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Medical Conditions Neurology specialist consultation fees, How much?

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TSRyoKenzaki
post Jan 4 2010, 06:18 PM, updated 6y ago

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Continue from this
http://forum.lowyat.net/index.php?showtopic=1266870&hl=
and
http://forum.lowyat.net/index.php?showtopic=1228182&hl=

I ll start from the beginning
- Felt sharp pain on several area on my body, frequently happen on left chest but not at the heart area
- Started few months ago, after i start working which i need to face computer all the time even at home
- On November, sharp pain at chest area, but lasted 30-60minutes, way longer compare to 5-10minutes in the past
- Along with the pain, this time i felt numbness (Tingling and needle poking sensation) on both my palm and legs
- Was sent to clinic but doctor said it's only muscle pain
- Next day, went to another gov hospital and do ecg test, again, everything is normal
- Few days later, while taking bus back home, dizzy, chest till head feel numb, both hand cannot move at all, just tingling and needle poking sensation
- Sent to hospital selayang to check up, ECG, X-Ray, Urine test normal, blood test show very high CK level
- Warded for a week till CK lvl drop then was sent back home but doctor said my numbness might be panic attack
- Still feeling dizzy after discharge for around one week then everything back to normal
- A week or two week ago, felt dizzy again, felt numb on palm occasionally
- Few days ago, numb on chest and palm again, this time last damm long, more than 6hours
- As usual, went to selayang hospital, doctor do 2 blood test and asked me to go back while my hand still numb and said ''Maybe it's just a panic attack''

Now everyday i going to work or taking bus to home i ll be damm worry and scare i ll felt numb again but no one wan to help me
Everyday i live in fear and frustrated cause no one take my symptom seriously
Even my bro got frustrated for always sending me to hospital but found out i have no health issue
Izit every farking disease and symptom can be check by blood test alone?????

Tell me what can i do now, im feeling weak recently, no appetite, a bit headache etc....
I planning to go to private hospital to check up but financial seriously restricted me...
Later will go to try chinese medication (Acupunture) and hope will get better
I hope someone can guide me as im really frustrating nowadays....

PS: Dont copy paste google info of my symptom and show it to me cause i myself ady googled countless time unsure.gif

Update: So, it might be a neurology problem, anyone have idea how much will it roughly cost to consult a neurologist specialist?

This post has been edited by RyoKenzaki: Jan 8 2010, 05:36 PM
endG
post Jan 4 2010, 06:26 PM

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i also agree u shud give chinese doc a try..
TSRyoKenzaki
post Jan 4 2010, 06:28 PM

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Heard that doctor once heal a half body paralyze patient
Although i dont quite trust chinese medication but im really looking forward for it
Any suggestion guys?
ivzh
post Jan 5 2010, 12:26 AM

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Myocardial Infarction (heart attack) diagnosed base on
1.Ischemic type of chest pain last > 20minutes
2.ECG changes
3.Raised Cardiac Enzyme (CKMB and troponin T)

if 2 of 3 is positive, that's heart attack.

so in your case, there is only chest pain, and there is dozens differential diagnosis of chest pain.

and u did do stress test? IF the result is normal, it's quite sure the problem is not heart.

This post has been edited by ivzh: Jan 5 2010, 12:39 AM
lilacfla
post Jan 5 2010, 12:37 AM

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they might say that cos of no other sure causes.

they cant say to you 'it might be a indicator of you having heart failure/heart attack.'

of thing they doesnt sure, they cant make assumptions.

but you should insist the doctor to elaborate to you more. ask him questions. of panic attack why? why and why?

well feel bad 4 you. go to another hospital, if selayang cant satisfy you.

or you can seek for alternative medicine. bomoh/ biodisk/ etc etc
panda-man
post Jan 5 2010, 12:52 AM

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from the symptoms you mentioned it does sound like early signs for a heart attack or stroke. is there anything that triggers it? like after eating or something? do you have shooting pains down your arms? or just your palms?
zalmerox
post Jan 5 2010, 01:01 AM

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- Exercise regularly
- Eat healthy ( veggie, fruits, steam food, less preservatives, etc)
- No more ciggies and alcohol
- Take one fish-oil a day.
- Walk a bit after every 30-60 mins of computer work. (improves blood flow)


This steps might look mundane and simple, but many individuals overlook that these simple steps might actually make a difference in our lives. Hope this helps.

