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Controversies in Neurology
July 2006

Surgery for Brachial Plexus Palsy: Does Timing Matter?

Author Affiliations

Author Affiliation: Wake Forest University School of Medicine, Winston-Salem, NC. Dr Roach is now with Ohio State University School of Medicine, Columbus.

 

E. S.RoachMD

Arch Neurol. 2006;63(7):1034-1035. doi:10.1001/archneur.63.7.1034

The art of medicine consists of amusing the patient while nature cures the disease.—Voltaire

Once as a resident I was chided by an attending for not seeing a patient with Bell palsy the same day she was referred. Bell palsy is hardly an emergency, I countered. True, he said, but if you wait too long the weakness will resolve before you begin steroids and the patient will not keep the appointment. Sound business advice, but poor science.

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