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March 14, 2023; 100 (11) Resident & Fellow Section

Right Brain: The Purple Scarf and the Cortical Ribbon

Katherine Fu, Lealani Mae Acosta
First published December 16, 2022, DOI: https://doi.org/10.1212/WNL.0000000000201698
Katherine Fu
From the Department of Neurology (K.F.), University of California, Los Angeles; and Department of Neurology (L.M.A.), Vanderbilt University Medical Center, Nashville, TN.
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Lealani Mae Acosta
From the Department of Neurology (K.F.), University of California, Los Angeles; and Department of Neurology (L.M.A.), Vanderbilt University Medical Center, Nashville, TN.
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Right Brain: The Purple Scarf and the Cortical Ribbon
Katherine Fu, Lealani Mae Acosta
Neurology Mar 2023, 100 (11) 537-539; DOI: 10.1212/WNL.0000000000201698

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Abstract

A patient with probable Creutzfeldt Jakob disease (CJD) who was previously a high-functioning financial analyst remains fiercely independent despite her family's concerns about her safety. As a trainee with limited experience in leading these difficult conversations, this neurology resident describes her experience reconciling the viewpoints of herself, the patient, and her family. She reflects on the ability to reframe this delicate conversation from one of loss of independence in a patient with a rapidly progressive, neurodegenerative condition to one of safety, security, and the care of her family.

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  • Go to Neurology.org/N for full disclosures. Funding information and disclosures deemed relevant by the authors, if any, are provided at the end of the article.

  • Submitted and externally peer reviewed. The handling editor was Resident and Fellow Section Editor Whitley Aamodt, MD, MPH.

  • Received June 21, 2022.
  • Accepted in final form November 1, 2022.
  • © 2022 American Academy of Neurology
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