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I Have Functional Historical Disorder But Don't Believe My Neurologist

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Posted on Tue, 10 Dec 2019
Question: I have functional historical disorder but don't believe my neurologist won't operate I need a 2nd opinion please
Greenville
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Follow up: Dr. Prof. Kunal Saha (0 minute later)
I have functional historical disorder but don't believe my neurologist won't operate I need a 2nd opinion please
Greenville
doctor
Answered by Dr. Prof. Kunal Saha (2 hours later)
Brief Answer:
More details needed

Detailed Answer:
Thanks for using the Ask a Doctor service.

I have gone through your query and would be glad to provide a second opinion. However, I would need you to summarize the problem that you are facing. I think that you are talking about Histrionic personality disorder. But that information is not enough to conclude whether you need a surgery.

Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. Prof. Kunal Saha (0 minute later)
Brief Answer:
More details needed

Detailed Answer:
Thanks for using the Ask a Doctor service.

I have gone through your query and would be glad to provide a second opinion. However, I would need you to summarize the problem that you are facing. I think that you are talking about Histrionic personality disorder. But that information is not enough to conclude whether you need a surgery.

Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Prof. Kunal Saha (7 hours later)
I do not have a personality disorder have functional nuerogical disorder a nerve no sending the correct signal I'm 52 I have cervical spondilitis is the neck causing spinal compression the neurologist said they could operate now they wont all about risks is this something you could do I have left side weakness also I just want out of pain
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Follow up: Dr. Prof. Kunal Saha (0 minute later)
I do not have a personality disorder have functional nuerogical disorder a nerve no sending the correct signal I'm 52 I have cervical spondilitis is the neck causing spinal compression the neurologist said they could operate now they wont all about risks is this something you could do I have left side weakness also I just want out of pain
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Follow up: Dr. Prof. Kunal Saha (9 minutes later)
Why did you judge me as if I'm pretending you dont me I dont have things to get attention and I'm not acting dramatically I want you to contact dr trevett stromness surgery 0000 and you tell him you said I have xyz without seeing me I trust your a neurologist and you didnt even know functional neurogical disorder why should I pay 20 pounds for answers that's nor relevant I will be reporting you what gp are you with are you registered where are you based please respond asap
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Follow up: Dr. Prof. Kunal Saha (0 minute later)
Why did you judge me as if I'm pretending you dont me I dont have things to get attention and I'm not acting dramatically I want you to contact dr trevett stromness surgery 0000 and you tell him you said I have xyz without seeing me I trust your a neurologist and you didnt even know functional neurogical disorder why should I pay 20 pounds for answers that's nor relevant I will be reporting you what gp are you with are you registered where are you based please respond asap
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Follow up: Dr. Prof. Kunal Saha (3 minutes later)
I have functional neurogical disorder if your a true neurosurgeon you would know what it is it is a nerve not connecting sending the correct signals fir my left side weakness
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Follow up: Dr. Prof. Kunal Saha (0 minute later)
I have functional neurogical disorder if your a true neurosurgeon you would know what it is it is a nerve not connecting sending the correct signals fir my left side weakness
doctor
Answered by Dr. Prof. Kunal Saha (18 hours later)
Brief Answer:
Please upload the reports

Detailed Answer:
Sorry for the inadvertent delay in responding.

I am sorry if I have made a mistake. Let me assure you that I am not judging you and had asked for the precise facts on which I am to base my feedback. There is no entity called functional historical disorder but there is one called functional histrionic disorder which is categorically a personality disorder. I am sorry if I made a mistake but the label would not matter anyway. Let us jump to the proper management of the complaints you are seeking resolution for.

Going by your description, you have cervical spondylosis. I would need to ask whether you are doing static neck exercises. If not, I would insist you to confirm from your treating physician whether there is any contraindication. In absence of any contraindications, static neck exercises should ease your problems. You can learn the techniques by searching on youtube or by visiting a physical therapist. The next thing that I need to ask is whether you have undergone an MRI and whether it clearly depicts a spinal compression. If that is not evidently the case, the surgeon will have trouble planning for a surgery. Probably that is the reason he would not operate on you.

If you can upload the relevant investigation reports I can guide you accordingly.

Regards
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Prof. Kunal Saha (0 minute later)
Brief Answer:
Please upload the reports

Detailed Answer:
Sorry for the inadvertent delay in responding.

I am sorry if I have made a mistake. Let me assure you that I am not judging you and had asked for the precise facts on which I am to base my feedback. There is no entity called functional historical disorder but there is one called functional histrionic disorder which is categorically a personality disorder. I am sorry if I made a mistake but the label would not matter anyway. Let us jump to the proper management of the complaints you are seeking resolution for.

