Every doctor can recall a transcendent moment of arrival, a moment of breaking through the cloud cover, leaving behind the shaky confidence and self-doubt that hung over their residency and fellowship. In neurology, it takes four, five, sometimes seven years to make that transition, and once you make it, once you hit your cruising altitude, those below you in the fog might think you are performing diagnostic miracles. It is important to point out to them that you are not.