you're totally missing the point... the issue is that we end up having multiple patients on our census with no actual neurologic issues who were originally brought in for some unrelated medical reason who were then dumped onto the neurology service under false pretenses. it's a classic turf. the neurology service has no cap at my hospital (unlike other services), so yes I think other teams abuse this.

the neurology service is for patients with neurologic issues. it's not the step-down unit for COPD/CHF/alcohol detox and it's not a long-term care facility for uninsured demented patients with UTIs or PNA. if we could send the patient back after their EEG invariably shows toxic-metabolic encephalopathy then I would have no complaints, but the issue is they get transferred for an EEG they probably never needed and then they live on the neurology service for the next 8 weeks.