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.
What the record shows
Known findings organized by source lane.
Structural and peripheral findings
- Cervical MRI findings before surgery.
- ACDF at C5–C6.
- VCU EMG: chronic left C6 radiculopathy and mild right median sensory mononeuropathy.
- Prior orthopedic, spinal, pulmonary, and sleep-history anchors.
Functional neurological findings
- Variable or distractible movements described in later evaluations.
- NIH Bereitschaftspotential before abnormal movement.
- NIH impression of likely functional chorea/FND.
- Later movement-disorders framing including functional overlay.
Treatment and response
- Botox reportedly produced minimal benefit.
- Hyperextension or specific head/neck positioning reportedly reduced symptoms.
- Depakote experience is treated as a safety and lived-experience issue requiring source separation.
Continuity and communication
- Known neurological context did not travel as one usable handoff.
- Records were reconstructed manually across systems.
- Accessibility and communication needs became part of the medical story.
The site should ask how structural and functional layers may interact, not declare that one erases the other.