The neurosurgeon on the phone has agreed to come and assess the patient after you gave him all the relevant information.

“I assume you have already stopped the warfarin before calling us”, the surgeon says. You feel your heart sink as you mutter the words, “No, I haven’t”. “If I come down there and the patient has deteriorated I want you to know that it’s on you”, the surgeon says before hanging up. You immediately rush to stop the warfarin knowing that it should have been done immediately once the diagnosis was confirmed.

The neurosurgery team take Mrs Jane up to neurosurgery where a burr hole is performed (you star, you knew they needed one all along). They then are taken back to the ward.

The delay with the unnecessary lumbar puncture faff was also not ideal.  Still, the patient lives, and so does your GMC number.

Final score: 6/10