random neurocognitive question - deja vu
Hey all,
Was wondering if you all had seen this phenomenon before, where a patient (likely suspected dementia-related syndrome) reports beliefs of deja vu (i.e., "Those people were here the last time we came to this store," or "These two teams on TV played already and the plays they're running are exactly the same as last time" or something along those lines). We don't get too many neurocognitive-related patients on our unit, but recently had an influx of folks getting charged for things...
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Source: Student Doctor Network - November 8, 2022 Category: Universities & Medical Training Authors: BuckeyeLove Tags: Psychology [Psy.D. / Ph.D.] Source Type: forums
Re: Healthy lifestyle and life expectancy with and without Alzheimer ’s dementia: population based cohort study
(Source: BMJ Comments)
Source: BMJ Comments - August 30, 2022 Category: General Medicine Source Type: forums
Workup for Old People
Over a year out of residency, working a lot of evening/night shifts, still uncomfortable with old patients that come in at night...
2 scenarios:
1. 85 yo F with dementia, a million other medical problems, unwitnessed GLF fall at SNF, A&O x1 maybe x2 at baseline, doesn't remember what happened. Maybe feels a little weak recently. Probably on aspirin/plavix/Eliquis (Full Code)
I usually scan their head/neck and film whatever hurts. Basic labs/trop/ekg/urine. If I don't find anything...
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Source: Student Doctor Network - August 20, 2022 Category: Universities & Medical Training Authors: ACal Tags: Emergency Medicine Source Type: forums
WAMC ~3.63 cGPA, ~3.56 sGPA, 521 MCAT, ORM
Stats
cGPA: ~3.62, sGPA: ~3.55 (retook orgo and got an A so very slightly higher)
MCAT: 521
Residency: NY
Undergraduate: UMich
Ethnicity: White female (middle eastern)
Extracurriculars:
- 2500 in club sport I am really passionate about which I performed at a pretty high level (for a club sport), became captain and won national club championships
- Research: 1000 hours in public health dementia prevention research (employment), publication under review...
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Source: Student Doctor Network - June 22, 2022 Category: Universities & Medical Training Authors: Kardelen Tags: What Are My Chances? WAMC Medical Source Type: forums
Startup opportunities in neurology?
Are there neurologists who have gone on to form/become part of good startups? What roles do they play in those startup’s- clinical (ugh) or more basic neuroscience (yay)?
Out of the following fields- movement, epilepsy, dementia, stroke/interventional neurology, pain/headache, MS-which of these is very promising from a startup perspective? (Source: Student Doctor Network)
Source: Student Doctor Network - May 15, 2022 Category: Universities & Medical Training Authors: Neuroviking Tags: Neurology Source Type: forums
WAMC 3.85cGPA 504 MCAT URM male
I am applying this cycle to MD programs. Here are my stats and descriptions of my ECs
cGPA: 3.85 (constant trend)
sGPA: 3.85 (constant trend)
MCAT: 504
Biochemistry major
Black male immigrant (Green card holder)
Class of 2022 (currently finishing up senior year)
Undergraduate Institution: small LAC
Texas resident but I go to school in the East Coast
Volunteering:
270 hours at a nursing home, worked with a physician to help patients with dementia (most important experience)
300...
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Source: Student Doctor Network - May 5, 2022 Category: Universities & Medical Training Authors: futuredocn Tags: What Are My Chances? WAMC Medical Source Type: forums
dexmedetomidine (POPrecedex) for agitation, and maybe delirium, and maybe dementia with behavioral disturbance?
