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Getting a brain MRI should be simple, right? The test provides a clear image, helps answer medical questions, and reassures you that everything is okay—or at least, that’s the hope. But when my own brain scan revealed an unexpected finding, I found myself in a position many of us will face at some point: navigating medical uncertainty and the emotional toll of an unexpected result.

This is my personal story, but it also carries important lessons for anyone undergoing medical testing, especially as we age.

The Scan That Led to a Scare

This wasn’t a routine screening test or a high-tech longevity scan. I had real symptoms—sudden vertigo that didn’t go away. Initially, I thought it was benign paroxysmal positional vertigo (BPPV), a common condition caused by tiny crystals in the inner ear shifting out of place. But after several months of persistent dizziness and a low-grade headache, it was time to investigate further.

My primary care doctor and I agreed that a brain MRI made sense. But as I titled this episode, What Could Go Wrong?—I learned that even necessary tests can create their own set of anxieties.

MRI Risks and Realities

Before stepping into the machine, I was asked about metal implants, pacemakers, and even tattoos, which I learned can distort images due to trace metals in some inks. While I didn’t have any of these concerns, it reminded me of the importance of disclosing everything before a scan.

For those who feel claustrophobic, brain MRIs can be a challenge. I relied on meditation and breathwork (as I discussed in Episode 5 on Mind-Body Harmony) to stay calm inside the tube. If you ever need an MRI, I highly recommend this approach—it makes the process much more manageable.

The Shocking Results—And What They Didn’t Explain

Modern healthcare moves fast. I received my brain MRI report before I even reached my car—an incredible example of medical efficiency. The good news? No tumor. No immediate cause for concern. But then I saw a phrase that stopped me in my tracks:

“Chronic microhemorrhage in the left frontal lobe white matter.”

My first reaction? That can’t be good.

I immediately thought of my brother-in-law, who developed early-onset frontal lobe dementia. Could this be a sign that I was headed down the same path?

Facing Uncertainty: What Do You Do Next?

Like any good scientist, I turned to research. I scoured medical literature, reviewed studies, and found a few possible explanations:

1. High Blood Pressure – Microhemorrhages can be linked to chronic hypertension. My blood pressure is well-controlled, but could past years of elevated readings have played a role?
2. Amyloid Angiopathy – This condition involves the buildup of amyloid in blood vessels and has been linked to an increased risk of Alzheimer’s disease. That possibility was particularly unsettling.
3. Incidental Findings – Some brain changes occur with aging, with no significant impact. Could this simply be a normal variant?

With more questions than answers, I knew I needed to see a neurologist. But here’s where many people get stuck—waiting months for a specialist.

Choosing a Specialist: Speed vs. Expertise

This is a common dilemma in healthcare. Do you wait for a renowned expert or see someone available sooner? My primary care doctor and I opted for the faster route—an experienced neurologist who could help me take the next steps immediately.

That decision paid off. Within a week, I was sitting with a specialist, walking through my brain MRI images, slice by slice. It turned out my “microhemorrhage” was a very small finding—something that many healthy people have without consequence.

The neurologist reassured me that this brain MRI finding wasn’t a strong predictor of dementia and likely wouldn’t impact my cognitive function. Still, he emphasized the importance of blood pressure control—something we should all take seriously. Studies show that maintaining a systolic blood pressure below 120 mmHg (when tolerable) can significantly reduce the risk of stroke and cognitive decline (SPRINT Trial).

The Emotional Aftermath: Reassessing Priorities

Even with reassuring news, the experience left me thinking: What if I only had 5-10 good years left (if the MRI results were serious)?

We all assume we have decades ahead of us. But when a test result throws that into question, it forces you to reflect. Am I living the way I want? Spending my time wisely? Saving money for the future vs. enjoying life today?

I made some changes—like upgrading our next European trip to business class. A small indulgence, yes, but also a reminder that health is not guaranteed, so why delay the experiences that bring joy?

Vertigo: A Practical Plan for the Future

While the MRI didn’t pinpoint the cause of my vertigo, the good news is that it eventually resolved. But there’s a 25% chance it could return within a year. What can I do?

1. Vitamin D – Some studies suggest that low vitamin D is linked to vertigo recurrence, but supplementation only helps if your levels are actually low. Mine are fine, so I won’t be adding extra.
2. Physical Therapy – The Epley maneuver, a series of head movements, is highly effective for vertigo caused by inner ear issues. If symptoms return, I now have a standing referral to a balance specialist, eliminating delays in care.

Key Takeaways: What You Can Learn from My Experience

1. Even Necessary Tests Can Lead to Anxiety – MRI scans, blood tests, and screenings may reveal incidental findings that create more questions than answers. Prepare for that possibility.
2. Specialist Access Matters – If waiting months for the top expert adds stress, seeing a well-qualified but more available doctor first may be a better approach.
3. Uncertainty Forces Perspective – We can’t control everything, but we can decide how to spend our time, energy, and resources.
4. Stay Proactive About Health – High blood pressure is a major risk factor for cognitive decline and stroke. Keeping it under 120/80 mmHg when possible can help protect your brain.
5. Have a Plan for Future Health Issues – If you’re at risk for a recurring condition (like vertigo, back pain, or migraines), set up standing referrals so you can access care quickly when needed.

Final Thoughts: Don’t Let a Test Define Your Future

A single test result—good or bad—doesn’t define your health. Your daily habits do. If you take care of your body, control known risk factors, and maintain an active, engaged life, you’re doing everything you can to stack the odds in your favor.

And if a medical test ever throws you a curveball? Stay curious. Stay proactive. And remember—you’re not alone in this journey.

If you’ve had a medical test that led to unexpected results, I’d love to hear your story. How did you handle it? What lessons did you take away? Let’s keep the conversation going.