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Arch Neurol. 2000;57:1113-1114.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

SOME FOLKS have lice; some have fleas. Others have lice and fleas. Some even have lice, fleas, and scabies. It depends on how hard one looks for the little devils. Some living conditions predispose to picking up all of these little creatures.

Although parsimony is a virtue, and medical students have always been urged to seek a single unifying diagnosis, in fact, many patients have more than 1 thing wrong with them. Individuals seem to accumulate diseases (and polypharmacy) as they age. Geriatricians are well aware that multiple coexisting diagnoses are the rule, not the exception.

It should not surprise physicians who care for stroke patients that many individuals have more than 1 potential cause of stroke. In this edition of the ARCHIVES Moncayo and colleagues¹ report that of more than 3500 patients with first-ever ischemic strokes entered into the Lausanne Stroke Registry, evaluation showed at least 2 potential causes . . . [Full Text of this Article]

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