Anyone use Dr. Bob Pascuzzi (not sure about spelling) he is from Indiana University, is a speaker on at least one of the MGFA podcasts (which are all worth listening to) and seemed to get it that symptoms that may not seem to be disabling to some are to others - example he used was if patient is news reporter then any slurring of speech is disabling/impacts career as opposed to every neuro I have ever seen who thinks not urgent/important/big deal unless you need to be intubated.