Discover and read the best of Twitter Threads about #neurologists
Most recents (9)
The Bazuki Metabolic Neuroscience Initiative supported by @BaszuckiGroup means good things for mental illness and neurological disorders. This is a thread to learn more. š§µ (1/7) #neuroscience #metabolism #metabolicpsychiatry
@BaszuckiGroup The initiative will have three arms: clinical, mechanistic, and computational, and will serve as a hub for coordinating funding and research in this area. (2/7) #brainhealthmatters #research #neuroscience
@BaszuckiGroup The initiative will also conduct its research in these three areas, including foundations, Frontiers, and Technology development. (3/7) #research
It's time for new job signing by final-year residents. A non-compete is one of the important discussion points
It should be totally removed from Hospital-based physicians. It's a big win-win for health systems and physicians.
Why? read this thread.
#MedTwitter #healthcare
It should be totally removed from Hospital-based physicians. It's a big win-win for health systems and physicians.
Why? read this thread.
#MedTwitter #healthcare
Non-compete agreement --> it is meant to prevent physicians to compete with their old employers.
#hospitalist
#intensivist
#ER Docs
#Neurologists based at hospitals & others
These specialties don't compete or take patients with them once they leave their current job.
Why?
#hospitalist
#intensivist
#ER Docs
#Neurologists based at hospitals & others
These specialties don't compete or take patients with them once they leave their current job.
Why?
How patients chose ED/Hospitals in an emergency?
- Most of the time it is chosen for patients.
- Based on critical illness, location, a nearby hospital, capabilities of that hospital, and related factors
- ED room is not chosen based on ED doc or hospitalist or ICU doc.
- Most of the time it is chosen for patients.
- Based on critical illness, location, a nearby hospital, capabilities of that hospital, and related factors
- ED room is not chosen based on ED doc or hospitalist or ICU doc.
1/ Step 1 - Donāt
šShut anything off
šTouch the vent
šRemove restraints
šPause sedation
if you have not explicitly asked permission to do so.
[This is a survival thing! For the ptā¦ (and you š)]
A #tweetorial @medtweetorial about critical care things for #neurologists
šShut anything off
šTouch the vent
šRemove restraints
šPause sedation
if you have not explicitly asked permission to do so.
[This is a survival thing! For the ptā¦ (and you š)]
A #tweetorial @medtweetorial about critical care things for #neurologists
2/
Vibe check for the #neurologists out there. Do you like doing ICU consults?
#MedEd #NeuroTwitter #NeuroTwitterNetwork #EmoryNCCTweetorials
Vibe check for the #neurologists out there. Do you like doing ICU consults?
#MedEd #NeuroTwitter #NeuroTwitterNetwork #EmoryNCCTweetorials
3/
Tip 1ā£: Induction meds for intubation have different hemodynamic profiles.
In emergent situations, explicitly tell whoever is intubating the patientās BP goals.
For ex: AIS = ā¬ļø BP good; induction with propofol (frequently = hypotension) is suboptimal.
Reminders are š
Tip 1ā£: Induction meds for intubation have different hemodynamic profiles.
In emergent situations, explicitly tell whoever is intubating the patientās BP goals.
For ex: AIS = ā¬ļø BP good; induction with propofol (frequently = hypotension) is suboptimal.
Reminders are š
When was the last time you saw a pt with hepatic encephalopathy or lost a pt to cerebral edema from it?
Ever wondered why liver failure causes HE & Cerebral edema? What if conventional Rx fail?
If interested in journey to MARS, keep reading.
Bringing awareness to #neurologists.
Ever wondered why liver failure causes HE & Cerebral edema? What if conventional Rx fail?
If interested in journey to MARS, keep reading.
Bringing awareness to #neurologists.
Pt w/ MVA,G5 liver lac,hepatic art sacrificed,LFT 5k,NH3 250,GCS 4
Pt w/šŗcirrhosis,found down,severe rhabdo,CKš,NH3 400s,renal shutdown,GCS 5
Pt w/ colon Ca on @KEYTRUDA w/jaundice DILI
Pt w/ liver transplant, p/w intractable pruritus
You got the gist-MARS aka Albumin dialysis
Pt w/šŗcirrhosis,found down,severe rhabdo,CKš,NH3 400s,renal shutdown,GCS 5
Pt w/ colon Ca on @KEYTRUDA w/jaundice DILI
Pt w/ liver transplant, p/w intractable pruritus
You got the gist-MARS aka Albumin dialysis
Pathyphysiology of cerebral edema in HE.
An article by @EWijdicks elegantly describes it. (PMID:27783916)
In Liver failure (LF), ā¬ļøNH3 cross BBB, converted to glutaminešš»osmotic gradient and CE.
Risk of cerebral edema (CE) ā¬ļø with NH3 >200 micro moles/L.
An article by @EWijdicks elegantly describes it. (PMID:27783916)
In Liver failure (LF), ā¬ļøNH3 cross BBB, converted to glutaminešš»osmotic gradient and CE.
Risk of cerebral edema (CE) ā¬ļø with NH3 >200 micro moles/L.
1/š§µ
What's your favorite anti-seizure medication (ASM)?
If you said levetiracetam (LEV), you're not alone.
Why do so many #neurologists ā„ļø LEV? A #tweetorial.
