“Patients should not be all that interested in their diagnosis—discuss”. This would have been a nice written exam question in the (good) old days before the invention of the pernicious MCQs (Multiple Choice Questions) and the ever so boring OSCEs (Observed Structured Clinical Examinations). Why? Because the reflective (politically correct fashionable word for thoughtful) medical student and doctor realise that what patients really, really want to know is “what is going to happen next?” and then “what are you going to do about it?” In other words, prognosis and treatment. However clever the neurologist may feel in making the diagnosis …