Brief Answer:
Please get an examination

Detailed Answer:
Good evening. I am an adult neurologist and would like to comment on your problem.

Inability to focus could indicate a number of different things....INCLUDING FATIGUE though you may not recognize it as such.

I would recommend being seen first by your primary care doctor to do a standard blood and urine workup to look for obvious problems in electrolyte, blood cell counts, and liver/kidney functions. If all that checks out then, I would see a neurologist who will check you out and do a good neurological examination. He may decide after speaking and testing you to send you either to a sleep specialist for testing for things such as sleep apnea and narcolepsy to a neuropsychologist who can detail your ability to concentrate and be attentive.

Monotony behind the wheel can be a sign of sleep apnea or narcolepsy

Lab wise I would make sure I had the following tests run:

1. FT4, TSH (thyroid hormones)
2. Vitamin B12, Folate, Vitamin D (important nutritional elements necessary for good concentration and ability to focus especially when involved in monotonous activities such as driving)
3. serum cortisol levels (tests the adrenal glands)
4. serum Testosterone
5. ESR, CRP (inflammatory markers)

I hope these suggestions satisfactorily address your questions and give some additional information you can discuss with your DOCTORS regarding the concerns you have. If so, may I ask your favor of a HIGH STAR RATING with some written feedback?

Also, if there are no other comments, may I ask you not forget to CLOSE THE QUERY on your end so the question can be transacted and archived for further reference by colleagues as necessary?

You are invited to direct more comments or inquiries to me in the future by going to my web address at:

bit.ly/drdariushsaghafi

I would be honored to answer you quickly and comprehensively.

Please keep me informed as to the outcome of your situation.

The query has required a total of 29 minutes of physician specific time to read, research, and compile a return envoy to the patient.

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