Doctor insights on:
Neurologists And Memory
If my pc dr's referral isn't enough, can a neurologist perform the necessary memory tests to satisfy the insurance company to approve an MRI?
Wrong place to ask: You're wandering (and wondering) blindly. Your insurance carrier has policies for everything, probably including your situation. Check your insurer's website. If it's not there, call them and ask to be sent the relevant medical policy. It's likely that your doctor hasn't read it either. Your next move will be determined by the policy. Pay particular attention to "medical necessity" clauses. ...Read more
I'm female/62. Saw neurologist for balance/gait problems, memory loss. Told accumulated psych stress may have caused brain deficit. Tests all normal--?
Meds may be cause : Coumadin, (warfarin) lorazepam, trazodone, and Gabapentin can all effect gait and balance. Your meds, brain surgeries, cumulative stress, and depression can all contribute to cognitive deficits, as can effects of anesthesia, depending upon when your last operation was. I once underwent seven operations in 8 weeks and was told my level of alertness might not return to normal until a year or more. It was true. ...Read more
Diagnosis: right to left shunt now what? I've been experiencing headaches and memory loss, my np referred me to a neurologist. Results from testing were sent to np. I just left her office with a follow up to see neurologist again but the diagnosis is rig
The heart has two "sides": the right side pumps blood to the lungs for oxygenation and the left side pumps it to the body. A right to left shunt is one that sends blood directly from the right side to the left, bypassing the lungs. This is important for two reasons: 1) the shunted blood does not have the opportunity to drop off carbon dioxide and pick up oxygen. If the shunt is large, it will reduce the amount of oxygen in your blood and leave you easily winded. 2) the lung, in addition to increasing the oxygen level in the blood, filters out any tiny clots or other particles in the blood. When that filter is missing, there's an increased risk of strokes.
Since you have a right to left shunt, you should probably be on a blood thinner, and you should make sure that any IV lines you have placed are freed of all bubbles (the common idea that a few bubbles in a vein will cause damage is not true--unless you have a right to left shunt.
Treatment depends on the size of the shunt and its location. If it's very small, you may need nothing. However, if it's big enough to create problems (and it sounds like yours is) then it probably needs to be closed. If it's in the heart, this is done by a cardiologist using a percutaneous closure device or by a cardiac surgeon using traditional open-heart surgery. If it is in the arteries of the lung, it is treated by an interventional radiologist using small artery-blocking coils placed via a puncture in the hip area or the neck.
I don't know the joliet area well enough to know who's close by, but you can go to http://doctor-finder. Sirweb. Org/ to find an interventional radiologist in your area.
One other thing: shunts in the lung arteries are associated with a condition called osler-weber-rendu syndrome (also known as hereditary hemorrhagic telangietasia). You should be evaluated for this condition and, if you have it, your relatives should be evaluated too. It has a strong family inheritance pattern. ...Read more
For someone who long and short-term memory may be decaying because of major depression is it good to consult with a neurologist?
I have memory problems and just learned from a neurologist that I have mild brain atrophy. Is this serious? How should I follow up?
Well sounds: Like you should be followed by the neurologist. ...Read more
A brain tumour? I had 2 epileptic fits this year, seen neurologist, had tests, wants me to have a mri, terrible memory, always tired and drowsy
Fatigue studies (CFS?): For poor concentration & memory, could a neurologist help? Current specialist advisors: sleep, rheumat., endocrin., immun. MDs
Team: If your team has all of these physicians on the case, adding a neurologist may be superfluous. One physician should be coordinating your care in order to access the expertise of the others. ...Read more
Which doctor knows better about ADHD, lack of concentration, memory loss problems? A neurologist or psychatrist? Please help. I want the knowledge
Why did a neurologist automatically assume depression, (numbness, vision problems, fuzzy memory) after negative mri? Ana positive. Gp says lupus.
Depends: Lupus causing central nervous system findings is advanced & has unequivocal lab findings 2 go with significant physical findings. A positive ANA is not diagnostic of anything specific. If you had lupus causing CNS abnormalities, many other autoimmune tests are likely to be extremely elevated. Lupus would have joint & kidney findings too. Anxiety or depression are more common & likely the reason. ...Read more
My other symptoms? Confusion, delirium, seizures, migraines, memory loss, chronic fatigue almost lethargic. Blackouts. They have steadily progressed over the last month. Neurologist sending me back to pcp for other testing... could this be Encephalitis?