I doubt there's any instant cure and medication.
chingwooi
post Jan 5 2010, 02:49 AM

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Em, are you afraid of you're getting certain illness?
haru hime
post Jan 5 2010, 12:45 PM

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QUOTE(zalmerox @ Jan 5 2010, 01:01 AM)
- Exercise regularly
- Eat healthy ( veggie, fruits, steam food, less preservatives, etc)
- No more ciggies and alcohol
- Take one fish-oil a day.
- Walk a bit after every 30-60 mins of computer work. (improves blood flow)
This steps might look mundane and simple, but many individuals overlook that these simple steps might actually make a difference in our lives. Hope this helps.

I doubt there's any instant cure and medication.
*
i agree with you.. i am working long hours in front of the computer too!!

often feel numbness and sometimes dizzy.....

slight movement after sitting for quite sometime does help.....
TSRyoKenzaki
post Jan 5 2010, 05:04 PM

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QUOTE(ivzh @ Jan 5 2010, 12:26 AM)
Myocardial Infarction (heart attack) diagnosed base on
1.Ischemic type of chest pain last > 20minutes
2.ECG changes
3.Raised Cardiac Enzyme (CKMB and troponin T)

if 2 of 3 is positive, that's heart attack.

so in your case, there is only chest pain, and there is dozens differential diagnosis of chest pain.

and u did do stress test? IF the result is normal, it's quite sure the problem is not heart.
*
Stress test normal, doctor ady said its not heart attack so lets move on to the numb part now...

QUOTE(lilacfla @ Jan 5 2010, 12:37 AM)
they might say that cos of no other sure causes.

they cant say to you 'it might be a indicator of you having heart failure/heart attack.'

of thing they doesnt sure, they cant make assumptions.

but you should insist the doctor to elaborate to you more. ask him questions. of panic attack why? why and why?

well feel bad 4 you. go to another hospital, if selayang cant satisfy you.

or you can seek for alternative medicine. bomoh/ biodisk/ etc etc
*
I don't believe in bomoh stuff....
At least they shld put more effort to investigate my symptom by doing more test...

QUOTE(panda-man @ Jan 5 2010, 12:52 AM)
from the symptoms you mentioned it does sound like early signs for a heart attack or stroke. is there anything that triggers it? like after eating or something? do you have shooting pains down your arms? or just your palms?
*
Usually it happened when im alone, in the bus or lying on bed....
No shooting pains down my arms thou...
No pain, only numbness

QUOTE(zalmerox @ Jan 5 2010, 01:01 AM)
- Exercise regularly
- Eat healthy ( veggie, fruits, steam food, less preservatives, etc)
- No more ciggies and alcohol
- Take one fish-oil a day.
- Walk a bit after every 30-60 mins of computer work. (improves blood flow)
This steps might look mundane and simple, but many individuals overlook that these simple steps might actually make a difference in our lives. Hope this helps.

I doubt there's any instant cure and medication.
*
I do walk regulary when working in front pc for too long, i dun take ciggies nor alcohol....
Eat also not much preservative stuff...

QUOTE(chingwooi @ Jan 5 2010, 02:49 AM)
Em, are you afraid of you're getting certain illness?
*
No im not afraid, in fact i just wan2 get the damm diagnose asap

Btw so im back from acupunture treatment
The Doctor/Sifu said my blood circulation is slow on my wrist, something not right with my blood vessel
After done some acupunture on my both hand, can feel the circulation getting better
Need to go back again 2molo thou
chingwooi
post Jan 5 2010, 08:19 PM

