I was given a referral to Dr. Fishman for a nerve conduction study and an EMG. After I scheduled the appointment with Integrated Neurology Services, I received no instructions or information.
When I arrived at the office, there was a very short wait, which was good as the waiting room is tiny with only 3 chairs, so most people were standing. After I was put in a treatment room, the young woman had me lie flat on the examining table, put a heating pad around my feet, which did feel nice, but no explanation as to why she did this, and again no information about the procedure. I was so uncomfortable, I couldn't relax my muscles, as I had to support my back with tensing my muscles, as the pain was horrible just lying flat.
Dr. Fishman arrived very shortly afterward. I could not see anything he was doing as I was flat on my back. He did the nerve conduction study with no information. So I had no idea when the electrical shock would occur, where it would occur or how long or strong it would be. This made the test more uncomfortable that it should have been.
Then came the EMG, Dr. Fishman said he would use needles, and that was again all the info given. So the needle stick was a surprise, as he DIDN'T say ok, I am placing the needle in your calf, it will pinch for a second, now here comes the electricity, it will feel like a stab for 60 seconds and your muscle will contract really hard, but only for 30 seconds.
So the pain was a shock, I had no idea how long it would last, or where I would feel it. I couldn't see what he was doing, so it was torture. I can take a lot of pain with the information where it will hurt, what it will feel like, and especially how long it will last. I have had many, many, many painful procedures, and I made it through all of them, but not this one.
Dr. Fishman gave me a paper with the results of my test as I was leaving, with no explanation of the results from him. I read it walking to the car and found out he didn't finish the EMG, due to "patient's inablility to tolerate needle exam". He didn't even discuss that with me. He could have asked if I thought I could take another needle in my ____, that would last for ___seconds. But he didn't, he didn't even tell me he didn't complete the exam. It was extremely painful, and I was crying, but I didn't know what was going to happen next, so the fear factor was huge.
I have no idea how competent a physician he is with all the many other treatments and tests he administers, but I would highly recommend that for an EMG you find another office. read more