QOTD: This is a new TH-cam Adventure for me, decoding portions of the Neurological examination. What do you think? If folks like this video I can publish a series of videos de-mystifying various aspects of the neuro exam! Please let me know your thoughts below!! #WeHaveMS
I enjoyed this video and your example of "wax on, wax off" was great. I misinterpreted the title, thinking it was a medical overview of the nervous system rather than what it states being the clinical examination. Sometime I would appreciate a deeper understanding of the nervous system. It amazes me that my muscles are still intact but they are controlled by the nerves. We patients have little understanding of nerves until we are diagnosed with a nerve condition. The general public knows little of them. Again thank you for the video's, I am dismayed about the lower viewer count for this but sometimes we with MS deal with symptoms and not education.
Absolutely fantastic. Thank you as always. I know a lot of us MSers don't either care or want to know, I'm on the other side of that coin though. As an engineer (retired) the 'hows' are the usual question format. Now, it's the 'whys' and this video was brilliant in helping with that. Basic understanding! Superb. I vote more! 😄
I have a up coming appointment in Feb. 2023. I am worried about what test they will do this time. I went through the test of removing fluid from my spine around the year 2000. I don't want to do that again. I went blind in 1979-1980 many times total black out. My vision was my first signs, stumbling, speech sounding drunk. One of my arms ached. I am at this point having more systems again. I would love to see more videos on Exams.
Great idea. Ideally, this neuro-exam video series (once complete) should be playing non-stop in every neuro-MD waiting room. When anybody arrives for their very first neuro-exam, there is distress, uncertainty and lots more unhappy feelings; but then the exam itself typically just worsens the patient's fear - doctor is performing and asking for diverse strange things with zero explanation. So, YES, please do create and publish the whole series. Even if the likelihood, that a brand new patient luckily stumbles across it before their first neuro-exam is rather low, at least they can look it up after the exam and destress a bit.
Dr. B. .... this was awesome. I am sad that not all neurologists are as precise and looking for the things you do. You have an inner drive unlike others to be the best of the best in your field. I like this type of video. It explains so much. Do you tell your patients after these tests what your “eagle eye” assessment revealed?
With MS and TM, my MS specialist/neurologist only gives me a whopping 30-45-second assessment and has me walk the hall for about 30 seconds. That's it. Tells me I'm good, and I'm out the door. I spend the same amount of time with the phlebotomist that I do the neurologist. 🙄 Dr. B, I sure wish you were my MS neurologist.
After watching this video & reading the comment from @ maryemmons8318, I simply could not have said it any better. I love your videos & appreciate all the knowledge they impart. Thank you, Dr. Boster!
Thank you for the explanation!! Been living with this disease for 24yrs. Didn't feel like I really had MS still 2yrs ago. Been working hard to get my legs back!! Thank you for all you do for the MS community!!!
In another recent video you inspired me to ask my neurologist to watch me walk at an upcoming app't as she has never done this. Thank you for your unrelenting education. It is very helpful!
This is good information to have going into a neurologist.... call it quality control. You see what a thorough exam looks like. So when the Neurologist runs in and quickly breezes through an exam without really paying attention to what the patient is presenting, the patient can advocate for themselves a little better. My daughter’s neurologist didn’t do half of these tests, told her she’s “normal” and then brushed off all the opinions from occupational therapists, vision therapists, and her pediatrician. Now we get to repeat this whole process when we are seen for a second opinion. Knowledge is power. Wish I had this video a week ago. Love your videos. Keep up the good work👍🏻
Amber, something I learned when I moved to a new state. I faced searching for a new Neurologist in a directory that left me with no options. Only doctor available was recommended by one of the offices I called (all the doctor's on the list we're either not accepting my insurance anymore or they didn't deal with MS patients). I was happy to find a Neuro practice that did, so I jumped at making an appointment. I met with the nurse practitioner, and got some time to meet the Neuro as well. What an eye opener. I had never consulted for a second opinion back home. Didn't realize it was necessary. Plus not many Neuros specialize in MS in my old state. In addition to this visit I had made an appointment with a well known MS practice downtown which did not accept my insurance, but I really wanted to get that doctor's opinion so paying the consultation fee was worth it. What a surprise to get a third opinion at that point. I learned something valuable, a second or third opinion, no matter how long it takes to get in front of the doctor (which happens because it's a 1st visit), is worth the long wait or the out-of-state pocket expense. The opinions of these doctor's didn't clash per se with my original neuro, but the second doctor (a general neuro) reminded me of what to expect when starting treatment with a new medication; he wouldn't have pulled me off Tysabri so quickly. No med will guarantee no more relapses or halt progression. The third doctor was an MS Specialist and gave me a comprehensive examination, filled out my questionnaire with me, asked all kinds of questions and provided recommendations along the way for further treatment with other specialists, medication direction, and diet. I walked away with a printout of her recommendations and shared it with the Nurse Practioner at the second neuro's office. I told my husband, it's worth paying the consultation fee because that third doctor really showed me what a non-rushed visit should include. Even if the consultation is out-of-state, consider setting the appointment and go. If you want to stay in touch with that doctor, ask them if they have a patient portal available to send questions, and what's the fee for visits with a nurse practitioner online if available? Sorry for such a long reply. Best wishes for brighter days for your daughter. Cindy
Thank you, Cindy. We’re working on getting a referral to a practice 4 hours away from where we live. This practice is in a significantly larger city and so, we hope, has a better selection of Dr.’s. We’re not sure if she has MS specifically but there is definitely something neurological in nature going on.
Wax on, wax off.....paint the fence......sand the floor.......oh wow, what an 80's flash back! I love it. Thank you for this video. Very helpful to learn exactly what is being looked at during a neuro exam.
This is very informative and I would like to see more. Your neurological exam contains way more than what my MS neurologist has done on me. I was diagnosed in 2002. Thank you for your great videos.
As an MS patient and an analyst by trade I am always interested in the "whys" of what is going on in me and the tests my neuro does on me. I really appreciated the detail of this video and would definitely love to see more educational videos like this one! Thank you for taking time to make these!
