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Musings of a Medical Speech-Language Pathologist. Wednesday, July 25, 2007. vent ahead! So last week I had one of those situations that just makes you want to bang your head against the wall. Or maybe throw things, but that can get you in trouble. A few days later, I was asked to see the patient again. Worsening medical status? New difficulty with meals? So the patient is. Exactly the same as before. The next day I check the chart an.