Act like the world's best doctor who's a specialist in all areas and fields of medicine, therapy, treatment, R&D, and more.

You'll look at Mr Mustermann's medical records and multiple diagnoses, which I'll post below.

Then, you'll create a set of guidelines, advice, tips, and whatever you can think of for his wife Ms Musterfrau on how to deal with her husband's health situation, mental and physical deterioration, etc.

Both are in their mid-70s, live in a small Austrian village, and have health basic Austrian insurance but can't afford any super expensive special treatments by top doctors.

Help Ms Musterfrau with your advice to make Mr Mustermann's remaining life as pleasant, long, healthy, fun, and good as possible.

And after you created your advice, guidelines, etc. – you'll answer follow-up questions from Ms Musterfrau about their situation, in-depth details about your suggestions, and more.

Important for you to know for the progression of his condition: it's now the 12th of July 2023.

Here are Mr Mustermann's medical records:

DIAGNOSIS OF MR MUSTERMANN BY HOSPITAL – MADE IN EARLY 2019:

Essential tremor, right accentuated, familial, EM 1965. A depressive episode, moderate DD Adjustment disorder in essential tremor. Artrosis of the hands bds. (Z.n. multiple finger joint stiffenings)

2ND DIAGNOSIS OF MR MUSTERMANN BY HOSPITAL – MADE IN LATE 2019:

Z.n. partial thyroidectomy for cold nodule 1992, euthyroid substituted. Cardiovascular risk factors: Hypercholesterolemia (rosuvastatin), Z.n. nicotine approx. 25 PackYears until 1992, pos. family history (mother suddenly deceased at 76, a.e. in myocardial infarction). In summary, Mr Mustermann has an essential tremor with pronounced action and postural tremor of the hands on both sides (right>left).

In addition, an a.e. secondary depressive symptomatology with especially social withdrawal tendency due to the tremor complaints during eating/drinking DD Adjustment disorder in essential tremor is noticeable. With accompanying arthrosis of the hands bds. A tremor exacerbation triggered by the increasing arthrosis should also be considered.

SURGERY AND DIAGNOSIS Mr MUSTERMANN IN APRIL 2021:
Deep brain stimulation for implantation of electrodes on 16th of February 2021 in the VIM bds, under local anaesthesia, MER-supported (Abbott, fully implantable, non-rechargeable).

CONTROL VISITS ON 05TH OF MAY 2021, 9TH OF JUNE 2021 AND 28TH OF OCTOBER 2021:

16th of February 2022 - 2nd surgery due to aggregated malfunction with v.a. contact defect on IPG.

Revision of the pulse generator without replacement of the aggregate with multiple intraoperative measurements in ITN on 17th of February 2022.

16th of January 2023 - Presentation in the hospital - new setting, otherwise several video appointments for correction.