He’s male so they won’t brush it off as anxiety. And I’m an upper mid level manager in the health system we use according to the org chart. I recognize it’s privilege. I still suspect vestibular migraine, but those usually ebb and flow and this doesn’t.

Yes, there was contrast and no contrast. The NP said it showed lesions as well but I don’t see that on this report.

I suspect they are learning towards MS due to the family history. It’s worth ruling out especially now that he’s being honest about symptoms. He has no history of migraines or seizures. This is all fairly new.

I walked around on a broken leg for a week before anyone took me to the ER for an x ray. I have evidence of a healed fracture in one of my feet that I am pretty sure I just walked off because I definitely never got a fracture diagnosis on that foot. My mom was a nurse and my dad was an EMT. So don’t feel bad.

His NP is concerned about MS and is going to aggressively pursue that I guess; she just called. He apparently has been having right sided arm numbness and weakness and didn’t tell anyone. The personality changes are…new since January and significant. Not at all dangerous or unsafe, but frustrating to me.

No mass. The report doesn’t look terrible at all, actually. My money is still on vestibular migraines but they usually aren’t constant. I don’t understand all of this and Dr Google is being unhelpful. Maybe someone else knows more? He has two first cousins with MS but no other neurological family history.

He had the MRI this morning and nobody has called freaking out, so I think that’s a good sign.

I suspect the biggest roadblock to everything is that they’re adults with behaviors. There is precious little out there for disabled adults with significant behaviors especially those with near normal or normal cognitive functioning.

Oddly enough, he would tell you he’s been less stressed than ever.

We sail May 4. My money is on something like vestibular migraines but I am glad they’re doing imaging quickly to rule out worst case scenarios.

Insurance immediately approved an MRI and it’s scheduled for tomorrow morning. The provider is taking this very seriously which is what I had hoped for.

He failed part of the neuro exam particularly cranial nerve 3. Our insurance won’t cover an EEG until after an MRI, but they are ordering a stat MRI. It was a new provider he saw this morning but she was very thorough and I liked her. I was sort of hoping for something like postprandial hypotension but that wouldn’t affect the neuro exam.

DH has been experiencing severe localized headaches for a few months. The last week he has had dizziness to the point he is barely functional and it isn’t letting up. It is especially pronounced after eating, but he hasn’t had much of an appetite and has lost weight as it is. (don’t quote this part) He has also had…personality changes that while are not unsafe and he is a good dad, have led to a trial separation for us and I’ve been primarily living in our currently vacant rental house. I initially chalked it up to PTSD and a chronic pain issue that he refuses to treat, but I am now not sure that there isn’t something neurological going on. His blood sugars are good and his EKG is unchanged. He did actually decide to go to the doctor and I was able to pull some strings through my job to get him into a primary care doctor, as everyone here is literally booking eight weeks out even as an established patient. He asked me to go with him(which is another major personality change if I’m honest). Other than brain imaging and bloodwork, what else do I need to ask for? I suspect they’ll do whatever testing I request.

Before I delete the OP…. we had a wonderful evening. It was amazing and my nieces are lovely lovely girls that I adore. My sister mentioned that they’ve been googling me and reading my published work even during the years we didn’t speak and the girls thought it was awesome that I’ve written published articles and wanted to show me the stories they’ve written. So based on that I brought nice journals and gel pens for each girl and promised them if they wrote more stories in the journals we’d read them together when I come back. I plan to fly back in the fall. It was beyond healing and exactly what my heart needed.

It’s a really interesting thing that I’ve been thinking since I watched those TikToks. I travel frequently, almost always alone. And almost always to large cities. I truthfully have never actually felt unsafe from strangers. I don’t park under lights, I don’t care my keys in any specific way, I go for runs on isolated trails by myself. I drink alone at bars especially when I’m traveling(alone might not be accurate; I’m usually hanging out with colleagues, but no one I would really expect to look out for me). I also have never been assaulted in any form outside of work, where unfortunately being assaulted by patients is relatively common. So maybe I am an outlier. I also live someplace where I encounter bears. They don’t frighten me either. But 20 years of working on an urban ambulance has taught me it is generally not strangers who cause harm.