*insert big sigh of relief here*
He was very friendly and even though I was a bundle of nerves e didn't make me feel rushed at all. After a few moments of him talking tome I felt even comfortable enough to pretty much tell him my story. He didn't make me feel weird about it at all *another big sigh of relief inserted here* So I'm glad that part is over for sure but he was very professional and still with a great personality too. I didn't even see a cell phone on him lol. I'm happy enough with that. With the reflexes that bug him and the tingling and buzzing I told him about he has me set up for a MRI of the spine, I go at 3pm tomorrow! I didn't even have to ask either! He was friendl and I wont be so nervous I think next time I see him which I have an appointment for towards the end of March.
He sas that the buzzing on the outsides of my feet and heels is that word I have seen mentioned here, Leherm? (Id have to look but ya'll know what I mean). I didn't ask, but I thought that was only something that happens when you bend your neck down. The buzzing that happens in my heels or sides of my toes aren't when i have my neck down. Nothing seems to happen when I bend my neck down.
Okay so he did do an exam and I quote him "the hyperreflexa really BUGS me" I told him I have been told I have very good reflexes but he says that reflexes that good isn't really normal. Like when he did the bump thing on my wrist he says my biflex also reacts etc. But like I said, I was a bundle of nerves so maybe that payed a part in it. Who knows. Alright.. as for his notes that he had no problem givig me a copy of there are some things that are noted so I am going to put them all here and see if anyone can/wants to ferret out the meanings for me.
GENERAL: well developed, well nourished; anxious
EYES: fundoscopic exam reveals sharp disc margins
CARDIOVASCULAR: peripheral vasculature:; no edema
MUSCULOSKELETAL: normal gait; muscle strangth: 5/5 in all major muscle groups' normal overall tone
NEUROLOGIC: Orientation: alert and oriented X 3 ; Recent/Remote Memory: intact; Attention/Concentration: nl; Language: is able to name common objects' able to repeat phrases; good amount of spontaneous speech; Fund of Knowledge: average; Sensation: hyperesthesia in hands distribution; vibration sense intact; Reflexes: biceps:3+ ; triceps: 3+ ; brachioradilis: 3+; knee jerks: 3+ ; ankle jerks: 4 + ; Plantar flexor responses: L abnormal (toes upgoing), R normal (toes downgoing); (+) crossed adductor reflex; Coordination/Cerebellar function: normal; CN II intact; CN III, IV, VI intact; CN V intact; CN VII intact; CN VIII intact; CN IX, X intact; CN XI intact; CN XII intact
ASSESSMENT:
346.20 Migraine variant
796.1 Hyperreflexia
He put me back on TopAmax, ordered a C-spine due to distal paresthesias and hyper-reflexia and I have a followup appointment in 4 weeks.
Sorry for the very lenghty post. I'm glad he doesn't think I am completely mad..at least he didn't show it if he did.
Dawn