I had what my PCP considers a stroke. I awoke about 5 wks ago with marked degenerative changes in my speech as well as some cognitive dysfunction. No damage to arms, legs, facial muscles, etc. Stupidly, I did not see the doctor until Friday. I'd had a TIA 2 years earlier and thought that maybe this would pass too. My blood pressure,intermittently high for about 10 years, was pretty high. His dx was stroke and he immediately sent me to the ER for an outpatient CT which showed a lacunar infarct. He also started me on ALTACE in addition to the TOPROL XL I take for PSVT. Recommended speech therapy, brain MRI, and a consult with a neuro. Also started PLAVIX. Radiologist read the MRI as suspicious with possible areas of encephalomalacia and recommended MRI with contrast and other tests to confirm or rule out any problems. Started speech therapy, began making progress. Finally got in to see neuro who saw me for about 5 minutes, said I was fine, and referred me to a psychiatrist. Speech therapist and PCP maintain that I did have a stroke. I have no idea what to believe. Should I get a second neuro opinion? Should I believe that my symptoms, which are still present after 5 wks, are in my head, that my therapist and PCP are idiots, and that I'm a nut case? Do I need the ALTACE and the PLAVIX? My instincts say if I did not have a stroke, then I probably do not. My speech therapist contends that there is no way I'd know all the "tricks" to fake if I was just a nut job and that I present pretty classically. I do not know what to think or what step to take next. Thanks for helping.