← Return to Purpose of Seeing a Neurologist after Stroke

Discussion
Comment receiving replies
Profile picture for grrranny @grrranny

Thanks so much, Lisa! Medications seem to be okay so far. While the Occupational Therapy is just once a week and is helping somewhat, it kind of hurts my hand because we're doing mostly fine motor skills like sticking tiny odd-shaped objects into tiny holes. The Physical Therapy is only twice a week, and although I'm making progress, I feel like I really need at least one more day per week. Will talk to them again about that tomorrow. Apparently Medicare only covers 2 sessions per week. Anybody have any ideas what to do about that? I've told them I'd be willing to pay out-of-pocket.

Jump to this post


Replies to "Thanks so much, Lisa! Medications seem to be okay so far. While the Occupational Therapy is..."

@grrranny Since a neurologist is the specialist for brain and spine this is a reasonable referral for you. The neurologist will presumably do an exam and figure out how you have progressed since the stroke occurred. The neurologist will review your medications. Since you have ongoing occupational therapy and physical therapy (do you also have speech therapy?) the neurologist may write another script to extend your therapy for a longer period of time.

Do you have any questions you'd like to ask the neurologist about the stroke? You might have questions about where, exactly, in your brain the stroke occurred and how that is related to your fine and gross motor skills? The neurologist may also have suggestions on what you can do for prevention of a future stroke.

I hate to sound discouraging but you probably will not get insurance to cover more therapy days for you BUT you can create your own. Reach out to friends & family and ask them for half a dozen minimum of any beads or small buttons they may have--explain what you are doing in therapy to help them determine what you need. Then take an empty large jar (peanut butter?) have someone drill holes into the top (one hole for each object size) just barely large enough for the bead to fit through. On days when your therapist doesn't come, "spill" the beads onto a cookie sheet with sides and practice picking them up one at a time to replace in the jar. Get a sewer to help with this nest part: You will need 2 strips of fabric similar to the button facings on a shirt (can use the button side of 2 old shirts). Sew buttonholes just barely big enough for the various buttons on one strip and loosely sew the button onto the other. Then practice getting the various sizes & shapes of button through the holes. I also found stress clay at Walmart--silly putty works too. Good luck! don't let insurance limit how you recover.

@grrranny - How's it going? Did you end up getting one more day of PT per week?