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Project FioniganFND · CP · Sarcoidosis · Patient advocacy
Project FioniganHIGH PatientWhen the Handoff Failed
HIGH Patient · Continuity failure

When the Handoff Failed

The February–March 2025 emergency, TDO, inpatient, communication, and accessibility sequence presented as a continuity lesson.

Medical-story framing: The diagnosis was there. The data was there. The continuity failed. This section preserves structural findings, functional findings, lived observations, professional interpretations, and unresolved questions without forcing a false either/or conclusion.

When the handoff failed

The February–March 2025 sequence is presented as a continuity lesson.

This page does not attempt to decide legal or clinical questions. It asks what happens when established CP, documented FND, structural findings, communication needs, medication context, and the longitudinal record do not arrive together at the point of care.

01

Prolonged event at home

Joe reports a prolonged seizure-like/non-epileptic event. Public wording avoids calling it epileptic unless a source establishes that diagnosis.

Review needed
02

Mary Washington emergency department

The core continuity question begins at emergency care: did the existing neurological and communication context arrive as a usable handoff?

Review needed
03

Departure and emergency-order pickup

Joe reports leaving after being told he was not detained, then later being picked up the same day. Body-camera material remains private unless explicitly released.

Review needed
04

Involuntary commitment and inpatient sequence

Diagnoses, medications, restraint reports, communication issues, and discharge need source-separated presentation.

Review needed
05

What remained unresolved

No single usable longitudinal handoff joined the structural, functional, communication, medication, and lived-experience layers.

Review needed
Joe had to become the continuity layer. Project Fionigan grew from the need to preserve sources, expose meaningful differences, protect accessibility, and leave final decisions with human beings.