I enjoyed “Neurology Debuts in Masterpiece Classic's ‘Downton Abbey’: Does It Make the Grade?” (Feb. 21; http://bit.ly/YwYpzf) by Dr. Orly Avitzur. I was puzzled though that she did not mention the fact that the physicians involved in the dispute about the diagnosis of pre-eclampsia never took Sibyl's blood pressure or seemed to possess a sphygmomanometer. The presence of hypertension as a defining feature of pre-eclampsia had been known for 20 years at that time. I assume this was omitted to permit the disagreement to remain unresolved until the fatal conclusion, which makes sense dramatically, but I would lower the neurologic rating from B+ to C because of this.
Ellen Drexler, MD
Division of Neurology, Maimonides
Brooklyn, NY 11219