ASMR Neuro Exam

Added: 2026-05-26

[00:00:10]Hi, welcome in. Do you have an appointment today?

[00:00:15]No. Okay, no worries. Let me see our availability for today. It's been pretty slow. Um, so I'm sure we can fit you in.

[00:00:31]Okay.

[00:00:33]Yeah, it does look like we just had a cancellation. So, um I can actually check you in now. Um have you been with us before or is today your first time?

[00:00:47]Okay.

[00:00:51]Okay. First time. Perfect. So, we're just going to have to kind of set up an account for you. It's not going to take too long. I'm just going to need a little bit of extra information. Um, and then next time you come back, it'll be super easy.

[00:01:04]Okay, perfect. Let me just get this set up for you.

[00:01:18]Okay, perfect. Okay. Uh, so can I get your first and last name, please?

[00:01:28]Okay, great. And then let me also get you checked in so that you don't have to wait too long.

[00:01:42]Okay, perfect. And then um sorry, one more time your name and can you spell the the last name for me, please?

[00:01:53]Okay, great. So, that is put into your um new profile that we're creating. Can I get your date of birth as well?

[00:02:05]Okay, perfect.

[00:02:08]Um Okay. So, uh do you have a permanent address in the county? Did you like just move here? Is there a particular reason why you're um switching healthcare providers?

[00:02:21]Oh, okay. Okay. Just moved here. Okay.

[00:02:24]Yeah, not a problem. So, um, can I have your address or sorry, can we put in your address? I don't mean it, but it's for your account here. Okay. And then is this also a good mailing address?

[00:02:42]Okay, perfect. Um, and do you have a preferred pharmacy or um I mean already or do you want us to just go off of the one that's closest to that address?

[00:02:58]Just the closest one. Okay, perfect.

[00:03:04]Okay, perfect. So, that's going to be the one uh on Third Street. Okay. Um the everything the information is going to be in your portal for you. Okay.

[00:03:18]All right, perfect. Um, do you have any um recent hospitalizations?

[00:03:27]Okay. And then are you currently taking any medications?

[00:03:41]Okay, perfect. Okay. Okay. And do you have any um conditions or just any um medical history that uh I should be aware of or your doctor provider.

[00:03:53]Okay, perfect. Um and for your family history, is there anything we should be aware of like history of high blood pressure, diabetes, cancer, um anything like that?

[00:04:26]Okay, perfect. Okay. Um, and then finally, do you have any allergies?

[00:04:35]Okay. Any allergies to medications?

[00:04:39]Okay.

[00:04:43]All right, perfect. Let me check on that.

[00:04:50]Okay, cool.

[00:04:53]So, um everything is input now. I have updated your profile.

[00:04:59]Your doctor is going to be ready for you.

[00:05:04]Okay. Did you have any questions for me or anything?

[00:05:08]No. No questions, comments, concerns.

[00:05:10]Okay, sounds good. Um, you can go ahead and take a seat and the doctor will be right in. Okay. Hi. Hello. It is me, the doctor. I look maybe a little bit suspiciously like the person that checked you in, but we're not going to worry about that. Okay. I saw um in your chart that um you had wanted a just a a checkup, a neuroche. Okay. Have you been having any any symptoms that kind of led you to that request or um maybe you need it for like employment reasons or Okay.

[00:06:03]Okay. Yes. So, did has there been any recent changes in maybe your diet, your lifestyle, anything like that?

[00:06:19]Oh, I see. Okay. So, just started feeling some some dizziness and stuff after you started taking the new medication. How long after you started taking it did these symptoms start um occurring?

[00:06:34]Okay.

[00:06:36]Okay. I see. I see. Yeah, I'm glad that you came in today. That's definitely something that we can look into. Um there are definitely very topnotch alternatives to that medication. So, um we can definitely uh do some some tests, some evaluations, and then um just depending on what we find today, we can we can either change that prescription or just get you some some care.

[00:07:06]Okay. So, I'm going to get a little bit close.

[00:07:10]It's okay if I touch your face a little bit. Okay.

[00:07:18]Okay. Um, I'm going to kind of poke around with the end of this brush here.

[00:07:23]I want you to tell me if um it feels the same on both sides. Okay.

[00:07:30]Same. Okay.

