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Dialogue and diagnosis
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This is a story so typical of general practice that you could almost use it to help medical students decide whether or not they want to be GPs. (I have, as always, altered some details in order to make the person involved anonymous.) The patient is a woman in her late thirties, childless. The story began about two months ago, when I saw her with some peculiar neurological symptoms. I was vaguely aware that she had had a miscarriage about a year previously, but this was not at the