NEURO CONSULT — b20260903-1SERIES: TEACHING SERVICETHE LOCALIZER
STAT
Intern: "Everyone on rounds knows more than me.

Intern: "Everyone on rounds knows more than me." Me: "Name one thing I said this morning you couldn't have." Intern: "You said the lesion was left MCA." Me: "He was weak on the right and couldn't get a word out." Intern: "...oh." Me: "That's the whole trick. We're just louder about the obvious." Imposter syndrome in residency is mostly a volume problem, not a knowledge problem. Right-sided weakness with expressive aphasia localises to the left hemisphere — the language-dominant side in the overwhelming majority of people — in left middle cerebral artery territory. The intern had the entire localisation before anyone said it out loud. Send this to the intern who thinks everyone else was born knowing. Send this to the intern who thinks everyone else was born knowing.

EXPLAINED (ACCURACY-CHECKED)

Right hemiparesis with expressive aphasia localises to the left cerebral hemisphere, typically left middle cerebral artery territory, because language is left-dominant in roughly 95% of right-handed and the majority of left-handed people.

Established clinical neuroanatomy: left-hemisphere language dominance and MCA-territory localisation of right hemiparesis with aphasia. Verified against standard teaching; PubMed/Consensus not reachable this run.
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