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“You are the registrar in the neurology clinic running over time and have been asked by the consultant to see Mina Khan 35-years old, who has returned for the results of her MRI which confirms she has multiple sclerosis. Inform her of the diagnosis and plan.”

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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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