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Assessment
(Marc C Patterson, MD - February 18, 1998)

I saw Mrs. Burns in subspecialty consultation on October 16, 1997. Mrs. Burns, at the time, was admitted to Saint Mary's Hospital under the care of our Neurology Service; her supervising consultants had included Dr. David Dodick and Dr. John Noseworthy.

The patient had been referred to the Mayo Medical Center for evaluation of a previously undiagnosed neurologic disease.

The patient had a number of symptoms and signs which could have been explained by a variety of diagnoses.  For this reason, a comprehensive evaluation was undertaken.  This evaluation eventually led to a definitive diagnosis of Niemann-Pick Disease, Type C.

I emphasized that the patient had no diagnosis prior to her referral to Mayo Clinic, and the evaluation that was performed was essential to making a definitive neurologic diagnosis.

Marc C. Patterson, M.D.

MCP:tjj
Dictated: 2/18/1998