Does your doctor confuse you? LOL

[lovemy6monkeys]

I'll start off saying that I really , really like my doctor. He is smart, he will spend as much time with you as you need, he has a very dry sense of humor, and most important, he believes me and did not try to brush off my concerns.

But, there is one thing that confuses me. I saw him to rule out MS. After my MRI's, which picked up very subtle lesions (pretty much not even noticeable) and nothing else, he said he is 90% sure it is not MS. Then, I saw him again on thursday and while talking to me he noticed nystagmus on my left eye. Again, at the end of the appointment he said he's pretty sure it's not MS. BUT, he leaves me with the impression that what he is really saying is "It's not MS...*yet*" In other words, he does not have the evidence to diagnose MS yet.

He seems almost giddy at the thought of how I will do over the summer, since I have problems when I get overheated. He's repeatedly stressed that he wants to see me immediately when I have any problems start up.

I'm wondering if this is common for doctors to say it is not MS due to the clinical evidence they have, while seeming to  not be willing to rule it out? Did that make sense? It's the unspoken "yet" that is confusing me. My doctor has a reputation for aggressively going after a diagnosis. I went to him expecting him to rule out MS, and have him then start looking for other reasons for my symptoms. Instead he has said that other causes have already been ruled out. He started me on neurontin to help improve my sleep, to help the cognitive issues I've been having. So, he's treating symptoms and not testing for other diagnosis's like I expected him to.  

I'm confused if this means that he is suspecting MS even though the MRI did not confirm it? If that was the case, would he continue to say he does not think it is MS until there is evidence that it is?

~Jess

[HVAC]

I kept getting the yets from half a dozen Drs. for several years. I thought they were all nuts. One said no you really have to take this seriously because they were all talking in this code.

The thing is neurology time is measured in in six month to years intervals that is how they see changes unless it is a sudden condition which there are few of in neurology.

One Neurologists notes were enlightening. He looked at an MRI and said patient does not have MS. He looked at the same MRI six months later and said this definitely is MS he can see Dawson's fingers.

He was a typical neurologist until there is enough time and evidence, in my case an LP to back up the MRI, they will not call it.

Alex

[Lulu54]

Gosh, Jess.  How many of us wouldn't like  to be able to crawl inside of a neuro's head for just a short bit to understand what they are thinking?  LOL

I don't know that I would read too much into his use of words or the lack of them.  Sorry that I can't give you a clue as to what he's thinking other than he is still piecing this together and looking for something else ..........

be well, Lulu