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QUOTE(RyoKenzaki @ Jan 5 2010, 05:04 PM)
Stress test normal, doctor ady said its not heart attack so lets move on to the numb part now...
I don't believe in bomoh stuff....
At least they shld put more effort to investigate my symptom by doing more test...
Usually it happened when im alone, in the bus or lying on bed....
No shooting pains down my arms thou...
No pain, only numbness
I do walk regulary when working in front pc for too long, i dun take ciggies nor alcohol....
Eat also not much preservative stuff...
No im not afraid, in fact i just wan2 get the damm diagnose asap

Btw so im back from acupunture treatment
The Doctor/Sifu said my blood circulation is slow on my wrist, something not right with my blood vessel
After done some acupunture on my both hand, can feel the circulation getting better
Need to go back again 2molo thou
*
Yea, definitely not M.I. Numbness sounds more like neuro prob to me. regularly walking is not really considered as exercise actually.
TSRyoKenzaki
post Jan 6 2010, 11:33 AM

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Yea i know... Still figuring out what kind of exercise suit ppl like me who dun only have one day rest per week...
dokidoki
post Jan 6 2010, 11:45 AM

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QUOTE(RyoKenzaki @ Jan 6 2010, 11:33 AM)
Yea i know... Still figuring out what kind of exercise suit ppl like me who dun only have one day rest per week...
*
do you ever think of changing job?.. sweat.gif

it's like people who always say...i want to get rich..but yet..he's sitting at home...doing nothing but keep saying why i cant get rich...

what kind of job are u doing now?..have to work 365 days?

This post has been edited by dokidoki: Jan 6 2010, 11:47 AM
TSRyoKenzaki
post Jan 6 2010, 12:30 PM

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Working as video editor, im a fresh graduate, still need experience before i can move on to a better company
Salary is enuff for me, still can save money every month but i do think of changing to nearer working area as it's really tiring to travel around 6day per week
sweet_pez
post Jan 6 2010, 12:54 PM

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QUOTE(RyoKenzaki @ Jan 5 2010, 05:04 PM)
Stress test normal, doctor ady said its not heart attack so lets move on to the numb part now...
I don't believe in bomoh stuff....
At least they shld put more effort to investigate my symptom by doing more test...
Usually it happened when im alone, in the bus or lying on bed....
No shooting pains down my arms thou...
No pain, only numbness
I do walk regulary when working in front pc for too long, i dun take ciggies nor alcohol....
Eat also not much preservative stuff...
No im not afraid, in fact i just wan2 get the damm diagnose asap

Btw so im back from acupunture treatment
The Doctor/Sifu said my blood circulation is slow on my wrist, something not right with my blood vessel
After done some acupunture on my both hand, can feel the circulation getting better
Need to go back again 2molo thou
*
Is your work that busy? I mean, surely you have time on weekends or after work. Walk around your neighborhood or go for morning walks near a park or something in the morning. Otherwise you can go for gym but start off light eg. threadmill. Other suggestions including going for yoga classes.

Ah yes, I also believe it's lack of blood circulation that causes the numbness. If acupuncture seems to work, continue with it wink.gif
TSRyoKenzaki
post Jan 6 2010, 01:23 PM

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Actually if i got work, after i reach home at night i ll be damm tired
Still, i have to manage my pets stuff like feeding and cleaning enclosure etc
While going and back from work also i walk a distance anw sweat.gif
Monday usually is rest time where i spend my time sleeping at home laugh.gif
Ok, i ll go run staircase on monday starting next week

Anw, lack of blood circulation can cause death?
While acupunture work, it takes time to heal
I was thinking should i straight away go to Selayang Hospital again and insist on a Angiogram test to check my circulation or continue with acupunture
ivzh
post Jan 6 2010, 01:59 PM

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Hw's is ur blood pressure/blood sugar/cholesterol lvl?
and do you smoke? dietary habit?

All of this factor possible influencing the blood circulation in our body

Well the blood circualtion in our body divided to 2 = peripheral vs center/axial (whatever u call, i cant remember exactly the correct term)

Peripheral = blood supply to our limbs, and end organ (like penis)
Center = to vital organ (heart, brain, lung, kidney, liver)

So if failure of blood reach the vital organ = lethal or organ failure. Myorcardial infartion is an example of poor coronary artery perfusion.

