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Just thought I'd add my 2 cents about neuropsych....

Chiari is a physical disorder, but it has psychological ramifications

with short term memory problems, etc.

A good neuropsych can help you to discover how chiari has affected you,

and just knowing this can help you manage yourself better in life. They

have many ways that you can try to repattern your tired chiari brain with

biofeedback, counseling, etc. A neuropsych has been invaluable to me and

is an integral part of my wellness program. The body is a whole system

and chiari has affected me on every level.

Take care all,

Barbara in Florida

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Just thought I'd add my 2 cents about neuropsych....

Chiari is a physical disorder, but it has psychological ramifications

with short term memory problems, etc.

A good neuropsych can help you to discover how chiari has affected you,

and just knowing this can help you manage yourself better in life. They

have many ways that you can try to repattern your tired chiari brain with

biofeedback, counseling, etc. A neuropsych has been invaluable to me and

is an integral part of my wellness program. The body is a whole system

and chiari has affected me on every level.

Take care all,

Barbara in Florida

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Try it today - there's no risk! For your FREE software, visit:

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Hello,

Sorry you went through an exhausting day. First of all did you go to a

neuropsychologist? Secondly, you must go to a neuropsychologist who will

break their testing in segments for you..maybe 2 hours here, etc. If you go

to this professional who has treated people with our conditions...this would

benefit you. I can relate to you as I disagree with the standardized

intelligence and cognitive batteries which are administered by

Neuropsychologists and Psychologists.......I do not think these tests

accurately assess our cognitive problems, etc. For the simple reason, is our

cognitive problems may or may not be neurological or permanent-they fluctuate

by the minute. Also, our fatigue and exhaustion are not observed in ways to

make this testing arrangement adaptable for our disability. Lastly, there

are no standardized norms to compare or testing results to a population which

compares to ours....again how can we be tested...when we do not even have a

true diagnosis.

I too have been tested in this fashion in order to get SSD and was refused

the first time. I cried during the testing-I was so depressed........I have

a MS degree and many years of experience...and I could not name 7 continents.

Isn't it true that we can read pages and pages of medical research articles

or e-mail letters.....but we cannot find our keys or for that matter,

remember we we live sometimes.....I could not remember what type of dog I

have....that is why I said our cognitive deficits fluctuate....and cannot be

accurately tested. I have a very wonderful professional friend who is a

Neuropsychologist-very knowledgeable and treats patients who have our

illness....whatever that may be......but he does the testing as well.....I

disagree and I have given some of the cognitive tests myself in the past to

other patients. We do not need IQ tests.....we need cognitive therapy and

retraining......

As far as Dr. Rosner and Dr. Flecha, I know them well and they are wonderful

physicians. I know they understand the results of these tests and I

truthfully, would not think they would put a lot of emphasis on these results

after you have explained this to them. Both physicians have seen a lot more

patients like us than we know ourselves....they see the same cognitive

problems.

So, in the future, first of all....I am very sorry you had to go through this

dreadful situation. But next time, speak up...say you cannot do it..maybe

the neuropsych was evaluating you to see how long you could tolerate and pay

attention to the testing.......and also, do some followup to find out the

professional experience of the neuropsychologist, which is not the same as a

psychologist. Remember.......you are the most important person....and you

are ill........do not do anything that does not feel good...........whether

they are doctors or not.....they do not really know how you feel..........

Hope that helps.....you are not alone...a lot of us have gone through this

process to find out the same thing you did......I would respond to this

psychologist and tell him how you feel.

Anita J.

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Just to let you all know, I spent an 8 hour (exhausting) day with a

neuropsych last year. The psych talked with me about 45 minutes or so and

then passed me along to another gal who did the objective/subjective

testing. I had authorized a copy of his report to come to me, to Dr.

Rosner, and to Dr. Flechas.

He would not let me have a copy unless I went and saw him to discuss it

(never was told that when I initially went). Anyway, I got my hands on it

(won't say how) and he labled me as someone who could retaliate against

doctors - that I blame them for not curing me, yada, yada, yada...

Anyway, he somehow decided he knew all about me in his 45 minute session,

because that's what the essence of the report was - never got the objective

results. I honestly think he said this because I told him I did not like

psychs - one asked me out after he " cured " me years ago, and I ended up

dating another (later on in life) - terrible to say, but I had no desire to

talk to this guy, and he gave me the creeps anyway. The gal doing the

(mostly) objective testing was great.

That is my experience, but I doubt many of you would have the

same...remember I am " postal. "

Beverly B. in NC

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I should have said that I don't want to take away someone else's good

experience. I am sure their are good neuropsychs out there too...sorry if

I offended anyone.

Beverly B. in NC

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Hi,

I read your post Barbara (in Fla) about Neuropsych. I have never heard

of one. It sounds interesting. How are they listed and how do I go

about finding one? Is this something an insurance company would even

consider paying for?

Red Robin

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My son is 4-1/2 and we went to a neuropsychologist for an evaluation last

summer. The main reason for the visit was that we knew he had chiari, but

were unsure as to whether he was having symptoms because of so many other

medical complications.

The evaluation was to give us a baseline idea on 's abilities so that we

would be able to see if he were to slip backwards in his cognitive or

functionable abilities.

I was very impressed with the doc - he gave us a lot of time and wrote a very

helpful, 8 page report that summed up 's abilities and history. The

first visit was by myself to go over all the facts of his medical condition

and what I was looking for. The next two visits were testing, and the third

was by myself to discuss the results. He had me and the preschool teacher

fill out questioneers about in addition to his own testing. He gave me

some great advice on schooling for and what we should be doing at this

point as far as therapies, etc.

I the next few months, had developed a syrinx and we knew we had to

decompress him. He is doing fine now and we just had the post op MRI showing

the syrinx to be gone!

The insurance paid for the visit - we have an HMO and went through the

referral channels.

Marge

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Dear Red Robin and others interested,

My neuropsych was referred to me by the leader of a Chronic Fatigue

Support Group, so maybe a support group in your town would have good

'word of mouth' advice. This way I was sure to find a really good one

that was caring and patient oriented. I guess it might be the same for

them as it is for physicians - you have to do have to do a little

homework.

The office was also listed in the phone book under Psychologists.

Although there was not a separate listing for neuropsych, the name of the

company is 'Neuropsychological Associates.'

My neurosurgeon told me that it takes a few years to recover from the

surgery, and the nurse said they don't even begin to measure your

progress until 1 - 2 years after. It would be nice if, just like stroke

patients, we had this opportunity to retrain our nervous systems as best

we can.

Good luck!

Barbara in Fla

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