So I ’m a fellow now

I always “knew” that I was going to be the nice fellow. Partly because I’ve had some terrible experiences with fellows during residency (which I’m still salty about, by the way. I mean, listen, there is never a scenario where I, as an intern, am ‘deciding’ to consult you. The intern is just doing what they were damn well told) – but mostly because I figured I didn’t know anywhere near enough about pediatric neurology to be mean or even a wee bit testy. … I was perhaps wrong. This gradual realization reminds me of being an intern and “knowing” that I was going to be the cool intern, the intern that never questioned medical students. (see: 10 Things Med Students Should Never Do) and then discovering that indeed, many – if not all – med students were once pre-meds, and as everyone knows, pre-meds are terrible. I think the crowning moment was last month, when I was paged – not once, but twice – by 2 different members of the same ICU team, to have the following conversation: “Hey, we have this patient with epilepsy – he’s been on carbamazepine and just got a g-tube inserted this morning, so we need to curbside you for AED management.” “Oh. OK. …. wait, because the g-tube isn’t safe to use yet?” “No, because he just had a g-tube placed.” “Okay. … I mean, that’s fine… but carbamazepine is an oral drug. Does ...
Source: Action Potential - Category: Universities & Medical Training Authors: Tags: Uncategorized Source Type: blogs

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ConclusionComorbidities are common at MS symptom onset and increase with MS duration. Having MS may thus contribute to accrual of comorbidities. This emphasises the importance of optimal screening for and management of comorbidities in early MS and throughout the disease course.
Source: Journal of Neurology - Category: Neurology Source Type: research
DiscussionTreat_CCM will evaluate the safety and efficacy of propranolol for CCMs following promising case reports in a randomized controlled trial. The direction of effect on the primary outcome and the consistency of effects on the secondary outcomes (even if none of them yield statistically significant differences) of this external pilot study may lead to a larger sample size in a definitive phase 2 trial.Trial registrationClinicalTrails.gov,NCT03589014. Retrospectively registered on 17 July 2018.
Source: Trials - Category: Research Source Type: clinical trials
Conclusions: RC is reported to be effective in treating a variety of diseases. Current pharmacological studies on RC mainly focus on the nervous, circulatory, digestive, and endocrine systems, as well as drug withdrawal. Although experimental data support the beneficial effects of this drug, its physiological activity remains a concern. Nonetheless, this review provides a foundation for future research. PMID: 32223481 [PubMed - in process]
Source: Pharmaceutical Biology - Category: Drugs & Pharmacology Tags: Pharm Biol Source Type: research
Conclusion ANT-DBS and VNS may influence epilepsy-associated chronic headache in different ways. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - Category: Neurosurgery Authors: Tags: Case Report Source Type: research
ConclusionsThere is a stigma around migraine in our society, which seems to be more prevalent in patients with certain socio-demographic characteristics, and that is related to stress, mood alterations, and low self-esteem. Trying to reduce stigma could contribute to improve the control of migraine and reduce the impact of the disease at a socio-economic level.
Source: Neurological Sciences - Category: Neurology Source Type: research
AbstractBackgroundMigraine has many presumed comorbidities which have rarely been compared between samples with and without migraine. Examining the association between headache pain intensity and monthly headache day (MHD) frequency with migraine comorbidities is novel and adds to our understanding of migraine comorbidity.MethodsThe MAST Study is a prospective, web-based survey that identified US population samples of persons with migraine (using modifiedInternational Classification of Headache Disorders-3 beta criteria) and without migraine. Eligible migraine participants averaged ≥1 MHDs over the prior 3 months...
Source: The Journal of Headache and Pain - Category: Neurology Source Type: research
CONCLUSION: Experiencing one or more ACEs vs none was associated with higher risk of headaches in children, and difficulty due to family's income was the only ACE independently associated with headaches. Our findings support results of other studies on ACEs and headache in young adults and suggest that adverse ACE-related health outcomes begin earlier than previously recognized. Additionally, struggling due to low income may represent a constellation of chronic stressors that independently contribute to poor health outcomes in childhood as compared to other individual ACEs. Future research should examine the importance of ...
Source: Headache - Category: Neurology Authors: Tags: Headache Source Type: research
This study aimed to investigate the risk of self-harm following diagnosis of different psychiatric disorders in an Asian population, through a review of inpatient records retrieved from the Hong Kong Clinical Data Analysis and Reporting System (CDARS).MethodsFor this nested case-control study, the inpatient data of people admitted for any reason to Hong Kong public hospitals, between Jan 1, 2000, and Dec 31, 2010, were extracted from CDARS. Cases were people aged 10 years or older who had been admitted to inpatient care with a first-listed record of psychiatric disorder during the study period. The seven psychiatric disord...
Source: The Lancet Psychiatry - Category: Psychiatry Source Type: research
Tracey Morait is the first author to be interviewed me since I moved my online presence to healthy, happy woman and she joins me today to share new about her latest book, Episode. She’s the author of 6 books, comes from Liverpool and is a fanatical football fan – who wouldn’t be coming from Liverpool! She now lives in Bristol with her husband. Tracey writes and self-publishes books for children and young adults between the ages of nine and sixteen and Keith designs the book covers. K&T Mitchell is their own small press. A 5 star review for my book on Amazon.co.uk. “I have read all of Tracey Morait&r...
Source: The Hysterectomy Association - Category: OBGYN Authors: Tags: Thursday Throng Writing YA Source Type: news
Authors: Chayasirisobhon S Abstract Cannabis plant has the scientific name called Cannabis sativa L. Cannabis plant has many species, but there are three main species including Cannabis sativa, Cannabis indica and Cannabis ruderalis. Over 70 compounds isolated from cannabis species are called cannabinoids (CBN). Cannabinoids produce over 100 naturally occurring chemicals. The most abundant chemicals are delta-9-tetrahydrocannabinol (THC) and Cannabidiol (CBD). THC is psychotropic chemical that makes people feel "high" while CBD is nonpsychotropic chemical. However, cannabinoid chemicals are not found only...
Source: Acta Neurologica Taiwanica - Category: Neurology Tags: Acta Neurol Taiwan Source Type: research
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