How do you evaluate and manage brain fog in patients with underlying rheumatic disease?  

For Brain fog – Most important this is I stress to patients – there are likely MULTIPLE different things contributing to brain fog, so there are MULTIPLE different things we are going to have to work on to improve it. Active inflammation might be contributing, but there is likely several...

Brain fog, although a characteristic symptom in fibromyalgia, is reported commonly by patients with rheumatoid arthritis and every rheumatic disease. It is a descriptive term for mental exhaustion often associated with cognitive disturbances. Its severity tracks with fatigue and pain and the overall...

I think the question of when to refer for neuropsych testing in the setting of brain fog is complex. Before referring to neuropsych, I always ask myself what I am going to do with the results. Often, testing will come back with multiple domains in the low average range, particularly attention, and t...

Symmetrel helps some people. Modafinil helps many.