Migraine, NICE and fremanezumab Re: NICE recommends migraine drug that could treat 10  000 patients in England
(Source: BMJ Comments)
Source: BMJ Comments - March 15, 2020 Category: General Medicine Source Type: forums

expert witnesses?
Had a patient 2.5 years ago who committed suicide on oxycodone I had prescribed. Was taking 6 5/325s of oxycodone per day for cervical and lumbar spondylosis. No history of suicidal ideation, scored 2 on the ORT, PMP always good, no early refills. Was a patient for ten years. Was getting botox for cervicogenic headache (rebound excluded) every 3 months. Seen by me (not NPs) every 3 months. UDS 1X per year and narcotic contract. Had one UDS 5 years ago that tested well below threshold of... expert witnesses? (Source: Student Doctor Network)
Source: Student Doctor Network - March 2, 2020 Category: Universities & Medical Training Authors: hawkeye2009 Tags: Pain Medicine Source Type: forums

Dyspnea And Skin Discoloration In A Transplant Patient — What’s The Cause?
What medication is associated with this patient’s presentation? A 41-year-old male patient presents to the emergency department with dyspnea, headache, vomiting, and weakness. He had a kidney transplant nine years ago, and has been on a stable anti-rejection regimen. He has allergies to ciprofloxacin and trimethoprim-sulfamethoxazole. Physical examination reveals gray-blue discoloration of the nose, fingers, and toes. A chest X-ray and ECG are both unremarkable. Arterial blood gas... Dyspnea And Skin Discoloration In A Transplant Patient — What’s The Cause? (Source: Student Doctor Network)
Source: Student Doctor Network - January 23, 2020 Category: Universities & Medical Training Authors: CaffeinatedSquirrel Tags: Educational Quizzes and Case Studies Forum Source Type: forums

Reversal of androgenic alopecia in Lung Cancer.
Has anyone heard of this? I have a patient who just presented with weight loss and headache- found to have CA lung (most likely, biopsy pending) and a cerebellar lesion. He has always been completely bald but over the past few months, his hair have grown back and now has a full head of hair!! Im guessing its some kind of paraneoplastic phenomenon, but I couldn't find any info? (Source: Student Doctor Network)
Source: Student Doctor Network - January 18, 2020 Category: Universities & Medical Training Authors: deathmerchant Tags: Dermatology Source Type: forums

Certiphi Tips! (Mine just came back after 2 business days)
Just a general tip that I feel like some people I’ve seen on here can save a lot of time and headache with - when filling out the Certiphi form, I half-assed all of my old addresses as I couldn’t be bothered to remember or find out the exact street names and numbers. For one of them, I just put the city and zipcode and N/A’d the rest. I submitted and 24 hours later my background check came back squeaky clean, which I released to med schools. Just put in as much as you can remember and knock... Certiphi Tips! (Mine just came back after 2 business days) (Source: Student Doctor Network)
Source: Student Doctor Network - January 6, 2020 Category: Universities & Medical Training Authors: High Noon Tags: Pre-Medical - MD Source Type: forums

M3 interested in EM: Do you plan on practicing into your late 50s or 60s?
I recently learned that a popular EM Twitter doc runs a headache clinic on the side. In conjunction with the constant threads and talks about the very real and understandable burnout in EM, I've begun thinking long-term about the implications of pursuing the specialty if I choose to do so. One area that is hard for me to get good insight and data on is on what being an EP would look like once past 50 or even 60 years of age. I am hoping for some insight from this community on this topic... M3 interested in EM: Do you plan on practicing into your late 50s or 60s? (Source: Student Doctor Network)
Source: Student Doctor Network - December 12, 2019 Category: Universities & Medical Training Authors: Doctor_Strange Tags: Emergency Medicine Source Type: forums

