State of Fear

October 12, 2009 | 18 Comments

Struggling for Rationality
“This patient,” I said to myself, “is going home.” 
I know.  She’s 85 with the dreaded complaint of “Altered Mental Status” described by the family as a brief period of “staring.”  No generalized seizure activity, you understand, and no syncope (fainting), slurring of speech, facial droop, drooling, weakness, confusion, sweating, fever, nausea, vomiting, or [...]