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Worried about exam quality.

PostPosted: July 11th, 2014, 1:22 pm
by Arkansan
A few months into all of this I got a clinical done by my GP, he said my reflexes were normal and "I passed with flying colors". I also got a more brief clinical done by an Internal medicine specialist who is very well respected. My GP recommended an MRI for follow up but that was it, I never had the MRI done due to trouble with my insurance at the time. The only thing wrong with my clinical was that on one limb the GP had a slight bit of trouble getting a reflex but he said that it was his fault and nothing to do with my body.

So how trust worthy are clinicals from Dr.'s that aren't Neurologists? The one my GP did was fairly thorough, he did some strength tests, reflexes, had me do some stuff life a field sobriety test that cops use. To top off my worry about this these clinicals were done at the 4-6 month mark into this, could they have missed something or been to early? My GP did refer me to a neuro but it seemed like he did it to satisfy me and not out of actual concern.

Re: Worried about exam quality.

PostPosted: July 11th, 2014, 2:16 pm
by Yuliasir
Arkansan,
looks like you were asking about this already. I may tell you that this is common even for neuros - my neuro also sometimes needed two attempts to evoke reflex. Reflex depends on exact point of force application so half inch aside - and it could not be evoked proprely.

4-6 months of pathological process hsould give you certain visible indications, at least visible to neuro.

Re: Worried about exam quality.

PostPosted: July 11th, 2014, 4:55 pm
by Arkansan
Ok so that is good. As to the symptoms visible to a neuro at 4-6 months, that's what I'm worried about because my clinicals were done by GP and an Internist not a neuro.

Re: Worried about exam quality.

PostPosted: July 11th, 2014, 9:10 pm
by Arkansan
So would problems 4-6 months in be visible to a GP or Internal specialist on a clinical or would they miss it you think?

I am having so many more twitches again here lately, also early today my left knee sorta buckled when I took a step. This is stressing me way too much I think.

Re: Worried about exam quality.

PostPosted: July 11th, 2014, 11:52 pm
by Yuliasir
Arkansan,
you said you had heavy stress recently. Stress is known to increase twitches and also makes person less critical and more alarmed due to involvememnt of amygdala. If you have so much doubts, go and get neuro clinical exam. I can not tell you 100 % sure that ANY GP or intern could be as good as experienced neuro in clinical, but believe me even intern can tell if you have any hyperreflexia, asymmetric reflexes etc. this is quite clear thing.

Re: Worried about exam quality.

PostPosted: July 12th, 2014, 12:40 pm
by Arkansan
So I looked it up and apparently my clinical exams were done around 2 months in and not 4-6 like I thought. Would that still be enough time for there to be something apparent?

Re: Worried about exam quality.

PostPosted: July 12th, 2014, 1:49 pm
by Yuliasir
I had three of them - at 4 weeks, at 4 months and at 9 months. all OK.

Re: Worried about exam quality.

PostPosted: July 12th, 2014, 3:48 pm
by Arkansan
So I guess it would be likely that a few months in something would be abnormal on my clinical? I guess that makes sense.

Re: Worried about exam quality.

PostPosted: July 12th, 2014, 11:42 pm
by Yuliasir
surely there would be something to see.
My friend, I see you are in the span again. go and get new exam, if it would make you feel better.