15a. At what other notable phases or stages of around the same time as the presentation your life would you have most expected to of your symptoms (for both first and experience these same symptoms, but you subsequent occurrences)? Be as specific did not? Be as specific as possible in defining as possible in defining both the number both the number and type of most similar (in and type of associated events, and nature) and closely related (in time) events. precisely how long before or after each event the symptoms were experienced. 14b. At what age(s) were you when these 15b. At what other age(s) would you have symptoms were (first and subsequently) expected to also experience these same experienced? symptoms (first and subsequently), but did not? 14c. (For women only): At what point in 15c. (For women only): At what other your monthly cycle do you experience point(s) in your monthly cycle would you these symptoms? Circle the applicable expect to experience these symptoms, but day/days on the timescale shown below. did not? Mark an X through the relevant day/days on the timescale shown below. Day: (menses) (ovulation) (menses) 16a. How severe is the symptoms you are 17a. What other severity of pain and related experiencing? What is the size of the symptoms (besides what you are experiencing) visible symptoms as well as the degree of would you most expect to experience with pain and other sensations you experience? this problem, but are not? 16b. How long does the pain and other 17b. What other duration of the pain and symptoms last, from the time of initial other symptoms (besides what you are presentation to their disappearance? experiencing) would you expect, but are How many times has it recurred? not? What other frequency (besides that observed) would you expect to see, but are not?

6 16c. What is the trend in the severity of 17c. What other trends (besides the observed your problem over time in terms of the ones) in the severity of your problem would size and degree of your symptoms, in you expect to experience, but do not in in terms of their duration and frequency, terms of the size and degree of your symptoms, and in terms of the number of symptoms in terms of their duration and frequency, and you experience? in terms of the number of symptoms? 18. Where were/are you exactly located 19. Where else have you been geographically geographically when you first and where you would expect to have also subsequently experienced your symptoms? experienced these same symptoms, but never List all locations, and be as specific as have? List the most closely related locations possible. in terms of both proximity and similarity of features and characteristics.

7 Problem Description Part 2 20a. What qualities or attributes are common to all of the similarly afflicted persons described in in question #4? What else? Be as specific and complete as possible in defining all relevant commonalities, and be sure these are shared among every person listed in question #4, and that they are known facts, as opposed to suppositions. (Skip this question if there was only one person identified in question #4.) 20b. What qualities and attributes are uniquely different about all of the persons who have the problem (described in question #4) compared to the persons who do not have the problem (as described in question #5)? What else? Be as specific and complete as possible in defining all the known and factual distinctions and be sure these are distinctions that none of the unaffected group have. 21. What is different or unique about the moment in time when this problem was first experienced? What else? Be as specific and complete as possible in listing all known distinctions around the time of first presentation, and list the dates associated with these distinctions. 22. What events or experiences are common to the timing of each subsequent occurrence of this problem, and also different when compared to other times when the symptoms were not present? What else? Keep a log if at all possible to track and record the specific distinctions around the time of each occurrence, and list the dates and times associated with these distinctions. 23. What events or experiences were different during those stages in your life cycle when the problem was first and subsequently noticed (described in questions 14a, 14b, and 14c), when compared to those other stages in your life when you did not experience the problem (described in the corresponding questions 15a, 15b, and 15c)? What else? Be as specific as possible about both the precise timing and specific details of each event and experience, as well as the date and time of each event and the associated symptoms (refer to log if possible).

8 24. What is different or unusual about the specific location(s) of your symptoms on your body compared to the unaffected areas [refer to questions 8 and 9]? What else? Be specific in listing specific anatomical features as well as the functions of these body parts. 25. What is common about every place where you traveled when you experienced the problem (if more than one) and also different when compared to all the other areas where you never experienced the problem [refer to questions 18 and 19]? What else? Focus the search for distinctions around the most specific locations vs. the more general locations (i.e. specific room in the house vs. new house). 26. What changed in any way around each of the noted distinctions uncovered in questions 20a through 25? What else? List any and all changes, as specifically as possible, on or before the time of presentation of the problem, and note the specific date and time of each change. 27. How could each listed change [first] and/or distinction [second], working alone or in tandem with other distinctions and changes, possibly cause this specific problem? How else? What other possible causes can you think of? List each cause as a clear and complete hypothesis that can be understood by anyone (including non-technical people).

9 Problem Description Part Which of the facts described on the left hand side of your problem description statement (pertaining to the people affected, the location experienced, and the timing experienced) can this cause categorically show where it was not present? Alternatively, in the case of the facts presented on the right hand side of this problem description (pertaining to those people, places, and times where the problem never presented), where can this cause clearly show it was present? Go through each set of facts, in pairs, and list wherever there is a clear and supportable disconnect (with verifiable facts). Possible Cause #1: Possible Cause #2: Possible Cause #3: Possible Cause #4: Possible Cause #5: Possible Cause #6: Possible Cause #7:

10 29. For each remaining possible cause that was not eliminated, how does it explain each affected fact on the left hand side in Part 1 of your Problem Description, and how does it explain each unaffected fact on the right hand side in Part 1 of the Problem Description? Indicate for each answer whether it is a fact or an assumption. (Copy and use a separate worksheet for each remaining possible cause.) Questions 4 and 5: Questions 6a and 7a: Questions 6b and 7b: Questions 8 and 9: Questions 10 and 11: Questions 12 and 13: Questions 14a and 15a: Questions 14b and 15b:

11 Questions 14c and 15c: Questions 16a and 17a: Questions 16b and 17b: Questions 16c and 17c: Questions 18 and 19: 30. Which of the possible causes that you evaluated against the problem description facts has the fewest and/or most plausible set of assumptions? 31. How can you confirm the true cause of your problem? Choose one or more of the following techniques: 1. Record the cause clearly and directly doing its damage in a live observation during your normal routine; 2. Conduct a test whereby you adjust the level of the aggravating cause while keeping other interfering variables constant, and observe/ note the delay and degree of change in your associated symptoms; 3. Confirm every assumption you made while testing this cause against the problem description facts; 4. Remove the cause from your exposure and note the elimination of the symptoms. Describe specifically the results of your test(s).

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