Do you have any self-awareness at all? I've consistently been open to dialogue, but that's not what I'm receiving from you. From the outset, you engaged in personal attacks, demonstrated no willingness to listen, and consistently overstated your points while making fundamental errors (see). I believe you are misrepresenting yourself as a neurologist. If this is considered acceptable practice in neurology, it only underscores that the evidence is not being properly examined. I am well aware of what CIS "presenting" as MS is, will probably not help to mention that it can take decades (as per the literature) for lesions to present, since I am apparently not qualified to read nor quote research papers. The reasons we reject the FND diagnosis is simply because positive rule in signs were never found, the clinician literally based his evidence on a MRI, our current neurologist is leaning towards MS due to optic neuritis being present. I would welcome corrections from qualified neurologists, but I dont feel being bullied is fair here.

At no point have I misrepresented myself on this website. I have clearly stated who I am and my limitations. I am not diagnosing anyone in this post or in any other post on this website, because, as I have been transparent about, I am not qualified to do so. I share opinions mostly supported by sources and firsthand accounts to foster discussion, not to provide medical conclusions. In contrast, you remain completely anonymous. I have no insight into who you are, your expertise, or what motivates your stance, for all I know you're a "vibe clinician". The purpose of this website is to keep diagnostic doors open and explore alternatives, always in consultation with qualified clinicians. Surely you would agree that prematurely closing the door on a diagnosis carries clear risks. I am genuinely concerned if anyone, even trained clinicians, fails to recognise just how serious those risks can be. If you believe that only neurologists are allowed to have opinions, and that being sceptical is offensive, then your approach comes from a position of faith rather than science. Again, you are overreaching. You have no proper basis to draw this conclusion. Providing a detailed history is valuable, but this is likely not a complete medical history (you are basing your bigger picture on incomplete data, e.g. family history, what happened prior to 2025?), and history alone cannot definitively confirm or exclude an organic diagnosis. Proper examination, testing, and imaging are required. Sharing opinions or exploring possibilities is not the same as diagnosing. Hemisensory syndromes are well-recognised and not rare. A normal MRI does not rule out an organic cause, as small, early, or subtle lesions can be missed. Complete hemibody symptoms can still occur in conditions such as stroke or demyelination. The student never claimed the medication "cured" the lesion-only that it reduced hypertonia. Muscle relaxants symptomatically reduce tone and spasticity in organic conditions such as MS, stroke, or spinal cord injury without healing the underlying lesion. Temporary improvement does not rule out an organic cause. Rapid or fluctuating tone changes can occur in organic neurological conditions, including evolving demyelinating or inflammatory disorders. Hypotonia and hypertonia can appear sequentially depending on lesion location, inflammation, or CNS modulation. Symptoms evolving over weeks, including speech or gait changes, do not automatically indicate a functional disorder. Being a non-clinician does not make my points factually incorrect. I have cited evidence and recognized sources to challenge specific overstatements and misconceptions. Highlighting errors or discussing possibilities is not the same as diagnosing, and questioning absolute claims does not require being a clinician. In short, dismissing complex neurological presentations as "functional" without evidence is exactly what this website warns against. Keeping an open, evidence-based approach is critical. Questioning assumptions and considering alternatives saves lives and prevents misdiagnosis. You seem more interested in defending the FND label than in evidence, dismissing scepticism and relying on authority and insults.

Hi Anonymous Thank you for your feedback. Although it is quite negative (and, to be blunt, somewhat insulting), it does give the reader valuable insight into the attitude that those who are skeptical of a diagnosis like this often seem to "enjoy." This email was sent to me on 21 January 2026. I shared his story in good faith, kept his name anonymous, and have no reason to believe any of his statements are fabricated. You will note that his medical story does not conclude with any concrete diagnosis or resolution. He is simply not convinced by the diagnosis he received, which is the best approach in the interest of his health, and he shares his own speculation and hypotheses. There is no need for ad hominem attacks of this kind. At no point does the author claim expert knowledge; he clearly states that he is a student. I have no idea who you are. Are you involved in pro-FND advocacy? I have to assume you are. Are you a medical professional? I hope not, because it will become clear that you are projecting. You accuse the author of this email of things you are clearly guilty of yourself. This is overreaching. You do not have access to his blood tests, his MRIs, nor have you physically examined him. You have no concrete evidence to make any assumptions about his condition. This is false, this is literally called "hemibody/hemisensory numbness" (Hemibody refers to one half of the body), you can read more about it over here | and here The author never stated that muscle relaxants heal organic lesions, that is a strawman. Furthermore, muscle relaxants do improve hypertonia and spasticity in organic conditions, such as MS, stroke, or spinal cord injury, without "healing" the lesion. They work by reducing excessive tone, spasms, and stiffness through central and peripheral mechanisms. Read more about it over here And Tone CAN switch/fluctuate between hypertonia and hypotonia in organic diseases: e.g., early spinal shock (hypotonia) evolves to spasticity (hypertonia); mixed/fluctuating tone occurs in cerebral palsy, some neurodegenerative cases, or evolving lesions. Read more about it over here: Here | And here The claim is false as well. Organic neurological conditions do cause symptoms to evolve, spread, and change drastically over time, including from speech issues to gait problems. Here | Here | and here I believe I have clearly demonstrated that it is you who is lacking clinical knowledge.