I just remember how at 3 months the neurologist prescribed us to drink Elkar on the basis that at her appointment my daughter threw her head back when the doctor pulled her by the arms, by the way, I didn’t do this to her at home, I didn’t train her, I just didn’t know that this is possible. Plus, our Apgar scores (7-8 points), in her opinion, were also low, it seemed normal - it was 9-10, and 7-8 was not enough. (wherever I look for information on this topic, no matter who I talk to, everywhere 7-8 points is normal, a little is 6 and below). In short, we came home, I pulled her arms a couple of times, she shook her head pulls to the chin, we didn’t have any tilting at home. I thought and thought, I finally bought Elcar, read the instructions, there are indications for premature babies, low birth weight babies, those with poor appetite (stimulates appetite), people during periods of physical and mental stress, and all that kind of stuff. Then I started thinking: what is this for us? our weight is even higher than normal, the birth is at 41 weeks, the appetite is excellent, well, what kind of extra loads can we talk about at three months, I’m not preparing her for performances at the Olympics, the construction of the BAM, I’m not forcing her to write a dissertation, that means any loads suitable for her age cannot be excessive. But since my mother was not experienced, it was all for the first time, I decided to trust the doctor and started giving it. The child changed before our eyes: he became somehow lethargic, nervous, slept poorly, was not even interested in his favorite toys, I looked at it for two days, decided, enough is enough, after canceling the elkar, a cheerful, smiling, mine came back to me again!! daughter
For me, this is a very strange logic in relation to children, especially under one year old. I took my daughter to the pediatrician who has been taking us since birth. It would take a long time to describe the whole conversation, and I don’t remember verbatim, but the general point is that, given the way we develop, eat, gain weight, height, what we can do, he doesn’t see the point in taking Elkar, and B6 seems like a really useful vitamin, but again doesn’t see a direct and mandatory indication, but if I want, I can give it, it really won’t make it worse, but I have to take into account that B6 often causes allergic reactions.
for a serious life
Sunder, it seems to me that you need to watch how hard you press your fingers. After the massage at 5 months, we began to straighten our toes. Now sometimes it’s tight, but the neurologist told me that it’s not tone, some people have this for up to a year. About a week and a half ago, I noticed that when I take off the braces (for an hour) on one leg, my child curls his toes.
The fact is that today they started giving massages about this, the child is hysterical. The masseuse also advised me to bend the child’s fingers in the other direction, to spring. 19569/vie... Look here. There is a section where they do foot massage. We had the same diagnosis, we started doing this massage every day and now, we are 8 months old, the baby is positioning his foot correctly.
But it’s still pressing. I started reading the forum) The situation is this: My Vanka is 2.5. The boy is very sociable and friendly. I don’t even know where I, such a misanthrope, got such a child. She loves to “chat” with neighbors, with grandmothers on the bus, with all my friends and their husbands. Does it make sense to show integrity in this matter? In reality, “tone” is muscle tension. By assessing its level at the first examination, the doctor can say a lot about the condition and development of the child.
It is thanks to the tone that the arms, legs, head and all other parts of the body and muscles of the body work. If muscle tone is increased in the legs, the child may later sit down, stand with support, and walk. During massage and other procedures, the child should not be scared or irritated. The use of walkers is possible only after consultation with a neurologist and not earlier than the child begins to stand independently.
Our little fingers are also curled inward, although for us it looks very cute. I’m worried that if this is a tone (I’m talking about fingers), then why did it appear, and why on the same pile.. Girls, my toes are slightly curled up (and the little fingers are practically wrapped like that). This doesn’t interfere with life in any way; on the contrary, the fingers look small and neat. My Max also curls his fingers, but the doctor said that this should gradually go away. Let's see!
So I’m thinking, maybe I can do without a massage, I’ll start walking and it will go away. The doctor said that I am very suspicious) And since the massage makes me hysterical, maybe he should? Why injure a child...if it’s nothing serious. I’ve been walking at home since I was 7-8 months old in boots, well, I was walking, that’s a strong word =)) of course, I was just stepping on my feet.
And there is a heel. The Skorokhod company makes it. Others didn’t fit on our chubby feet =) But it’s too early to wear sandals, and we also need closed ones, with a high back. Today we saw a neurologist, she told us to massage ourselves at home, but didn’t show us how.
