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This report describes a rare case of an 87-year-old woman presenting to a rural emergency department with ataxia. Throughout her admission, she developed areflexia and ophthalmoplegia consistent with a diagnosis of Miller Fisher syndrome. The patient underwent a rapid recovery after receiving treatment with intravenous immunoglobulin (IVIg) for a duration of five days and a two-month period of outpatient physical therapy. Agricultural workers are at a higher risk for skin cancer due to excessive amounts of sun exposure, poor sun safety practices, and limite
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