Consult service really is like the ideal service for skeptics- the entire day our small team- two residents and two medical students- went case by case ruling out our patients as neurology cases. Does this patient have Parkinson's, or is his tremor just a side effect of his severe liver failure- not a tough one there! Is this lady having an unusual headache/stroke or are her symptoms merely a manifestation of the stress of unemployment and her upcoming divorce- also pretty obvious!
We did have one interesting case, well I suppose that is relative to who you talk to. A lady came into the ER and her family was afraid she had suffered a stroke- however, she presented with none of the classical symptoms, no strength deficits, no language impairment, just a short history of tingling in her face that she denied upon admittance, because she did not want to be in the ER any longer. Her nephew helped translate and then filled in some missing pieces to her story- he started by telling us, "Oh, she's just being Mexican about the whole thing." Yes- he said that! I almost started laughing, but did not, luckily. In the end, she probably did not have a stroke, but it was nice to see how close families are here. The nephew came, probably because he knew his own mother could not emotionally or physically bring her sister to the ER for what might of been a very scary diagnosis. It's so wonderful to see families so close!
There might be a PVS case...yikes!
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