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Was this a typical first exam?

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    Was this a typical first exam?

    I was refereed to neurologist by my fibromyalgia specialist. I had been refereed in the past but never went. Anyway, I have my first visit today. I do have a variety of fibro symptoms but obviously, those are not why I went.

    - tingling in limbs and face
    - finger tremor in left hand
    - cognitive issues, difficulty concentrating, retaining information, writing (for school), general thinking and problem solving
    - forgot the name of a family member (in the past, I've also forgotten where I am while driving and how to do things like turn off my car)
    - vision issues: very difficult to explain but there is a type of noise and blurriness around the center of my focus but I can still read and look at things. This waxes and wanes from being almost not annoying to making it difficult to look at anything. I also have flashes of light when I move my eyes and when I hear sudden sounds.
    - dizziness and vertigo. I often suddenly feel like I am going to fall over or that my face is going to smack into something. on other ocassions, the room spins and I feel like I am going to vomit. My ENT says my ears are fine (I do also have ringing).
    - I'm having some occurrences of slurred speech

    As I said, I do have fibromyalgia. I'm 32 and aside form asthma, I haven't been diagnosed with anything else. My first appointment was today. She specializes in MS and has experience with Parkinsons as well as other neurological disorders. I expected a full neurological exam but she just looked at my eyes, tested my knee and ankle reflex and did two strength tests (pushed on arms and knee). She didn't let me talk about all my symptoms - the dizziness and tingling were not at all addressed. She told me to take magnesium for the vision problem. She wanted to give me medication for my fibro pain though that isn't why I was there and I already see a specialist for it.

    That was it. She is doing an MRI, the typical blood panel and an EEG. I guess I just expected more and I felt like she blew me off. But, she is doing the tests so is this okay? I had an appointment elsewhere that I've yet to cancel (so I could switch offices if I'd like) but if my MRI shows nothing, I don't need to bother, correct? Or should I anyway based on my symptoms?

    I don't know who else to ask about the vision. I have an eye doctor for my glasses/contacts but I suspect this is beyond his scope.

    #2
    My neurologist also did very limited exam, and then told me my MRI was fine, but I had a copy of the report which said otherwise. I am sticking it out with him until I finish up testing and to get his "diagnosis," but I am definitely getting a second opinion.

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      #3
      This seems like a very cursory exam. My first neuro exam
      with current neuro was an hour long but he was a machine -- he packed way more into that hour than my first ms clinic neuro did. Whole visit was about an hour and a half or two. He checked ... everything.

      At follow ups it's much shorter. He knows what's already wrong and does a cursory check to see if those things are still off, and somehow knows what might be wrong now -- last time he added some tests which I was fine with last time and managed to fail this time. But he didn't add anything that I was still good at .

      I am also in limbo.

      My first neuro appointment was much like yours. It was frustrating. He told me that if my cspine was clear, he wouldn't have me back. I already had a second referral in the works from my family doctor, and went to it when it came up a month later.

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