How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Bob Your Own Question

Dr. Bob
Dr. Bob, Neurologist (MD)
Category: Neurology
Satisfied Customers: 5118
Experience:  Neurology & Int Medicine (US Trained): 20 yrs experience
61817858
Type Your Neurology Question Here...
Dr. Bob is online now

I am a 38 year old male from the west of Scotland. I have

Customer Question

I am a 38 year old male from the west of Scotland.
I have been treated for the past 10 years with various anti-depressants for depression, cognitive problems, constant brain fog, , constant lethargy, dizzy spells, emotional difficulties, anhedonia and memory problems. They lifted my mood, but affected my libido, and did not treat any of the underlying symptoms. I am currently prescribed methylphenidate (60mg) and duloxetine (60mg).
It has now come to my attention that my medical records do not contain any notes relating to the traumatic brain injuries I have had and been hospitalised for. The first of which required 10 staples after a large metal beam fell on my head. The second around 11 years ago when I was a victim of attempted murder in which my head was trampled on by a gang, until I was unconscious and taken to hospital by ambulance. Neither of these episodes were followed up after the initial ER visit, and no head scans were performed.
I had mentioned this maybe being responsible for my symptoms to doctors over this time, but was dismissed as if i was crazy. Understandably as these events never made it into my GPs records.
My symptoms persist, and get worse. I get dizzy spells often and see stars, get auras, constant tiredness and brain fog, emotionally mixed up, forgetting words more and more, and often come to realise i've been staring into space for hours. I went to ER a few months ago with terrible pain in the head and could not get out of bed all day, in a stupor. The hospital sent me home with nothing more than a quick physical.
I have now been waiting for referral to a neurologist for more than 12 weeks and have been unable to work for the past 4 months straight, when before my serious down times were intermittent.
Now my question. Should the head traumas I sustained be taken more seriously with regards ***** ***** in light of the time of the last occurrence, should I complain more to be seen sooner? (I add that i have also banged my head a good few times since but not as serious or felt need investigated) My fear is that I have an aneurysm that periodically swells and may burst :( or maybe an embolism ?
These are a few other things wrong with me:
Raynauld's phenomenon
Osteoarthritis left knee
Avascular necrosis left scaphoid
Sorry for the long spiel. I look forward to your reply.
Best Regards,
M
Submitted: 4 months ago.
Category: Neurology
Expert:  Dr. Bob replied 4 months ago.

Hi Martin. Yes, your head injuries are important, and may be responsible for all or most of your current neurological symptoms. You likely are suffering from a pretty severe post-concussive syndrome. Chances of an aneurysm are low, so don't worry about that. But do see the neurologist (he might want to get an MRI of the brain) and ask for a referral to a physical medicine and rehab specialist (also called a "physiatrist.") as they are the doctors specially trained in diagnosing and treating the consequences of traumatic brain injuries.

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Dr. F

    Dr. F

    Board Certified MD

    Satisfied Customers:

    266
    Neurosurgeon with more than 20 years experience in practice and teaching.
< Last | Next >
  • http://ww2.justanswer.com/uploads/BrainLifeDoc/2010-10-04_004701_AMF_2008_2_pix.jpg Dr. F's Avatar

    Dr. F

    Board Certified MD

    Satisfied Customers:

    266
    Neurosurgeon with more than 20 years experience in practice and teaching.
  • http://ww2.justanswer.com/uploads/TO/TOHfan1/2012-3-3_11610_strokedoc.64x64.jpg Stroke Doc's Avatar

    Stroke Doc

    Board Certified Physician

    Satisfied Customers:

    41
    I am board-certified in Neurology and the subspecialty Vascular Neurology.
  • http://ww2.justanswer.com/uploads/PR/pradocs/2012-7-23_23649_201272323220JApicture105x113.64x64.jpg Dr. Bob's Avatar

    Dr. Bob

    Neurologist (MD)

    Satisfied Customers:

    1493
    Neurology & Int Medicine (US Trained): 20 yrs experience
  • http://ww2.justanswer.com/uploads/HE/healthydoc/2011-7-22_193154_LevGrinman2.64x64.jpg healthydoc's Avatar

    healthydoc

    Board Certified Physician

    Satisfied Customers:

    325
    Board Certified U.S. Neurologist
  • /img/opt/shirt.png RH's Avatar

    RH

    Board Certified Neurologist

    Satisfied Customers:

    1944
    Expert in various areas of Neurology
  • /img/opt/shirt.png Brainmaster's Avatar

    Brainmaster

    Board Certified MD

    Satisfied Customers:

    58
    ABPN certified. 6 years of outpatient general neurology practice experience. No malpractice cases
  • /img/opt/shirt.png braindr11's Avatar

    braindr11

    Board Certified Physician

    Satisfied Customers:

    43
    Neurologist with outstanding expertise