I had an ER resident argue with me about a little old lady with a head bleed. I did a neuro exam on her.... prior to consenting and doing the checklist for an MRI. I told the resd that she was expressively aphagic and that I was going to contact her husband to help with the MRI checklist. The resident said "oh, she's just a little confused" and wanted me to go ahead with the checklist.
To quote one of my favorite TV characters..... "HOMIE DON'T PLAY DAT!"
I may have spent a year in neuro hell.... but I KNOW my neuro patients and my exam findings. I don't want to take crap from a 3rd year resident who would probably kill the patient if left to her own devices.