Girls, tell me, who may have encountered something like how you did a massage? The neurologist referred us to a children's massage....for a fee, of course, but the specialist did it....And at the same time, during the sessions, she told me what and how to do at home.... We also had pyramidal syndrome, they say every 3rd child has it.
After the massage it felt better, he began to stand up on his full leg, but he does not refuse chicks. We had a massage and were told that it would go away on its own, but something didn’t go away. The girl, a speech pathologist, who comes to study with us, sees off with tears. Does anyone know for sure whether a traffic police officer has the right to demand a first aid kit and a fire extinguisher.
Life attitudes like “don’t relax, keep yourself in good shape” convince even more: tone is good! But there is nothing paradoxical about this, and time is probably to blame for such confusion. Like many words, the term “tone” is often served under a different sauce. Or, if the situation requires it, they do not work at full strength... During pregnancy, the child should be in a bent state.
To prevent the baby from straightening up, the flexor muscles keep themselves in high tone. Normally, a baby is born with symmetrically increased muscle tone, which gradually normalizes by the time voluntary movements appear (3–4 months).
If increased tone predominates in the hands, the development of grasping ability may be impaired as a result. The earlier it appears and the longer it persists, the less favorable the prognosis. Asymmetry of tone forces the child to take unnatural positions when the body is bent in an arc, the head is turned only in one direction. If the parents ignored the examination by a neurologist and the child did not receive help, the asymmetry accompanies him further, leading to serious developmental deviations.
We had a massage for 10 sessions, now he stands on his legs without bending his toes. 10. And I press the second finger. For 2.5 years, while walking, I tucked my fingers (not constantly), like a Georgian dancing lezginka. We have the same thing, we just curl our toes on both feet. Everything is fine in braces and shoes!
Hello! I didn’t notice it much before, maybe just a little. But recently my daughter hit her foot on a chair, began to limp, but nothing hurt, as she would have said. And now he’s bending his toes on one leg and I can’t persuade him to put his foot correctly. What is this connected with? I live in the middle of nowhere, there are zero pediatricians. Is it worth going to the regional hospital or is it not so scary.
It’s a nice wilderness where there are no fagots, but there is internet! How many days have passed since the injury? Does the child run around in shoes and tuck, or barefoot?
Of course, go to the regional one!! Or do you think clairvoyants or doctors gathered here on the forum? And if they write “no, it’s not scary,” will you leave it that way? Well, mom, give it to me!
1, Five days have passed since the injury. Bends both in shoes and barefoot. I touch my leg and it doesn’t seem to hurt. I say, walk correctly, but then she doesn’t stand on her feet and somehow raises her big toe, she can’t walk on tiptoes for a long time.
See a neurologist and an orthopedist urgently! It’s not a wilderness, but it’s important to show up. She didn’t have dysplasia as a child, was she checked? Girls MUST be seen by an orthopedist to make sure there is no dysplasia. and everything grew together in the hip joint as it should. You know, there are cases when the leg (foot) is bent to the side and because of this defect, lameness appears. You are still at a good age. And if suddenly they say surgery (not a fact, maybe this is not your case), ALWAYS check with 2-3 orthopedic doctors to make sure of the correct diagnosis. Double-check the orthopedist, very often they are not attentive, so be careful
Mommy! Don't be an enemy to the child, go to the doctor immediately. And then report to us!
All children at this age have shortened toes in shoes, so it is recommended to choose shoes that are 1-1.5 cm larger than the feet. “Can’t walk on tiptoes for a long time.” - Well, who can walk on tiptoes for a long time?
All babies bend their toes even when they walk, but by about 2 years of age this goes away (this is due to underdevelopment of the foot muscle, which literally inhibits the straightening of the foot). By the way, this phenomenon appears again in many children at the age of 4-6 years.
I wouldn’t even show it to the doctor, at least to calm my conscience
Ksatati, a couple of years ago I myself broke my Mesinette on the sofa, it was even more shocking! I also couldn’t walk normally for a long time, I’m generally silent about shoes
Thank you very much for your advice!
Author, it’s better to show it to a surgeon. Maybe there is nothing, or maybe there is a crack, for example.
I've been curling my toes my whole life. This is how they relax with me. Mom and grandpa do this too. This is heredity. I don't have any injuries, it's just convenient for me. Both in shoes and barefoot. And my husband also curls his fingers, although no one in his family has such a habit. Do not panic. It's just a feature.
