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Q: Nerve tests
asked by: DS on November 8th, 2008
Experienced User
Hi, everyone.

I have intermittent Lumbar back pain and intermittent leg pain accompanied by intermittent tingling/numb sensations and hot/cold feelings across my legs, buttocks and feet - these can be in both legs. Theses symptoms occur at the front, back and both sides of the legs and feet.

I have had this after having some sort of virus when I was 17 and at college which made me extremely ill - vomiting, aches and pain from the top of my head all the way down to my toes and hallucinations with a high temperature. I was so ill my Mom even decided to let me sleep in her bed with her. No one else caught this virus which I did think was a little bit strange as if my body was hurting just me with it.

Ever since I had that virus I've never been the same again. I now suffer with back and leg problems which are made worse by physical exercise, standing for too long and sitting for too long. I get relief by resting in bed and not doing any of the aforementioned which start it off. It is affecting my general life as I cannot do anything that may start it off as it takes at least a week to settle again if I start it off, sometimes a couple of weeks.

On Friday I was sent to a Neurologist for some Nerve Conduction Studies and an EMG. The Neurologist only did my one leg (the left one) even though I clearly stated that it also occurs in my other leg. He was also not thorough as although I stated again that I also get pain and other sensations also on the sides of my legs and back, he only tested two areas. I'm very concerned that he could've missed out something that may well be a help to my Neurosurgeon in diagnosing me.

This Neurologist also didn't sterilise his hands (he didn't wear any gloves or even clean his hands before doing the needle EMG) and I'm worried I could have caught something from his dirty practice.

He didn't have any patience with me whatsoever and just treated me like an object, not a person which, I think as a patient who is very interested in healthcare and patient satisfaction (I'm interested in doing a career in healthcare), is not acceptable.

This supposedly professional Dr seemed awfully amature to me - he didn't know how to talk to a patient - he didn't know what 'bedside manner' is. By his bedside manner it meant forcing (he practically pushed my foot in an upward position which really hurt me because the needle was rubbing against my bone) a patient to move his/her leg even though the EMG needle had not been inserted correctly (on the skin above the bone on top of my leg). He didn't do the procedures, particularly the needle EMG in a clinical manner (I could've caught anything from having this done). He had no idea how to evaluate patient's symptoms thoroughly - testing only one leg on a patient with two legs affected.

The other thing that really upset me was when I told him I am not keen on needles he called me a 'coward' which I thought was discriminating and unprofessional. Just because a person doesn't like needles doesn't mean they should be called a 'coward' by a so-called healthcare professional. It's disgusting how he can just say that and think it's funny.

He didn't like his job and that's the exact impression I got from the way his attitude was in the whole of this consultation and tests. He even said "why do you want to work in healthcare? Leave the people and let them look after themselves." in a very funny/odd manner. Was this actually a joke or not, I couldn't tell.

He said 'everything is fine' even though he hadn't correctly inserted one of the needles for the EMG and had to abort the test as it was too sore because he hadn't inserted it properly and just told me to go. He couldn't wait to get rid of me, quickly ushering me out of his room. The other thing, he was late (I had to wait over half an hour just to see him) and he never even mentioned it or appologised which I thought was disgusting - us patients don't want to be stuck in hospital either.

I would be very grateful if anyone could give me a little advice on the following questions I still have;

Is it correct for a Neurologist to only test one leg on a patient that has both legs affected or should he have tested both of my legs?

Also, should he have tested more than just two areas/spots on my leg/foot?

Do Neurologists have to clean their hands and wear gloves when inserting the EMG needles?

Is it ok for a Neurologist to call a patient a 'coward' when they don't like needles?

Would it be a good idea to have this tests done again by another different Neurologist?

I am fed up with being treated like an object rather than an actual living thing. It's disgraceful.

