I am a general neurologist, and my training and experience span almost all neurologic problems.
Conditions I typically see:
Memory problems. Whether your memory problem is normal aging, mild cognitive impairment, or the early stages of dementia, I can help you figure it all out. I may refer you to a neuropsychologist for neuropsychological testing. I may send you for blood testing and an image of your brain, to better understand your problem. There are ways to help with memory problems including medications, cognitive therapy, physical exercise, and lifestyle changes. Studies even show that meditating or listening to music may help memory. I can help lead you to scientifically sound options.
Stroke. I treat acute stroke in the hospital and I am medical director of my hospital’s stroke program. In the office setting, I help patients optimize stroke prevention strategies, whether they have had a stroke or are at risk of a stroke. If you are a stroke survivor, I can review your stroke episode, the tests you had and the treatments you were given. As a stroke neurologist, I may find an angle for additional treatment or workup. At the very least, I can help you understand what happened, why, and what your chances of another stroke may be. If you think you may be having a stroke, don’t call me, please. Call 911, to be taken rapidly to the nearest hospital. You may be eligible for therapy to reverse the symptoms.
Headaches of all types. If you are having an acute severe headache, please seek emergency care. For chronic recurrent headaches there are many possible treatments. I will review your situation and give you any and all of the scientifically supportable options. Note that I will not prescribe narcotic medications regularly, only as a stop gap to another treatment. I also do not perform procedures including Botox or nerve injections which are sometimes used for headaches. I will, however, help you find a good person for this if I think it might help. These things are just not necessary in most cases.
Movement problems, including poor balance, tremors, or stiffness. These symptoms can be often be treated effectively, and I can determine if your problem is benign or something more progressive like Parkinson’s disease. The common condition called essential tremor, in which the hands quiver during manual tasks, can be socially embarrassing and even disabling. There are effective treatments with medications. Sometimes, the medication can be taken only when needed, like for a presentation in front of people or when going out to dinner. We can figure out a strategy that works for you.
Dizziness. There are different forms of dizziness. Sometimes it’s lightheadedness, and this may be due to a neurologic condition or a side effect of medication. Sometimes, it’s vertigo and this can often be treated with a simple office procedure. Other times, it may be the sign of a more serious problem. I can help sort it out. As with other symptoms, if you suddenly feel dizzy and have trouble functioning, don’t call me. Get emergency help, as this could be a sign of a stroke.
Fibromyalgia. This can be a confusing and frustrating condition and some people don’t think it qualifies as a true diagnosis. I refer to this condition as “migraine of the body.” It’s similar to migraine in that there is nothing overtly wrong as far as diagnostic testing, just a very real pain. We can talk about options including medications that may help.
Generalized anxiety. I am not a psychiatrist, but as a neurologist I see anxiety conditions on a daily basis. Patients come to me with issues like numbness, tingling, memory problems, and other concerns that may be almost all explained by anxiety. It is also common for anxiety to complicate or worsen neurological conditions, like headaches, tremors, stroke deficits, dementia, and others. I am experienced in treating anxiety with careful use of medications that are not habit-forming. The common condition of performance anxiety can also be treated with a simple as-needed medication.
I do not see severe anxiety conditions with frequent panic attacks or severe disability. I also do not treat post traumatic stress disorder. These conditions are best treated by a psychiatrist.
Mild Depression. I do not treat severe depression that is accompanied by suicidality, or complicated by drug or substance abuse. But, similar to anxiety, depression can complicate neurological disorders including stroke and dementia. Often, I see elderly people with memory problems that may even be completely explained by depression. I may be able to help with this situation.
Mysteries. People come to me after they have seen a lot of other doctors in various specialties. Because of the way medicine is currently structured, doctors can rarely sit and listen to patients talk about their symptoms, and lose interest quickly if you don’t fit a pattern right away. My practice is different. I’ll listen until I at least understand what you’re experiencing. I’ll review all your prior tests. I might get you some elusive answers and at least point you in the right direction if I can’t help.
I don’t do pain control.