Laura, it’s just not scary. But if, when walking, she twists them as if inward, and does not stand on her legs completely.
And my daughter, she’s 1.7, started squeezing the toes of her right leg for no reason at all. We went to the local clinic and said watch it, she’s been buckling for 3 days already, I can’t find a place for a skebe, I wish we’d take her to a neurologist soon on Monday! But you don’t know because of How can this start? I straighten her leg and remind her endlessly, but she still does it her way, I don’t have any strength anymore, I’m so scared!
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I think there's nothing wrong. Each child just has their own time. some don’t speak for a long time, some can stand on their feet at 6 months. everyone has their own time. no need to force, the time will come and your baby will go)))
Normally it should go up to 1.5 years. We also raised this issue with our daughter, but she did it to us every other time. She started standing up with support at 7 months, and started standing up on her own at 10.5 months. When she started to get up, we put her in a walker, and she ran great in it, but she didn’t forget to tuck her fingers. Watch. A neurologist I know, the head of the pediatric neurology department, called them kids, but of course the children there are very heavy, they (the kids) don’t stand on their feet at all.
I think you need to trust the opinions of doctors. And consult several. To calm down myself. My son started walking at the end of the 9th month, but our cousin was only one and a half years old. Now both are jumping, and the girl is already on skates (4.5 years old).
Russian neurologists treat this very harshly - all problems with tone must be solved before the age of one, the tone must be removed with massage and the child must walk at one year, otherwise orthopedic shoes. My child and I went through this, we did massage for 2 courses, we checked it every year, and we removed it from the register. In the West, these problems are viewed more simply, as if everything will go away on its own and get better. Personally, I don’t agree with this, as I observe the dynamics of my friends’ daughter. She only started walking when she was 2.5 years old, now she’s 4 and doesn’t walk well. In short, I am for the Russian strict school of neuropathology. If possible, go to Russia for consultation and treatment.
Try contacting a neurologist? We had this at about 4-5 months. Even though you can’t stand on your legs at that time, this is how a neurologist performs his examination. Massage, electropheresis, Actovegin and Sanasol vitamins were prescribed. After a course of treatment this went away. At 11 months, my daughter began to walk independently.
Sorry, I didn't read it carefully at first. It turns out that you have already consulted a neurologist.
Well, apparently different countries have different standards for the development of children. Most likely, they have a tactic of minimal interference in the child’s development.
My child also stood on tiptoes. The neurologist recommended professional massages (in 8 months I have already had 3, and in May there will be 4) and putting socks made of natural wool on my bare feet and massaging my feet 3-4 times a day for a couple of minutes directly on top of the socks. We did this from 5.5 months, after which he stood up on his own at 7.5 and is standing very beautifully. Although sometimes chicks slip by. But both the doctor and the massage therapist say that such things do not go away quickly and should not be left to chance. Try the method with socks, it may help you too. Good luck!
We are 8.5, we generally wrap our fingers inside. We go to gymnastics, but we are advised not to strain ourselves. Like, let's go - we'll see. (Germany).
My son is almost 7 months old. For this reason, we were sent for physiotherapy and electrophoresis. We have done 6 sessions so far, the result is very noticeable, the foot stands up well, when you do a foot massage, before it was necessary to massage longer for the toes to straighten. We have also been assigned a massage course, we are waiting in line.
That's how it was with us. Don't worry. buy peas (just make sure the peas are whole), put them in a rag bag or just in a sock and stomp on it with your feet. The husband holds the baby by the arms, and you, holding his calves, stomp on the peas. start with 50 “tops” and increase by 20 every 2 days. In just 10 days we completely got rid of the tone. Good luck.
My godfather has a baby at 10 months. I also didn’t want to stand on my feet, only on my toes, and the doctor told her to buy shoes with hard, heavy soles so that they fit tightly on her feet and into the walker starting from 10 minutes.
so at 11 months the baby was already walking on his own. GOOD LUCK to you and don’t worry, everyone has their own development. your time will come.
My son even walked like this for some time. With fingers curled. But then it went away on its own.
In general, it is only in Russia that they treat what is considered the norm in the West)))))))))) But the most important thing, Thank God, is that some of our doctors, a few of course, still approach it intelligently, or rather do not live by scientific discoveries 50s. And they don’t fool around!
