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Few things in medicine are harder than trying to explain to a patient that you don’t understand what is going on.  As is common, I recently had an adolescent patient that had either psychosomatic stroke symptoms or actual acute resolving weakness exaggerated by anxiety.   As we very gently let him down, we explained that we could not find a physiologic reason for his weakness, now better, and that we would likely never know what caused it.  All the patient often hears in these conversations is a booming, “It’s all in your head.”  So it was under these conditions that the patient caught me off balance.  “How can you not know, you have been studying this stuff for your entire life?!” 

Avicenna, Islamic physician and philosopher

Avicenna, legendary Islamic physician and philosopher

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Okay, I think I have the obsessive dopamine circuit running in my head, because try as I might, I just couldn’t stop myself from putting together my collection of the posts, videos, and other good stuff on the internet. So rejoice in my neuroses and share in its abundance. Read the rest of this entry »

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