Re: Management of chronic migraine- sowing the “SEEDS” of co-morbid ADHD
(Source: BMJ Comments)
Source: BMJ Comments - January 23, 2023 Category: General Medicine Source Type: forums
Re: Management of chronic migraine
(Source: BMJ Comments)
Source: BMJ Comments - January 18, 2023 Category: General Medicine Source Type: forums
CSE and spinal headache
New attending and recently I've been switching to doing CSE for my labor epidural. Unfortunately lately I've had a significant increase in spinal headaches. When i pull the spinal needle, no CSF from the tuohy, cathether passess easily and no response to the test dose. No sign of inadvertent dural puncture. I typically use a 25g spinal needle but now im thinking of switching to a27g. My understanding is that CSE should actually decrease the risk of PDPH but maybe I've been unlucky.
Any...
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Source: Student Doctor Network - November 18, 2022 Category: Universities & Medical Training Authors: gagyekum Tags: Anesthesiology Source Type: forums
Helping People
I was all about the academics. Succeeded all the way through. Often still caught up in being the best or right.
Then I got hooked on the money. Working as an EP seasons you quick. My mantra became making a dollar easier and more often.
Sometimes though, I feel. And I like that. 20s year old girl with a different ethnicity, gender and from the opposite side of the tracks than me presented by ambulance following two syncopal episodes at work with a head injury and headache. I don’t even...
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Source: Student Doctor Network - November 5, 2022 Category: Universities & Medical Training Authors: Mount Asclepius Tags: Emergency Medicine Source Type: forums
Bmat essay marking
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Source: The Student Room - September 28, 2022 Category: Universities & Medical Training Authors: MV123456 Tags: Medicine Source Type: forums
Joe gallo
A patient told me Joey gallo (Yankees) had an epidural and was then placed on IL for severe headaches. I hate the Yankees so my laughter in the office was all in my head, but wondering if anyone knew if he got tapped
So curious as to who the overpaid doc is that could have potentially tapped this dude (Source: Student Doctor Network)
Source: Student Doctor Network - September 23, 2022 Category: Universities & Medical Training Authors: Dr. Ice Tags: Pain Medicine Source Type: forums
Favorite resources
Hi all,
What are your favorite (up to date) resources for the following specialties?
MS/neuroimmuno
neuroinfectious disease
Movement disorders
Epilepsy
Neuromuscular
Vascular
Headache
Neurocritical care
I'm mainly looking for the most up to date materials to help with clinical practice (diagnosis/management)
Any suggestions are welcome! (Source: Student Doctor Network)
Source: Student Doctor Network - August 17, 2022 Category: Universities & Medical Training Authors: Atlas1496 Tags: Neurology Source Type: forums
Occipital Nerve PNS
Hey All,
Has anyone here done a peripheral nerve stimulator for Occipital Neuralgia? I have a patient who has done every medical and almost every interventional option for his occipital neuralgia as well as seen tons of academic headache specialists. Nothing has worked. The only thing that has worked are Occipital nerve blocks at the ridge which provide temporary but profound relief (on the order of days to weeks). TON C3/4 Rhizotomies/blocks haven't worked either. So the other day I...
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Source: Student Doctor Network - July 30, 2022 Category: Universities & Medical Training Authors: Nonphysiologic Tags: Pain Medicine Source Type: forums
Endless TV shows about heroic, idealized portrayals of physicians. Why none about psychologists? Grinds my gears a bit.....
Can anyone explain this to me? We deal with all sorts of crazy headaches, have insane training to deal with, nutsiness amongst colleagues, but plenty (IMHO) to romanticize and lionize about our field as well.
There's all sorts of ridiculous TV shows about physicians. American TV seems to have as much of an obsession about doctor-related TV shows as they do about zombie-related TV shows.
Why not psychologists? (Source: Student Doctor Network)
Source: Student Doctor Network - July 25, 2022 Category: Universities & Medical Training Authors: JeyRo Tags: Psychology [Psy.D. / Ph.D.] Source Type: forums
How to avoid a headache?
Working on secondaries currently. Also have a tech job where I’m in front of a computer for ~8 hours a day. Overall, I’m spending upwards of 14 hours/day in front of a screen, whether for med school apps or tech work. I end up with a dull, throbbing headache everyday. Any tips to avoid this?
I did get a standing desk at work to minimize my sedentariness. But my eyes still hurt from all the screen time. (Source: Student Doctor Network)
Source: Student Doctor Network - July 6, 2022 Category: Universities & Medical Training Authors: mini_nimi Tags: Pre-Medical (MD) Source Type: forums
Status Migrainosus
Anyone ever use propofol in these patients?
There are a spat of studies showing bolusing small doses of propofol can help. I've been angling to do this...and finally did the other day.
This 38 yo F has a history, per the neurologist, of intractable migraines that may be due to PRES she suffered from many months ago. So I'm not totally sure if she had true migraines or some other HA from PRES. Anyway she is in the convalescent phase and for the past few months but still suffering from...
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Source: Student Doctor Network - June 20, 2022 Category: Universities & Medical Training Authors: thegenius Tags: Emergency Medicine 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
neurology infusions
What things in neurology can you routinely do infusions for? just headaches and ms? Also, are infusions becoming more routine in private practice, and wouldn't more infusions equal more $$? I feel like i didn't learn much about infusion therapy for neurology. Also, will it ever reach the level of say heme onc for infusions? (Source: Student Doctor Network)
Source: Student Doctor Network - March 10, 2022 Category: Universities & Medical Training Authors: scoopdaboop Tags: Neurology Source Type: forums
Anyone who loved obgyn but didn't pursue it? What did you do?
I am on my very nice family med rotation, which I was hoping to love partially due to my low Step 1 but also due to the opportunity to do obgyn. I unfortunately find that I feel overwhelmed with the case load of patients in their 50/60s with comorbid conditions and the fact that the PCP is often the first to field an undifferentiated complaint like back pain or headaches.
I unfortunately fell in love with my OB rotation which I just had. It was all amazing from the healthy deliveries to the...
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Source: Student Doctor Network - February 28, 2022 Category: Universities & Medical Training Authors: kgamon8 Tags: Medical Students (MD) Source Type: forums
What turned you away from other subspecialties? Why did you choose your subspecialty?
There are lots of information about the different subspecialties regarding training, procedures etc. But I'm looking for insights, experiences, or opinions about what it actually feels like to work in each area particularly Neuromuscular, Movement, Headache, MS, Stroke...
For example, in my limited experience, Movement Disorders programs talk about the variety of pathologies, DBS and Botox. But outside of academia, out in the community you're mostly seeing Parkinson's, you need a...
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Source: Student Doctor Network - February 27, 2022 Category: Universities & Medical Training Authors: Cere-berus Tags: Neurology Source Type: forums
