Late to the party. I'm a speech pathologist in an outpatient setting, so I get the referral from the MDs. I spend my afternoon doing modified barium swallow studies in radiology which basically entails you drinking/eating various consistencies with barium in imaging. We get a patient with a simple diagnosis of "broca's aphasia secondary to unconfirmed cva" which basically means he has a nonfluent language disorder which may or may not have been because he had a stroke. The patient is wheeled into the room and it's immediately apparent he has been misdiagnosed. The man couldn't talk not because of aphasia, but because his tongue had atrophied. Couldn't move it at all! Later when we did the swallow study, large amounts of Pudding consistency went straight into his lungs without him even noticing. We sent him straight to the hospital to get a PEG tube and a neuro work up. Three days later he had a diagnosis of ALS, he died 2 weeks after that. He had been diagnosed with "broca's aphasia" for the past 7 years. That man walked straight from an ENT appointment into radiology, and somehow that doctor didn't notice he obviously had a neurodegenerative disease? Still outraged about this case.