Locations
Office
Helena
About
Bio
I am a neurologist in Helena Montana. Though I have a fellowship in neuromuscular medicine, my practice is in general neurology. As the only neurologist at my hospital, I handle the spectrum of neurologic disease.
SpecialtiesDoctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Neurology
Neuromuscular Medicine
Licenses
United States: Montana
Languages spoken
English
Doctor Q&A
48 Answers
13 Agrees
The number of answers this doctor has agreed with.
A 52-year-old female asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
MRI and LP: Confirming the diagnosis of MS can sometimes be challenging. It is important to start with MRI of the brain and cervical spine, and if there is anyth... Read More
Created for people with ongoing healthcare needs but benefits everyone.
591 viewsAnswered >2 years ago
A male asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
Migraines: Migraines are typically a throbbing pain on one side of the head with sensitivity to light or sound, nausea, or vomiting. There may or may not be a w... Read More
Created for people with ongoing healthcare needs but benefits everyone.
591 viewsAnswered >2 years ago
A 28-year-old female asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
Highly doubtful: If there was a tumor in your brain or any other brain problem causing your symptoms, I would expect the symptoms to be there all the time.
Created for people with ongoing healthcare needs but benefits everyone.
525 viewsReviewed >2 years ago
A 33-year-old male asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
Sudden headache: This can be an ice pick headache, cluster headache, or can be due to something more serious like a ruptured aneurysm.
Created for people with ongoing healthcare needs but benefits everyone.
525 viewsReviewed >2 years ago
A 33-year-old male asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
Ataxia: This can also be called ataxia, difficulty coordinating movements, resulting in unequal jerky movements.
Created for people with ongoing healthcare needs but benefits everyone.
525 viewsReviewed >2 years ago
A 20-year-old female asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
Should be fine: melatonin is relatively safe, though recommended doses are up to 10 mg at night. Certainly can make your friend sick, and may feel rotten, but no per... Read More
Created for people with ongoing healthcare needs but benefits everyone.
525 viewsReviewed >2 years ago
A 29-year-old female asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
Autoimmune: Typically when you have a reaction to medications, it should happen bilaterally. Unilateral symptoms would make me concerned for other etiologies.
Created for people with ongoing healthcare needs but benefits everyone.
590 viewsReviewed >2 years ago
A 33-year-old male asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
Complicated migraine: What we used to call basilar migraines are now usually called complicated migraines with neurologic symptoms accompanying the migraine such as numbnes... Read More
Created for people with ongoing healthcare needs but benefits everyone.
525 viewsReviewed >2 years ago
A 45-year-old member asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
Lidocaine: Could either use something with lidocaine in it - can get several over the counter - and that will give temporary relief or could use capsacin which w... Read More
Created for people with ongoing healthcare needs but benefits everyone.
525 viewsReviewed >2 years ago
A 44-year-old member asked:
A 37-year-old male asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
Ignore: Stay active! "Move it or lose it" definitely applies with this disease.
Created for people with ongoing healthcare needs but benefits everyone.
525 viewsAnswered >2 years ago
A 33-year-old male asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
PSP: This is a condition that is similar to Parkinson's disease but the rigidity is more through the trunk than in the limbs, and people have difficulty mo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
525 viewsReviewed >2 years ago
A 23-year-old female asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
Wearing off: A downside to stimulant medications is that sometimes your body gets used to them and you require higher doses for the same effect. I would make sure... Read More
Created for people with ongoing healthcare needs but benefits everyone.
525 viewsReviewed >2 years ago
A 25-year-old female asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
IIH and HM: many times we don't have an answer for why IIH happens. Often we see IIH in women who have been using certain acne medications or who have gained wei... Read More
Created for people with ongoing healthcare needs but benefits everyone.
591 viewsAnswered >2 years ago
A 33-year-old male asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
Bleeding: Bleeding in the brain, either from a ruptured artery (such as an aneurysm) or from a broken vein (often a subdural hematoma = slow collection of blood... Read More
Created for people with ongoing healthcare needs but benefits everyone.
525 viewsReviewed >2 years ago
A 39-year-old female asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
Stimulants: From a neurology perspective, go easy on the stimulants. Anything that speeds up heart rate and increases blood pressure puts you at risk of stroke.
