Dr. Grumpy: "Okay, hold your hands out in front, like this... now close your eyes... good, now open your eyes, and tap your right fingers like this... okay, now your left fingers..."
Out of the corner of my eye I notice Mrs. Patient doing the same things I'm asking her husband to do.
Dr. Grumpy: "Ma'am, why are you doing that?"
Mrs. Patient: "Just practicing, in case I ever need to see a neurologist."
19 comments:
Practice makes perfect .
Ask her to take Mr Patient home and play patty cake . . . that way she can practice.
More importantly, did Mrs Patient illicit any pronator drift?
So ... is that simple curiosity, or echopraxia? :)
Why don't you make a DVD and sell it so that more people can "pass" their next neuro exam?
After successful recovery from a craniotomy at 17, I still check what I have left occasionally.
No amount of practicing will improve the ability to walk a straight line and the ballet career has long passed me by, but have had to limit the ethanol intake based on whether I can touch my nose with my eyes closed now and again.
Let her practice taking an NCV test. I expect she'll wait outside after that.
That reminds me of my grandmother. My mom loves to tell the story of how she found her attempting to memorize a test used to diagnoses memory loss/alzheimers
It's a good thing you're not a urologist. She'd be dropping her underwear and bending over.
hey-you could make it a twofer (seeing two patients at the same time.)
LOL! I can relate to the practicing. As I've transcribed reports that mention how, in mental status exams, some of the things for which patients lose points are things I don't even know myself, I get a little worried if I ever have to go for such exams.
I practice counting down from 100 backwards by 7's.
I try to spell "world" backwards.
I see how fast I can recite the months of the year.
I don't have time to keep up on the news and I have to admit that I do not know who the current prime minister is of my own country, Canada.
Seriously, Steeny Lou? There's MATH on those exams!??? OMG! I can't count forward by 7s never mind backwards! I'll wind up committed to some looney hatch! This is NOT good news.
Oops, that should say I see how fast I can recite the months of the year BACKWARDS. (Uh-oh, I hope that's not a sign I need to do a mental status exam).
being a nurse I've often heard psychiatrists ask pts to spell world backward.While I was a pt myself a psychiatrist came to see me and asked me to spell "world",I quickly said" d,l,r....hey you forgot to tell me to spell it backwards!" He changed to word on me LOL but I still passed.
Look on the bright side. She wasn't channeling her actions to her hubby. He MIGHT have been remotely controlled you know! :-)
In response to Hildy's comment, I'm hoping they take into consideration a person's baseline. I mean, what if they are dyslexic, such as is the case for my husband!
Practicemakes perfect ... And life harder for Yak herders.
Doc:
I love the ones that practice.
My personal favorite when my crazy neuro asked the MS patient to do the "sobriety test" part of the neuro exam.
"No way, doc. I'll fall down and kill myself. I can tell you know I'll look as drunk as hell."
We walked around the room with the cane instead.
I once did almost the exact same thing during an office visit with my mother. She was an exceptionally difficult person all of her life, and I was the only one of eleven siblings who would tolerate her crap.
She refused to go into the exam rooms alone and often amused myself by doing things like that, although I rarely got caught. :)
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