The development of neurology over the last two decades has been characterized by a trend towards increasing hyper-specialization. Whereas many clinicians in the past felt comfortable dealing with the entire range of neurological disorders, this has now become extremely difficult—most might say, impossible—to achieve with the array of diagnostic and treatment options that have become established in many areas. For patients too, specialist clinics and expert advice have become crucial for their ongoing care. But it is also worth considering the possibility that hyper-specialism comes at a potential cost: loss of the ability to perceive, or even care about, the significance of common symptoms that cross conventional disease boundaries.
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