The first time I heard about Wernicke’s encephalopathy was October 17, 1994. I know that because I have a habit of dating classroom notes, as if they might expire a week or two later. That Monday evening, I was two months into paramedic school, trying to keep up with pharmacology. The seventh of 21 drugs on the agenda was thiamine, also known as Vitamin B1. In my hurried scrawl, next to thiamine’s ...
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