January 23, 2025 VMR with Rabih & Gerardo - progressive confusion

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[@alejandroflz64]

Great discussion!

[@walterbortz355]

Great discussion- thank you! Agree very much that an experienced Internist, when dealing with encephalopathy, is scrutinizing the medication list in short order. Probably I would have moved to MRI/LP given diagnostic uncertainty but that’s very debatable. The report of fever would have weighed on me considerably.