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“This patient has been recently investigated for neurological symptoms and an MRI scan has shown evidence of demyelination. ┬áPlease discuss the findings with the patient.”

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At the beginning of this scenario, the patient is unhappy about seeing a registrar, and not seeing a consultant. Do not be defensive – the doctor explains the reasons why, and then offers the patient to wait for the consultant or be seen by herself.

The primary difficulties of this case is communicating uncertainty with a difficult and often life-changing diagnosis. It is important that categorical answers are not given, as they cannot be. At this stage, we do not know what type of MS the patient has, and only time will provide this information.

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