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This narrative examines how early signs of loss in neurology can be subtle and often overlooked.

April 27, 2026

The Limb That Grieved First

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This narrative examines how early signs of loss in neurology can be subtle and often overlooked.
Descriptive narrative written from a trainee's perspective
Focuses on the experience of observing patients with neurologic conditions
Highlights the importance of recognizing absence and asymmetry in clinical encounters
Demonstrates the necessity of noticing subtle signs prior to a formal diagnosis
Emphasizes the role of uncertainty and restraint in developing clinical judgment
Shows how early experiences shape understanding in neurologic patient care

Resumen

This narrative explores an early clinical encounter in which loss announced itself before diagnosis, through subtle spatial neglect rather than overt weakness. Written from a trainee perspective, the piece reflects on learning to notice absence, asymmetry, and quiet withdrawal in patient care before having the language or certainty to name them. The experience highlights how neurologic illness can unfold gradually and how clinical training often occurs in the space between observation and understanding. By attending to what precedes recognition, the essay reflects on how uncertainty, restraint, and careful noticing shape the formation of clinical judgment in neurology.

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