Going by your description, you have cervical spondylosis. I would need to ask whether you are doing static neck exercises. If not, I would insist you to confirm from your treating physician whether there is any contraindication. In absence of any contraindications, static neck exercises should ease your problems. You can learn the techniques by searching on youtube or by visiting a physical therapist. The next thing that I need to ask is whether you have undergone an MRI and whether it clearly depicts a spinal compression. If that is not evidently the case, the surgeon will have trouble planning for a surgery. Probably that is the reason he would not operate on you.

If you can upload the relevant investigation reports I can guide you accordingly.

Regards
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Prof. Kunal Saha (4 hours later)
I am doing physio for this and neck exersise plus I have had mri and it shows up I have spinal compression this why I asked for second opinion why aren't you answering question on functional nuerogical disorder or if you dont believe there is such a thing
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Follow up: Dr. Prof. Kunal Saha (0 minute later)
I am doing physio for this and neck exersise plus I have had mri and it shows up I have spinal compression this why I asked for second opinion why aren't you answering question on functional nuerogical disorder or if you dont believe there is such a thing
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Follow up: Dr. Prof. Kunal Saha (4 minutes later)
Oh I dont know how to upload as I dont have any reports at hand why dont you phone my gp dr trevett stromness surgery 0000 because I'm starting to thing this site as a dr a question is a lot of rubbish and waste of money
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Follow up: Dr. Prof. Kunal Saha (0 minute later)
Oh I dont know how to upload as I dont have any reports at hand why dont you phone my gp dr trevett stromness surgery 0000 because I'm starting to thing this site as a dr a question is a lot of rubbish and waste of money
doctor
Answered by Dr. Prof. Kunal Saha (55 minutes later)
Brief Answer:
A second opinion in the form of a direct visit should be helpful

Detailed Answer:
Thanks for your response. This clarifies the whole scenario. Since there is an evident compression on the MRI, i.e. in presence of a definite organic pathology, I do not know why it would be referred to as functional (functional essentially points to lack of any observable pathology). In such a case, I think it would be good to visit another neurosurgeon (or may be an orthopedic surgeon), let him examine you and check your reports, and see whether he considers surgery, or if he does not, what rationale does he have.

Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. Prof. Kunal Saha (0 minute later)
Brief Answer:
A second opinion in the form of a direct visit should be helpful

Detailed Answer:
Thanks for your response. This clarifies the whole scenario. Since there is an evident compression on the MRI, i.e. in presence of a definite organic pathology, I do not know why it would be referred to as functional (functional essentially points to lack of any observable pathology). In such a case, I think it would be good to visit another neurosurgeon (or may be an orthopedic surgeon), let him examine you and check your reports, and see whether he considers surgery, or if he does not, what rationale does he have.

Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Prof. Kunal Saha (13 hours later)
Thankyou
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Follow up: Dr. Prof. Kunal Saha (0 minute later)
Thankyou
doctor
Answered by Dr. Prof. Kunal Saha (4 hours later)
Brief Answer:
Glad to be of service

Detailed Answer:
I am glad if it helped.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. Prof. Kunal Saha (0 minute later)
Brief Answer:
Glad to be of service

Detailed Answer:
I am glad if it helped.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Prof. Kunal Saha (3 hours later)
A gp looked through your answers and your not a true gp in neurology as yes God has some acknowledgment but neurologists are great deal more knowlegable
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Follow up: Dr. Prof. Kunal Saha (0 minute later)
A gp looked through your answers and your not a true gp in neurology as yes God has some acknowledgment but neurologists are great deal more knowlegable
doctor
Answered by Dr. Prof. Kunal Saha (3 hours later)
Brief Answer:
A neurosurgeon, not neurologist, will be able to help you

Detailed Answer:
I am a general physician and not a neurologist, and there is nothing called 'gp in neurology'. Nevertheless, we deal with all sorts of cases including neurological problems. I can assure you that your problem is not something that needs the attention of a neurologist (specialist dealing with the medical aspects of neurology) but rather a neuro-surgeon (who deals with the surgical aspects of neurology). Management is either surgical or through physical therapy. The visit to the neurosurgeon has to be done in person to enable him to clinically examine you. Thereafter he can suggest whether surgery is needed and whether it would help.

Regards
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Prof. Kunal Saha (0 minute later)
Brief Answer:
A neurosurgeon, not neurologist, will be able to help you

Detailed Answer:
I am a general physician and not a neurologist, and there is nothing called 'gp in neurology'. Nevertheless, we deal with all sorts of cases including neurological problems. I can assure you that your problem is not something that needs the attention of a neurologist (specialist dealing with the medical aspects of neurology) but rather a neuro-surgeon (who deals with the surgical aspects of neurology). Management is either surgical or through physical therapy. The visit to the neurosurgeon has to be done in person to enable him to clinically examine you. Thereafter he can suggest whether surgery is needed and whether it would help.

Regards
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
Answered by
Dr.
Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4467 Questions

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I Have Functional Historical Disorder But Don't Believe My Neurologist

I have functional historical disorder but don't believe my neurologist won't operate I need a 2nd opinion please Greenville