title: Forging Ahead.
abstract: The approach to clinical conundrums by an expert clinician is revealed through the presentation of an actual patient's case in an approach typical of a morning report. Similarly to patient care, sequential pieces of information are provided to the clinician, who is unfamiliar with the case. The focus is on the thought processes of both the clinical team caring for the patient and the discussant. 
   
  
   
  This icon represents the patient's case. Each paragraph that follows represents the discussant's thoughts.
authors.affiliation: Department of Medicine, University of California, Los Angeles, Los Angeles, CA, USA.
authors.forename: Zafia
authors.initials: Z
authors.lastname: Anklesaria
authors.affiliation: Department of Medicine, Emory University, Atlanta, GA, USA.
authors.forename: Daniel
authors.initials: D
authors.lastname: Hunt
authors.affiliation: Department of Neurology, University of California, San Francisco, San Francisco, CA, USA.
authors.forename: Maulik
authors.initials: M
authors.lastname: Shah
authors.affiliation: Department of Medicine, University of California, San Francisco, San Francisco, CA, USA.
authors.forename: Bradley
authors.initials: B
authors.lastname: Sharpe
authors.affiliation: Department of Medicine, University of California, San Francisco, San Francisco, CA, USA.|Department of Pediatrics, University of California, San Francisco, San Francisco, CA, USA.
authors.forename: Bradley
authors.initials: B
authors.lastname: Monash
mesh_terms: D000592:Amino Acid Metabolism, Inborn Errors / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D015390:Gastric Bypass; D005981:Glutathione Synthase / Q000172:deficiency*; D020275:Guillain-Barre Syndrome / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D008875:Middle Aged; D018908:Muscle Weakness / Q000209:etiology*; D009765:Obesity / Q000601:surgery; D011183:Postoperative Complications
chemical_list: D005981:Glutathione Synthase