Hi all.

We just came back from Dr. Goldfarb. I got the results of his EMG and will post the paragraphs here for you to peruse and give me your comments.
She also is sending him for a lumbar puncture (she said that if he has the foot surgery, she's hoping they can do the lumbar puncture at the same time). We'll find this out on Thursday when we go and see Dr. Baird. She says Alan has both small and large fiber neuropathy. From reviewing his blood tests she saw some markers so she is definitely not ruling out auto-immune, but she is definitely being thorough. She also gave him samples of Cymbalta. 3 weeks worth. She knows that he went off the lyrica because of the fluid retention.

She said, if they do a lumbar puncture and they find protein, she will send him for IVIG. (I don't have any knowledge of what this is, I have to read various threads on this and update myself, because I know many of you have done this).

So here is what it says on the Emg report.

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59 year old man with pain in the legs and prior diagnosis of neuropathy. A prior electrodiagnostic study (5/03) Beric) revealed absent bilateral sural and tibial responses, reduced bilateral peroneal compound muscle action potential (CMAP) amplitudes, right ulnar and median distal latency prolongation. The right ulnar and median sensory nerve action potentials (SNAP) were reduced with an abnormal right transcarpal study. This electrodiagnostic study is performed to further characterize the polyneuropathy, evaluate for interval change and assess for a lumbosacral radiculopathy.

Impression: There is electrodiagnostic evidence of a moderate sensorimotor polyneuropathy affecting the legs and right arm. There is electrodiagnostic evidence of a moderate right median neuropathy at the wrists (carpal tunnel syndrome). There is no electrodiagnostic evidence of a lumbosacral radiculopath.
In comparison the prior study (5/03, Beric), the right median sensory nerve response is now absent. (Numerical report was not available).

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Now there are other pages included in this report with all numbers and charts, etc. I have absolutely no idea what they mean because I'm no professional.

She also told Alan that he could have surgery on his carpal tunnel in his wrists but he vetoed that.

And she didn't know why they did not give him a 3 hour glucose tolerance test the last time because that is what she ordered (they only gave him a one hour test) so tomorrow morning he goes at 8:30 .m. for the 3 hour Glucose tolerance test along with tests for QUANTITIVE IMMUNGLOBULINS, SPEP,IFE, and other things (I can't read her handwriting).
She's obviously being very very thorough.

So there you have it.
bye for now.
Melody