Booking

If you have questions regarding the booking process, or important pre-scheduling questions, you can email me at [email protected] – please try to keep it brief. I don’t have capacity to review long texts outside of consultations.

Please do not email me regarding:

1. Referral requests (“Do you know any practitioner in X Y Z city / country”); the answer is “no” and I don’t answer these requests. Apologies.
2. Questions or requests unrelated to my services. They will not be answered.
3. Requests for medical history review; I do not do this outside of consultations. Apologies.
4. Requests to download or review imaging prior to session: Apologies, I do not have capcity for this. It is your responsibility to ensure that the imaging is uploaded properly and available at the time of the consultation. You can use RADIANT (PC) or HORUS (Mac) to self-check whether or not your uploaded DICOM images work properly.
5. Questions or advice related to the articles on this site or my other social media. Apologies, you will have to book a consultation to get your questions answered. I have invested immense effort in writing and recording a huge amount of free literature and videos. Please do not expect me to also coach you or give individualized advice for free; I cannot.

Your understanding is appreciated.

In virtually all cases involving spine, head or neuropathic problems, I will need to review your imaging. It does not matter if they were reported as normal.

To send the images 1., copy all the imaging disc’s content into a folder (use different folder names if multiple discs). 2., compress the main folder using Winzip or similar (file should be at least 30 megabytes, usually more; if the file is tiny then something is usually wrong. Compressing the main folder (the folder that holds all the files) is sufficient). 3., Send the compressed file to mail “at” mskneurology com using wetransfer.com (link valid only 3 days; please note that I do not have time to double-check this prior to session — Please do not email me and ask me to confirm your imaging outside of session), google drive, or similar. If you don’t understand how to do it, please get someone to help you (I do not have time to guide you on how to do this personally; my apologies). If you choose to use Google drive or Dropbox, please make sure that you send me a download link, not a sharing link (Google drive: click “get link”, and configure it so that “anyone with link” can access the files. Send that link). These two are not the same.

You can also review this link: https://www.linkedin.com/pulse/guide-doctors-patients-how-send-medical-cd-via-internet-posavec/

If you want to confirm that the files that you are sending me, work, and this is indeed a good idea, you can download a free DICOM reader (eg. HOROS for mac software or RADIANT for Windows) and check for yourself whether or not the files that you have prepared actually work. Please ensure that you are sending actual professional imaging files (DICOM files) and not JPEG or PNG (picture files). Moreover, when determine the functionality of the files you’ve sent me, it is a good idea to load one study at a time to confirm that the files load properly. This can be harder to ascertain when lots of studies are loaded into the program at once.

In virtually all cases involving spine, head or neuropathic problems, I will need to review your imaging. It does not matter if they were reported as normal.

Exact necessities will be individual, but I will attempt to create a general template of requirements and “wants”, ie. studies that may be helpful but not necessarily mandatory, to various popular maladies:

• Chronic or violent [nerve] pains in the neck, arms, chest, or upper back: Cervical spine MRI
• Chronic or violent [nerve] pains in the legs or lower back: Lumbar spine MRI
• Chronic or violent [nerve] pains in the legs, genitals, lower back and pelvis: Lumbar spine & bilateral hip MRIs (the hip MRIs should preferably include fluid sensitive axial and sagittal PD-fat sat sequences)
• Thoracic spine pain: Cervical & thoracic spine pain (depending on exactly where the pain is. Most cases of upper back pain originate from the cervical spine and not the thoracic spine, mainly via the dorsal scapular nerve).
• Chronic or violent headaches, fatigue, brain fog, vestibular problems, visual problems, tinnitus, pulsatile tinnitus: Brain MRI (mandatory), cerivcal spine MRI (mandatory), Ultrasound doppler carotid and vertebral arteries (optimal), digitally exported — well zoomed retinal (fundus) photos (optimal), CT angiogram of the head neck and subclavian arteries (optimal) (late arterial phase of contrast, preferably infused via the femoral vein and not the brachial vein, as it causes great distortion of the ipsilateral subclavian veins).
• Suspected neurogenic jugular outlet syndrome (applicable for, eg., Tourette’s disease, Dystonia, diffuse non-systemic myoclonias): Brain MRI, CT of the craniocervical junction (this is usually included in a head CT, but not always. Always included in a neck CT.)
• Craniocervical / atlantoaxial instabilities: Flexion, extension and rotational (full range of motion!) MRI or CT of the craniocervical junction. If CT, the very fine cuts must be included so that reformatting is permissible.
• Hip pain: Hip MRI and/or x-ray. If you suspect the pain is neurogenic, then a lumbar spine MRI may also be required.
• Genuine wrist, knee and ankle problems (that are not mere manifestations of proximally originating nerve pathologies) are difficult to diagnose and treat virtually, and typically require a physical assessment with close imaging correlation. However, if you still want to give it a shot, then we will at least require imaging of the joints. Fluid sensitive PD fatsat imaging is helpful. The imaging should be acquired while the joint is painful, as this increases the likelihood of capturing the inflamed area.

During a virtual session, we will review your case history, medical imaging or bloodwork. I will ask you very specifically about your symptoms, their locations, triggers, etc. Although I cannot examine you physically, we tackle this by instructing you on how to perform certain tests or provocative movements yourself (eg. Spurling’s test (radiculopathy), Roos’ test (thoracic outlet syndrome), etc) while I watch. Sometimes, I may also instruct your friend or spouse to perform certain tests on you (eg. myotome tests for radiculopathy). The way I conduct my online consults work well and I have helped numerous patients online since 2017. Certain regions are more difficult to evaluate online, especially wrists and knees due to highly specific manual diagnostic techniques that cannot easily be reproduced by the patient nor replicated on guidance. Not impossible, but it tends to take longer to reach conclusive diagnostic certainty.

Once we have narrowed down the diagnosis, or most likely differential diagnoses, you will be given homework that is done weekly / daily depending on what the actual issue is. The treatment can be postural, exercises, pharmacological, or referral for surgery. I may also refer you out for additional testing if necessary.

You do not need to be very computer savvy to have a virtual consultation. If your computer works as it should, just create a Discord account (see “register“, just below “login”). Try to choose at least a screen name (separate from username) that reflects your actual name, or else it will be difficult for me to know who you are in the future. You should send me a discord friend-request at least one day prior to your consultation (details are found in the booking confirmation that is automatically sent to your email). You should make sure your microphone and video settings are checked and working prior to the session. You should ensure that you have a working internet connection with adequate connection speed (this is usually not a problem, as most locations have good internet at this current point in time). Get a local friend or loved one to help you with the creation and pre-checks, if you feel intimidated by the technical peculiarities. It is, generally, however, quite effortlessly done.

Some information regarding in-person consultations

On-demand only. Contact me via the email. The minimum time bookable is a “half-day” (3 hour) consultation.

Presential consultations in your own home and country

I can offer my services in domiciliary fashion for the patient who prefers a presential work-up but is not wiling to travel to Colombia. Pricing starts at 3500 USD (+ expenses) per day for the first three days, then 2500 for each subsequent day of travel. I can carry handheld ultrasound equipment, but other necessary imaging will have to be planned locally, with or without my assistance. Send me an email if you are interested in this service. I will only travel to countries where I may enter visa-free with my NORWEGIAN PASSPORT.

This is a fully private practice. Unfortunately, we do not take insurance. We do not produce special invoices or other documents for insurance coverage eligibility. For insurance coverage, please speak to your insurance company regarding reimbursable clinics with whom they cooperate.