Postbacc feels unnecessary?
Advisors are giving me a headache but I have to keep meeting w them as per our prehealth committee letter app requirements. Graduated with a little over a 3.7/3.5 c/s (graduated a yr early but last 40-45ish creds are straight A's including upper level sciences) and they said because I'm on the verge of having a shot with MD, to do a postbacc or consider SMP. At this point I just need a response to them bc I do need to be on good terms / seem like I'm following their advice for the sake of... Postbacc feels unnecessary? (Source: Student Doctor Network)
Source: Student Doctor Network - September 16, 2019 Category: Universities & Medical Training Authors: AShap Tags: Pre-Medical - DO Source Type: forums

Home SPG
Do any of you have a good method of prescribing home SPG for a migraine abortive? I’ve prescribed lidocaine drops successfully but I’m not sure what I can prescribe for equipment to administer it (dropper, syringes, etc). Thanks! (Source: Student Doctor Network)
Source: Student Doctor Network - September 14, 2019 Category: Universities & Medical Training Authors: callmeanesthesia Tags: Pain Medicine Source Type: forums

Failed Naplex Twice. Passed on third attempt. Tips
Hi All! I just want to share my experience with the Naplex and MPJE and hopefully shed some light and help fellow test takers. I am a bad test taker. I get nervous, blank out and often got headaches taking the long 6 hour exam. My first two Naplex scores were 73 and 70. Yes! I failed by a couple of points on both exams which was the most devastating part of it. My third exam, I made a 105! I made sure there was no room for error. As for studying, I used ONE book which was RxPrep, and also... Failed Naplex Twice. Passed on third attempt. Tips (Source: Student Doctor Network)
Source: Student Doctor Network - August 23, 2019 Category: Universities & Medical Training Authors: PharmDoc07 Tags: Pharmacy Licensure and Exams Source Type: forums

Timely diagnosis of vestibular migraine
(Source: BMJ Comments)
Source: BMJ Comments - July 19, 2019 Category: General Medicine Source Type: forums

Chronic pain after near fatal swatting.
Swatting a Fly Without Killing It May Cause It Pain for the Rest of Its Life, Study Finds — Gizmodo Barely missing a fatal slap at a bothersome fly might be a headache for both of you, according to new research from scientists at the University of Sydney. They say they’ve found evidence that insects are capable of feeling chronic pain after an injury, much like we do. What’s more, studying why... apple.news Treatment algorithms? CBT? (Source: Student Doctor Network)
Source: Student Doctor Network - July 16, 2019 Category: Universities & Medical Training Authors: lobelsteve Tags: Pain Medicine Source Type: forums

Anyone else out there that loves haldol as much as myself?
During residency, my attendings never allowed me to use it outside of the few that kept relatively up-to-date with the literature, and then they only let me use it for gastroparesis or refractory migraines. Since becoming an attending, I probably use this stuff 2-3x per shift. It is absolutely amazing how much of a life saver this medication has been. What were once frequent difficult patient interactions, now these patients leave satisfied that their pain is well controlled. I actually... Anyone else out there that loves haldol as much as myself? (Source: Student Doctor Network)
Source: Student Doctor Network - July 9, 2019 Category: Universities & Medical Training Authors: Zebra Hunter Tags: Emergency Medicine Source Type: forums

If I hate working nights, what sort of subspecialties/practice arrangements in neurology should I look into?
Interested in hearing about people's day-to-day practice and satisfaction/gripes! Right now I like most everything I've seen in neuro, and I totally understand that residency is residency - you'll be on call a lot and super busy. However, for long-term career, I think waking up at 3am every few weeks to go see patients at the hospital would burn me out. I know headache and movement disorder docs generally have a more "chill" lifestyle, but would like to hear people's opinions on minimizing... If I hate working nights, what sort of subspecialties/practice arrangements in neurology should I look into? (Source: Student Doctor Network)
Source: Student Doctor Network - June 29, 2019 Category: Universities & Medical Training Authors: chick_fil_eyyy Tags: Neurology Source Type: forums

