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marlena23

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After 6 months of fighting with my doctors and insurance company I FINALLY have an appointment to see a neuropsych on Saturday.*happy dance*
I'm hopeful she will be able to help me and hopefully explain some of the "odd" symptoms I have had. So here's my question: who has seen a neuropsych and what should I expect? Obviously its not like trying a new med where I will know if its working within a few weeks but I'm told this is the only way my NES can be treated.
 
After 6 months of fighting with my doctors and insurance company I FINALLY have an appointment to see a neuropsych on Saturday.*happy dance*
I'm hopeful she will be able to help me and hopefully explain some of the "odd" symptoms I have had. So here's my question: who has seen a neuropsych and what should I expect? Obviously its not like trying a new med where I will know if its working within a few weeks but I'm told this is the only way my NES can be treated.
havent seen one , so i cant offer you any advice , but i do want to say congrats , hopefully this is what you need & they will be able to help you ..... good luck
 
Wooohoooo...!

Snoopy+Happy+Dance.jpg


Way to go Marlena. :woot:

Here are a few suggestions if you want to cut to the chase with your new doctor. Upon meeting your doctor, shake his or her hand and make eye contact. Touch is especially important in the beginning as it's been shown that after a touch, even from a stranger, the person you are encountering is more likely to be attentive. This has been clearly demonstrated with banking clerks and their clientele. Never rely on your memory. When you're in a new situation it can create anxiety, and reduce blood flow to your frontal lobe regions. This can cause you to just go blank when under pressure to answer questions, which you may be bombarded with in the beginning. You want to make sure your doctor doesn't miss important information on your first visit. Write down any pertinent questions you have.

I would also suggest writing a detailed letter to your new doctor. Describe your symptoms, the thoughts you have while experiencing the symptoms as well as post-thoughts. Describe any possible correlations you've notice that may cause triggers. Share your frustrating trials with doctors as well. Do this as diplomatically as possible for obvious reasons. ;) The reason I suggest that you include the trials you've had with doctors 'and' insurance companies is because they have definitely contributed to your stress and emotional well being.

Make the letter as comprehensive as possible. Give your doctor a visual picture of your situation. Let the doctor keep the letter for reviewing again later. It will be in your medical files. Be sure to keep a copy for yourself. Also note on your copy that you gave the letter to your doctor on such and such date and time. Take notes on the back of your copy when possible.

Your letter should assist in expediting treatment, if required. Just keep in mind that neuropsychs have filters too, as well as stressors and they can seem like they are paying attention, but may not be fully focused on you. Documenting your symptoms and emotions may help prevent any misinterpretation from your doctor. You will also be able to use your documentation as a reference when you need to bring something to their attention.

PNES
Treatment may involve psychotherapy, stress-reduction techniques (such as relaxation and biofeedback training), and personal support to help you cope with the seizures during the course of treatment. Source: http://hsc.usf.edu/com/epilepsy/pnesbrochure.pdf

Ask your doctor about cognitive-neurofeedback training as well as incorporating mindfulness/impartial spectator training. One more note: Be sure to seek out a neuropsych who specializes in PNES, if at all possible. You live in California, so hopefully you have a larger pool to chose from, especially if you live near a university.

Hope this helps some. It may seem like a lot of homework at first, but it may save you a lot of time and money in the long run, and your doctor will see that you are proactive. I wish you the very best, and please keep us abreast of your progress. Congrats on your success, and good luck with your new dr.
 
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@neuro notes, thank you for the information. I keep a diary of my seizure activity and I plan on taking it with me. I have a bad memory as it is so I usually write things down. Some doctors like the hand written notes and some don't. Luckily the doctor is aware of my struggles with the insurance company and she is the only neuropsych in my county that is familiar with NES. I'm also hoping with my medical records and seizure diary I can get temporary disability benefits while I wait for ss. Since I can not work and have not worked since my last tonic clonic in march. Financially I need the temp disability and medically I need the treatment for these seizures which has gone untreated for over 2 years.:/
 
@neuro notes, thank you for the information.

Don't you just love the default system here. hehe I could clearly see that you wrote 'neuronotes' when I quoted your post. ;) I wrote several posts in another thread a while back that included the acronym for 'Geomagnetic Fields' and it would always default to 'grand mal' fields. I have a hard enough time proofing as it is. LOL

Marlena, I was somewhat reluctant to make any suggestions because it's clear to me that you've been down this road many times. You know the ropes, too. As you are fully aware by now, being proactive doesn't guarantee that you will get a doctor to listen and assist in meeting your needs. That's awesome that you keep a detailed seizure diary, and I hope it will be beneficial in helping you get the necessary financial support you need right now. Alleviating that stressor will no doubt have a huge impact on your well being, and stress may be a major contributing factor to your seizure disorders. Hopefully she will be 'the' doctor that will give you the necessary recommendation for financial assistance, along with beneficial therapy.

I'm keeping my fingers crossed for you too.
fingers-crossed-smile.gif
 
I saw a neuropsychologist, but it was only to get evaluated on my cognitive and memory-related abilities (in order to set a baseline for any med- or seizure-related changes over the next few years). So our time was spent doing all sorts of memory and language tests.

I don't know if yours will cover any of the same ground, but I hope it goes well. Take notes on the session if you can (if not during, then immediately afterwards). And don't be afraid to ask questions if something is unclear.

Let us know how it goes.
 
Nakamova-I too saw one and he did lots of those tests and I had forgotten about that.Thank you for mentioning using that as a baseline!!! My tests were 3yrs ago and Ive gotten so much worse cognitively that I should have that redone and matched.Again,thank you-
 
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