There is no condition that so quickly transfers a patient from the care of one specialist to another as the onset of hemiplegia in cardiovascular disease. Up to the time of the onset of this complication there is no question that the treatment of the person is a problem for the heart specialist. After the onset of hemiplegia, no one would question that he has passed into the domain of the neurologist. The rôle of the cardiologist up to this time is the prevention, or at least the postponement, of this complication that is always on the horizon.
In the first five years of my practice after leaving the hospital I was closely associated with neurology in that department of the Vanderbilt Clinic. In this busy institution I saw many hundreds of examples of hemiplegia in all its stages, and from every different cause. Later, I spent a period in