Help me to know the diagnostic of my sister

English:

My little sister is called Yaniry; she is 39 years old, she is a nurse and a single mother of two children. Resident in the Dominican Republic. About nine years ago, she had Hashimoto's Thyroiditis (Her immune system attacked her Thyroid Gland). However, she had been suffering from muscle pain and weakness for many years before, to the point of being incapacitated for a long time.

Currently, she needs the help of a cane to walk, and there are days when she can't get out of bed. From the moment she began to present significant symptoms, she is unemployed. She depends on many medications and medical follow-ups, which she can carry out thanks to the solidarity of friends and family.

Thanks to them, she has also been able to travel from the DR to New York because, despite the multiple studies that have been carried out since her symptoms began, she has not had a specific diagnosis.

In December 2021, he arrived in the United States with the Neurologist (Mark Gudesblatt, at South Shore Neurologic Associates, Patchogue, NY), who has indicated a series of studies (among which there is a Skin Biopsy to rule out Small Fiber Neuropathy), a study that is not carried out in the DR. Such studies are expensive and delay your stay here and she does not have the resources to do them. Your treatment and being able to have a better quality of life will depend on her diagnosis.

Spanish:

Ayúdame a conocer el diagnostico medico de mi hermana.

Mi hermanita menor se llama Yaniry, tiene 39 años, es enfermera y madre soltera de dos hijos. Residente en la República Dominicana. Hace alrededor de 9 años hizo una Tiroiditis de Hashimoto (Su sistema inmunológico atacó su Glándula Tiroidea), aunque ya venía presentando dolor y debilidad muscular durante muchos años antes, al punto de estar incapacitada largo tiempo.

Actualmente necesita la ayuda de un bastón para caminar y hay días que no puedo salir de la cama. Desde el momento que comenzó a presentar síntomas significativos quedo sin empleo. Depende de muchos medicamentos y seguimientos médicos, los cuales puede realizar gracias a la solidaridad de amigos y familiares.

Gracias a ellos, también ha podido viajar de RD a New York, pues a pesar de los múltiples estudios que se han realizado desde que comenzaron sus síntomas no ha tenido un diagnóstico especifico.

En diciembre del 2021 llego a Estados Unidos con el Neurólogo (Mark Gudesblatt, en el South Shore Neurologic Associares, Patchogue, NY) el cual le ha indicado una serie de estudios (entre los cuales hay una Biopsia de Piel para descartar neuropatía de Fibras Pequeñas), estudio que no se realiza en RD. Dichos estudios son costosos y retrasan su estadía aquí y no cuenta con los recursos para realizarlos. De su diagnóstico dependerá su tratamiento y poder tener una mejor calidad de vida.