“But you seem a little off, cognitively, and our struggle is, could it be the meningioma that’s doing it?” “As they say, that’s your problem.” He’s right. It is my problem. I am his neurologist. It is my job to parse his convoluted responses, fit them into the clinical picture, prioritize his issues, and come up with a plan that lets him live the life that he wants to live, to the extent that is possible.