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FNDS 2026 Abstract 178 landing page

One-page report — public back page

TL;DR — plain-language version

Project Fionigan started from the need to keep a complex medical journey and conference materials organized.

First and foremost, this work is for family, for the medical journey, for finding the right doctor, and for continuing to search for answers.

FND is still a learning journey. Understanding grows over time, and there is still more to learn. Clinicians may not always have the full FND picture either. That is where communication and continuity can break down fast.

This page first started as an online poster and handout. When the conference situation changed, the page became a lived report. That is what the one-page report is supposed to do: keep the important information together when things change.

The public website explains the program. Personal medical records and working continuity reports remain private and patient-controlled.

The rest of this page has the deeper detail.

The back page / handout page 2 is public-facing. The front/photo/history side is download-only.

Project Fionigan keeps fragmented FND information connected, source-linked, and human-readable when lived communication becomes difficult.

New to FND? Functional Neurological Disorder (FND) is a real neurological condition that affects how the brain sends and receives signals, which can cause problems with movement, speech, sensation, thinking, or seizure-like episodes. NIH/NINDS overviewOpens official NINDS page in a new tab — Fionigan overlay does not continue there..

Website status notice: This website is being built and updated in real time. It may contain mistakes, incomplete information, or features that are still being reviewed. It is provided for informational and all-inclusive accessibility-first continuity purposes only and is not medical advice, a diagnosis, or a substitute for care from a qualified clinician. The original source records remain the controlling record.

I am not learning how to have FND. I am learning how to have FND publicly.

Original conference handout

Front and back shown fully and unedited

These are the original handout documents that were part of the website before the website changed during the conference. They are public-facing like the poster and are shown here as full unedited images.

Sources:

One-page report

Public-facing back page only

Front/photo/history side: not displayed on this public webpage. It is available as a download-only reference.

Download front/history side reference

PROJECT FIONIGAN
ONE-PAGE CONTINUITY REPORT PROTOTYPE
PUBLIC BACK PAGE / HANDOUT PAGE 2

Why Functional Neurological Disorders Are Often Misinterpreted in
Emergency Settings

Emergency Diagnostic Pathway
Patient presents with abnormal movement -> stroke/trauma ruled out -> EEG performed -> if EEG abnormal: seizure diagnosis; if EEG normal: often interpreted as psychiatric or behavioral.

Movement Disorder Neurology Pathway
Observation of abnormal movement -> look for positive FND signs such as variability, distractibility, and entrainment -> review objective tests including EEG, EMG, and imaging -> evaluate motor planning signals such as Bereitschaftspotential -> Functional Neurological Disorder diagnosis.

Clinical Data Trace - Verification Key

Key Source
A NIH Functional Movement Disorder EMG/EEG study (Dec 2023)
B VCU Neurophysiology EMG report (Oct 18 2023)
C Hospital discharge summary (Mar 7 2025)
D Psychiatry progress notes (Jun-Dec 2025)
E Cervical spine surgical records (Sept 2022)
F Laboratory panel (Jan 7 2026)

Physician Pilot Evaluation

Evaluation prompt
Estimated time to review full chart without summary
Time to review this structured summary
Did the summary help you understand the case faster?

Response options
<5 min / 5-15 min / 15-30 min / >30 min
<1 min / 1-5 min / 5-10 min / >10 min
Yes / No

Why this matters
The purpose of the one-page continuity artifact is not to replace clinical judgment. It is to make the next clinical judgment less blind by preserving source-linked context, objective anchors, communication-access information, and unresolved questions in a readable form.

Download back page / handout page 2 Open source map

Sources: