In general, patients only notice that there is a problem once they have started trying to conceive.
Some patients notice that certain colors, particularly red, are less bright or vivid; others have a general loss of color perception.
Some patients do not notice the shocks, while others have been thrown to the ground by the jolt.
"I have seen 500-pound patients drop down to 450 pounds and notice significant improvements in their symptoms."
In both cases, patients will notice a sudden decrease in vision.
But I'm sure that my patients did notice a difference even though it may not have been overtly expressed.
But by that time the patient had noticed too.
After the last ride, the patient saw himself in a mirror and noticed that his eye looked normal.
Some adult patients also notice problems with thinking or memory.
The patient may notice little things that others do not, and successfully hide them for a while.