Editorial
Writings
Clinical writing for attorneys who want the medicine before the opinion.
Stroke
Thrombolysis for Stroke, Part II: Where the Decision Fails
Most thrombolysis cases are pleaded as cases about the clock. The registries record two larger failure modes, running in opposite directions.
Primer15 min
Thrombolysis for Stroke, Part I: What the Drug Does and How the Window Moved
The pharmacology is simpler than the decision to use it. What counts as the right decision today has moved three times in thirty years.
Primer11 min
Adult Moyamoya: After the Diagnosis, Before the Event
The cases that reach counsel rarely turn on the imaging. They turn on the months that come after it.
Primer11 min
Missed Subarachnoid Hemorrhage: The Clock the Record Has to Establish
Every test in this disease is a timed test. What a record has to establish is the interval, not the read.
Commentary13 min
Delayed Stroke Diagnosis: What the Timestamps Cannot Show
The delay in a stroke case reconstructs itself from timestamps. What decides the case is the recognition failure that came before them.
Commentary13 min
Hypoxic-Ischemic Encephalopathy
Autoimmune Neurology
Guillain-Barré Syndrome, Part II: Where the Table Ends
For one vaccine, inside one window, the law presumes the cause. Everywhere else causation has to be proved, and the dates in the record decide which kind of claim it is.
Primer15 min
Guillain-Barré Syndrome, Part I: What Was Measured, and When
The name covers several diseases, and the tests that separate them are often unavailable or uninformative early. What the record has to show is what was measured, and when.
Primer16 min