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monkeypea

Neurologist - How often do you see your neurologist?

how often do you see your neurologist?  

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monkeypea

hi there, i am wondering how often people go and see their neurologist, rather than their MS nurse ( if they have one)?

 

i was diagnosed with MS in 2006 and was told whatever happened in the next 5 yrs would give an indication of how the disease might progress for me.

 

I was offered disease modifying drugs , but decided not to take them at that point.

The symptoms i first presented with was sensory and recovered fully from that, and have now lots of other symptoms ( fatigue, pins and needles, numbness , burning sensations,nerve pain) which i was told by the MS nurse wasnt indicative of more episodes..that really confuses me. she said when i had a "episode" that i would know and indicated it would be something major.

so i am now heading for the 5yr mark , and wondering how i am to know if i am in the benign category that we are obviously hoping for ??

 

i find it hard to know how frequently to go and see the neurologist , and how they will find out how i am progressing, or rather how the MS is progressing.

I realise that as i am not on modfying drugs that makes things different i guess ,as i dont need to go and have that monitored.

 

how often other people go and see the neurologist and how often they have repeat MRI scans?

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Marina

I just added your first poll vote of "more than once a year". My neuro is an MS specialist and heavily involved in research. I see him privately on my insurance but he says it would make no difference if I saw him on the NHS, he'd still say to see him any time one wants. He actually prefers it if his MS patients see him at least once a year, so's he can keep up with how they are. Not all neuros are like that, as some people here may testify. Some are "kind" enough to give you your DX then wave goodbye to you forever.

 

Repeat scans are not really necessary after one's been DX'd, so they tend not to be done. The only time they might do some, as in my case, is if they wonder if one's gone from RR to SP due to symptoms and/or lack of relapses etc, which my repeat scan showed I had owing to new lesions in my spine which are more common in SP/PP, as well as some changes in brain lesions but the latter can happen in RRMS too.

 

Has your neuro ever mentioned to you, or have you asked, how often they might like to see you, or when or for what reason you should perhaps go see them?


Marina

(belated DX in June '05, SPMS)

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Marina

PS - I'll move this to the Polls section, as I think it's a good one to have there :hearts:


Marina

(belated DX in June '05, SPMS)

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monkeypea

sorry im still getting used to this.. and easily confused!!

I just added your first poll vote of "more than once a year". My neuro is an MS specialist and heavily involved in research. I see him privately on my insurance but he says it would make no difference if I saw him on the NHS, he'd still say to see him any time one wants. He actually prefers it if his MS patients see him at least once a year, so's he can keep up with how they are. Not all neuros are like that, as some people here may testify. Some are "kind" enough to give you your DX then wave goodbye to you forever.

 

Repeat scans are not really necessary after one's been DX'd, so they tend not to be done. The only time they might do some, as in my case, is if they wonder if one's gone from RR to SP due to symptoms and/or lack of relapses etc, which my repeat scan showed I had owing to new lesions in my spine which are more common in SP/PP, as well as some changes in brain lesions but the latter can happen in RRMS too.

 

Has your neuro ever mentioned to you, or have you asked, how often they might like to see you, or when or for what reason you should perhaps go see them?

 

 

hI marina, thankyou for your prompt response, not sure if i should be deleting the above?? sorry if i should have done:/ im new to this forum thing!

 

err no , i havent ever asked that.. got the diagnosis handed to me and was unable to think that clearly..i will ask though (blush)

 

i am wondering if i have benign which is what they suggested (as i have sensory symptoms which fully recovered)

BUT wondering what it means.. that in the last 5yrs i have more symptoms other than what i was initially diagnosed with (which according to the MS dont make her think i have had "new episodes"!

I guess i will ask if i can have repeat MRI scan, as its hard for me to tell if i have steadily got worse , without any clear cut episodes


Edited by monkeypea

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Marina

I think that first and foremost you need to know what type of MS you have. I'm a bit surprised they never told you for sure, if they suggested "Benign" before your DX? Do you have an MS nurse at least? If so, could you ask her, or your GP, if they know what type of MS you have?