As long as I've had MS, (18yrs6mos) I've never had some of the parts of the Neuro exam that I saw in this video!🤯 Also, you explained very well and in an easy to follow manner (as usual)!! I look forward to many more as it relates to the Neurological function!Thank You Dr.B🤗
Good video...for me, seeing your neuro exam does two main things 1) explains the why/what which not all people are good at and helpful to hear it from another angle/communication style and 2) gives all of your viewers a point of view and comparison from your style/testing vs. the exams that individuals are experiencing from their neurologists. I'm an information junky and too much information is never enough for me! Keep the videos coming and thank you for you efforts and contributions!
I have received Neuro exams for 25 years from different Neurologists. I never really thought to ask for an explanation of what you are looking for. Now that I have seen this it confirms what I always thought but also adds to my knowledge. This also reminds me that I should ask more questions. Looking forward to the next video. My only complaint is that I wasn’t sure when the video was starting (No emphatic “now” ☺️)
Howdy Scott! I actually realized I left out my "classic intro" during the editing process and had a moment where I considered re-recording it! Never to worry, next vid will include the intro....right...NOW!
What an awesome new series you're doing for us. Yes, yes, yes. We can always be learning. I just had my bi-annual exam yesterday, where he did a reflex test down by the ankle bone. It was a new area for me. I asked him the purpose and got an answer. The point is we shouldn't be afraid to ask questions about the exam, during the exam. I believe it will show us what type of physician we have and care should be an open dialogue between patient and physician. It's a long term commitment with a chronic disease, so don't be afraid to ask questions. Stepping off my soap box now. :)
I’m all in for it!! I think educating ourselves in these “tests” and our responses will make us ask questions about our MS rather than just going through the motions of a follow-up. Thank you for sharing!
Excellent. I've never had as precise an examination. The skipping I guess is difficult for a lot of people and you have to be confident your doc will catch you if you fall over. Thank you for this😊
You are awesome! This video was made just before I found out I had MS (just before Mother's Day 2019). I feel that these videos help me very much to understand my MS. Great job!!!
I personally am quite interested in this, I believe the neurological system is far more complex than any human can understand. I guess that stands for reason or we would be a lot closer to add cure? I really love the analogies, I think that is the best sweeper simple people such as myself to learn
We have seen two nuerologist over the past 5 months and none of them have given my wife a thorough exam, not even close. Her condition has progresivly gotten worse to the point she may lose her job. Thank you so much for your videos.
Brings back such happy memories this video.... the untold level of anxiety in waiting for the Neuro to announce his conclusion from the tests he performed in the previous 20 minutes more like a baseball bat across the face during one of life’s most vulnerable moments..... Saying that, diagnosis came as a great relief because I could think of worse I appreciate the breakdown you’ve done, thank you. Demystifies, educates and fascinates....some beast of an illness.
I wish the nuro gait exams were this good in the UK, unfortunately most people I know who’ve had a nuro exam, we’re told to stand up, take two steps, and sit down.
I just stumbled onto these videos and I dig this channel! This is a very good idea, saves me in asking questions, like what are you doing now, what’s that for, what does that tell you. One thing that seems to throw people is I also have RA and my ankles are fused. So a lot of the walking stuff is a mixture of MS and RA. But thank you! Knowledge is power!!!
Thanks for breaking it down, Dr. B. I was familiar with many parts of this exam, but there were some portions I’ve never had tested at my quarterly visits. Thanks for sharing your passion for both the science and the humanity that goes with MS.
Can't thank you enough for enlightening me. We need to understand this disease in order to avoid panicking when we feel something isn't working appropriately. Dr. B you should consider creating an educational channel and funding it thru Patreon. We can all chip in! God bless!
@@AaronBosterMD What is a patreon account on TH-cam? Patreon (/ˈpeɪtriɒn/) is a membership platform that provides business tools for creators to run a subscription content service, with ways for artists to build relationships and provide exclusive experiences to their subscribers, or "patrons." I know you're not doing this for business, but funding can allow you to develop more contents. You have a community that would be more than glad to support you.
dr boster..my name is mark.i ve had ms for twenty years.i`m having a lot more trouble now that i`m getting old..60 i found you videos a few days ago..i`m going back and watching them and learning a lot......thanks for your work.. gives me some peace.. MARK WEST in detroit mi
hey dr boster. did some time in dtw ay..you must be a red wing fan.their season starts tonight..thanks for the msg..wish you still in dtw may be you could be my dr..have a decent one now,,lets me do what i want and still try to help best he can . thanks again DR mark in dtw,,,,,,,,,, go wings
You seem like a real caring dr. Makes me want to become your patient the only thing stopping me is the distance I'm 2hrs 45min away from your clinic. Keep up the great work and videos
I bet your family is so proud of your work in prol of people across the globe! I love your content! Tks a lot for sharing your valuable experience as a neurologist! You re making the world a better place!
Sudbury,Ontario,Canada//// Suzanne listening Dr. Boster. going 2 see my neurologist next week which is twice a year for my apts./ Again see U again later.///
Thank you for the great information. I am a 50 year old woman in Canada waiting to find out the results of my first ever neuro appointment. I will find out in 37 days what the assessment is (or further testing possibly). I'm thinking its MS, as most things fit. It's a hard wait!! Looking back now at the last 20 years I see things that I should have mentioned to GP. In late November 2017 I broke my right fibula (have never broken a bone before this), I didnt see 1 step down. A plate and 9 screws later my ankle functions at about 90+%. I'm happy about that, but not the constant tingling that started in my toes of both feet and now encompasses my feet entirely. I have lost some sensation in both as well. After the exam the neuro had me go for the following testing; bloodwork, MRI of brain and spine and an EEG. I had two previous brain MRI's that he didnt have knowledge of so I was able to get the results to him to give a baseline. An evoked potentials test (peripheral nerves are ok) was done just before the neuro exam. I feel that symptoms have definitely worsened/increased since the first appointment 2 months ago. So I just need to keep myself busy for the next month. Your videos are much more palatable than any I have found. Thank you.
