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‘Downton Abbey’ & The Brain


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I enjoyed “Neurology Debuts in Masterpiece Classic's ‘Downton Abbey’: Does It Make the Grade?” (Feb. 21; 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

Medical Center

Brooklyn, NY 11219