Two Hours

A 70-year-old man develops dizziness and difficulty walking. He sees his primary care physician. He’s sent to the emergency department. Two hours pass between when the symptoms began and when stroke is finally on the differential. By then, the tPA window is closing. The clinical story — and the way a posterior circulation stroke can hide in plain sight on a busy day in a busy office. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit thecharteddefense.substack.com/subscribe