This is much more substantial than I went through at my dxs back in 1997 in UK. I have learnt so much about my condition and how to alter my life. Well done more please
Hi Aaron, this kind of videos is very interesting for me. I've always wondered why certain examinations were made in certain ways. Especially the walking and standing exams. From what I have learned every doctor can read from this. Very interesting. And now even more interesting, cause now I know what my neurologist can read out of these examination processes! When I am in her office next time I am going to ask her to talk while she is testing me. So I can learn more about what SHE is seeing through these tests! Thanks for sharing all these informations! Have a good day ! I am loving to learn from you!, best regards and until next time, Britta
Absolutely loved this video and has been extremely helpful. I have had RR/MS for probably 40 yrs and never have known as much about MS as I have since watching your videos. So please, keep doing these videos! Thank you! Thank you!
I have been told I have MS on two occasions and on two occasions told that I don’t have MS. I have a lot of the problems associated with MS and really struggle sometimes. The tests will help me have a more meaningful conversation with the Neurologist when I see them for the 3rd time to discuss my symptoms
Dr. Boster, It is nice to hear for the first time since diagnosis what some these tests are showing / telling the Doctor as he / she is watching them be preformed. I have been through them all more than once and have always wondered what this or that is showing or telling them? Please keep them coming! so very interested after watching part 1 this morning in what all the other tests are showing or telling about my MS condition. Thank you for all you do for all of us in this community!!
Wow you are so thorough! I have an appointment with a neurologist in May as I am experiencing a bunch of symptoms including weakness, spasms, tremors and tingling and cold feet and hands ( just to name a few)that are MS related. I'm not sure if it is or not but I still want to be seen to see what's wrong with me. This video had helped me become more aware of the purpose of these tests and help me be a bit less anxious about my appointment. Thank you. Loving the series so far 😆
Thank you Dr. Boster. I would love to see the additional videos of the examine. Of special interest for additional content would be (1) what to do when you just received a diagnosis in the ER, now what? (2) what to ask the ER or specialist doctors before you walk away from their care and are waiting for your MS Neuro visit? What should you do if you have to wait for an appointment with an MS Neuro and you're having a relapse? My body was going bezerk, my GP was out of town and I had no clue how bad it would get waiting for my 1st visit with the neuro. (3) Since cognition takes such a horrible hit, there's no way to "remember" what to ask a doctor before you walk away, let alone what questions should a patient ask for their first MS Neuro visit. (4) Again, in the event you have what feels like another relapse, under the care of a MS Neuro, but it's Friday after 5pm or a weekend day, is it okay to head to the ER and ask for more steroids? My NP is reluctant to prescribe these because she says the effectiveness wears off? This pretty much harks back to the question, what instructions should you have from your MS Neuro once you walk away from them? My relapses always seem to present themselves when the office is closed. (5) And finally, recommendations for keeping the medical paperwork sorted. Trying to keep my notes (which always seem written on paper scraps) together is a huge undertaking. Organization suffers. Again, thank you for the video.
Love this new series, my VA doc has never done these test with me. I use your channel to ask questions to him and thank you for making them. It helps learning about this in my fight
I found this useful. I don't always remember to ask some questions at my ms appointments, or sometimes I don't remember the answers I've been given. Its helpful to know what the doctor is looking for when they ask us to perform these tests.
Omg thanks so much for this! I'm always so nervous at every neurologist appointment because I never know what's happening and feel so awkward! Thanks a lot, seriously
I can not believe I had missed this video for four years. This is very helpful. I have always wondered why I did those test and why I only do them once a year .(or around there.) Thanks again for sharing the knowledge with us.
I’m sure your patients tell you this all the time but you are so amazing at what you do! I wish everyone with MS could have a Nuerologist who is as compassionate and knowledgeable as you! ❤️ A good team makes a world of difference.
I enjoy understanding why certain things are done my brain just likes to understand things it also shows that my Neuro exam doesn’t necessarily look this closely as you do. Or maybe he does but I don’t I don’t know just reinforces that I’m really grateful that you put this information out there to share with those of us that are not in the same state that you were at thank you would love to see more
This is very educational and fascinating thank you. It has never been explained to me before nor has my doctor tested me in all the ways you show in this video. Thank you so much. You are a world of knowledge.
Liked and Subscribed, My neuro has had me walk maybe 25 feet, and maybe a few of the other tests. But nothing this detailed. Thanks for putting this out there.
I cant tell you how excited I was when I saw this pop up on my Twitter/TH-cam channel today. I have had so many questions regarding what my neurologist is looking for in these tests since my diagnosis 1 1/2 years ago. My questions...along with my shyness (Its really difficult for me to have people watch/analyze me) have actually caused my anxiety to increase with each neuro appointment. I eagerly anticipate more videos on this topic and hope it helps me get my anxiety/nervousness for my appointments under control!!
Enjoyed this. It's good to mix your feed up a little so some demystification of a neuro exam is most welcome. I feel I walk normally for my neurologist, if only he'd get me to turn my head as I walk as I'm sure I'd fall over if I did.
It's cool to see your thoughts on this ... I know a lot of people have no clue what's going on when they're being examined. Demystifying this process is pretty important.
This was helpful. I just had a neuro exam two weeks ago. I'm strongly suspected of having MS and I'm also being treated for trigeminal neuralgia. The neurologist made a comment that made me realize something wasn't right with my reflexes so I paid attention the second time he tested them. I came home and did some research about it, which was similar to your topic here. My left leg has almost no reflexes and dulled pain response from pin prick tests below the knee. My right leg was fairly brisk. MRIs are scheduled this week. Thanks for the informative video series. Looking forward to learning more.
Dr. Boster you talk about your work with such passion. I wish you were my doctor. I am having a very difficult time recently. It all started 6 years ago but my symptoms have grown to be disruptive to my life. Your enthusiasm inspires me so much. I started my second degree in healthcare which I haven’t been able to finish due to sheer exhaustion and keeping up with my toddler. Once the dust settles with the pandemic I’m going back and it’s doctors like you that make me want to see it through. Thank you for your videos and the knowledge you share. Best wishes and Happy New Year
Aaron thanks for posting this video, I'm from Northern Ireland and my neuro always runs those tests but I never know what they where for or what they show him. I love all the videos you post, I've been diagnosed with MS for over 13 years and I've learnt more from watching you lately then I've ever learnt about my MS. thanks Mark.
Thanks, Dr. Boster. The info is very helpful. I have had ppms for 25 years and I have been curious about how useful the neuro exam is. Please continue this series.
