The acute medical ward referred a patient to me, for urgent assessment.
The patient had been perfectly well until 2 weeks ago when she experienced left sided weakness and slurred speech that she and her husband have been very worried about. She'd become confused. The medical team referred her to me "with dementia" to sort it all out.
She's had a stroke.
The history, clinical course, clinical examination and structural brain imaging yield a diagnosis of a stroke.
She was perfectly well a fortnight ago. She does not have dementia.
The medical team (well to be fair, a junior doctor on the medical team) assert otherwise. She thinks I'm being unhelpful, not curing this woman or taking over her care "to manage her dementia." I explain she's not got dementia. The junior doctor continues to assert that she does.
I'd love to do this :