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Neuro Consult Needed

A patient in her early 20s with longstanding history of seizure like activity gets brought back to the emergency department via ambulance for another “seizure.”

While her whole body is shaking in the ambulance, she has the wherewithal to reach in her pocket, pull up her dad’s number on her cell phone, dial, and tell him to meet her at the hospital.

Then, during her post-ictal period, she begins talking “baby talk,” which is apparently “normal” for her “seizures” and which is only relieved with IV Ativan. Oral medications just don’t seem to work on her.

I gave her an appointment with Dr. Grumpy next week.


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One comment

  1. I don’t take her insurance. Even if it’s cash.

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