ZDoggMD Interview with Pain Doc about being Mis-Diagnosed by PA
They Told Her It Was Just A Wine Headache (w/Dr. Kathy Travnicek) Dr. Travnicek presented with the first headache of her life. That's when s**t got REAL. zdoggmd.com (Source: Student Doctor Network)
Source: Student Doctor Network - May 16, 2019 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums

Dentists giving vaccinations?
What are the rules about a dentist or his hygienists giving a patient a vaccination while he’s there. For example: your patient comes in sees the hygienist then typically waits 5-10 mins before the dentist comes by if at all. During that time what if they got their flu vaccine administered by either the hygienist or the dentist when he comes by. Get it all done in one visit. Save patient time and headache of going to doctor or pharmacy for their shots. Is this possible and how would it... Dentists giving vaccinations? (Source: Student Doctor Network)
Source: Student Doctor Network - April 11, 2019 Category: Universities & Medical Training Authors: questionasker1071 Tags: Dental Residents and Practicing Dentists Source Type: forums

Raised eyebrow on the standard of care in patients presenting with severe headache
(Source: BMJ Comments)
Source: BMJ Comments - October 29, 2018 Category: General Medicine Source Type: forums

Re: Re: Raised intracranial pressure in those presenting with headache
(Source: BMJ Comments)
Source: BMJ Comments - October 28, 2018 Category: General Medicine Source Type: forums

Re: Raised intracranial pressure in those presenting with headache
(Source: BMJ Comments)
Source: BMJ Comments - October 9, 2018 Category: General Medicine Source Type: forums

Levonorgestrel increases risk of raised intracranial pressure Re: Raised intracranial pressure in those presenting with headache
(Source: BMJ Comments)
Source: BMJ Comments - October 7, 2018 Category: General Medicine Source Type: forums

Re: Raised intracranial pressure in those presenting with headache
(Source: BMJ Comments)
Source: BMJ Comments - October 5, 2018 Category: General Medicine Source Type: forums

Migraine, chocolate and a phenylethylamine-oxidizing defect Re: Chocolate, heart disease, and stroke. . . and other stories
(Source: BMJ Comments)
Source: BMJ Comments - September 2, 2018 Category: General Medicine Source Type: forums

What is right for medicine is wrong for headache medicine
(Source: BMJ Comments)
Source: BMJ Comments - July 25, 2018 Category: General Medicine Source Type: forums

Neck pain from studying
Does anyone else suffer from severe neck pain/stiffness from the long hours? Even before med school I had some issues, and seeing a massage therapist regularly was the only thing that really ever worked for me. Recently it's gotten really bad, to the point that I'm having tension headaches as well. Has anyone had experience with this? Would you be willing to share what has worked for you or suggest some changes I can make to my study routine? I study mostly at school, so when I am sitting... Neck pain from studying (Source: Student Doctor Network)
Source: Student Doctor Network - April 28, 2018 Category: Universities & Medical Training Authors: aymar Source Type: forums

Future clinicians, be prepared for all sorts of patient stupidity. Here's one example:
He Ate the World’s Hottest Pepper, Then Landed in the Hospital With ‘Thunderclap’ Headaches An unusual cause of thunderclap headache after eating the hottest pepper in the world –... Future clinicians, be prepared for all sorts of patient stupidity. Here's one example: (Source: Student Doctor Network)
Source: Student Doctor Network - April 18, 2018 Category: Universities & Medical Training Authors: Goro Source Type: forums

NBME 17 Question - Acetaminophen Toxicity
A 20-year-old man is brought to the physician because of a 4-hour history of abdominal pain, nausea, and vomiting. He says that he had been drinking ethanol heavily all weekend, and he took three doses of acetaminophen within two hours after the onset of a severe headache Monday afternoon. This patient is at increased risk for liver injury because of which of the following actions of ethanol? A) Activation of IgE-mediated mast cell degranulation B) Decreased acetaminophen clearance via... NBME 17 Question - Acetaminophen Toxicity (Source: Student Doctor Network)
Source: Student Doctor Network - April 6, 2018 Category: Universities & Medical Training Authors: bananafish94 Source Type: forums