Finger curling is physiological for a baby up to about 1.5 years old! Then everything returns to normal if the baby is healthy! I think this is true in your case!
Many parents are interested in the question of why a child may have a clubfoot on one leg. Clubfoot is a congenital or acquired malformation of the joints of the foot. Congenital clubfoot can be diagnosed in a child in the prenatal period. Occurs in 50% of newborns. Acquired clubfoot occurs due to a developmental disorder of the musculoskeletal or nervous system.
It is not always possible to notice this pathology right away: a small child is very mobile, and he can reflexively turn his feet inward. When the baby is still unsteady on his feet, in order not to fall, he slightly twists his leg and curls his toes. This goes away as soon as he gains confidence and stands on his own two feet. But clubfoot can become noticeable when the child has learned to walk confidently, but at the same time he tightens his leg and limps. In a child, clubfoot on one leg is more common than on both, doctors note. In this case, the child bends his leg slightly under himself, the foot is deformed, and the toes are tense.
Many parents who are faced with this problem believe that clubfoot is a minor disease that does not require treatment and goes away on its own. They begin to worry when they notice that the child is limping, curling his toes, and unsteady on his feet. In fact, according to orthopedic doctors, the sooner you take steps to get rid of clubfoot, the better. Often, children with congenital clubfoot also have torticollis, hip dysplasia, spinal curvature, and flat feet. If you notice signs of clubfoot in your child, consult an orthopedic doctor and neurologist as soon as possible.
Congenital deformation of the foot joints can develop for various reasons. This may be a hereditary factor, a consequence of external influences on the fetus, or both together, as well as diseases suffered during pregnancy, in particular toxoplamosis, oligohydramnios, uterine fibroids. Possible mechanical pressure of the umbilical cord or fusion of the lower limb of the fetus with the amino bladder. These are the main reasons for the development of intrauterine equinovarus foot deformity.
Acquired clubfoot develops in older children. This may be due to the fact that the child is growing quickly. In this case, the bones and muscles of the foot may not keep up with the child’s growth. Rickets, mechanical foot injuries, and inflammatory processes develop.
Equinovarus deformity of the foot joints is classified into several types. Modern medicine distinguishes its forms according to pathogenesis, causes of development, and severity. The clinical picture of the disease and external symptoms by which the doctor determines clubfoot, and which you should pay attention to, are as follows:
During walking, limited movements in the ankle joint and muscle atrophy in the ankle and calf muscles may occur. The child's gait may change: he limps, clenches his fingers, has difficulty maintaining balance, and stretches his leg unnaturally. An older child may complain that his legs are numb.
If the disease is not treated on time, more severe symptoms appear: pronounced shortening of the leg, muscular atrophy of the ankle, decreased mobility of the knee joints, and rough growths on the outside of the foot.
According to pathogenesis, clubfoot is divided into typical, arthrogrypotic, secondary and positional.
According to the severity of clubfoot, clubfoot is defined as:
Mild foot deformity can be easily corrected. It is characterized by the absence of tension in the ankle joint; the foot easily falls into place with little effort on the part of the doctor. The average degree is characterized by tension in the ankle muscles when trying to straighten the foot, while the foot is tense, but amenable to manual adjustment and fixation.
Severe clubfoot cannot be corrected, the muscles are very tense, movements in the ankle are limited, the feet are deformed, and the toes are tightly clenched.
An orthopedic surgeon diagnoses clubfoot. In the case of congenital clubfoot, this may be noticeable in a newborn by external signs. Before making a final diagnosis, the doctor orders an x-ray. This is necessary to determine whether there really is a deviation in the development of the foot. X-ray is the safest and most accessible way to diagnose varus foot deformity.
Orthopedic doctors treat this disease. Some believe that if signs of clubfoot are detected on one or both legs, it is pointless to consult a doctor before the child is one year old. On the contrary, it is treatment up to a year, when the child’s musculoskeletal system is more pliable, that brings the best result.