Awesome video Dr, You clarified many inexplicable things like my Dr just watching me walk on the way to exam, Tuning fork for sensation & taps, tongue out, torch etc & comment "So, your exercises seems to be regular" General discussions with my wife (Primary caretaker) on Irritability, Sleeping pattern etc. before coming to me "So, how are you doing" Used to joke "Our man is more of a Veterinary doctor" :-)
Hi again Dr. Boster. Just wondering if you were planning on making a video on the new MS treatment guidelines. I was just reading an email about it from the National MS Society and it looks exciting but confusing!
Wow never even had something close to this. Was about 5 mins if that with my primary doctor. My physio therapist did a similar test but asked me to stand on one leg a second time but this time asked me to close my eyes. I was very surprised that I almost fell over and could barely maintain a balance. It was like I was doing a sobriety test and failing. I hope my neuro will do this extensive test
Dude,I want you to be my doctor. I wish so many more Doctors were as complete as you certainly seem to be.I felt the Video was great, and I would personally like to see more on various topics surrounding MS and the why and why not's of what you're doing.Again, really great Doctor B.
My neuro, who recently retired😳, noticed something in my gait within the first couple minutes of my first visit. Of course many other test followed but he finally gave me an answer to confirm I wasn't going crazy. I had to learn to be my on advocate and try to get a care team that listened.
Thank you immensely for your thorough explanations! It’s imperative we understand these MS changes in our body and the tests performed. Please do continue, your work is very much appreciated, God bless you and yours 😊🙏🏼👏🏼
Very helpful as someone recently diagnosed this has really helped me understand why my doc is asking me to do these things. Along with our discussions. Thanks!!!!!
This was a very good video,thank you for making it. It would be awesome for this to become a series of videos. As someone who has been newly diagnosed with RRMS,I had no idea what was going on,and how it relates/related to my symptoms. Having an understanding helps,especially when you are dealing with so many things that you already do not understand.
Janice, good luck! #wehavems There is a whole community here of kind people like Dr. Boster who want to empower you and support you to be your best version of you! I am a mom/caregiver for my son who’s been diagnosed these past nine years. Empowering yourself through sound, plausible knowledges is one of the best tools in your arsenal for having MS but it not having you! Much success on your journey!
My neuro always tests for clonus in my foot/ankle too. He then counts how many times my foot "bounces." Once it starts it just keeps going whereas in the past it would just go a few times. Thanks for the info.
I am really enjoying your videos. I am an older adult having many muscular and nerve problems. the notion of Ms did enter my mind but I was told the only way to detect it is through a spinal tap - needless to say....no thanks. So watching your videos is very interesting to me. Tyfs
Dr B- This video was super helpful in making this part of the neuro exam make more sense and make me feel like a little less of a fool while doing it! Keep going with this series! Love it!
Dr Boster I've learned so much from you, thank you. This video regarding our neurological examination certainly enlightened me, my next Neurologist appointment is this coming June. Massive heartfelt THANK YOU, your vids are definitely helping me understand this MS beast more clearly. Very best Regards, Jane Ireland ☘️
Very informative, I have multiple issues with back and neck. But, yet my neurologist didn't have me do some of the testing you shown on the video. When I tried the exercises on your video, I struggled and or failed.
I’ve never had an exam that was quite that in-depth I am grateful for my care though and really looking forward to treatment on Tuesday thanks for this awesome learning opportunity! SR
Dr. B! This is good stuff.. you’re actually decoding all the stuff my neurologist mumbles under his breath as he’s going through these exercises 🙄 Keep it coming I may be able to respond to all the mumbling one day. Thank You, looking forward to the next video in this series.
QOTD: This is a new TH-cam Adventure for me, decoding portions of the Neurological examination. What do you think? If folks like this video I can publish a series of videos de-mystifying various aspects of the neuro exam! Please let me know your thoughts below!! #WeHaveMS
This is very beneficial, Thank you Dr. Boster.
Thumbs up for a series on the neurological exam,absolutely!!
I enjoyed this video and your example of "wax on, wax off" was great. I misinterpreted the title, thinking it was a medical overview of the nervous system rather than what it states being the clinical examination. Sometime I would appreciate a deeper understanding of the nervous system. It amazes me that my muscles are still intact but they are controlled by the nerves. We patients have little understanding of nerves until we are diagnosed with a nerve condition. The general public knows little of them.
Again thank you for the video's, I am dismayed about the lower viewer count for this but sometimes we with MS deal with symptoms and not education.
Absolutely fantastic. Thank you as always.
I know a lot of us MSers don't either care or want to know, I'm on the other side of that coin though.
As an engineer (retired) the 'hows' are the usual question format. Now, it's the 'whys' and this video was brilliant in helping with that.
Basic understanding! Superb.
I vote more! 😄
I think think will be a great learning Series. Again appreciate what you help to do educating us!! #WehaveMS
I have a up coming appointment in Feb. 2023. I am worried about what test they will do this time. I went through the test of removing fluid from my spine around the year 2000. I don't want to do that again. I went blind in 1979-1980 many times total black out. My vision was my first signs, stumbling, speech sounding drunk. One of my arms ached. I am at this point having more systems again. I would love to see more videos on Exams.
Great idea. Ideally, this neuro-exam video series (once complete) should be playing non-stop in every neuro-MD waiting room. When anybody arrives for their very first neuro-exam, there is distress, uncertainty and lots more unhappy feelings; but then the exam itself typically just worsens the patient's fear - doctor is performing and asking for diverse strange things with zero explanation.
So, YES, please do create and publish the whole series. Even if the likelihood, that a brand new patient luckily stumbles across it before their first neuro-exam is rather low, at least they can look it up after the exam and destress a bit.
right on! #WeHaveMS
Finally someone who really gets it what people who have M.S really need 👏
Dr. B. .... this was awesome. I am sad that not all neurologists are as precise and looking for the things you do. You have an inner drive unlike others to be the best of the best in your field. I like this type of video. It explains so much. Do you tell your patients after these tests what your “eagle eye” assessment revealed?
It depends on what all is going on in clinic but often we summarize our findings, yes
With MS and TM, my MS specialist/neurologist only gives me a whopping 30-45-second assessment and has me walk the hall for about 30 seconds. That's it. Tells me I'm good, and I'm out the door. I spend the same amount of time with the phlebotomist that I do the neurologist. 🙄
Dr. B, I sure wish you were my MS neurologist.
