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We answer all types of Neurology/Neurological questions about the brain, spinal cord, and peripheral nerves. Include your age, sex, current meds, and known diagnoses, upcoming/completed appointments, tests, or procedures. We are not physicians. We help explain medical terminology and give support.
Preparing for Your Neurology Appointment - Exam Part 1
lifes posted:
You've waited weeks, or months, to get an appointment to see a neurologist. You're upset, nervous, maybe scared. You don't know what to expect - what kind of exam will the doctor do? What kind of tests might you have?

Preparation: Luckily, there are no medication preps before seeing a neuro, unless you are having tests with contrast dye before seeing the neuro.

Request all previous test results and obtain films from out-patient test locations, hospitals, and from your doctor. Take the films and interpretation papers with you.

Write a short list describing each symptom. Write it so you don't forget something. Write a few questions.

The Exam

Basic neurology exams are straight-forward. You will first talk about your problem. This may be very quick, so have your thoughts organized. Refer to your written notes. Some Drs ask questions during the physical exam.

In the basic exam, the Dr will test your reflexes with a small rubber "hammer". You only need to relax for these tests. Your legs, arms, hands and feet should quickly "jerk" when the hammer is used; this is normal. The Dr evaluates different aspects of each reflex. Don't try to make reflexes *seem* better or worse-- they are what they are, and are important indicators for disease or health.

You may be asked to perform certain tasks, such as walk on your toes or walk on your heels. Although it seems silly, these are also important indicators.

You may be asked to follow a pen with your eyes; or to touch the doctor's finger with your finger. You may have to touch each of your fingers to your thumb, as fast as you can. These evaluate the normal nerve pathways.

The doctor may lightly prick your skin with a straight pin or open pin, or run a pen or semi-sharp object across your skin while your eyes are closed or open. "Feel that? Feel that? Feel that..." you'll be asked. Answer honestly. This test is evaluated against other tests in the office, so the results cannot be "forged" or altered. If a patient lied and said she had no feeling anywhere, the Dr can tell from other parts of the exam as to whether feeling is present or not present.
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