I'd like to answer those questions for you, but I can't because I don't know what hte internist is thinking. If the internist strongly believes it's a shunt, you may be able to skip all of that stuff, but it may be replaced with other testing (scintograph). It seems like there is so much uncertainty here.
If you go to the neurologist, just tell them you are limited on funds and do the bare minimum to start.
Was a lactulose enema given?
Does the internist want you to go to the neuro?
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