[00:07:33]Okay.

[00:07:36]Okay. I'm going to do the same thing but with my fingers and at the same time.

[00:07:40]Okay. Same thing. Tell me if it feels equal on both sides.

[00:07:45]Okay.

[00:07:47]Okay.

[00:07:49]Okay. Um, and did you experience like any numbness or tingling or any tenderness or just odd sensations?

[00:08:01]Okay.

[00:08:03]Okay. I'm going to have you I'm going to hold your eyelids open a little bit. I want I want you to look down.

[00:08:10]Okay. Okay. And then go ahead and look up and all the way to that side.

[00:08:17]Okay. And all the way to the other side.

[00:08:20]Okay. Any pain with that? No. Do you have any sensitivity to light or anything? Okay. I'm going to have you bring your ear to your shoulder.

[00:08:31]All the way. Good. And then other side.

[00:08:34]Perfect. Okay. And then go ahead and put your chin to your chest. Roll your head all the way down. I'm going to feel the back of your neck here.

[00:08:48]Okay.

[00:08:49]Doesn't feel super tight or anything.

[00:08:51]That's good. Do you feel any tingling when I just kind of squeeze this area over here?

[00:08:59]Okay.

[00:09:00]Okay, that seems fine. Okay, I'm going to have you hold out your hands just like that. Perfect. I'm going to actually just press on your shoulders a little bit.

[00:09:11]Okay, good. And just push against me.

[00:09:14]So, I'm going to spread your arms apart.

[00:09:16]Don't let me. Good. I'm going to push them in. Don't let me. I'm going to press up. Good. And then don't let me press down. Okay. So, strength seems good. Did you have any uh pain with that? Okay. I'm going to look a little bit more at your face. So, I know you said you were having some some abnormal sensations when you're in some bright light, especially. Okay. How How's your balance?

[00:09:50]Okay.

[00:09:52]Okay. That No, that sounds normal. Um, okay. I'm going to have you Can you puff out your cheeks and raise your eyebrows?

[00:10:04]Good. And scrunch your eyebrows. Good.

[00:10:07]And scrunch your nose.

[00:10:10]Okay. Any pain with any of that? No.

[00:10:13]Okay. And then go ahead and smile.

[00:10:15]Smile. Smile. Smile. Smile. Good. And then show me your teeth.

[00:10:21]Okay. Perfect. And then just frown for me.

[00:10:25]Okay.

[00:10:27]Yeah. I'm going to have you stick out your tongue. Wiggle it side to side.

[00:10:32]Good. and up and down.

[00:10:34]Okay, perfect. I'm going to have you clench your jaw.

[00:10:40]Okay. Any pain when I feel your temples up here?

[00:10:47]Okay. All right. You can relax. So, um yeah, I did notice a little bit of tenderness.

[00:10:58]um which does make sense given your symptoms.

[00:11:04]So I just want to do a little bit more tests or a few more tests. So I'm going to have you follow my finger.

[00:11:21]Good.

[00:11:27]Okay, perfect. Yeah. So, no troubles with with following that and your pupilary action reaction seems to be normal here.

[00:11:43]Okay.

[00:11:45]Um, I'm going to have you turn that way and I'm just going to feel behind your ear and a little bit around your ear.

[00:11:53]Any pain?

[00:11:55]A little bit. Okay. I Yeah, I definitely can feel that. Okay. Let's go to the other side. I'm going to be super gentle. Super gentle. I'm going to feel around this ear here.

[00:12:05]Okay. Yeah. And same same tenderness.

[00:12:09]Okay. Yeah. So, I do think um this is going to be actually kind of an easy fix sometimes have adverse reactions to.

[00:12:25]Yeah, there's like a certain chemical in that medication that um just certain people with a specific alil, specific gene can have this sort of reaction to.

[00:12:35]So, we're just going to switch you to that alternative that I mentioned. Um, and then that will be available for pickup at that pharmacy. Um, looks like uh when they checked you in, they got you set up with that. So, that should uh that should that should help for sure. Did you have any other concerns or anything for today?

[00:12:57]Okay. I'm glad I could help. Thank you.

[00:12:59]Thank you. And good night. Good night.

[00:13:01]Good night. Good night. Good night.