Conversation: The conversation between human and AI assistant.
[|Human|] I am 56 yr old female, who for the past 7 years, at times upon risingto my feet from a sitting or lying position my arms and legs shake involuntarily for a brief period of time. I have to sit down or hold on to something or somebody, or I will fall down to the ground before it stops. Sometimes I can t control my bladder. I have been checked for MS, but a local Neurologist could not find the cause. I do not black out and arms and legs are the only part of my body that shakes. It is visible by other people, and it is a jerking not a tremor. I have a referral to have a complete neuro evaluation at Mayo in Jacksonville FL. What do you think? My carotids are clear and a cardiologist has completed a complete cardiac evaluation and he is the physician that has referred me for a complete neuro eval.
[|AI|]  A neurologist does MRI spine, neck and back for spinal cord diseases causing it. Other tests are neurologic physiological tests for muscles nerves transmission or electrophysiology studies for peripheral nerves implications. An endocrinologist or a physician for thyroid function tests, diabetes rule out. Symptomatic medicines are there to control tremors, which a neurologist can prescribe, levodopa or mirage, methycobalamin are few such medications