https://www.empr.com/home/news/drugs-in-the-pipeline/dexmedetgomidine-bxcl50-schizophrenia-bipolar-disorder/
What do you think of these studies using the intensivist's best friend, aka Precedex, in PO form for agitation in Schizophrenia and Bipolar disorder? I'd wonder if this would have applications in hyperactive delirium and/or dementia with behavioral disturbance. Brand name POPrecedex is my suggestion. (Source: Student Doctor Network)
Source: Student Doctor Network - March 6, 2022 Category: Universities & Medical Training Authors: nexus73 Tags: Psychiatry Source Type: forums
Reading and billing MRIs
Do you guys know neurologists who read their own MRIs/CTH etc and bill for them? In the past you could get boarded without any kind of fellowship or training and I know few neurologists who are doing that. What about anyone without a board certification? I personally feel pretty comfortable reading basic Dementia or MS follow up or stroke MRIs. (Source: Student Doctor Network)
Source: Student Doctor Network - February 14, 2022 Category: Universities & Medical Training Authors: deathmerchant Tags: Neurology Source Type: forums
Talking about patients in dental/medical interview
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Talking about patients in dental/medical interview
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Source: The Student Room - December 28, 2021 Category: Universities & Medical Training Authors: Turning_A_Corner Tags: Medicine Source Type: forums
"Woman's reaction to anesthesia triggers dementia"
‘I’m still in here’: Woman’s reaction to anesthesia triggers dementia
“Help me. I am still in here and I still can’t get out.” That was the desperate plea for help — not from a prisoner, but from a Central Ohio woman who was trapped inside her…
www.wate.com
Clickbait
POCD from colonoscopy? (Source: Student Doctor Network)
Source: Student Doctor Network - December 24, 2021 Category: Universities & Medical Training Authors: TheLoneWolf Tags: Anesthesiology Source Type: forums
Patient with Dementia, Extended Family Want Power of Attorney
setting: general psychiatry outpatient
This is a potentially hairy case that has been scheduled but not yet seen:
Person married into the family (which I'll refer to as "person" from now on) claimed to be the caretaker of patient with dementia. Person claimed patient has no close family as the spouse and children of patient all passed away. Person is seeking to be power of attorney for patient. Person is seeking to change will of patient as people named in will all deceased.
Psychiatrist...
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Source: Student Doctor Network - November 12, 2021 Category: Universities & Medical Training Authors: AD04 Tags: Psychiatry Source Type: forums
Neuropsychology - Braincheck thoughts?
As NP trainee, I'm all for efficiency and using technology for our assessments - if they're reliable and valid.
Cognitive Health Platform for Everyday Clinical Use | BrainCheck
BrainCheck's reimburseable digital cognitive health platform helps physicians and other providers identify dementia and cognitive impairment
braincheck.com
..however, it's concerning that programs like Braincheck don't seem to have any neuropsychologists or psychologists on their team. Also, while I di...
Source: Student Doctor Network - November 9, 2021 Category: Universities & Medical Training Authors: roryportman Tags: Psychology [Psy.D. / Ph.D.] Source Type: forums
MHT increases dementia risks Re: Use of menopausal hormone therapy and risk of dementia: nested case-control studies using QResearch and CPRD databases
(Source: BMJ Comments)
Source: BMJ Comments - October 11, 2021 Category: General Medicine Source Type: forums
Regret
Hi,
Pgy2 here, doing one of my 24 hours call. I am just so sad. I am sad, that I don't feel like I love this feel. I feel like my personality just does not fit this field. I am too hands on oriented, and i am too inpatient to do any of the subfield that require patience (dementia, movement, neuromuscular). Every day, I don't feel too much of a passion in any area of neurology, and my passion is to finish work and go home. Now I am on a 24 hours call on a Friday, I look enviously onto my...
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Source: Student Doctor Network - October 9, 2021 Category: Universities & Medical Training Authors: Minnows Tags: Neurology Source Type: forums
Aortic regurgitation
Would you do this case?
90yo patient for a hip ORIF. Dementia, CKD3, DM, COPD, prior mitral valve repair, echo from a year ago showing moderate-severe AR and moderate TR, there is a dilated RV and LV, LVEF35%, pHTN with PA pressures up to 50. I don’t have a prior echo to compare or understand progression, but I assume long-standing AR that got worse after mitral valve repair.
Patient has new heart failure and hypoxia. There was a small trop bump up to 0.15 with ST depressions in the...
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Source: Student Doctor Network - October 3, 2021 Category: Universities & Medical Training Authors: dipriMAN Tags: Anesthesiology Source Type: forums
