Originally Posted by Mindgames
(hug, in a sitting position)
You don't mention if they CTed your head or not, but if they didn't I'm somewhat confused. I'd expect artefacts on a scan to be way more diagnostic than a tap if your physician is looking for a hereditary condition or a vascular pathology. You sound like you got to the ER quickly, so a bleed should have been visible on MRI - if they did a scan and it came back clear then with respect I'd have kicked your ass until you agreed to an ST - taps are predominantly for infection and infiltration (which may show on a scan as slight swelling, but often doesn't) so it's testing for stuff you'd prefer not to be allowing to linger untreated for a few days... a "plain old TIA" like you describe would make me think of something localized and vascular, and I'd want photos of your brain before poking you with anything...(but then people like me just want photos of everybody's brains....) The point a tap was mentioned would be the point your physician thought it was necessary - and while I really hope it was just a TIA you do have to realize that brains are a little more important than fingers - if they start complaining about something it's worth going the extra mile to find out what's wrong, so you don't don't wake up next week.
oh, and yeah.. this isn't the best place to be second-guessing a resident I've never met, but there's always PM.
mG