Neurologist Advice

Did you find a neurologist your happy with? I’ve had some pretty serious medical issues over the years, and one thing I do when I’m looking is pretty much interrogate every doctor I like in case they have recommendation. By doing that, I’ve found a couple of specialists “through the grapevine” who are phenomenal. Other times, no luck. I’ve been looking for a good primary for five years. I also tell other doctors about anyone I’m really impressed with - although that did backfire once when my kid’s primary, a PA, was was hired into my endocrinologist’s practice.

Also, I just wanted to give a shout out to Mayo since you’re in Minnesota. I took my mom up there when she was diagnosed with a very rare cancer, and I can’t tell you how impressed I was with both the facility and their team approach. I would definitely consider consulting with them even if they don’t become your regular doctors.

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I have a appt on Friday with my beloved GP actually to figure out a new Neuro. I haven’t had a lot of issues lately. The Gabapentin is still working like a charm. But I’ve decided to go with two neuros tho- one is headache, and the other vascular. So much of my head stuff is tied to the vascular.

All in all, it’s been a good summer for me. I had a couple of weeks of the “tireds.” Just fatigued to the bone, but otherwise good. I do wonder how much the Gaba is tied to the fatigue. I also suspect the barometer in the winter months plays a lot of havoc with my head- so Summer barometers are nicer.

AND my husband and I got a puppy! My beloved chihuahua of 20 years died in July 2020. He saw me thru my surgeries/craniotomy and recovery for the previous ten months. He never left my side. It broke my heart, especially during covid quarantining, when he passed. He was a faithful boy. We waited a year, and then decided to go for it. We welcomed our new pup, Ernie, two weeks ago. And he’s just a joy. And seriously good for me.

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Here’s Ernie! Great medicine! :wink:




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Well we have another new reason for my “episodes”. I had my appointment with my neurologist and we now have added the reason I get numbness in my face and arm (which lasts usually around 15 minutes) is Migraines. So now so far it is either mini strokes, seizures or migraines smh. I officially give up with the . He upped my Gabapentin from 100mg 3 x day to 300mg 3 x day. I think maybe I will just wait until the volcano erupts in my head and then maybe they will have the right answer. Have to keep chuckling, not worth getting upset, doesn’t do any good.

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If you have a read of “Migraine” by Oliver Sacks, I think you’d find that migraine aura are really quite diverse and migraine (or migraine-like) symptoms is a reasonable fit with what you describe. That the symptoms resolve in about 15 minutes does make them rather like migraine aura.

I would say that Sacks differentiates been true migraine and “migraine-like” symptoms. Typically, he describes migraine symptoms that transgress across the body – from one hemisphere to the other – and cites a reason to be suspicious of any apparent migraine that doesn’t migrate in that way as being provoked by something else, in our case an AVM or some damage enacted by it such as a stroke or by operations to reduce the stroke risk.

It’s an old book but might still be a useful read for those of us round here.

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Thank you. I need some positivity sent my way. I guess I am just in the giving up stage. I have had more "episodes since the Neurologist up my medicine. I have just come to the conclusion since there is no agreement, just a different diagnosis with every new doctor, I will just let it be and whatever happens is meant to be. Basically put it in God’s hands.

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Sorry to hear and has to be frustrating when it would seem the Drs don’t talk. I would certainly be knocking at the door when the medication change produced negative results. I’m sorry if I missed it, but did cyber knife obliterate your AVM? Take Care, John.

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@QHraiser How are you feeling? I am big Oliver Sacks fan like @DickD and have gottened migraines for 30 years but never had my face or arm go numb from them.
I am 3600 mg of gabapetin but not for migraines.
My Stanford drs told me after I asked if I moved where could I move and still get quality brain care and they said near Duke or Univerisity of Wisconsin. Not sure if you are still living near Univerisity of Wisconsin to have them take a look.

Hey QHraiser,
Just checking in. I’m still getting “the numb” too. In fact, it’s starting to creep down my face right now. You know that feeling. It’s the ‘oh crap. Here we go yet again’ feeling. I’m so used to it. I’m SO TIRED of it by now. Atleast we know we’re not having heart attacks. I’ve had facial and right side numbness since the start, so it doesn’t freak me out any more. But it’s still disconcerting.

Im still taking 900/600/900 mg of Gaba a day, with Nurtec to use when I get the big bad migraines. That Nurtec has been phenomenal. It really truly works for me. It’s expensive as all get out. Eight pills is $1200.00. It’s part of the triptans family, and there isn’t a generic version yet. That’s why it’s so expensive. Insurance covers it for now. And it’s my understanding that there’s coupon available for it, making it free, on the manufacturer’s website. Also, I think the FDA just approved it as a migraine Preventative. Definitely worth asking your Neuro about.