After watching this video & reading the comment from @ maryemmons8318, I simply could not have said it any better. I love your videos & appreciate all the knowledge they impart. Thank you, Dr. Boster!
Thank you for the explanation!! Been living with this disease for 24yrs. Didn't feel like I really had MS still 2yrs ago. Been working hard to get my legs back!! Thank you for all you do for the MS community!!!
In another recent video you inspired me to ask my neurologist to watch me walk at an upcoming app't as she has never done this. Thank you for your unrelenting education. It is very helpful!
This is good information to have going into a neurologist.... call it quality control. You see what a thorough exam looks like. So when the Neurologist runs in and quickly breezes through an exam without really paying attention to what the patient is presenting, the patient can advocate for themselves a little better. My daughter’s neurologist didn’t do half of these tests, told her she’s “normal” and then brushed off all the opinions from occupational therapists, vision therapists, and her pediatrician. Now we get to repeat this whole process when we are seen for a second opinion. Knowledge is power. Wish I had this video a week ago. Love your videos. Keep up the good work👍🏻
Amber, something I learned when I moved to a new state. I faced searching for a new Neurologist in a directory that left me with no options. Only doctor available was recommended by one of the offices I called (all the doctor's on the list we're either not accepting my insurance anymore or they didn't deal with MS patients). I was happy to find a Neuro practice that did, so I jumped at making an appointment. I met with the nurse practitioner, and got some time to meet the Neuro as well. What an eye opener. I had never consulted for a second opinion back home. Didn't realize it was necessary. Plus not many Neuros specialize in MS in my old state. In addition to this visit I had made an appointment with a well known MS practice downtown which did not accept my insurance, but I really wanted to get that doctor's opinion so paying the consultation fee was worth it. What a surprise to get a third opinion at that point. I learned something valuable, a second or third opinion, no matter how long it takes to get in front of the doctor (which happens because it's a 1st visit), is worth the long wait or the out-of-state pocket expense. The opinions of these doctor's didn't clash per se with my original neuro, but the second doctor (a general neuro) reminded me of what to expect when starting treatment with a new medication; he wouldn't have pulled me off Tysabri so quickly. No med will guarantee no more relapses or halt progression. The third doctor was an MS Specialist and gave me a comprehensive examination, filled out my questionnaire with me, asked all kinds of questions and provided recommendations along the way for further treatment with other specialists, medication direction, and diet. I walked away with a printout of her recommendations and shared it with the Nurse Practioner at the second neuro's office. I told my husband, it's worth paying the consultation fee because that third doctor really showed me what a non-rushed visit should include. Even if the consultation is out-of-state, consider setting the appointment and go. If you want to stay in touch with that doctor, ask them if they have a patient portal available to send questions, and what's the fee for visits with a nurse practitioner online if available? Sorry for such a long reply. Best wishes for brighter days for your daughter. Cindy
Thank you, Cindy. We’re working on getting a referral to a practice 4 hours away from where we live. This practice is in a significantly larger city and so, we hope, has a better selection of Dr.’s. We’re not sure if she has MS specifically but there is definitely something neurological in nature going on.
#WeHaveMS
#WeHaveMS
TY Amber!
I wish my neurologist was this thorougn with the neuro exam
Wax on, wax off.....paint the fence......sand the floor.......oh wow, what an 80's flash back! I love it. Thank you for this video. Very helpful to learn exactly what is being looked at during a neuro exam.
So glad you got the reference! I was worried folks wouldn't get it!
Wish your clinic was closer where I live. I've never had such an exam that detailed since 2013 diagnoses
This is very informative and I would like to see more. Your neurological exam contains way more than what my MS neurologist has done on me. I was diagnosed in 2002. Thank you for your great videos.
TY Michele! Cheers and more to come! #WeHaveMS
As an MS patient and an analyst by trade I am always interested in the "whys" of what is going on in me and the tests my neuro does on me. I really appreciated the detail of this video and would definitely love to see more educational videos like this one! Thank you for taking time to make these!
You're welcome Nailea! I'll plan more vids on the neuro examination to come! #WeHaveMS
Thank you for every video you do. The videos make our MS visits easier to understand.
That feedback means everything to me Brenda!
Thank you. I’m newly diagnosed is Australia and am still feeling very lost. Your clip gave me much more insight than anything else I’ve seen. Thanks
Howdy Katharina, you are not alone. Here's a playlist called "MS Basics: start here" th-cam.com/video/3M5pSb9SRJU/w-d-xo.html
As long as I've had MS, (18yrs6mos) I've never had some of the parts of the Neuro exam that I saw in this video!🤯 Also, you explained very well and in an easy to follow manner (as usual)!! I look forward to many more as it relates to the Neurological function!Thank You Dr.B🤗
Thanks Linda! Look for more vids in this series soon!
I love this decoding, Please keep them coming.
Great feedback! Will do Marissa!
The best neurologist ever. Keep up the great work, Dr. Boster. Greetings from Belgium.
Good video...for me, seeing your neuro exam does two main things 1) explains the why/what which not all people are good at and helpful to hear it from another angle/communication style and 2) gives all of your viewers a point of view and comparison from your style/testing vs. the exams that individuals are experiencing from their neurologists. I'm an information junky and too much information is never enough for me! Keep the videos coming and thank you for you efforts and contributions!
two excellent points Bob! TY! #WeHaveMS
I have received Neuro exams for 25 years from different Neurologists. I never really thought to ask for an explanation of what you are looking for. Now that I have seen this it confirms what I always thought but also adds to my knowledge. This also reminds me that I should ask more questions. Looking forward to the next video. My only complaint is that I wasn’t sure when the video was starting (No emphatic “now” ☺️)
Howdy Scott! I actually realized I left out my "classic intro" during the editing process and had a moment where I considered re-recording it! Never to worry, next vid will include the intro....right...NOW!
What an awesome new series you're doing for us. Yes, yes, yes. We can always be learning. I just had my bi-annual exam yesterday, where he did a reflex test down by the ankle bone. It was a new area for me. I asked him the purpose and got an answer. The point is we shouldn't be afraid to ask questions about the exam, during the exam. I believe it will show us what type of physician we have and care should be an open dialogue between patient and physician. It's a long term commitment with a chronic disease, so don't be afraid to ask questions. Stepping off my soap box now. :)
#WeHaveMS
All of your TH-cam videos are vital for all of us. GO FOR IT!!
