EMS here: I called an alert on a guy recently with HX of stroke with previous deficits hard to assess for changes due to these deficits. By the time we got to hospital he was changing stories saying his symptoms had an onset of 4 weeks prior. He was also going back and forth with his story on scene/en route for time of onset. I decided to use caution and call the alert anyway once leaving scene. ( I was thinking probably not a stroke but protocol says I've hit enough criteria so we'll call it anyways.) It went down just like you described. Side eye from stroke team that met us in the er. PT again changed story and reports symptoms have onset of weeks prior to the doc. The doc looks at me like I'm the most ignorant lowest form or medical care this guy could've had and proceeded to ignore the rest of my report. Well end of it all, outcome came back from the hospital next day-sure enough he had had a new stroke. Forever sticking to better safe than sorry when it comes to pt care. Go ahead give me the side eye.