Many symptoms: Yes, please see your doctor but also see a Psychologist. Either or both of those doctors may also refer yoi to a Neurologist. ...Read more
After a myriad of gradually onset problems (double vision in left eye, memory problems, dizziness, headaches etc) my doctor said my mri showed a brain lesion. I have an appt with a neurologist but not for a while. What could this mean??
Could be anything:
When I write my radiology reports, I don't expect the ordering doctor to ONLY say, "You have a brain lesion, see this guy/gal." The MRI report should have been discussed with you in more detail.
If the ordering doc had no idea what the radiologist was describing, he/she should have called the radiologist directly before your office visit.
See the neurologist soon and get this cleared up. ...Read more
See your doctor: Start with your family doctor. He/she can get the search going. Not only can he/she begin the search, but also find a specialist that he/she is familiar with, which will facilitate dialogue. ...Read more
Really by history: Restless leg syndrome is occasionally found during an overnight sleep study, but the doc diagnosis is by pt history. Going to bed, unable to stay still, as legs feel irritable, and gets up, walks about, and then can relax. Maybe legs jump a bit, maybe happens at the movies or while watching tv. Occasionally, pts have associated kidney disease, peripheral neuropathy, ferritin problems. ...Read more
I have dizziness which prevents me from doing my adls. Should I visit an eent first or a neurologist? Thanks!
Dizziness: Please check with your family physician first so he can guide you appropriately. ...Read more
Like your question: Traditional answer, a doctor trained in diagnosing and treating diseases of the nervous system, involving brain, spinal cord, peripheral nerves and muscles. Included disease states, such as migraine, stroke, parkinson's, multiple sclerosis, epilepsy, neuropathy and myopathy, etc. Also, deals with medical disorders which secondarlily cause neurological complications. ...Read more
Start with your doc: I would start with your primary care doctor as they are usually a good source of info on other doctors in your area. You could also ask trusted friends/family for recommendations and bring those names to your doctor for discussion. ...Read more
Asking for Meds:
This is a difficult question to answer. To begin with, of course you can ask your neurologist for a specific medication. However, some physicians have very strict criteria regarding narcotic medications, and most physicians will not prescribe a medication which is not appropriate for your illness, or which they are uncomfortable using.
It never hurts to ask, but they may say no. ...Read more
Not alone: Neurologists may treat some people who also have dissociative disorders, but would not be doing this by themselves unless they also have full training in psychiatry. A typical scenario might be a patient who has both a seizure disorder and dissociative disorder -- needs care from both psychiatry and neurology working together. Such a person will also need psychotherapy. ...Read more
Let me help: The visit is similar to seeing your family doctor, in that there is an interview process to obtain a history, and an examination focusing on neurological systems. Subsequently, the doctor will discuss presumptive diagnosis, possible confirmatory testing, and recommendations for treatment. Hope outcome of your visit is beneficial. ...Read more
Minimum time: Four years of training after medical school in residency. ...Read more
Typical: Just like an internist, the doctor will take and history and perform an examination, but here, focuses on neurological systems. A preliminary diagnosis will be provided, and testing may be ordered to confirm correct diagnosis. Treatments and/or therapy will be advised based on the above conclusions. Your neurologist is your partner to restore functioning of your central and peripheral nerves. ...Read more
EVALUATION: Most visits are due to referral to evaluate symptoms which may be caused from either the central (brain, spinal cord) or peripheral (nerve, muscle) nervous systems. The doctor takes a full history and performs a full exam. (similar to primary care, but focusing on neuro systems). Diagnostic conclusions are reached, confirmatory tests may be ordered, and treatment based on all the above. ...Read more
Like a normal doctor: I believe that a visit to a neurologists office is the same as your primary care physician. The neurologist will take a detailed history and perform a comprehensive examination. The entire initial visit should last between 30 and 60 minutes in its entirety. ...Read more
A good start...: Would be medical school. Neurologists have a 4-year residency after med school. If you're not in med school I would concentrate more on making this happen first. In that vein, contrary to popular belief, a specific set of courses (biology etc) is not necessary (save for prerequisites). One of the brightest physicians I know got his undergrad degree in photography? First, love what you do! ...Read more
Info gathering: Usually a doctor will have you fill out initial paperwork, talk to you about your history in general, as well as the history of whatever problem you're seeing him/her for, then do an exam and make some recommendations for next steps. Good luck! ...Read more
History and exam: We will ask what's going on. Listen to you. Ask a few questions. Examine you. Usually we have a decent idea of the top two or three possibilities in 1-2 minutes and the rest confirms this. If you have had a scan done being the actual pictures on cd. ...Read more