I’m all in for it!! I think educating ourselves in these “tests” and our responses will make us ask questions about our MS rather than just going through the motions of a follow-up. Thank you for sharing!
right on Natalia! #WeHaveMS
Excellent. I've never had as precise an examination. The skipping I guess is difficult for a lot of people and you have to be confident your doc will catch you if you fall over. Thank you for this😊
You are awesome! This video was made just before I found out I had MS (just before Mother's Day 2019). I feel that these videos help me very much to understand my MS. Great job!!!
I personally am quite interested in this, I believe the neurological system is far more complex than any human can understand. I guess that stands for reason or we would be a lot closer to add cure? I really love the analogies, I think that is the best sweeper simple people such as myself to learn
right on thechadder!
Always wanted to know what the heck my neuro was learning by doing this seemingly silly tests! This helps! Thank you!!
We have seen two nuerologist over the past 5 months and none of them have given my wife a thorough exam, not even close. Her condition has progresivly gotten worse to the point she may lose her job. Thank you so much for your videos.
YW Matt. Best of luck to you and your family
Thank you for doing this. You're one of the very few docs who even does this, allowing the patient to be part of their process.
Brings back such happy memories this video....
the untold level of anxiety in waiting for the Neuro to announce his conclusion from the tests he performed in the previous 20 minutes
more like a baseball bat across the face during one of life’s most vulnerable moments.....
Saying that, diagnosis came as a great relief because I could think of worse
I appreciate the breakdown you’ve done, thank you. Demystifies, educates and fascinates....some beast of an illness.
A beast of an illness indeed Alex!
I wish the nuro gait exams were this good in the UK, unfortunately most people I know who’ve had a nuro exam, we’re told to stand up, take two steps, and sit down.
I just stumbled onto these videos and I dig this channel! This is a very good idea, saves me in asking questions, like what are you doing now, what’s that for, what does that tell you. One thing that seems to throw people is I also have RA and my ankles are fused. So a lot of the walking stuff is a mixture of MS and RA. But thank you! Knowledge is power!!!
Thanks Sarah
Thanks for breaking it down, Dr. B. I was familiar with many parts of this exam, but there were some portions I’ve never had tested at my quarterly visits. Thanks for sharing your passion for both the science and the humanity that goes with MS.
Can't thank you enough for enlightening me. We need to understand this disease in order to avoid panicking when we feel something isn't working appropriately. Dr. B you should consider creating an educational channel and funding it thru Patreon. We can all chip in! God bless!
Howdy C Cabrera! I'm not familiar with what a Patreon is!
@@AaronBosterMD What is a patreon account on TH-cam?
Patreon (/ˈpeɪtriɒn/) is a membership platform that provides business tools for creators to run a subscription content service, with ways for artists to build relationships and provide exclusive experiences to their subscribers, or "patrons."
I know you're not doing this for business, but funding can allow you to develop more contents. You have a community that would be more than glad to support you.
dr boster..my name is mark.i ve had ms for twenty years.i`m having a lot more trouble now that i`m getting old..60 i found you videos a few days ago..i`m going back and watching them and learning a lot......thanks for your work.. gives me some peace.. MARK WEST in detroit mi
You are welcome Mark and thank you for the kind comment. I did my fellowship training in MS in Detroit (DMC).
hey dr boster. did some time in dtw ay..you must be a red wing fan.their season starts tonight..thanks for the msg..wish you still in dtw may be you could be my dr..have a decent one now,,lets me do what i want and still try to help best he can . thanks again DR mark in dtw,,,,,,,,,, go wings
This was so helpful! I’m going tomorrow to meet with a neurologist for an initial MS exam. Lessens my fear greatly
You seem like a real caring dr. Makes me want to become your patient the only thing stopping me is the distance I'm 2hrs 45min away from your clinic. Keep up the great work and videos
I bet your family is so proud of your work in prol of people across the globe! I love your content! Tks a lot for sharing your valuable experience as a neurologist! You re making the world a better place!
Sudbury,Ontario,Canada//// Suzanne listening Dr. Boster. going 2 see my neurologist next week which is twice a year for my apts./ Again see U again later.///
Yes I would want to see the complete exam
Thank you for the great information. I am a 50 year old woman in Canada waiting to find out the results of my first ever neuro appointment. I will find out in 37 days what the assessment is (or further testing possibly). I'm thinking its MS, as most things fit. It's a hard wait!! Looking back now at the last 20 years I see things that I should have mentioned to GP.
In late November 2017 I broke my right fibula (have never broken a bone before this), I didnt see 1 step down. A plate and 9 screws later my ankle functions at about 90+%. I'm happy about that, but not the constant tingling that started in my toes of both feet and now encompasses my feet entirely. I have lost some sensation in both as well.
After the exam the neuro had me go for the following testing; bloodwork, MRI of brain and spine and an EEG. I had two previous brain MRI's that he didnt have knowledge of so I was able to get the results to him to give a baseline. An evoked potentials test (peripheral nerves are ok) was done just before the neuro exam. I feel that symptoms have definitely worsened/increased since the first appointment 2 months ago. So I just need to keep myself busy for the next month.
Your videos are much more palatable than any I have found. Thank you.
Thank you for the video I was diagnosed with RRMS and I never knew why my doctor did all these little things.
This is much more substantial than I went through at my dxs back in 1997 in UK. I have learnt so much about my condition and how to alter my life.
Well done more please
Hi Aaron, this kind of videos is very interesting for me. I've always wondered why certain examinations were made in certain ways. Especially the walking and standing exams. From what I have learned every doctor can read from this. Very interesting. And now even more interesting, cause now I know what my neurologist can read out of these examination processes! When I am in her office next time I am going to ask her to talk while she is testing me. So I can learn more about what SHE is seeing through these tests! Thanks for sharing all these informations! Have a good day ! I am loving to learn from you!, best regards and until next time, Britta
I have done this before with patients, where I speak out loud what I'm doing/seeing while I do it! As always, it's delightful to hear from you Britta!