I FINALLY was able to find a new neurologist here at Univ. of Minnesota, and I’m thrilled. She’s capable, down to earth, and has a good sense of humor. It took forever to get in to see her. But the part that was nuts- that there were so many procedures and appts. on my charts that were supposed to be done but were not because it was lost during the beginning of Covid. I wasn’t even told about most of it. But she discovered it all on the first appt I had with her, and she read thru everything on my charts. a) I was supposed to have a Angio/MRI with dye as a follow up, one year after surgery to make sure the brain flow diversion was good, and hadn’t developed any bulges or problem areas. b) I was to have cognitive testing and therapy to help with memory loss and brain fog. c) EEGs done to measure for seizure activity and make sure the heavy brain fog I do get, and the numbness, isn’t actually seizures.

So I’m in middle of getting all of this done now. I hate MRI machines now. At the start of this AVM journey, I thought they were vaguely interesting. Like, ‘hey cool! That’s gonna look inside of my head! Science is cool.’ But now I hate climbing in them with their loud clanking and tight spaces. I’m not claustrophobic, but I don’t look forward to it.

I do feel like I’m in better hands with the new doc. She wants to get me off the gaba if possible because this probably contributes to my constant fatigue. She already started me on Verapamil, which is also a blood pressure med, to try and get head pressure down. I just started it, so I don’t know if it’s working yet or not. I’m not in a good spot yet physically, but I see some light in the tunnel. I’ll take whatever I can get! :slight_smile:

Ernie continues to be a great joy! That little white dog has gotten us out of the house and walking a lot, and just made us laugh constantly. He’s a blessing in disguise, even with all the new puppy training we’ve had to do. When he discovered barking, I thought I was gonna die from headache, or maybe laugh to death, because he was just so impressed with himself that he COULD bark! We quickly jumped on that training, and barking is a minimum now. Yay!

I wish you and everyone here, a VERY Merry Christmas! :christmas_tree: I know Covid is making it hard for families to get together, but I’m just glad we’re all still upright, walking and talking, and fighting our AVM fights with as much grace, and humor, and strength, as we can muster. As far as I’m concerned, we should get medals!

much love,
K8te

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Hi K8te:

So good to hear from you. I am glad you found a Doctor who actually reads your records. That’s hard to find these days. They have just upped my Gabe from 100 to 300 so I am having the opposite treatments done to me. It just amazes me how there are so many different opinions, but I guess it is reasonable since we are all individuals. I hope you had a great Thanksgiving and are prepared for Christmas. I actually had everything done and mailed by December 1st. First time ever I won’t be shopping 2 days before Christmas. I unfortunately have added to my injuries lately. I broke my left foot and then stepping off a curb with the stupid boot they put on my foot I lost my balance and fell straight backwards and hit my head on the sidewalk. I now have to have a CAT scan. Just love more test. Anyway, I hope you have the merriest of Christmas’s and great New Year with your fabulous new doctor. Keep me posted.

Big hugs to you and ALL your family.

Sue

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Good grief, Sue! Stay away from those curbs!
Have a nice Christmas, and I’ll check in after the holidays.
Big hugs! K.

They need to quit jumping up at me lol

Good evening Angela4:

I spent 5 years dealing with UW. They couldn’t make up their minds between seizures or mini strokes. I am NOT impressed with UW at all. I even had poor care during a time of having to have my hip that was recalled replaced. I went back to NC for the 2nd replacement. There is no way I would ever have UW look at me again for anything. I had a shoulder replaced there and the nurses gave me the wrong go home instructions, and to this day I have maybe 25% use of my left arm. I am being seen at Vanderbilt in Nashville now and I am very happy with them as well as St Thomas Medical Group. I would say to you to go and form your own opinion. We all know people can get different care at the same hospital on any given day. So please don’t pass up a chance to get help because I had a bad experience. I hope you and your family have a wonderful holiday season.

Sue

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Wow @QHraiser Thank you for your honest feedback that means alot -I only had a rt cuff surgery post stroke from a wonderful surgeon who does work on the SF Giants and 49ers and still have issues with that arm. The PT took about a year with using EMS and me doing what I call physical torture at home :slight_smile: and I even bought a pilates machine cause I was ready to do anything to get my arm back. I use to play softball, volleyball, tennis, golf, ski and was just about to take ice skating lessons but that has made everyone scared in my family even if I wear a helmet.
I even went to plat pickle ball with some seniors who I had no idea were super competitve and showed up with a black eye to my pain neuro who then forbid me to play with them anymore since it was my second time I had fallen down.

