Cyrelle & Benjamin
Cyrelle & Benjamin
Q + A
A 25 year old man presents frequently to the Emergency Department with episodes of weakness and inability to move his arms and legs. Extraocular movements as well as bulbar and respiratory muscles are spared. The patient says that he gets these episodes with emotional stressors, after exercise, or after eating heavy desserts. On further questioning, he says that his father has similar episodes. What is the likely diagnosis?
A 62 year old man presented to the clinic complaining of arm pain. He reported that his right arm felt stiff and painful, and it would tremor at rest. He also reported difficulty walking, but had not fallen. On examination, he had dystonia of the right arm with flexed posture at the elbow and wrist. He had occasional whole body jerks. Sensation to light-touch, pinprick, and other primary sensory modalities were normal, but with his eyes closed, he could not identify objects placed in his right hand or numbers dran on his palm. What is the most likely diagnosis?
A 52 year woman is brought to the emergency department by her family with disorientation. On further questioning, her family reported that she had been walking into walls and into furniture, and then she would make up absurd excuses as to why this occurred. On examination, she had complete visual loss on confrontation testing and loss of optokinetic nystagmus. She confabulated when asked to name objects or count fingers. She categorically denied there being anything wrong with her vision. This presentation is most consistent with:
Is there anything I actually need to know for the wedding?
Facilities: The ceremony and reception will be outdoors (same general area), but there will be access to indoor areas, running water, electricity, and all of that.
Dress Code: For us, the most important thing is that you are comfortable. Keep in mind that it is generally a few degrees cooler in Garden Valley than Boise, and that in our low-humidity, high desert climate, the temperature can drop pretty quickly and significantly once the sun goes down. Also keep in mind that the ceremony and reception is outdoors on variable terrain, and that the sun will be down for the last two hours of the evening.
Child Policy: You may be wondering if you can bring your children. I don't know, is your child a nerd? Just kidding, we love nerds. Just make sure you let us know the total size of your party so that we can make preparations (eg. cages, muzzles, treats, etc).
Dog Policy: Unfortunately, the venue owner has asked that dogs stay at home
Vaccine Policy: While we are not requiring proof of vaccination, for the safety of our guests, we are asking that attendees please be up to date on their vaccinations, including COVID and Influenza
Other: Our invitees come from a variety of different religious backgrounds and maintain different belief systems. We can certainly understand that, for some, religion and marriage may seem inextricable. However, we have decided to keep the ceremony secular. We additionally request that toasts not involve religion, and for there to be no calls for group prayer