Absolutely loved this video and has been extremely helpful. I have had RR/MS for probably 40 yrs and never have known as much about MS as I have since watching your videos. So please, keep doing these videos! Thank you! Thank you!
TY for the support and kind words Linda! I appreciate the feedback and do indeed plan to make several follow up vids in this series. #WeHaveMS
I have been told I have MS on two occasions and on two occasions told that I don’t have MS. I have a lot of the problems associated with MS and really struggle sometimes.
The tests will help me have a more meaningful conversation with the Neurologist when I see them for the 3rd time to discuss my symptoms
Dr. Boster,
It is nice to hear for the first time since diagnosis what some these tests are showing / telling the Doctor as he / she is watching them be preformed. I have been through them all more than once and have always wondered what this or that is showing or telling them?
Please keep them coming! so very interested after watching part 1 this morning in what all the other tests are showing or telling about my MS condition.
Thank you for all you do for all of us in this community!!
#WeHaveMS
Super helpful. Please continue with a series!
right on Shelby! Will do!
Hi hello from Phx area AZ :-) Yes please share more on this. Interesting
Wow you are so thorough! I have an appointment with a neurologist in May as I am experiencing a bunch of symptoms including weakness, spasms, tremors and tingling and cold feet and hands ( just to name a few)that are MS related. I'm not sure if it is or not but I still want to be seen to see what's wrong with me. This video had helped me become more aware of the purpose of these tests and help me be a bit less anxious about my appointment. Thank you. Loving the series so far 😆
Thank you Dr. Boster. I would love to see the additional videos of the examine. Of special interest for additional content would be (1) what to do when you just received a diagnosis in the ER, now what? (2) what to ask the ER or specialist doctors before you walk away from their care and are waiting for your MS Neuro visit? What should you do if you have to wait for an appointment with an MS Neuro and you're having a relapse? My body was going bezerk, my GP was out of town and I had no clue how bad it would get waiting for my 1st visit with the neuro. (3) Since cognition takes such a horrible hit, there's no way to "remember" what to ask a doctor before you walk away, let alone what questions should a patient ask for their first MS Neuro visit. (4) Again, in the event you have what feels like another relapse, under the care of a MS Neuro, but it's Friday after 5pm or a weekend day, is it okay to head to the ER and ask for more steroids? My NP is reluctant to prescribe these because she says the effectiveness wears off? This pretty much harks back to the question, what instructions should you have from your MS Neuro once you walk away from them? My relapses always seem to present themselves when the office is closed. (5) And finally, recommendations for keeping the medical paperwork sorted. Trying to keep my notes (which always seem written on paper scraps) together is a huge undertaking. Organization suffers. Again, thank you for the video.
Great topics! Adding them to my list
Love this new series, my VA doc has never done these test with me. I use your channel to ask questions to him and thank you for making them. It helps learning about this in my fight
I found this useful. I don't always remember to ask some questions at my ms appointments, or sometimes I don't remember the answers I've been given. Its helpful to know what the doctor is looking for when they ask us to perform these tests.
wonderful becky! TY for the feedback #WeHaveMS
This really does help me! The more I understand, the better a patient I can be!
I'm so glad Michael! #WeHaveMS
Omg thanks so much for this! I'm always so nervous at every neurologist appointment because I never know what's happening and feel so awkward! Thanks a lot, seriously
I can not believe I had missed this video for four years. This is very helpful. I have always wondered why I did those test and why I only do them once a year .(or around there.) Thanks again for sharing the knowledge with us.
Glad it was helpful!
I’m sure your patients tell you this all the time but you are so amazing at what you do! I wish everyone with MS could have a Nuerologist who is as compassionate and knowledgeable as you! ❤️ A good team makes a world of difference.
#WeHaveMS
This is so great
Thanks
Really reassured me about the exam I had yesterday that revealed no MS
I enjoy understanding why certain things are done my brain just likes to understand things it also shows that my Neuro exam doesn’t necessarily look this closely as you do. Or maybe he does but I don’t I don’t know just reinforces that I’m really grateful that you put this information out there to share with those of us that are not in the same state that you were at thank you would love to see more
This is very educational and fascinating thank you. It has never been explained to me before nor has my doctor tested me in all the ways you show in this video. Thank you so much. You are a world of knowledge.
Liked and Subscribed, My neuro has had me walk maybe 25 feet, and maybe a few of the other tests. But nothing this detailed. Thanks for putting this out there.
My pleasure Doug! TY for the like and TY for subscribing to the channel!
Need more videos and Dr that are willing do post videos like this one . This was great information
TY Kevin!
I cant tell you how excited I was when I saw this pop up on my Twitter/TH-cam channel today. I have had so many questions regarding what my neurologist is looking for in these tests since my diagnosis 1 1/2 years ago. My questions...along with my shyness (Its really difficult for me to have people watch/analyze me) have actually caused my anxiety to increase with each neuro appointment. I eagerly anticipate more videos on this topic and hope it helps me get my anxiety/nervousness for my appointments under control!!
Coming soon!
Cool video doc! The simil with Karate Kid is perfect. It is the first time I really get the idea of what is behind the exam
I'm so glad you liked the Karate Kid analogy, I guess in some ways it shows our age, Ha!
Yes please make the videos very well done and educational. Ty as always
will do Matt! #WeHaveMS
Enjoyed this. It's good to mix your feed up a little so some demystification of a neuro exam is most welcome. I feel I walk normally for my neurologist, if only he'd get me to turn my head as I walk as I'm sure I'd fall over if I did.
Great feedback Dave! #WeHaveMS Expect more to come!
Amen to that, Dave! (re to walk & look elsewhere besides forward) Not so easy for me either & an important 'nuance'
It's cool to see your thoughts on this ... I know a lot of people have no clue what's going on when they're being examined. Demystifying this process is pretty important.
TY!
TY!
This was helpful. I just had a neuro exam two weeks ago. I'm strongly suspected of having MS and I'm also being treated for trigeminal neuralgia. The neurologist made a comment that made me realize something wasn't right with my reflexes so I paid attention the second time he tested them. I came home and did some research about it, which was similar to your topic here. My left leg has almost no reflexes and dulled pain response from pin prick tests below the knee. My right leg was fairly brisk. MRIs are scheduled this week. Thanks for the informative video series. Looking forward to learning more.