Created for people with ongoing healthcare needs but benefits everyone.
591 viewsReviewed >2 years ago
A 52-year-old female asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
Talk to your doctor: You shouldn't stop anti seizure meds suddenly. If you were using it for something other than seizures, you should be fine, but I would still recommen... Read More
Created for people with ongoing healthcare needs but benefits everyone.
525 viewsReviewed >2 years ago
A 33-year-old male asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
Same as depakote: A depakote allergy can cause very severe skin reactions and should be addressed immediately if suspected. There are several potential side effects of... Read More
Created for people with ongoing healthcare needs but benefits everyone.
525 viewsReviewed >2 years ago
A 43-year-old male asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
Soy milk: If you have migraines from lactose sensitivity, it may help to switch to soy. Migraine triggers can be from anything, including the lactose in dairy ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
591 viewsAnswered >2 years ago
A 27-year-old male asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
RLS: Unfortunately, none of our RLS medications are safe in pregnancy, but taking iron supplements can help restless legs and are perfectly safe. Would ad... Read More
Created for people with ongoing healthcare needs but benefits everyone.
591 viewsReviewed >2 years ago
A male asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
Hydrate!: Help him to clear out the drug by keeping him well hydrated, calm, and if he can sleep, let him. It is going to clear in time.
Created for people with ongoing healthcare needs but benefits everyone.
591 viewsAnswered >2 years ago
A 30-year-old female asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
Topical: Topical, or skin based treatments, would be the safer option, and better than norflex. Also, stretching and heat will help to soothe the muscles. OT... Read More
Created for people with ongoing healthcare needs but benefits everyone.
525 viewsReviewed >2 years ago
A male asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
No interaction: Shouldn't be a problem with a protein shake then taking nyquil.
Created for people with ongoing healthcare needs but benefits everyone.
591 viewsAnswered >2 years ago
A 33-year-old male asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
Depakote: A depakote allergy can cause very severe skin reactions and should be addressed immediately if suspected. There are several potential side effects of... Read More
Created for people with ongoing healthcare needs but benefits everyone.
525 viewsReviewed >2 years ago
A 50-year-old member asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
Lots of things: Many reasons to have twitches - from completely normal, to a tired muscle to some serious diseases. Depends on where the twitching happens and how lo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
525 viewsReviewed >2 years ago
A female asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
Xanax: If you haven't taken any other benzodiazepines (like valium, ativan, klonopin) and the xanax is prescribed by your physician, then it should be fine t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
591 viewsAnswered >2 years ago
A 26-year-old female asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
Yes: yes, and that is a good treatment to start with. Also, for many young women, we find that if you can lose about 10% of your body weight, that will he... Read More
Created for people with ongoing healthcare needs but benefits everyone.
525 viewsReviewed >2 years ago
A member asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
Chest xray: many viral illnesses can cause symptoms for weeks, but with a continued cough and pain, I would worry about developing a pneumonia. It would be wise ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
591 viewsReviewed >2 years ago
A 48-year-old female asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
Foot xrays?: Have you had xrays of your foot? Alternatively, could be plantar fasciitis - if xrays are clear and there isn't a stress fracture, would try stretchi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
591 viewsAnswered >2 years ago
A 28-year-old female asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
Should be fine: Keppra has a "half life" of about 18 hours, meaning that at that time, she is down to about half of the blood level. For most people with seizures, m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
525 viewsReviewed >2 years ago
A 28-year-old female asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
Paradoxical reaction: Sometimes medications can cause the opposite effect we expect, called a paradoxical reaction. This sounds like what you are having; we would expect y... Read More
Created for people with ongoing healthcare needs but benefits everyone.
525 viewsReviewed >2 years ago
A member asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
Pancreas?: Your pancreas is also there, and I would be concerned for pancreatitis that can be caused by alcohol consumption. This can be diagnosed by blood test... Read More
Created for people with ongoing healthcare needs but benefits everyone.
525 viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
Not the microwave: I'm not aware of any headache or buzzing that can be caused by a microwave, even when deaf/blind. If you have a cochlear implant you might check to s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
525 viewsReviewed >2 years ago
A 33-year-old male asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
Myoclonus: These are individual jerking movements of one or several limbs.
