Andre V. Strizhak, M.D. Diplomate of American Board of Psychiatry and Neurology
Affiliated with NYU Langone Medical Center,
Department of Neurology
This site is a collection of articles about the conditions managed by neurologists. Each article is designed to be short, informative, scientifically correct, and preferably understandable for general public.
Neurology has evolved over the last quarter of a century. I started practicing neurology 27 years ago. Back then, my specialty was a "precise but useless" branch of medicine. Now, it is a diverse medical science with a broad range of sub-specialties. Thanks to extensive scientific research, once elusive neurological disorders are now shaping up.
Fancy high-tech testing is not a part of neurological evaluation. It is so common to see patients who believe that getting an MRI or some other instrumental work up is going to solve the diagnostic challenge. In reality, the diagnosis is made during interview and neurological examination. MRI machines don't have brains; they don't diagnose; they don't treat; they DON'T THINK! Diagnostic testing is only meant to confirm or to clarify the suspected diagnosis. Actually, if your doctor has no diagnosis in the head without sticking your body inside some machine, then... you do have a problem. Your problem is the problem of modern medicine.
I, personally, do not believe in "doctorless" medicine, such as substitution on human intelligence for some sophisticated hardware. Wide spread of online pseudoscientific information causes a significant correction in patient's complaints. The percentage of people with anxiety and depression is growing exponentially. No machine would be able to adjust to this crazy world because intuition and common sense are not the components of any computer software yet. The ideal medical care structure would be a human brain in the center with diagnostic equipment as peripherals, extra eyes and ears, if you wish.
Neurology is a very "operator dependent" field. There is no neurological testing for migraine, cluster, tension headaches, or dizziness. You don't see those conditions on MRIs. For the foreseeable future, neurology will remain a "human operated" field irrelevantly of scientific developments.
Neurology Field and Neurological Disorders
Neurology field covers brain, nerves, and muscles disorders. There are multiple pain syndromes typically managed by neurologists. Besides headaches and other pain syndromes, the most common reasons for neurological consultations are numbness, weakness, shaking, cramps, seizures, memory loss, insomnia, dizziness, lack of balance, strokes, and gait disorders. Some neurologists offer invasive treatments for pain management, such as epidural injections and nerve blocks. Neurologists are actively involved in decision making regarding surgical interventions for carpal tunnel syndrome, carotid stenosis, spinal stenosis, and brain and spine tumors.
About the Author
Dr. Strizhak provides neurology services for NYU multi-specialty group in Rego Park, Queens, NY, USA
Solo practice is located in Sheepshead Bay, Brooklyn, NY
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By Andre Strizhak
This Web Site is intended for education purpose only. The information provided on this site must not be perceived as a guide for self diagnosis or self treatment. Every effort is made to keep the information current, but there are absolutely no guarantees of timely updates.