Profit Margins?
One of the main reasons I’m going into dentistry is the whole private practice/ “be your own boss” option it gives you unlike medicine and pharm. these days. Mainly bc my dad owns businesses and I love it, but don’t love his type of businesses / headaches involved. With that being said, I’m SUPER into the business side of dentistry and wanted to get an insight on how profit margins vary based on types of procedure (excluding specialty procedures). Basically what are the margins per... Profit Margins? (Source: Student Doctor Network)
Source: Student Doctor Network - April 1, 2018 Category: Universities & Medical Training Authors: ASPEN'S NIGHTMARE Source Type: forums

Botox and EMG denials by PM & R?
Hey all, Has anyone come across insurance denying payment for EMGs/Botox for migraines done by PM&R? I was reading a thread on Phyzforum saying some insurances are denying payment for these procedures done by PM&R and only Neuro can do them? How is that possible? (Source: Student Doctor Network)
Source: Student Doctor Network - March 25, 2018 Category: Universities & Medical Training Authors: Doctor Christmas Source Type: forums

going to school internationally, then wanting to practice in US
so I'm a US citizen browsing through some international medical schools to apply to- I heard there is additional paperwork, headaches and hoops to jump through to practice in the US if you go to an international medical school... can someone send me a link of what those additional steps are? Thinking Europe, Australia, or Caribbean in addition to Canada, which I know is an easy transition to the US (but difficult to get into).. 2) does this include the big 4 Caribbean medical schools? 3)... going to school internationally, then wanting to practice in US (Source: Student Doctor Network)
Source: Student Doctor Network - March 25, 2018 Category: Universities & Medical Training Authors: that70sShow Source Type: forums

Is Neurology for me?
I'm a bit undecided as I take a liking to both Neurology and Psychiatry. I found the neuroscience part in preclinical years fascinating and performed my best at those. I learnt the material quickly and did not put much effort in. I think of studying the brain (specifically memory, behaviour) and sleep medicine, pain medicine, psychopharmacology and treating headaches, epilepsy, sleep disorders and think this is for me but then I think of strokes (which I would hate to manage) and then I... Is Neurology for me? (Source: Student Doctor Network)
Source: Student Doctor Network - March 23, 2018 Category: Universities & Medical Training Authors: QueryNeurology Source Type: forums

Food allergies and smoking Re: Abdominal migraine
(Source: BMJ Comments)
Source: BMJ Comments - February 26, 2018 Category: General Medicine Source Type: forums

Failing out of DO... now what?
So, after successfully completing all coursework and about a semester of rotations, I cannot seem to pass my COMLEX-1 (I have repeatedly gotten just a few points below 400)... and have now withdrawn/been dismissed from my school. I'm very disappointed, but also a bit relieved (between burnout and migraines, life's been pretty crappy over the last few years)... though I am very fortunate to have minimal debt and a supportive spouse. So, that's what it is. I was wondering if anyone out... Failing out of DO... now what? (Source: Student Doctor Network)
Source: Student Doctor Network - February 25, 2018 Category: Universities & Medical Training Authors: CatRancher Source Type: forums

Re: Migraine and risk of cardiovascular disease: is there a role of inherited thrombophilia?
(Source: BMJ Comments)
Source: BMJ Comments - February 20, 2018 Category: General Medicine Source Type: forums

Impairment of biochemical stress-coping mechanisms Re: Migraine and risk of cardiovascular diseases: Danish population based matched cohort study
(Source: BMJ Comments)
Source: BMJ Comments - February 16, 2018 Category: General Medicine Source Type: forums

Action to reduce migraine was taken Re: Migraine and risk of cardiovascular disease
(Source: BMJ Comments)
Source: BMJ Comments - February 4, 2018 Category: General Medicine Source Type: forums

Progestogen and oestrogen use increases migraines and vascular diseases Re: Migraine and risk of cardiovascular diseases: Danish population based matched cohort study
(Source: BMJ Comments)
Source: BMJ Comments - February 4, 2018 Category: General Medicine Source Type: forums

