Re: First Neuro Appt. Tomorrow
Hi congratuations on getting in sooner!
Your first appointment is alot of questions and answers, this is known as a history and physical. Your doctor, or his nurse, willl be asking you alot of questions about symtoms, when they started, if anything helps them- how long they last- reasons why these symtoms exist....have you fallen? Are you under alot of stress? have their been any traumatic events in your life in the past year? (Deaths, births, anything unusual). Your general health will be discussed, all prior surgeries, etc. So, have any dates or at least years of these things available.
Next, will be meds....if you are taking any supplements, vitamins, herbs, or prescription drugs, make a list of them, and how much you take, bring that along....This includes birth control and multi vitamins! Dont leave anything off the list.
Then the actual neurological exam. Its actually pretty easy. Alot of balance tests, strength tests, (squeeze my hands as hard as you can), gait tests...walk from here to there and back. He is looking to see if you lean to any one direction. Reflex testing, the "hammer" for the Babinski test, as welll as the pinging of the hammer to see how long you feel the vibrations for. Youll also probably get the ever exciting "touch my finger, touch your nose"...its a coordination and reflex test...Not one of these tests hurts....so do not worry.
at this point, the doctor has a base line on your complaints to date and what brings you into the office...and now the fun begins. Tests, tests and more tests. More than likely blood work to rule out any deficiencies...MRIs to see what is going on radiographically....possibly even nerve conduction or eye tests, depending on your complaints.
And, your off and running!
Its painless. And, its usually very detailed....the most important thing to remember is that you probably will not get any answers at this exam; but you are headed in the right direction.
One thing to ask...is he a MS specialist? And, if not, how many patients does he treat with MS each week? IF its less than ten, run. He isnt qualified to make a MS dx...
Please let us know how it goes..
RRMS- dx 05