Today was the day for my NeuroPsych evaluation testing. It was scheduled for 8AM at the Murfreesboro VA Hospital which meant I would have to get up at 5AM in order to get there on time. I had told my friend Dave that I had to get up at 5AM so what does he do? Calls me up at 4AM to make sure I got up. Oh was I foaming at the mouth mad about that.
Actually I didn't realize the appointment was at Murfreesboro until I was just about to leave so I had to quickly print out direction on how to get there. So I spent 5.5 hours there with all l but about 15 minutes being the testing and then the doctor going over the results with me.
The first hour was an interview type setting where he explained what was going to go on and asking me about the problems I have been having ( memory, vision, OCD stuff, family history, etc). The doctor was real nice and had done his homework in studying my medical charts. He also seemed to be vary knowledgeable about MS.
After about a 5-10 minute break while he set up the stuff for testing me came the real workout. By the time we finished with the tests I could barely focus my eyes and at the end of the last test he said he could have done more tests but could tell I was having trouble with my eyes and getting really burned out.
I forget how many different tests we did, but they cover visual memory, hearing memory, recalling with clues of my memory, Timing the response of each of my hands, Figuring out patterns, etc.
In the end he said my memory was fine once I get things in there, but am very slow at getting them in which is consistent with MS.
He said my right hand was 25% slower than my left even though I am right handed which he expected since I had my brace on my right foot for the foot drop. When I have looked at my MRI pictures I had noticed most of the spots were on the left side of my brain.
I was surprised I did good on the math skills part. They word those word type math problems which he read to me 1 time only. You know the "if you have 3 apples and your friend has 2 apples and you give him one apple how many do each of you have". I missed only two of the questions mostly because I forgot how many where the original amount.
For figuring out complex things I could do it but it took longer than it should have based on my age and background. Again consistent with MS. The brain is just slowed down.
As for the OCD type things I have been experiencing he said there is a component of that happening that could be either anxiety or memory problems, medication, or both. He is going to recommend a review of my medications and talk therapy so that it doesn't get any worse. Since I live so far from th VA hospital he wants to see if he can get something like weekly teleconference therapy and monthly in person therapy.
He was also concerned about my sleep problems and was going to put in for some pain management type stuff to go along with the talk therapy as the OCD stuff is also disturbing my sleep. That sure would be great as I can't remember have even one day free of pain since 1989. I think he said that because I admitted that once last year I was in so much pain and depressed I though of shooting myself in the foot just to get some pain medication.
Speaking of pain about 1 hour before the end of the testing I had another bout of TN start up. Of course I had none of my pain meds with me so by the time I got home I was in agony. I took 2 pain pills immediately;y when I got home so if this is not readable you will have to understand it is the pain meds kicking in. Now I ma going to got to sleep about 20 years as I can hardly keep my eyes open any longer. Besides All that I have written is just a big burr and am just using the spell checker to guess at what I had meant to write. Thank God for the read underlines. :)
Dennis