Conversation: The conversation between human and AI assistant.
[|Human|] I have systematic lupus and discord lupus both diagnosed in1987. Over the years I h a ve used celebrated, exercise and good eating habits to try to control the disease. Over the last three years I have had to retire from my job as a computer engineer. I am struggling with very aggressive symptoms. Major brain fog, aches and numbness and tingling in my entire left side, heart pressure that feels like what I would think a heart attack would feel like, major depression and extreme fatigue all the time. I m looking for a miracle. I ve been to a zillion doctors, neurologist, rheumatologist f st. I just keep getting worse. Any ideas?
[|AI|]  Hello! Welcome on Chat Doctor ! I read carefully your question and would explain that your symptoms seem to be related to neurological complications of Lupus. In fact as there is no cure for Lupus, there is also no cure for your complaints. But you can try symptomatic treatment. For this reason, I would recommend starting Duloxetine. This is an antidepressant, which is also very helpful in chronic pain or neuropathic pain. Considering the fact that Lupus affects both the central and peripheral nervous system, this Chat Doctor.  A brain MRI and a nerve conduction study are also needed. You should discuss with your doctor on the above issues. Hope you will find this answer helpful! Kind regards,