How to Diagnosis Steroid Resistance in Outpatients

This is a very, very extreme case where they're so frozen, catatonic that they're not even responsive. These are notoriously hard to diagnose because the workup can be negative. So when all else fails, just just empirically give them a round of IV steroids and see if they wake up. And it's only going to be the standard if you're, if that person is in the hospital. Like if that person never makes it. Inpatient treatment. Yeah. They're not going to have an IV ever.