I love Wisconsin one of my best friends lives there but I have some other health issues where I cant stand the cold. So Wisconsin would not be my first choice. I actually feel the best in Maui but they have terrile health care and who care afford to live there…
I have another best friend from high school who lives in North Carolina so we may move there if and when my family here starts to move away.

Have you tried a tens unit that is also an EMS unit? You use the EMS part during the work out portion to wake up the muscles.

Happy Holidays
Angela

Hi Angela:

Yes, I have several Tens Units I use. I could open and orthopedic store :joy::joy:. I would definitely go to Duke in a heartbeat. By the way, you definitely have to watch us seniors (72), we are really competitive. You should see my 40 year old daughter and I whenever we are playing games together—oh it is bad lol. I use to manage Golf courses and Bowling Centers, so every time I had a surgery (before the last replacement), on my shoulder I always told them not to mess up my golf swing. I bowl right handed, so the left shoulder didn’t matter for that. Needless to say though, due to the left shoulder and right hip, I don’t get to do my sports either. I also rode and raised Quarter Horses, so of course that doesn’t happen either—but that is just called life!!

Keep me posted on where you decide to go and how you are doing. Enjoy your holidays.

Sue

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@QHraiser You made me laugh you and your daughter sound like me and my dad. I havent played golf since my stroke I was going to drag my husband who is ten years older than me and had just retired early March of 2020 - just when the pandemic hit so needless to say we have not been. I love to Bowl too which I have only done a few times since my stroke. That is incredible that you can bowl with your right hand. I have a friend from high school who can golf with both hands.
I will keep you updated and Happy and Healthy New Year!
Angela

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Happy New Year! @QHraiser
So my symptoms haven’t changed all, but I did get some great news from the MRI/MRA I had on Dec 31st. There’s NO AVM regrowth from craniotomy removal/resection area, OR any aneurysms from the diversion of blood flow. In fact, and here’s the super duper awesome news,., there’s capillary new growth in the area where they took the AVM out! How cool is that?! Doesn’t mean the brain fog, numbness, cognitive bs, or migraines are gone. BUT still! Maybe those capillaries will tap into some new and higher brain that will give me super powers! A woman can dream, right? :smirk:

Meanwhile the new neurologist seems to be spot on. She contacted me the next day with the news. Tomorrow I have the EEG to figure out if I’m having seizures or not. Obviously not grand mals, but little blips that cause the brain fog and fatigue. My guess is not. I had two small focals since the surgery. I was cognizant the entire time. Just had weird smells. But I’ll let them do their test, and we can cross off another test I won’t have to have ever again.

Christmas and New Year’s was a power drain this year. But I recovered with lots of naps and chocolate. Best Wishes to everyone! I hope you had a nice holiday.

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Happy New Year K8te:

Glad to hear you made it through the holidays ok. I know they are rough. I have a telehealth appointment with my Neurologist on Thursday. I get to tell him hey your meds don’t work. I am not having migraines. It is so frustrating, but I have decided to just let it ride and quit going to all the guys that can’t tell me anything lol.

Sue

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@QHraiser if you could just get some meds that work, then you could cut out every thing else. Thats my plan any way. I really want get find a healthier preventive regiment, These adventures in trying to find the right drug cocktail has turned my body into a weight gain catastrophe. Losing the weight I’ve gained in the last two years is going to be hard.

Oh Kate if you only knew lol. I have gained 120 pounds. The doctors don’t even mention it. I have found a diet that is working for me, and it really isn’t hard for me to do. I call my challenge the 12 step challenge which means each step is 10 pounds. I am proud to say I am on step 4 which means I have lost 30 pounds so far. I eat meats and vegetables. NO sugar. I am able to eat a few carbs, but that is my choice. This diet was written by a doctor. When he found out so many people were doing it, his only worry was the grocery store would run out of Ribeye steaks. You are suppose to have 20% fat in your meat. I use 1/2 and 1/2 in my one cup of coffee and of course Equal or Splendor for sugar. I am excited that it is working for me. AND guess who told me about it. My wonderful Chiropractor. He also took me to my gym on a Saturday and spent an hour and a half showing me which equipment to use and how to do it right… He has done more for me than any of all my other doctors combined.

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