Little Fishies

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PT is a 40-year-old woman I had referred to a neurologist for a constellation ofvague 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 tome from the neurologist with a nice note that can be summarized as "Your guessis as good as mine." Ah, the plight of the family physician. Just when you thinkyou can punt a tough case, it gets punted right back to you.