Little Fishies

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​PT is a 40-year-old woman I had referred to a neurologist for a constellation of vague neurologic symptoms, of which I could not make heads or tails. Well, an MRI, EMG, multiple blood tests, and several office visits later, she returns to me from the neurologist with a nice note that can be summarized as “Your guess is as good as mine.” Ah, the plight of the family physician. Just when you think you can punt a tough case, it gets punted right back to you.​

Primary Care Companion J Clin Psychiatry 2001;3(4):177-178