What it’s like to be in neurology: Shadowing Dr. Govindarajan
As a medical student, do you ever wonder what it’s like to be a neurologist? Here’s your chance to find out. Meet Raghav Govindarajan, MD, a neurologist and featured physician in AMA Wire’s® “Shadow Me” Specialty Series, which offers advice directly from physicians about life in their specialties. Read his insights to help determine whether a career in neurology might be a good fit for you. "Shadowing" Dr. Govindarajan Specialty: Neurology Practice setting: University hospital Years in practice: 2 A typical week in my practice: I am a neurologist with specialization in neuromuscular disease. I take care of patients with muscular dystrophies, myasthenia gravis, amyotrophic lateral sclerosis and neuropathies. I also take care of patients with headaches, multiple sclerosis, Parkinson’s disease and many more medical issues. In addition, I do procedures, including BOTOX® for a variety of conditions, electromyography, skin and muscle biopsies. A typical day is spent in the clinic and is a mix between taking care of patients and doing procedures. I also teach medical students and residents in the clinic as well give didactic lectures and spend half a day doing research on amyotrophic lateral sclerosis. The most challenging and rewarding aspects of caring for patients in neurology: Neurological care requires time and patience. The challenging part is to find the balance between providing care and keeping u...
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Publication date: Available online 18 October 2019Source: Multiple Sclerosis and Related DisordersAuthor(s): Jeannette Lechner-Scott, Emmanuelle Waubant, Michael Levy, Christopher Hawkes
Publication date: Available online 16 October 2019Source: Multiple Sclerosis and Related DisordersAuthor(s): Edgar Carnero C, Pablo A. López, Juan Pablo Pettinicchi, Ricardo Alonso, Santiago Tizio, Verónica Tkachuk, Alejandro Caride, Ian GaleaAbstractBackgroundDemographics, clinical and imaging prognostic factors have been reported in large series of people with multiple sclerosis (PwMS). However, personalized long-term prognosis (LTP) is varied and uncertain in each particular case. Currently, there is limited evidence on how PwMS feel about prognosis communication and their coping strategies. Therefore, we ...
ConclusionDMF influences the balance between proinflammatory and regulatory T cells, presumably favoring a less proinflammatory environment. DMF also reduces the CNS migratory potential of CD4+ T cells whereas CD8+ T cells are less affected. Altogether, our study suggests an anti-inflammatory effect of DMF mainly on the CD4+ T cell compartment.
Publication date: Available online 12 October 2019Source: Multiple Sclerosis and Related DisordersAuthor(s): Shahin Khayambashi, Amber Salter, Tuula Tyry, Gary R. Cutter, Robert J. Fox, Ruth Ann MarrieAbstractObjectiveWe aimed to determine the association between gender identity and sexual orientation on health care utilization in persons with multiple sclerosis (MS), as well as satisfaction with their doctor and comfort discussing sexual health with their doctor.MethodsWe surveyed participants from the North American Research Committee on Multiple Sclerosis (NARCOMS) Registry regarding their gender identity and sexual ori...
The CGRP-targeting migraine-prevention drug fremanezumab is safe and effective in reducing migraines for patients who have failed up to four other therapies, new research shows.Medscape Medical News
Computed tomography (CT) of a 68-year-old man showed multiple small nodules in the bilateral lungs (maximum 14 mm in the left upper lobe). CT-guided biopsy of left upper lobe lesion showed no tumor or granuloma. Fluorodeoxyglucose (FDG) PET/CT showed multiple nodules with background-to-mild FDG-avid activity, and an incidental left scrotal skin lesion with intensely increased accumulation of 18F-FDG (SUVmax, 11.7), suspected malignant. After urologist consultation, local dermatological findings suggested a huge wart. Excision was done, and pathology concluded nodular papillary fibroepithelial polyp with acute and chronic inflammation.
Verapamil has been used for the prophylaxis of cluster headache for decades--but we still don't know why it works.Headache
Condition: Multiple Sclerosis Intervention: Procedure: perturbation training Sponsor: Suleyman Demirel University Active, not recruiting
Condition: Multiple Sclerosis Intervention: Other: data record Sponsors: University Hospital, Toulouse; French Association for Research on Multiple Sclerosis Active, not recruiting
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