Created for people with ongoing healthcare needs but benefits everyone.
525 viewsReviewed >2 years ago
A 33-year-old male asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
3rd nerve palsy: This affects eye movements - limiting movement down and in towards the nose. It also affects the pupil, meaning it doesn't constrict properly.
Created for people with ongoing healthcare needs but benefits everyone.
525 viewsReviewed >2 years ago
A 33-year-old male asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
Movement disorders: These are a category of diseases that focus around either too much or too little movement. Some are benign such as a benign essential tremor, and som... Read More
Created for people with ongoing healthcare needs but benefits everyone.
525 viewsReviewed >2 years ago
A 48-year-old member asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
Personality: The frontal lobe controls personality, inhibitions, and is a large part of our planning. It is also involved in our memory storage and part of moveme... Read More
Created for people with ongoing healthcare needs but benefits everyone.
525 viewsReviewed >2 years ago
A 48-year-old member asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
Jittery: Lots of things could happen, depends on the person. Can make you feel jittery or anxious, have trouble sleeping, or increase heart rate. If you have... Read More
Created for people with ongoing healthcare needs but benefits everyone.
525 viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
Tingling: Could be circulatory issue or pinched nerves. I would want to know if there are other times or other positions that cause numbness and tingling, and ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
525 viewsReviewed >2 years ago
A 23-year-old female asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
Allergic reaction: Some people get an allergic reaction to the contrast media. This can be minimized by using benadryl prior to getting the contrast. The technician sh... Read More
Created for people with ongoing healthcare needs but benefits everyone.
591 viewsAnswered >2 years ago
A 24-year-old male asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
Hypoglycemia: Anxiety can certainly mimic low blood sugar, making you shake and feel tired and sometimes "wired" as well. Talk to your doctor about medications th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
591 viewsAnswered >2 years ago
A 43-year-old male asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
Doubt it: That shouldn't be enough alcohol to cause those problems, although certainly increased alcohol intake can.
Created for people with ongoing healthcare needs but benefits everyone.
525 viewsReviewed >2 years ago
A female asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
Could be: certainly could be. Monitor your blood pressure over the next few days, drink plenty of fluids, and if the double vision comes back you should have e... Read More
Created for people with ongoing healthcare needs but benefits everyone.
525 viewsReviewed >2 years ago
A male asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
Get an MRI: Those symptoms commonly happen, but are not "normal". That could suggest nerve damage and I would recommend you get evaluated and consider an MRI to ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
590 viewsReviewed >2 years ago
A 55-year-old female asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
Small blood vessels: LE is the MRI finding and is a more general term than MA or sometimes called white matter disease. Microangiopathy is damage to the capillaries (smal... Read More
Created for people with ongoing healthcare needs but benefits everyone.
525 viewsReviewed >2 years ago
A 18-year-old female asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
Head injury: With a head injury, the short term symptoms over the first few hours would be headache, nausea, vision changes, memory loss. Over the next few weeks ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
525 viewsReviewed >2 years ago
A 16-year-old female asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
Hypotension: Blacking out or vision getting dim when you stand up is a drop in blood pressure called orthostatic hypotension. It is really common in young, health... Read More
Created for people with ongoing healthcare needs but benefits everyone.
591 viewsAnswered >2 years ago
A 36-year-old female asked:
Dr. Nicole Clarkanswered
Neurology 19 years experience
Don't think so: Not aware of any viruses that fit those symptoms, but if you haven't been able to drink or eat due to a stomach bug, that may explain the dizziness.
Created for people with ongoing healthcare needs but benefits everyone.
525 viewsReviewed >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
1
Recommendations
19
Thank you notes
HealthTap member
Sep 24, 2017
been sick and diarrah 4months now had stomache scan and bowel scan all is fine so whats wrong
HealthTap member
Your answer was very helpful, thanks! Wow! This is SO HELPFUL!!! Thank you so so so so much!
HealthTap member
Your answer was very helpful! Thanks :) i had to stop my hed was weired
HealthTap member
Your answer was very helpful, thanks! Thanks doc!
Education & Training
Medical/Graduate school
University of Missouri-Columbia School of Medicine, MO
Graduated 2004MD
Residency
University of Utah
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