 

If possible, try to make a summary list of any changes and new symptoms since your DX. Then ask to see your neuro and give him your list of symptoms and so on. You can try asking if he thinks a follow-up MRI might be useful, including a spinal one (if they're willing, as not all want to go to the expense of a spinal one), but I think it might be dependent on the type of symptoms you have and to what degree they may fluctuate.

 

Neuros can be strange creatures though! Both my GP and pain specialist referred to them as an odd bunch who sometimes think they're God and one even called them a "breed unto themselves" whilst raising his eyes to the heavens... Seems to be a matter of luck as to what type we all end up with, sometimes requiring a 2nd or more opinion and change of neuro. Best thing is to try to find one who specialises in MS, if yours doesn't already. The MS Trust have a useful "map" of all MS services, including neuros, area by area here: http://www.mstrust.org.uk/information/services/

 

As for using the forum, don't worry, you'll soon get the hang of it! :hearts:


Marina

(belated DX in June '05, SPMS)

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rachy

I used to see him every 4 months then 6 months now once a year ..


.....................................

 

Rachy xx

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Christina

About 3 times a year at the moment - but it's been a frequent relapse year I'm afraid. Normally you're booked in 6 monthly at my hosp but the neuros are always behind with their appts.

 

Chris x :hearts_circle:


Not waiting for the storm to pass, but learning to dance in the rain ....

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Tania B

There is no category on the poll for my case so I've put this into, maybe muddled, words instead.

 

I was diagnosed with MS by my first neurologist at the end of November 2010. In his letter he mentioned that my MS had a benign course but due to a couple of new (mainly minor sensory symptoms) he referred to to a neurologist who specialises in MS. He offered my DMDs in March 2010, which I have not taken up. This neurologist did not want to see me again unless I decided to take DMDs and then he would see me in a year. All problems I now have to refer to an MS nurse.

 

I saw my MS nurse in June 2010 with whathas been classed as an exacerbation (due to an infection) and will see her again in June this year.

 

Your story sounds so familiar to memonkeypea.

 

Tania

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monkeypea

hi Tania,

thankyou for writing.

im very interested in what is classed as an exacerbation.

i have had new symptoms ( also mainly sensory) and these dont seem to be counted as a relapse according to my ms nurse.

so im wondering how they can tell if ms is active . ie indicating "progressive" type , with no remissions as such but bubbling under the surface with new mainly sensory symptoms or benign - i know which category i would rather they put me in !!

 

part of me feels the neurologist doesnt want to see me unless i took dmd's, and part of me also thinks i shouldnt see them unless i choose to take them..but i do want to know what "type" i am dealing with.

 

i think i will decide to see him again soon, and grill him a bit, cos i only saw him when i was first diagnosed by MRI and my 5yrs are almost up, and push for somemore mri scans. then im going to see him at least once a year unless i have something major occuring. Apart form anything else i need to apply for DLA and i dont think its going to help my case if i struggle in silence and dont "report in" to the neurologist.

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debzsanderson

My o/h has been abandoned!! He was diagnosed in 1993 and last saw a specialist in 1996!!(his then neurologist has now retired). If we mention wanting to see someone we get the MS Nurse who I'm afraid is a bit useless!! I personally feel angry that with Mark as ill as he is now with primary (was secondary) progressive ms that its me who has to sort out any new problems and alert the relevent people. His catheter care is poor and even when I notice slow drainage it takes a total blockage to get the district nurses out - serves them right as last time the nurse got soaked as a back log of wee flew out when the offending catheter was removed !! Even his gp will mostly so telephone consultations with me rather than come and see Mark.

 

debz xx


Mark has PP MS but I am his partner and do the posts as he cant use the computer!!

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ptlike

Hi Deb

 

That's appaling service your getting. Is it not worth making a complaint ? Changing doctor or contacting the MS society or simular?

I know nobody wants to look to a hospice but one close to me does offer help and very useful help, I personally have never used it but I do alot of people do. I hope your O/H gets better treatment in the coming year.

