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E. T. Ajax, MD
Neurology Service Veterans Administration Hospital Salt Lake City, UT 84148

Arch Neurol. 1978;35(8):549-550.

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

To the Editor.—

Clinical neurologists retain a certain conservative devotion to the bedside neurological examination that has changed little in a half a century. They take pride in the traditional approach: a careful history, observation, and efficient examination in diagnosis and election of a rational course of action in patient management.

In a sense, the neurologist is easily and inexpensively equipped. Requisite paraphernalia often may be tucked into pants or coat pockets or affixed to the lapel as in the case of the pin.

It is the pin or similar instrument that should come under scrutiny. Our concepts of communicable disease are undergoing radical change. The casual transmission of serum hepatitis through the use of the pin in sensory testing seems to be a very real danger according to my colleagues in infectious disease. On a more ominous note, consider the revolutionary changes in our thinking relevant to certain neurological . . . [Full Text PDF of this Article]

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