Modern orthopedics has made significant progress in treating clubfoot. The following methods are currently offered:
Conservative therapy includes exercise therapy, massage, and wearing orthopedic shoes. The Ponseti method also refers to conservative therapy; its effectiveness is very high, so orthopedists distinguish it separately. Conservative therapy is used for moderate and mild forms of clubfoot. Fixation with a plaster cast is indicated for moderate and severe forms of ekinovarus foot deformity. The doctor prescribes it from three weeks of age. Subsequently, the bandage is changed every three weeks. The foot is corrected; this bandage must be worn for four months. The surgical method is used for severe forms of deformity, when conservative therapy is impossible and ineffective. Surgical treatment is aimed at maximal correction of foot deformity.
After surgical treatment, rehabilitation is carried out: exercise therapy, massage, physiotherapy.
What is the Ponseti method and why is it so effective? According to the British doctor, surgical intervention to correct clubfoot leads to the fact that the foot becomes less mobile, the elasticity and mobility of the joint-ligamentous apparatus is impaired. A rough scar tightens the ligaments, preventing their mobility and full development. After many years of research into the physiological and biomechanical characteristics of the foot, the doctor developed a new method of casting, which actively uses the natural elasticity of the foot ligaments. The ligaments are easily stretched, the foot takes the desired position and is fixed.
The procedure is painless for the child. A week later the procedure is repeated. The Ponseti method is most effective from an early age. It can be used as early as the 14th day of a baby’s life. Therapy lasts 8 weeks.
After the foot is corrected, it is necessary to wear an orthopedic brace - a special spacer for the final correction of the position of the foot. The spacer should be installed shoulder width apart, with an inclination angle of 75 degrees for the affected leg, and 45 for the healthy leg. The orthopedic brace is attached to special boots. It should be worn without taking it off for the first three months (about 23 hours a day), then reduce the wearing time to 14–16 hours.
The next stage: the spacer is put on at night until the child reaches the age of four. Since you need to wear the spacer for a long time, it is necessary to pay attention to hygiene. The braces should be of medium hardness to support the foot and at the same time prevent the appearance of calluses and bedsores.
If you follow the regimen of wearing a spacer, clubfoot can be overcome without relapse in 90% of cases. If the baby becomes clubfoot again, the casting is repeated.
When a child has a clubfoot, proper massage is very important. Massage should be carried out by a specialist in combination with exercise therapy. But parents can also learn basic massage skills in order to maintain the therapeutic effect at home.
The massage is aimed at relieving tension in the muscles of the ankle, foot and toes. When a child has a shortened leg and limps, massage helps stretch the ligaments and stretches the leg. The main massage movements that are used in this case are stroking, kneading, rubbing, pressing.
Massage is also carried out in the thigh area to relax the muscles. The lateral and anterior areas of the thigh and lower leg are rubbed and stroked with light movements, this strengthens the muscles. In the upper back zone, kneading and pressure are used, there the massage should be stronger, but all movements should be aimed at relaxation. The knee joint is massaged with light circular movements in a clockwise direction. In the area of the foot, kneading, light pressure, and stroking are carried out. We lightly stroke our fingers, and then knead each finger individually. When performing a massage, it is important to remember a few simple rules.
A baby massage lasts an average of five minutes for both limbs. For a one-year-old child, fifteen minutes on both legs is enough. Massage is carried out in conjunction with corrective exercise therapy exercises.
If the baby strains his legs too much, cries, or complains of pain, the massage should be stopped immediately. When a baby cries, he tenses his whole body, causing spasticity in the legs, and massage is useless, on the contrary, it can cause more harm.
If your child has a clubfoot - it doesn’t matter whether the clubfoot is congenital or acquired - it is imperative to wear orthopedic shoes. You shouldn't look for such shoes on store shelves. All models presented there are anatomical shoes. Orthopedic ones are made at special orthopedic factories, according to individual standards.
You need to wear orthopedic shoes permanently or temporarily, as prescribed by your orthopedic doctor. The baby should not wear shoes at home - they are only needed for the street and kindergarten, otherwise it is best to be barefoot at home. Children with club feet are no less mobile than their healthy peers, so they simply need such shoes.
Anti-varus shoes prevent the curvature of the foot and keep it in a natural position. The feet are tightly fixed, while the foot turns 10 degrees, performing an abductor function. Anti-virus orthopedic shoes differ from conventional orthopedic shoes. There is no arch support, and there are always laces or fasteners at the front to better secure the front arch of the foot. In such models, a hard back is required that holds the child’s heel, preventing it from going inside.