 

Best wishes

Peter

 

My o/h has been abandoned!! He was diagnosed in 1993 and last saw a specialist in 1996!!(his then neurologist has now retired). If we mention wanting to see someone we get the MS Nurse who I'm afraid is a bit useless!! I personally feel angry that with Mark as ill as he is now with primary (was secondary) progressive ms that its me who has to sort out any new problems and alert the relevent people. His catheter care is poor and even when I notice slow drainage it takes a total blockage to get the district nurses out - serves them right as last time the nurse got soaked as a back log of wee flew out when the offending catheter was removed !! Even his gp will mostly so telephone consultations with me rather than come and see Mark.

 

debz xx

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debzsanderson

thankyou Peter!!

 

to be honest its got to the point now that Mark wouldnt leave the flat to go to a hospital appointment (about three years since he last left the flat). We both know that there is no treatment that is going to help Mark-we can live in hope though and thats what I do!! He still has physio at home (costs


Mark has PP MS but I am his partner and do the posts as he cant use the computer!!

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ptlike

Hi Deb

 

Mark should be receiving better treatment from the NHS. Even though there is no cure yet, he should get help with symptom control at the very least. Imagine the outcry if a person with cancer was not visited by their GP. We are their customers, no customers no job!!!

In the area I live the local hospice as I have said is very helpful with ms patients it offers clinics, has its own ms nurse, offers treatments such as meditation aroma therapy, physio therapy and can help with symptom control and rest bite care. Have you tried your local hospice?

I hope you both start to get more help and support.

 

Best wishes

Peter

 

thankyou Peter!!

 

to be honest its got to the point now that Mark wouldnt leave the flat to go to a hospital appointment (about three years since he last left the flat). We both know that there is no treatment that is going to help Mark-we can live in hope though and thats what I do!! He still has physio at home (costs

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Bernadette

When I was relatively symptom-free, I saw the neuro or the MS nurse every 18 months.

 

Now, I'm seeing the neuro once a year, and the MS nurse once in between.

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Lindyloo

Im on a 3 yrs waiting list.. and our only one neuro in the west of Ireland does NOT do private appts.. he is too busy.

 

We dont have MS nurses here either. Sometimes i wish i never moved here from UK. Its so backward here sometimes.

 

Lindy


LindyLoo xx

" This moment will pass " (Bono U2)

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Richard H

Hi,

 

About every 6 months at Boston Pilgrim. I was also refered to Nottingham Hospital but have only seen them once, I do have the MS nurses mobile number if it all goes wrong but so far GP has come up trumps.

 

Richard


Richard x

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Patb

I personally feel angry that with Mark as ill as he is now with primary (was secondary) progressive ms that its me who has to sort out any new problems and alert the relevent people.

 

Hi Debz, not sure if you know this, but Mark must have got the wrong dx to begin with. You cannot have secondary and then get primary progressive MS. PPMS starts off as PPMS. Secondary, or SPMS, develops out of RRMS.

 

So, if he was told he had secondary and now has primary, they got it WRONG in the first place!!!

 

I really hope Mark can get some better treatment. It is as if he has been abandoned, and should at least be getting much more support and treatment for symptoms.

 

Thinking of you both,

 

Pat x

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WobblyGreg

I dont bother with the nuero anymore and never even get appointments sent to me to decline I have no idea if I even have an MS nurse since after the one I had left.

 

The nuero made me wait so long to send a report to my works insurance(wanted to see me first) then he just wrote what he could have put without seeing me and left out things like fact I had a frozen shoulder and spasticity in legs in the end I paid privately and saw an occupational specialist Doctor in Milton Keynes best 165£ I ever spent Insurance then paid out with interest.

 

So basicaly I was without money for over six months partly because of my nuero so no I dont bother with him anymore. :wave2:

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Ruby Red

Ive seen the neuro twice, Seen an MS Nurse once, I was basically told, nothing can be done for my MS it would just get worse to the point it would level out then the disability’s would out-way the MS. As a couple we’ve had to sort everything out ourselves, which at time is far quicker than the NHS. I had problems with Super-pubic blocking and having to wait till it was convenient for the nurse to call out, my husband now changes that every two weeks, same with the bowls. we have no service here .. district nurses cant be bothered, usual excuse overworked.

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