Print

Print


Hi David,

A neuropsychologist is a psychologist (non-MD) trained in measuring brain
function with special tests some of which are the same tests that movement
disorders physicians do e.g. finger tapping etc.as well as memory testing,
They can be useful when for instance there is a question of a brain tumor
(not your case) or other lesion and can often functionally narrow down  the
location of the lesion as accurately as some of the older imaging techniques
we had.  Now with MRI they are not used much in this way any more and tend
to work  in more academic and general medical settings, evaluating subtle
changes in function especially around issues of learning and brain
injury.and dementia.

If the person is functioning in the role of a neuropsychologist he will
likely interview you and then do testing.  If he is functioning as a
clinical psychologist, he likely will discuss your problems, stresses etc.
You may have been directed toward a psychotherapist rather than a
neuropsychologist- MDs often don't know the difference either

As I have said before PD is difficult to diagnose prospectively and it is
not uncommon to get the run-around you have gotten in the early stages.  I
believe you mentioned that you had taken Mellaril before but you did not get
back to me on the dose and whether you are taking it now.  That would be
extremely important information since Mellaril can cause Parkinson-like
symptoms.

I suggest the same as others, that you make an appointment with a movement
disorders specialist ASAP whether you follow through with the
neuropsychologist or not.

Charlie
Charles T. Meyer. M.D.  (Retired from the practice of psychiatry (with PD
For 11 years)



----- Original Message -----
From: "davidmeigs" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, June 07, 2000 2:52 PM
Subject: What is a neuro-psycologist? I Need advice!


> Hi everyone,
>
> I'm the newbie that wrote "Am I nuts" a week or two ago.   I am still in
the
> diagnosis stage and saw my Gp doctor today.   He asked about my
impressions
> of my visit with the neurologist a few weeks ago.   I told him that I had
> the feeling, while talking to the neuro that he thought I was nuts, and
that
> these symptoms were all in my mind.
>
> My doctor said with a smile on his face that "we don't use the word "nuts"
> around here"  "We use the word "Wacko".  The neurologist thinks your
Wacko!"
> He said.  I wasn't quite sure if he was kidding or not, and decided to
just
> take it as he was joking with me.   He said that he wanted me to see a
> neuro-psychologist.   He said that it wasn't the kind of doctor that would
> decide if your "Wacko" but had something to do with memories, etc...  My
> memory is one thing that has been effected lately.
>
> He offered no comments on my tremors, the stiffness & posture changes, my
> balance problem, or the fact that the height of my rug when walking from
the
> linoleum in the kitchen to the living room is often enough to snag my foot
> and trip me.
>
> I pointed out to him that while I still have all of these symptoms to a
> lesser degree, they were much worse each time my chronic ear infections
were
> at their worst.  I have been through two bad bouts of ear pain, and given
> antibiotics each time.  I noticed that at the end of the antibiotics I
felt
> better, and my parkinsonisms were also better.   Still present, but MUCH
> better.
>
> He said that sometimes viral infections could sometimes cause
parkinsonisms
> like tremors and such.  I WOULD GIVE EVERYTHING IF THIS COULD ONLY BE
TRUE.
> I don't know what to think.  I would appreciate your advice.
>
> Should I see this "neuro-psychologist, or stand firm on my request to see
a
> movement disorder specialist?
>
>
> Thanks,  you have all been so much help to me!
>
>
> The newbie that's going "nuts" err,  I mean  "Wacko"
>
> David M.
>
> If you want to answer off the list you can reach me at:
> [log in to unmask]