If your baby curls his toes, orthopedic shoes will help straighten them. If a child is limping in shoes, it may be due to shortening of the affected limb. You need to choose the appropriate sole height to avoid problems with the spine in the future. It is important that the shoes are made from natural, breathable materials and fit correctly.
If your baby complains that his feet are numb or tight in his shoes, that he is limping badly or that his toes are curled, immediately pay attention to this and see a doctor to adjust the selection of orthopedic products.
1. A 4-month-old baby, when trying to “stand” on his legs, leans, but curls his toes on both feet, i.e. Accordingly, he does not stand up on his full foot. “I bet” extremely rarely - so, I tried it a couple of times and was puzzled. On the Internet they either write that this is ay-yay-yay, or they write that this is the norm. What is your opinion: should I worry and torment the pediatrician or relax and wait for the child to grow up?
2. In the last couple of days we have been having problems with the regime. If previously we had 4 naps during the day and between them there was a maximum of 2 hours of wakefulness between them, now after lunch the madam throws me full-blown tantrums when I try to put her to sleep and ends up staying awake for 5 hours, exhausting both herself and me. When I try to breastfeed while rocking, a terrible scream just rises up, you might think that I’m beating her, how come the neighbors haven’t called the police yet. In the end, I’m jumping like a saiga with her in my arms and trying to stick my chest in while galloping - that’s all that gets me through, but even then after at least an hour and a half of such “motion sickness.” Are these magnetic storms? Or a growth spurt? Or will it always be like this now?
1. Yes, everything is fine, he still doesn’t know how to stand. And when he gets up, he will still tuck his fingers, “hold on” to the ground, then he will begin to feel confident and relax his leg.
we are 3.5 months old. The girl has been making trouble for four days now, she doesn’t get away with it, she even sleeps on me. Growth spurt 14-19 weeks. That's it. He also curls his fingers.
oh it would have passed sooner. Otherwise I feel like a less than mother - I can’t calm the child down.
1. everything is fine, we started putting our son in position when he was five months old, he tucked his fingers in, now 7 he gets up on his own - he doesn’t tuck anything.
Thank you! Then I won’t install it for now.
mine didn't lean on my legs at all at that age. I started doing this at 6 months, and I also tucked my fingers.
Well, that means that all respondents have not yet stood on their feet. Today, a mother from a walk puzzled me - according to her, her child was on full foot at 3 months.
What do you mean by “full stop”?
mine was fully leaning (in the sense of not on tiptoes), but he was flexing his fingers. the neurologist said - emotional, it happens.
full foot = with toes straightened.
Mine is only three and a week old, but for three or four days the child lives only in his arms, when he tries to put it down, he becomes hysterical for half an hour. Sleeps for 15-30 minutes. I also sin in the storm.
Exactly. these are not storms. this is a development leap
IMHO, there is no need to panic, and from time to time it is quite possible to “walk” on the floor. He just doesn’t understand yet how to move his legs - the reflex is already gone, but he has no experience. And if you do such exercises relatively regularly, you will step over your legs, and over time you will sort out your feet.
2. Can go to 3 sleeps. At 4 months we already had 2 sleeps (+ nighttime) with breaks of 2.5 - 3 hours. One sleep is about 1-1.5 hours and the second is about 3 hours on the balcony.
1. We just had a neurologist today. He said that this type of finger curling is normal.
2. Mine has been hysterical for two days by the evening. I used to be a completely calm child.
Sorry for being off topic, but I'm shocked that there are children who have 4 naps during the day. We are 2.5 and have one! and that one is outside (but 3 hours). I’m sitting here wondering if I should worry about this.
We are 5 months old, we have 3 naps during the day and sleep from evening to morning. But he also began to become hysterical in the evening. probably upper teeth.. Or storms, or something else)) And he also curls his fingers..
At 6 months we come for a scheduled appointment, the neurologist asks if we drank Elkar. I say no, I told about the reactions. The neurologist concluded that this was just a coincidence. It didn’t seem like a coincidence to me at all, because I saw changes in behavior both at first taking it and with its withdrawal, literally before my eyes, but she prescribed it again, be sure to drink it, plus magnesium B6, it’s like a vitamin, it won’t get worse, and In general, she prescribes it for everyone. Moreover, I didn’t prescribe any additional examinations, I didn’t diagnose any special deviations either, it’s as simple as that, drink, I’m prescribing it for everyone.