#MedStudentTwitter #NeuroTwitter #MedTwitter @MedTweetorials
What's your favorite anti-seizure medication (ASM)?
If you said levetiracetam (LEV), you're not alone.
Why do so many #neurologists ā„ļø LEV? A #tweetorial.
#MedStudentTwitter #NeuroTwitter #MedTwitter @MedTweetorials
2/
What's so good about LEV? First, some #pharmacology:
ā Fast PO absorption
ā 1:1 PO:IV š
ā Few med interactions
ā Can load for status epilepticus
pubmed.ncbi.nlm.nih.gov/31029217/
What's so good about LEV? First, some #pharmacology:
ā Fast PO absorption
ā 1:1 PO:IV š
ā Few med interactions
ā Can load for status epilepticus
pubmed.ncbi.nlm.nih.gov/31029217/
3/
And lots of clinical uses:
1ā£ Focal and generalized seizures
2ā£ From š¶ to š§
3ā£ Often used in š¤° (category C): pubmed.ncbi.nlm.nih.gov/28472982/
4ā£ Good for status epilepticus (60 mg/kg, up to 4500 mg) - similar efficacy to phenytoin & valproic acid:
pubmed.ncbi.nlm.nih.gov/32203691/
And lots of clinical uses:
1ā£ Focal and generalized seizures
2ā£ From š¶ to š§
3ā£ Often used in š¤° (category C): pubmed.ncbi.nlm.nih.gov/28472982/
4ā£ Good for status epilepticus (60 mg/kg, up to 4500 mg) - similar efficacy to phenytoin & valproic acid:
pubmed.ncbi.nlm.nih.gov/32203691/
#Tweetorial time! A little late this week as Iāve been busy on inpatient. Transitioning to #CommonNeuroConsults and this week will start with a #stroke and #ophthalmology topic @DGlaucomflecken @MedTweetorials #meded #medstudenttwitter
āTransient Monocular Vision Lossā
1/
āTransient Monocular Vision Lossā
1/
You may also hear this called āamaurosis fugaxā and can be due to an ocular cause, a vascular cause, or an optic nerve head problem!
2/
2/
Letās start with a brief review of ocular and oculovascular anatomy!
Your optic nerve is cranial nerve 2. This is the nerve that transmits visual information from the retina to the visual cortex.
3/
Your optic nerve is cranial nerve 2. This is the nerve that transmits visual information from the retina to the visual cortex.
3/
#MedTwitter #medstudenttwitter #MS3 #MS4 #NeuroMatch2021 #NeuroResidency #IMG #neurotwitternetwork #neurology #Neurotwitter #Match2021 #ERAS #ECFMG #USMLE
@NMatch2021 #Twittorial
Best ways to prepare yourself for the upcoming #virtual Neurology residency application cycle:
1/
@NMatch2021 #Twittorial
Best ways to prepare yourself for the upcoming #virtual Neurology residency application cycle:
1/
- Make an initial list of programs you are interested in applying to.
- Do your #research: curriculum, front loaded?, number of residents, night float?, location, categorical or advanced (needs IM prelim)?
- Start asking for LoRs (May have to remind writer at least once)
2/
- Do your #research: curriculum, front loaded?, number of residents, night float?, location, categorical or advanced (needs IM prelim)?
- Start asking for LoRs (May have to remind writer at least once)
2/
- Start working on your PS
- Have a note or document on your phone/PC for
ideas: You never know when a moment of inspiration
may happen!š”).
- Make as many corrections as needed
- Contact programs with any questions, specially if something is not clear to you
3/
- Have a note or document on your phone/PC for
ideas: You never know when a moment of inspiration
may happen!š”).
- Make as many corrections as needed
- Contact programs with any questions, specially if something is not clear to you
3/
Letās do a quick one on #clinicaldecisionmaking and #neuroimaging. See bright spot on MRI T2 Brain just means increased water -could be any insult to the brain - #infection #inflammation #ischemia #neoplasm are the top 4 you gotta have in your brain. Pun intended. #MedTwitter
Then you think - active or inactive process? If itās actively destroying the BBB, itāll enhance on contrast enhancement. So get MRI with and without contrast. Why without? T2 shine-through - but thatās for another time. #MedStudentTwitter #neurology #neurologyresident
Now the important question here is what you do - remember that nice poem on #theroadnottaken by #robertfrost? 2 widely diverging choices - to immunosuppress or not to immunosuppress. #tobeornottobe #hamlet #MedTwitter #AcademicTwitter #MedStudentChat
How did US #neurologists experience the initial response to #COVID19? Find out in our survey now published online in @GreenJournal! @AkankshaMD @jillfarmmovedoc @DianaGCMD @LaFaverMD @kimaneurologist
pubmed.ncbi.nlm.nih.gov/32439820/ @AANMember
pubmed.ncbi.nlm.nih.gov/32439820/ @AANMember
The survey was distributed via social media in March 2020 and received 561 responses from US #neurologists in practice. While 87% were provided #PPE by their institutions, 45% were asked to reuse PPE more than once.
Practices to limit #COVID19 exposure and advice on #selfquarantine varied widely. 43% of #neurologists with known exposure were advised to continue seeing patients unless/until symptomatic, and only 12% were offered immediate testing.