#WeHaveMS
This was very interesting and helpful. I recall sitting and watching my husband having his neural exam but i did not have an understanding of why....
You are a very thorough dr. Thank you I wish you had an office by me
Dr. Boster you talk about your work with such passion. I wish you were my doctor. I am having a very difficult time recently. It all started 6 years ago but my symptoms have grown to be disruptive to my life. Your enthusiasm inspires me so much. I started my second degree in healthcare which I haven’t been able to finish due to sheer exhaustion and keeping up with my toddler. Once the dust settles with the pandemic I’m going back and it’s doctors like you that make me want to see it through. Thank you for your videos and the knowledge you share. Best wishes and Happy New Year
Aaron thanks for posting this video, I'm from Northern Ireland and my neuro always runs those tests but I never know what they where for or what they show him.
I love all the videos you post, I've been diagnosed with MS for over 13 years and I've learnt more from watching you lately then I've ever learnt about my MS.
thanks Mark.
You're very welcome Mark! #WeHaveMS
Thanks, Dr. Boster. The info is very helpful. I have had ppms for 25 years and I have been curious about how useful the neuro exam is. Please continue this series.
Will do Avjkids!
Yes, please continue to offer this format. Thank you!
Thanks Elizabeth! Will do
Thank you for the video. It’s nice to know why the doctors have us do all these things. Love your channel!
TY Ada! #WeHaveMS
It’s very informative, please continue to make these videos. They are the most informative that I’ve found
right on Nate!
So helpful. Could be possible to upload the full neuro exam without comment/cuts?
Awesome video Dr,
You clarified many inexplicable things like my Dr just watching me walk on the way to exam, Tuning fork for sensation & taps, tongue out, torch etc & comment "So, your exercises seems to be regular" General discussions with my wife (Primary caretaker) on Irritability, Sleeping pattern etc. before coming to me "So, how are you doing"
Used to joke "Our man is more of a Veterinary doctor" :-)
TY for sharing Raguraman! I love hearing from you here and I hope you and yours are well! #WeHaveMS
you are teaching me so much.....thanks
This is very interesting. I have not had most of these tests which makes me think I need a second opinion
#WeHaveMS
Hi again Dr. Boster. Just wondering if you were planning on making a video on the new MS treatment guidelines. I was just reading an email about it from the National MS Society and it looks exciting but confusing!
TheLaney same here!!
maybe I can review them on a vid!
good idea
Wow never even had something close to this. Was about 5 mins if that with my primary doctor. My physio therapist did a similar test but asked me to stand on one leg a second time but this time asked me to close my eyes. I was very surprised that I almost fell over and could barely maintain a balance. It was like I was doing a sobriety test and failing. I hope my neuro will do this extensive test
Dude,I want you to be my doctor. I wish so many more Doctors were as complete as you certainly seem to be.I felt the Video was great, and I would personally like to see more on various topics surrounding MS and the why and why not's of what you're doing.Again, really great Doctor B.
TY Tim!!
My neuro, who recently retired😳, noticed something in my gait within the first couple minutes of my first visit. Of course many other test followed but he finally gave me an answer to confirm I wasn't going crazy. I had to learn to be my on advocate and try to get a care team that listened.
Thank you so much your videos have been very helpful. I was diagnosed with rrms in April 2019
A fave. I’ve always wondered what this does.
Thanks, doc!
Thank you Dr. B. Very informative and useful video.
YW Sravani!
Thank you immensely for your thorough explanations! It’s imperative we understand these MS changes in our body and the tests performed. Please do continue, your work is very much appreciated, God bless you and yours 😊🙏🏼👏🏼
right on #WeHaveMS
This was soo helpful.
Very helpful as someone recently diagnosed this has really helped me understand why my doc is asking me to do these things. Along with our discussions. Thanks!!!!!
You're very welcome!
I find this kind of video extremely interesting. I hope you proceed with this line of video.
I've made 3 others in the series I plan to publish over the next few days/weeks!
That’s great to hear! Maybe, if we know what you’re looking for we can work on it?
This was a very good video,thank you for making it. It would be awesome for this to become a series of videos. As someone who has been newly diagnosed with RRMS,I had no idea what was going on,and how it relates/related to my symptoms. Having an understanding helps,especially when you are dealing with so many things that you already do not understand.
TY for the feedback Janice! #WeHaveMS
Janice, good luck! #wehavems There is a whole community here of kind people like Dr. Boster who want to empower you and support you to be your best version of you! I am a mom/caregiver for my son who’s been diagnosed these past nine years. Empowering yourself through sound, plausible knowledges is one of the best tools in your arsenal for having MS but it not having you! Much success on your journey!
My neuro always tests for clonus in my foot/ankle too. He then counts how many times my foot "bounces." Once it starts it just keeps going whereas in the past it would just go a few times. Thanks for the info.
I am really enjoying your videos. I am an older adult having many muscular and nerve problems. the notion of Ms did enter my mind but I was told the only way to detect it is through a spinal tap - needless to say....no thanks. So watching your videos is very interesting to me. Tyfs
Dr B- This video was super helpful in making this part of the neuro exam make more sense and make me feel like a little less of a fool while doing it! Keep going with this series! Love it!
TY Becca! #MSWarrior
Dr Boster I've learned so much from you, thank you. This video regarding our neurological examination certainly enlightened me, my next Neurologist appointment is this coming June.
Massive heartfelt THANK YOU, your vids are definitely helping me understand this MS beast more clearly.
Very best Regards,
Jane Ireland ☘️
Very informative, I have multiple issues with back and neck. But, yet my neurologist didn't have me do some of the testing you shown on the video. When I tried the exercises on your video, I struggled and or failed.
Yes please do more
👍
I’ve never had an exam that was quite that in-depth I am grateful for my care though and really looking forward to treatment on Tuesday thanks for this awesome learning opportunity! SR
YW SR!!
Dr. B! This is good stuff.. you’re actually decoding all the stuff my neurologist mumbles under his breath as he’s going through these exercises 🙄 Keep it coming I may be able to respond to all the mumbling one day. Thank You, looking forward to the next video in this series.
Excellent! I'll plan to make more soon!