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HI Jennifer,

I think you got the best approach if not the most satisfying.  She
doesn't know exactly what is going on and she told you so.  Rather than
jump to an incorrect diagnosis the way some others have done she is
honest and you have been honest with her. You have developed  a sense of
mutual trust which will be necessary for you to come up with a good
assessment together.  She was able to make you comfortable in talking
about something that you did not want to talk about. I'll comment more
tomorrow- Have to go now,

Charlie

Jennifer Smith wrote:
>
> Dear Listmembers,
> Just wanted to give a report on my appt. with the new neuro at Emory,
> Univ.
> Well, I had my appt yesterday.  Very nice young doctor.  She asked me a
> lot of questions and basically got a pretty good picture of the whole
> story.  I was originally going to keep things pretty quiet about what
> came before, but as we progressed I could see that she really needed to
> see the whole picture to deal with my case accurately and she seemed to
> be very open minded.  She seemed truly sympathetic that I had been
> through the psychiatric wringer.  She was also very suprised at the
> symptoms I had experienced.  She wants to get me off  Klonopin, and has
> prescribed Remeron to try to restore some normalicy to my sleep pattern
> and help with depression.  She is consulting with her collegues about
> the possibility of doing a pet scan, whether or not it would be helpful
> to them.  She is leaning  a little toward the idea of drug induced
> parkinsons.  If that were the case (and I truly hope it is) the symptoms
> would eventually disappear.  But, at the moment, she is looking into the
> pet scan and giving me 8 weeks to get the full benefit of the medication
> changes and then I go back having stopped the Sinemet the night before
> so she can see me in the off mode.  I felt pretty good about the appt.
> I was a little disappointed that there were no ready answers, but I
> guess I should have expected that.  I was relieved that she didn't take
> the events of the past and make a quick judgement based upon them.  I do
> wonder, however, how her opinion might get altered as a result of
> consulting with her collegues.  I hope that doesn't happen.  Her exam
> revealed that my left foot has begun to turn inward.  She thinks it
> could be a side effect to the Sinemet.  She didn't change my dose,
> though, mainly because of changing the other meds.  Didn't want to
> change too much too fast.  I would be most interested to hear your
> thoughts on all this.  And thanks again to all of you who were so
> helpful in getting me prepared for this.  I got a lot of great advice
> and feel that I went into this well prepared.  I would especially like
> to hear from Charlie since we have discussed my case in the past.
> Jennifer Smith

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Charles T. Meyer,  M.D.
Middleton (Madison), Wisconsin
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