While if the blood flow to peripheral is problematic, term as peripheral arterial diseae (PAD), the affected limbs will present with loss of sensation or numbness (as nerve cant get the o2 and nutrition supply), pain (ischemic pain triggered after walking for a distance), and skin changes at the limbs (loss of hair + could ulcerate) and muscle atrophy. The presentation is depend on the severity of disease...

i don't know what is the thing u having la.. bt to diagnose peripheral arterial disease, they use ultrasound doppler. And most of them who have PAD have high risk for heart attack and stroke too...


jpaul
post Jan 6 2010, 02:05 PM

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I had the same problem like you last time.

It was migraine.

I visited so many doctors until i met one of the doc from Pantai Cheras.

After 1 week medication, I am fine until today. **touchwood**


TSRyoKenzaki
post Jan 6 2010, 02:13 PM

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QUOTE(ivzh @ Jan 6 2010, 01:59 PM)
Hw's is ur blood pressure/blood sugar/cholesterol lvl?
and do you smoke? dietary habit?

All of this factor possible influencing the blood circulation in our body

Well the blood circualtion in our body divided to 2 = peripheral vs center/axial (whatever u call, i cant remember exactly the correct term)

Peripheral = blood supply to our limbs, and end organ (like penis)
Center = to vital organ (heart, brain, lung, kidney, liver)

So if failure of blood reach the vital organ = lethal or organ failure. Myorcardial infartion is an example of poor coronary artery perfusion.

While if the blood flow to peripheral is problematic, term as peripheral arterial diseae (PAD), the affected limbs will present with loss of sensation or numbness (as nerve cant get the o2 and nutrition supply), pain (ischemic pain triggered after walking for a distance),  and skin changes at the limbs (loss of hair + could ulcerate) and muscle atrophy. The presentation is depend on the severity of disease...

i don't know what is the thing u having la.. bt to diagnose peripheral arterial disease, they use ultrasound doppler. And most of them who have PAD have high risk for heart attack and stroke too...
*
I don't smoke, blood pressure/blood sugar/cholesterol lvl i assume normal since doctor said everything is fine with blood test+blood pressure etc
I googled for symptom of blood circulation prob and looks like i only have a few symptom
No pain, no chaging of skin color etc, just the symptoms i mentioned on my 1st post
But i still think it's something with my circulation as i can really feel "funny" blood flow once a while

QUOTE(jpaul @ Jan 6 2010, 02:05 PM)
I had the same problem like you last time.

It was migraine.

I visited so many doctors until i met one of the doc from Pantai Cheras.

After 1 week medication, I am fine until today. **touchwood**
*
Care to elaborate more of ur symptoms?
Are they all the same with mine?
Damm, the doctor must be a saviour!
Pls provide more info, im excited! notworthy.gif
sweet_pez
post Jan 6 2010, 02:22 PM

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QUOTE(RyoKenzaki @ Jan 6 2010, 01:23 PM)
Actually if i got work, after i reach home at night i ll be damm tired
Still, i have to manage my pets stuff like feeding and cleaning enclosure etc
While going and back from work also i walk a distance anw sweat.gif
Monday usually is rest time where i spend my time sleeping at home laugh.gif
Ok, i ll go run staircase on monday starting next week

Anw, lack of blood circulation can cause death?
While acupunture work, it takes time to heal
I was thinking should i straight away go to Selayang Hospital again and insist on a Angiogram test to check my circulation or continue with acupunture
*
Hmmmm yes, sufficient rest is important. As for Mondays, rest in the morning (sleep all you want!) but perhaps around evening you can bring your dog out for walk (I assume it's a dog laugh.gif ) or do some light exercises.

You can also ask colleagues/ friends out for badminton session after work (if you happen to have some time after work on certain days). Getting too coupe up in the office is unhealthy, if the work is not urgent - leave it for next day and go home on time when you can.

Sorry, I have no medical background and my lack of knowledge cannot tell you whether lack of blood circulation causes death. But for one, I suggest you don't go back to Selayang Hospital. Why not try another hospital and check your condition to see if the diagnose is similar? On the other hand, since Selayang Hosp has most of your medical record it's better to run the test there.

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