Consultations & Follow-up Visits

When a new patient comes to the Westchester Headache Center, we set aside a three hour block of time for the initial evaluation of the patient.

During this three hour session we conduct the following:

• An extremely detailed history is taken including the patient's complete past medical and family history.
  
  
• A comprehensive physical examination is then performed as are any noninvasive neurologic tests including visual field analysis and neurosensory testing as dictated by either the patient's history or findings on physical examination.
  
  
• Once Dr. Silverstein has arrived at a working diagnosis as to the etiology of the patient's headaches the patient is provided with a description of the different possible therapies (herbal, pharmacological, meditative, etc.). The relative risks, benefits, alternatives and risks to alternatives involved in these different therapeutic modalities are discussed in detail with the patient.
  
  
• Finally, the patient and physician working together determine which therapeutic plan to put into action. Ongoing treatment is then accomplished through telephone consultations and in-office visits
  

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