So, my appointment is Monday. I am anxious in both a good and bad way. A few questions: 1. I have my crazy, long symptom list. Should I narrow it down or take it as is? Should I just use it as a guide for myself or actually hand it over? I am so worried she will be annoyed! 2.Should I explain that I have been diagnosed bipolar but feel their may be a physical reason behind it, or just sit and listen and play it cool? 3. Should I take in recent blood work or just let them order their own? (it is about a month old. ) Any other advice? I really want to make the most of this appointment if I can.

It has been my experience that when you mention any time of past or present psychological issues they are quick to tell you that is the cause of your symptoms. Hopefully for you this won't be the case, however I wouldn't offer that information unless they ask for it. That's all the advice I have for you but others will know better...good luck!

Were you DXed Bipolar by a Psych.? That could be a possible wrong
DX, so I wouldn't mention it. Just be as cool and yet concerned as
you can be and let the Neuro do that for which he/she is paid.

The list can be used at another appointment, if you like the Neuro.

Good luck..

I also would not take a long list. If asked what brought you to their office, I would list major neurological issues. E.G., The major problems I have been experiencing are X, Y, and z. They may give you a questionaire if this is your first visit. I would not withhold information if directly asked.

Thanks so much for the great advice. I will do as you suggest and try to mention my most bothersome symptoms and not mention my supposed bipolar (which I really don't buy). What about taking blood work? I am thinking not.

No I don't think you need to take your bloodwork. The only time my neuro did bloodwork was after spinal tap and he does occasionally check on my vit D levels if my pcp has not tested for it.

Everyone's suggestions are great. I would take the bloodwork. It may not contain everything the neuro wants, but it is a recent record of some interest. Insurance may not cover duplicate tests.

Just try not to throw everything at the doctor at once.

I would organize your symptoms and make a brief list to take with you. It will help you when discussing your symptoms and keep you on track. I wouldn't hand it over, just keep it with you. Some drs. like it when their patients bring lists. Others do not. Also, bring with you a list of questions that you may have. This will help as well. Is someone going with you?

As of the psychological issues, I wouldn't say much unless asked. Keep in mind that drs. share information especially with referrals. The neuro may already know about your past psychological issues. You may also be "asked" when you fill out the initial paperwork. It is best to be honest about when asked as that is part of your overall health and should medications be prescribed, it then becomes more important.

Take your blood test results in with you. That may be important and at least you will have it on hand should she want to order a test you have recently had done.

Good luck tomorrow and let us know how it goes.

My neuro as access to all of my medical records as I belong to a HMO. That is why I was thinking it was not necessary to take her results of bloodwork. I guess it all depends what kind of system you are in.

How did things go today, Julie?
ANN