Dr Xxxxx: Unusual Presentations
There are two patterns:
Stupid behaviour: impulsive, ill-considered, stupid
Bizarre Behaviour: Strange “ideas”
Dr Xxxxx: Stupid Behaviour:
People usually describe the behaviour as "it’s just not like me/ them. I have never done anything like that before. I don't know why on earth I did that.”
They may also say, "I can see myself do it, but I can't stop myself.”
What on earth could be wrong with that person?
Unusual “ideas” can often be found. They cannot be reassured or suppressed. The adolescent or young adult “knows” they are true.
Treatment will only make early problems improve.
Once the "idea" has been present for some time, the "idea" is usually permanent.
Improvement is still possible to some extent- enough that some people regain their lives and begin functioning as human beings again.
Treatment is about preventing deterioration and stabilising illness.
Dr Xxxxx: Other common associated symptoms are:
Memory loss:
Jitters and panics: brief attacks
Not every patient will experience every symptom. The behavioural disturbances are most prominent in people who have naturally “assertive” personalities.
In people who are naturally more sedate or cooperative, only “small” bursts of irritable behaviour may be found. People who previously functioned at a high level, progressively and more frequently begin to make poor choices or judgements. Again, memory loss as well as jitters and panics may feature.
Dr Xxxxx: Some less common but also distinctive features include:
Narrow-mindedness.
The behaviour often appears to be like a form of exasperating “stupidity” to people around them.
Then symptoms of Paill Spectrum are common, so “prospective” case finding needs to focus on the special characteristics of affected people.
Impulsive, aggressive, and aggressive behaviour are characteristic
Symptoms are often readily identifiable by family members.
Unusual intense mood changes occur, often triggered by minor events.
The patients are as inclined to attack family members as strangers,
Affected people will “attack” friends quickly and will revert to normal treatment of friends just as easily.
They will pick fights with allies and friends, even under critical circumstances.
These people often display lack of judgement or narrow mindedness, which will increase the likelihood of their involvement in criminal activities.
They will often go along with others, as they are genuinely unaware of the non-immediate consequences of their actions.
They are often easily distracted and forget easily.
They may engage in criminal activities and may often show irritability, poor judgement, poor memory, easy distractibility, and impulsiveness. Often commit violence against their families, forget this and are then surprised when the families are understandably careful in dealing with them again.
These patients may develop strange and intense ideas or preoccupations. People around them say” I can’t understand why he/ she did that?”
These ideas reflect the predominant culture / thoughts of the individuals.
Dr Xxxxx: Other Symptoms of the Syndrome:
Easy bruising: usually seen as “dot” or fingertip bruises on the upper arms and legs.
They sleep a lot
Memory is poor: phone number recall testing reveals problems. Concentration poor
Dyslexia: especially in those affected since childhood
Often they tell you things you ask for, even when they should be more cautious in replying to the question. People looking at them ask, “How can they be so stupid?”(impulsive with poor judgement).
Clumsy, Dizzy, deteriorating balance: They may fail a drunkenness test and be unable to walk a straight line.
They may often show spontaneous hyperexcitability with good news: e.g. jumping up and down over a happy event rather than indicating happiness in a more restrained fashion.
Behavioural problems often lead to Relationship Problems or Attachment Issues
Dr Xxxxx:Other
The discovery of Paill Spectrum represents a paradigm shift: a new way of looking at a number of old conditions: some of which doctors cannot even agree as to whether they exist.
The treatments we suggested can be done in a clinical format: longitudinal case control studies: There are reasons randomised clinical trials are useless. Anybody suggesting these has no idea of the limitations of their own understanding.
Double bind randomised Placebo controlled trials:
----- Deny ½ - ¾ of the patients on the trial any treatment
----- They are extremely unethical once you understand the illness - Paill Spectrum.
Trials Ignore changes in an individual’s health status: e.g. If you were in one of these trials and told me that you were not feeling any better: a doctor would be obliged by the trial protocol not to do any further intervention or initiate any further treatment.
Things happen, but you need to be looking and aware of what you are looking for. Long term , you will be better off. Short term , wierd things can be triggered by treatment.
Longitudinal case control studies are a good way obtaining proof of concept and are the only ethical way of giving people medical treatment. They Work well when there is a “powerful treatment concept” at the heart of the issue: successes and failures are easy to see.
Most doctors will never know what is causing a patients sore throat, but they will still treat it because they know with experience that they can do it successfully.
Dr Xxxxx: Ethics Committees
Ethics committees are designed to protect people from situations where the treatments they receive are perhaps not going to help them. People can see their symptoms improve themselves. They get better and feel better.
Knowing about Paill Spectrum, lets you stop a relentlessly progressive disease in many people.
Erasmus 
: Our fighter for truth and team leader.
Goo : Goo the Numbat is a simple soul, almost the last of his species. He shares his perspective on life with us humans.
Commandant : In Charge of our Security. Strict and unyielding.
Beethoven and Frobisher: Our security bully wots.
Dr AXxxxx : He joins us, a refugee from the justice of his own kind, bringing the alternate perspective from another place, not at all sympathetic to the vermin infesting his new abode.
Kinkajou 
: Our warrior and foot soldier, exploring the world to bring us truth and knowledge.
Dr Xxxxx: Representative of our medical staff.
Erasmus met Dr Xxxxx and over a number of years grew to develop a belief in the problems of our world.
Erasmus is an old dog, but he reckons he still can do new tricks. He’s been around, and up and down a few dry creek beds in his lifetime .Born into servitude at the Daisy Hill Puppy Farm, Erasmus quickly realised the world could be a hostile and dangerous place. Puppies disappeared daily, never to be seen again.
Kinkajou: Features in our web sites as an adventurer but he is equally accomplished in the art of reasoning and has often followed the comments of Erasmus to their logical conclusion. His belief in the truth leads him to always "tell it true". This is the world as it can be seen and this is the real world.
Dr Xxxxx. This good doctor actually represents a diversity of opinions held by a small cabal of medically aware people.
Dr AXxxxx. Simply best described as a cold inhuman bastard, Erasmus says we are indeed lucky to have this paranoid psychopath on our side. In spite of his antecedents, his perspective is valuable for us to use to understand our world. Dr AXxxxx’s past background is in taking charge and being master at the helm of the ship of destiny. Control is the ultimate goal. Nothing must stand in the way of control. Domination not cooperation. Suspect your enemies and kill them first, preferably after extracting all useful information. Your destiny is yours to make and to take. Vengeance is a heady mix to this paranoic murderer.
The Commandant: Head of our security detail, the Commandant believes in doing the right thing and always considering safe options. However, his view of what is right is coloured by association with Erasmus, Kinkajou and the doctors Xxxxx.
Frobisher & Beethoven: These guys are our bullywot "security mooks", Frobisher is the literate one while Beethoven provides just more raw muscle power. While Officious and Intolerant of transgressions, they none the less have a sensitive and fragile side to their natures, an aspect their personality totally at odds with their aggressive and fierce appearance.
Goo is a simple and humble mammal.(Actually a marsupial numbat really). His ability to change the world is limited by his meagre intellect and his short life span. Furthermore, as a member of an endangered species, he has to face the prospect of personal death as well as species extinction. He could one day be the last of his kind.