Ok, so, first, there are some diagnoses that are known hard to diagnose. Celiac disease, mycosis fungoides, diabetes insipidus, among many. Half of medicine is

Ok, so, first, there are some diagnoses that are known hard to diagnose. Celiac disease, mycosis fungoides, diabetes insipidus, among many. Half of medicine is rare diseases. The typical physician may see a case once in their career, maybe less. I can say, as a pathologist, the doctor who lives at the far end of many of these workups, I have seen some truly rare diagnoses, stuff that's not in any textbook. And I know good doctors who have missed common diagnoses, myself included. I submit that this attorney in the story was fortunate that this neurologist saw him outside his regular clinic, was a neurologist, and had the luxury of reviewing the chart, probably at night or over a weekend, without ten patients in the waiting room, three stacked up in the clinic rooms, a nurse he doesn't quite trust, a front desk clerk who showed up late, and a note from radiology in his inbox that landed 5 minutes before clinic started notifying everyone that the CT suite is unavailable for urgent scans because the technicians' contract wasn't renewed in time so they're simply not coming to work. In medicine, days off are so wonderful because they're the only real chance to catch up work.