Posts by Noah Barrett12

Hey Dr. Miller, would you mind sending me your email via PM? I’d like to forward my entire medical file over to you, and honestly, I have a handful of specific questions I need to run by you if you don't mind. Thanks in advance!

velvetmoose9 said:I’m assuming (granted, I don't have access to the full clinical picture or all the test results, so I can't say anything for certain) that the diagnostic workup is going to expand—most likely including the tests mentioned in my previous post and an expanded radiological evaluation, such as an MRI...
Are you experiencing any issues or changes when swallowing food or liquids?
Any difficulty with speech?
When you saw the neurologist, did they happen to notice any potential tongue tremors?

No, no, everything is perfectly fine; I'm not having any problems whatsoever in that regard. 🤷

velvetmoose9 said:The labs show slightly elevated bilirubin along with slightly low urea and copper levels, which means if you were looking at these results in total isolation—they could actually look a lot "worse."
It would be much easier to provide clarity if we had more specific details. For instance, how old are you? How long has this tremor been going on? Did it hit you suddenly or develop gradually over time? Is it occurring simultaneously in both hands and legs? How exactly did your neurologist describe the movement—was it a "fine" tremor or a "coarse" one (meaning small vs. large amplitude), or perhaps something like a "flapping tremor"? What other medical conditions have you dealt with in the past? Does anyone in your immediate family suffer from tremors (and if so, at what age did they start)? Also, what other tests have you undergone outside of these standard results, such as ceruloplasmin levels, a 24-hour urine copper test, a full CBC, a Cummings test, or hepatitis markers?
Have you noticed any shifts in your mood over the last few years?
What exactly happened during your ophthalmology appointment—was it a slit-lamp exam, or something else?

To give you the full picture: I am 19 years old, and this tremor has been present for about four years now. I actually only discovered it by accident. It started simultaneously in both hands and consists of fine amplitudes. I haven't suffered from any other illnesses, and there is no history of tremors in my family. I’ve had a full CBC done, and everything else falls within the normal range except for those three specific outliers mentioned earlier. I haven't noticed any changes in my mood. During the eye exam, I just stared at a single point while the specialist looked through a device at me (the results were all normal). Well, I hope that provides enough context for you to comment on my situation... thanks in advance.

Hey there!
I’ve been dealing with tremors in my hands and legs lately. I went to see a neurologist, had an abdominal scan, and even got my eyes checked—everything came back totally fine. Following that, the neurologist ordered some blood work, which I went ahead and did about nine months ago. Since I was out of the country at the time, I couldn't pick up the physical copies, so I just emailed him a few days later asking him to send over the results. Now, I need to take those specific labs to my primary care doctor, but I’m wondering: are these results still relevant, or am I going to have to go through the whole blood draw process all over again?

Also, the main thing I’m trying to figure out is if anyone here can help me make sense of this. Three of my levels are sitting outside the normal range, so if anyone knows what those specific markers represent and whether they are actually a major concern, I’d really appreciate it. Thanks in advance.
Total Bilirubin result=32.6, Rel interval=7-30
Urea result=7.0, Rel interval=2.7-6.8
Copper result=9.6, Rel interval=11-22