even include a cognitive assessment? it is not usual when you do that extensive in examination. it should be automatic. i don t do it on every patient that comes in with a sore throat, but with extensive physical, it should be automatic. number two is the issue of his gate, tucker. but they out say that his gait has changed. he s stiff leggett. here is what s missing there, tucker. no mri of the brain, no mri of the spines of upper or lower, no nerve conduction studies. you wonder, is it tied in with cognitive function? is there fluid on the brain? is it something with a spine? there s so many things that can cause thought that i would want to know about to leave that out