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Avatar universal

Neuro appt today..either depressed or have MS

Hello all in ms land.
New neuro said I am either depressed or have MS.

he said he couldn't discount ms because of my lesion load and he is going to review the MRI with his brother who is a neuro radiologist.

He said he thought it could possibly be depression because the last two neuros said they couldn't discount ms but wouldn't diagnose.

He said they were probably also thinking depression.
He said that my exam was strange.  That he never saw anyone have the response to the finger to nose test.
My strength test was odd because of the way I moved my body.

***-sphincter says what?"

I have an appt with him in two weeks to hear if it's all in my head or if I have ms.

The beat goes on!

13 Responses
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987762 tn?1671273328
COMMUNITY LEADER
scratch that, just found it in the other one you've posted lol i'll catch up eventually!

Cheers.......JJ
Helpful - 0
987762 tn?1671273328
COMMUNITY LEADER
lol dont know what happened but i wrote a huge post and its not here, so not up to doing it again sorry :-(
Helpful - 0
Avatar universal
Thanks for your response.
You are right.
Kerri
Helpful - 0
1045086 tn?1332126422
Kerri, picking and choosing what information you give a physician will not help you get an accurate diagnosis or treatment.  It is the doc's responsibility to weigh all the information -- carefully giving each piece balanced consideration.  If that isn't done you can challenge it afterwards.

If you withhold informaiton or tweek the specifics to fit what you think "looks" best it is sure to backfire in the future.  A doctor who discovers you have misled with false or omitted facts will NEVER trust your reports again.

Please also be careful not to add to what this doc had to say.  Depression is what you first said he mentioned and that is quite different than conversion disorder.  Depression is often a part of MS.  It is a symptom of the disease and a reaction to the changes in our lives.  When present, depression magnifies every symptoms we experience.

I don't know if you have MS or not.  It doesn't sound like this neuro has made up his mind yet either.  I understand you want answers and treatment and to feel better.  Give yourself a few days to adjust and then stick with your recently formed plan to adjust to living each day according to whatever life and limitations hand you for the day.  It sounded reasonable and healthy.  JMO

Mary
Helpful - 0
1257156 tn?1269457869
Wow. That probably explains why I'm usually given a pat on the head and a lollipop.

Though, to be honest, many of those criteria do fit me. So maybe I have it. How the hell would you know? And would someone with conversion disorder have any abnormalities on neuro exams?

This is kind of upsetting, just in the sense of never being able to know. My therapist had told me he thought a psychological explanation was unlikely, but what do therapists know? Sigh.

Oh man, even worse I am just realizing that because they're all on the same HMO my neuro probably has access to all of the psychiatric/therapy records. Yay. I really need to get a job where I can afford the private, non-joke insurance.
Helpful - 0
Avatar universal
No worries.  I was just trying to make sense of all of this but it doesn't make any.

I will just see another neuro and not mention my Celexa.

Thanks for all of you help.
Helpful - 0
Avatar universal
Thanks you for your support.
I have to say that iwas entertaining this psychological crap for a little while today but that's all it is!  Crap.  

I am going to keep my appt with this doc but if he says anything related to depression I am going to thank him and move on.

My lesions went from a few to over 21 in five years.

That's not normal.  And...he also said it was a lot.  That's why he is checking the discs.

Ahhhhh!  So frustrated!
Helpful - 0
429700 tn?1308007823
I think it's BS and you have unfortunately ran into another bogus lazy doctor.  You have lesions on your brain causing the symptoms that you have.  It's that simple.  What's causing those lesions is something physical, not mental.  

I do NOT think you should entertain this idea and ask the neuro if he thinks that your symptoms are caused by a psychological illness.  I know you want to appear open-minded, but you have physical evidence of it pointing away from a psychological problem causing your symptoms.  Can you have depression AND have MS or another illness like it?  Absolutely.  Lesions on your brain can cause this.

Sorry for another disappointing neuro appointment.  This makes me sad for you.  Actually, angry.  As I type this post, my fingers are hitting the keys with lots of purpose.  I've had the same thing happen to me.  I did tell my neuro about what another doctor told me who gave me a psychiatric referral ( which scarred me emotionally feeling non-validated for major symptoms).  When I was diagnosed my neuro told me after we went over the MRI and he pointed out lesions in my brain, "Well, I guess it really is all in your head."  Validated at last.

Hugs,
Deb
Helpful - 0
1475492 tn?1332884167
Kerri,

You have lesions on your brain. I don't think that clinically makes sense to me at ALL! That's why I'm so stumped by your situation.

Please don't think that I think you have a conversion disorder. I just wanted to give Zenhound a response.

Big hugs to you.
Helpful - 0
Avatar universal
I read the link and I am open to any ideas related to my health issues.

I have been taking Celexa for about 4 years and seeing the same psychiatrist all that time.

When I told him what was going on, he didn't mention or even consider it being part of mental illness.

If all of my MRI's were clean, I might accept this easier, but since my MRI's are full of lesions which Have increased drastically when commmpred to a scan five years ago, I find it difficult to accept.

Either wy I have to live with this either until it is clearly mental or I Hqve more flare ups with changes to my MRI.

I am going to talk to the ms secialist and ask him if he thought it was psychological also.

If he says yes than I will be more prone to consider it.

Or go for neuro number three and not mention my Celexa at all.

Thanks again.
Helpful - 0
1475492 tn?1332884167
They call it a conversion disorder.

http://en.wikipedia.org/wiki/Conversion_disorder#Presentation
Helpful - 0
1257156 tn?1269457869
How is depression an MS mimic? I definitely have depression, but I don't think that means I don't have some sort of neuro process going on (whether it's MS or something else). I've had depression since 2001 and until a year and a half ago had never had flashing lights in my vision, TN pain, muscle cramping, spots of buzzing on my body, three spots that feel like someone is stabbing me with a knife, etc etc etc.

I guess everyone's depression is different but mine mostly involves losing all interest in the world and staying in bed with overwhelming feelings of sadness and hopelessness. Depression doesn't leave lesions in your brain to my knowledge. I smell some serious BS, but at least he hasn't totally blown you off yet.
Helpful - 0
1475492 tn?1332884167
How about both? Duh!!! ;)

I am totally confused by your situation. I am so sorry you are going through this.

Did he tell you what they are missing for a MS diagnosis?
Helpful - 0
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