Re: Migraine and risk of cardiovascular disease
(Source: BMJ Comments)
Source: BMJ Comments - February 3, 2018 Category: General Medicine Source Type: forums

Relationship between migraines and arterial thromboembolism?
Thread Starter Relationship between migraines and arterial thromboembolism? Follow 10 minutes ago 10m ago Can't find much about this online, so would anyone be able to shine some light on this topic for me? :) (Source: The Student Room)
Source: The Student Room - January 28, 2018 Category: Universities & Medical Training Authors: MedStudentt Tags: Medicine Source Type: forums

Exam Room 2: "I'll swallow this whole bottle of Aleve unless you RX."
38 yo male with cervicalgia and headaches status post ACDF C4-C5; C5-C6 cervical fusion X 2. PCP stopped opioid RX'ing "due to changes in the law." Wife reports that patient is burning through 1 bottle of Aleve every 3 days (8-12 tablets per day). Botox done elsewhere not effective. Occ NB's done elsewhere not effective. Ditto for dryineedling, acupuncture, Reiki, TPI's. Previously tolerant to oxy 60 mg QD and Soma TID. What's your next move? (Source: Student Doctor Network)
Source: Student Doctor Network - January 23, 2018 Category: Universities & Medical Training Authors: drusso Source Type: forums

Why the heck is medical school so competitive to get into?
So just a background, I am a nontrad student who applied this cycle. I've had 6 DO interviews, 2 MD interviews, and a few acceptances. I've been working full time at a derm clinic. And from my experience, I honestly feel that medicine is just another job. You deal with unhappy people, you deal with bull crap, you deal with insurance, prior authorizations, headaches, extremely incompetent people, etc. I also feel patients have the sense that you owe them a lot because they are paying you, or... Why the heck is medical school so competitive to get into? (Source: Student Doctor Network)
Source: Student Doctor Network - January 18, 2018 Category: Universities & Medical Training Authors: treasure_yourself Source Type: forums

Family Physician looking for Urgent Care / Fast Track / other work in the ER
Hey folks I would like to work in the Fast Track in the ER, love working with other colleagues (one reason I want to work in the ER rather than urgent care on my own), also want to see higher acuity patients and have the ER Doc's in case I can want to consult them (level 3 patients like headaches, abdo pain, chest pain etc ) It is hard to find these jobs in databases (practice match etc), I have looked under jobs for Family Docs and ER physicians and I only got 1 hit that was out of date... Family Physician looking for Urgent Care / Fast Track / other work in the ER (Source: Student Doctor Network)
Source: Student Doctor Network - January 1, 2018 Category: Universities & Medical Training Authors: Afsplace Source Type: forums

NBME 16 the inhaled glue question
Hello, I am trying to find the explanation for one question on the nbme but I cannot. Here it is: 14-year old boy has headaches for 2 months. Headaches are described as a bilateral aching in the temples. His mother says that "he has not been himself" for the last few months. He seems more confused, often foretting names, dates and places and he is clumsy with frequent falls. His school performance also has decline over the past quarter. Physical shows a broad-based ataxic gait. He is... NBME 16 the inhaled glue question (Source: Student Doctor Network)
Source: Student Doctor Network - December 14, 2017 Category: Universities & Medical Training Authors: Orestis Source Type: forums

Indication for LP?
Wanted to get the input from a few other neurologists. Have a patient with headaches, neck pain, tinnitus, tremors, hallucinations and multiple falls sent to me for a cervical ESI. Cervical MRI notable for multilevel cervical stenosis. Neurosurgery does not want to operate due to patient's other co-morbidities. Psych attributing hallucinations to grieving process as patients dtr recently died. Neurology obtained a brain MRI, head CT and EEG which were unrevealing and attributed his... Indication for LP? (Source: Student Doctor Network)
Source: Student Doctor Network - December 3, 2017 Category: Universities & Medical Training Authors: clubdeac Source Type: forums

