Conversation: The conversation between human and AI assistant.
[|Human|] I have aproblem when I lift or hold a book etc.the I have a problem when I lift or hold a book,any thing that I need my hands and arms to do.My taste changes,i get physically sick like the flu. All the x-rays,mri s,cat scans aren t showing a problem.my oncholgy dr said it sounded like a brain stem related thing.
[|AI|]  Hello! Thank you for asking on Chat Doctor! I carefully read your question and would like to know more about your clinical condition and your past medical history. Why do you consult with your oncologist? Do you suffer from any tumor? Are you actually on chemotherapy? In such case, your symptoms could be related to a paraneoplastic syn Chat Doctor.  Anyway, I would also recommend performing an electromyography to exclude possible motor neuron disease and a nerve conduction study for polineuropathy. Vitamin B12 plasma levels are also needed to exclude possible deficiency. You should discuss with your doctor on the above tests. Hope to have been helpful! Wishing all the best,