Thanks for any help or advice you can give and I apologise for the lengthy post, I just had to get it out.
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Replies(5)
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Mame
replied on November 9th, 2008
Supporter
That sounds like quite an awful experience. I suggest:
1. the neurologist should have tested the other leg on the patient's request,
2. it is not ok for a neurologist to name call patients,
3. get another neurologist.

A different consult could potentially dig up a diagnosis. An alternative is visiting a rheumatologist.
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DS
replied on November 10th, 2008
Experienced User
Thanks for your help and advice, Mame. Smile

I am going to talk to my Neurosurgeon about this bad experience as it really traumatised me as I don't like going to hospitals and having things stuck in me to start with but he made it certainly ten times worse. I couldn't wait to get out of there! Though I have to say I did notice that all of the other patients who were seeing him as well didn't look very happy either when they came out.

I am annoyed at the way he didn't even practise good hygiene on the EMG needle insertion as now I could've caught anything from him not practising correctly.

I am now going to request that I see a Neurologist who is renowned for good practice and patient friendly manners as I thought this Neurologist that I saw had absolutely none of those good points. I honestly don't know why they employ people like that to deal with patients who are already tense and nervous.
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winningthebattle
replied on October 17th, 2009
New User
Poor service from Neurologist
Wow, I'm sorry you suffered such a horrible ordeal. It sounds like malpractice to me.

I'm exceptionally lucky, my Neurologist is patient, kind, funny and dedicated to his work. He has terrific bedside manner.

If I were you I'd get a referral to a second Neurologist and interview her/him before you allow her/him to administer any tests on you. I would go to the appointment with a list of questions and concerns, and make certain they were all covered to your satisfaction. Doctors are service providers, patients are consumers, and you have a right to demand accountability, respect and good service.

I'd also report the first clown you saw and, naturally, never see him again.

Good luck. I hope you get some reief.
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DS
replied on October 17th, 2009
Experienced User
Hi Winningthebattle and thanks for your reply. Smile

Unfortunately they (medical people I have since seen) seem to be ignoring the fact this neurologist did not practice correctly and was rude and name-calling. They have not even suggested getting another neurologist to re-do the nerve conduction/EMG studies and I do find that mighty strange, although these other docs are at this same hospital so maybe they are trying to clump together and defend this neurologist? I have seen so much on docs protecting each other in this way. They never even bother to listen to what the patient is saying...

I asked them to re-do my nerve conduction studies/EMG and they did not answer that one and tried to skip onto the next thing. This again I feel is a little odd and to be honest is not what they should be doing - they should be doing what the patient feels is reasonable, not making their own decisions all the time. Typical docs really. It is no wonder I do not like them.

This neurologist didn't even wear gloves or wash his hands when he did the needle part! They really are not trained correctly on all this hygiene, although this is not uncommon as I have read that docs are the world's worst for hygiene and infection control and all that sort of thing. I'd rather have had a nurse do it to be honest.
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DS
replied on October 17th, 2009
Experienced User
Hi Winningthebattle and thanks for your reply. Smile

Unfortunately they (medical people I have since seen) seem to be ignoring the fact this neurologist did not practice correctly and was rude and name-calling. They have not even suggested getting another neurologist to re-do the nerve conduction/EMG studies and I do find that mighty strange, although these other docs are at this same hospital so maybe they are trying to clump together and defend this neurologist? I have seen so much on docs protecting each other in this way. They never even bother to listen to what the patient is saying...

I asked them to re-do my nerve conduction studies/EMG and they did not answer that one and tried to skip onto the next thing. This again I feel is a little odd and to be honest is not what they should be doing - they should be doing what the patient feels is reasonable, not making their own decisions all the time. Typical docs really. It is no wonder I do not like them.

This neurologist didn't even wear gloves or wash his hands when he did the needle part! They really are not trained correctly on all this hygiene, although this is not uncommon as I have read that docs are the world's worst for hygiene and infection control and all that sort of thing. I'd rather have had a nurse do it to be honest.

I am working on finding a neurologist who may be more professional and getting a referral but haven't found one yet...

Many thanks

Kind regards

DS
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