Need excellent pain doc in Boston
Howdy all, Need a fantastic pain doc in Boston or Boston area for a physician friend of mine who has likely cervicogenic headaches with likely migraine on top of that. No opioids. Who is recommended? Feel free to PM me. thanks (Source: Student Doctor Network)
Source: Student Doctor Network - November 30, 2017 Category: Universities & Medical Training Authors: Ligament Source Type: forums

Doctor and Pt unhappy when asked about CII regimen
Hi everyone, I am looking for some advice on how to approach CII scripts to make things less stress for prescribers, patients, and myself. I print out PDMP for every CII prescription and fill as they're not early, same physician, same pharmacy, make sense (IR + ER), and low quantity (under #120 preferably but I've filled up to #240). So ~80% of the prescriptions I get are filled with no issue, but the other ~20% are a headache to deal with. I am reluctant to turn away scripts that doesn't... Doctor and Pt unhappy when asked about CII regimen (Source: Student Doctor Network)
Source: Student Doctor Network - November 27, 2017 Category: Universities & Medical Training Authors: Maromei Source Type: forums

New Headache Fellowship in Kansas City
Hello, all. I was asked to spread the word about the new Headache Fellowship in Kansas City. The program is based out of the Headache Clinic at Children's Mercy Hospital, with adult rotations at the University of Kansas. The first position will be open July 2018. I can tell you that Dr. Bickel is awesome, and Kansas City is amazing. If anyone has any questions about this program or Kansas City just let me know... New Headache Fellowship in Kansas City (Source: Student Doctor Network)
Source: Student Doctor Network - November 23, 2017 Category: Universities & Medical Training Authors: eliezer1510 Source Type: forums

Family Physician looking for Uegrnt Care / Fast Track / other work in the ER
Hey folks I would like to work in the Fast Track in the ER, love working with other colleagues (one reason I want to work in the ER rather than urgent care on my own), also want to see higher acuity patients and have the ER Doc's in case I can want to consult them (level 3 patients like headaches, abdo pain, chest pain etc ) It is hard to find these jobs in databases (practice match etc), I have looked under jobs for Family Docs and ER physicians and I only got 1 hit that was out of date... Family Physician looking for Uegrnt Care / Fast Track / other work in the ER (Source: Student Doctor Network)
Source: Student Doctor Network - November 8, 2017 Category: Universities & Medical Training Authors: Afsplace Source Type: forums

Decadron burned my patients crotch?
Anyone ever hear of this? I was treating migraine. 10mg IV decadron, given alongside benadryl and reglan as well as gram of mag. After receiving all of those meds (and of the course the headache didn't improve), upon receiving the decadron the patient apparently sat bolt upright and complained of severe burning in the crotch region. What gives? is there an explanation for this? (Source: Student Doctor Network)
Source: Student Doctor Network - November 7, 2017 Category: Universities & Medical Training Authors: migm Source Type: forums

Please help! URGET...BMAT, UKCAT, GAMSAT Med Entry Exams and EC's
Thread Starter Please help! URGET...BMAT, UKCAT, GAMSAT Med Entry Exams and EC's Follow 1 Hour Ago 1 hour ago Hello, Im new to this forum. I was hoping someone would be able to advise me. Has anyone aplied for ECs for any of teh medicine entry exams and been succesful for an interview? I am to ...
Source: The Student Room - November 1, 2017 Category: Universities & Medical Training Authors: DoNoHarm86 Tags: Medicine Source Type: forums

Anthem breaking with Express Scripts; partnering with CVS to form own PBM
Anthem Breaks With Express Scripts, Will Start Own Drug Plan It hasn't been a good week for Express Scripts... Are there any independent pharmacists left on this forum? If so: what do you think about this- is this a game changer, or just window dressing? (I'm told Optum [UnitedHealth's PBM] is a bigger headache than Express Scripts ever was) (Source: Student Doctor Network)
Source: Student Doctor Network - October 19, 2017 Category: Universities & Medical Training Authors: 297point1 Source Type: forums