havenât been very successful in locating too many other (aspiring) neurologists so if anyone knows of someone or is a devotee of our beautiful nervous system themselves, let me know, iâd love to chat about brains!
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@neurologyandtea
havenât been very successful in locating too many other (aspiring) neurologists so if anyone knows of someone or is a devotee of our beautiful nervous system themselves, let me know, iâd love to chat about brains!

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âMedicine is a science of uncertainty and an art of probabilityâ
â Sir William Osler
One day somebody will ask me what Iâm thinking of specialising in and not respond with:
âOh!! ⌠huhâ
đđđđđđđ
SAME! gotta love going for those niche specialties
Sometimes followed by a ââŚwhy?â
Iâm sure pathology gets a bit of a more âer⌠ohâ reaction than haem though, I can imagine. Hope it doesnât bum you out too much. youâre going for what you want and thatâs what matters!
i mean, i donât think neuro is exactly a NICHE specialty but i definitely get the âwhy?â question a lot and the number of times people have replied with â...oh but isnât that really, really depressing?â is infinite.Â
we need all specialties anyway so??? i donât understand why we always need people to justify their choices??? i could never do ophthalmology or derma or trauma surgery but iâm VERY GLAD there are people who WANT to do this.Â
the amount of times i accidentally reblog fandom stuff on here...
sorry, this is a side blog and sometimes (very often) i hit reblog before checking if iâm posting on the right tumblr. ANYWAY.
we had a patient come in the other day with fluctuating non-fluent aphasia and pronation of the left (!) arm. went straight to ct after clinical examination which showed no sign of ischemia or intracranial hemorrhage. the supplementary ct angiography showed no vessel occlusion. patient was well within the four and a half hour time frame and had no contraindications so was cleared for acute thrombolysis. the bolus was given but the infusion pump malfunctioned, delaying the start of thrombolysis. turns out that was VERY GOOD INDEED bc the radiologist and internist basically ran into the room at that point, yelling at us to stop. turns out the patient had a stanford a aortic dissection the radiologist missed while first looking through the scans. she might still have had a stroke at the same time, or it was just her aortic dissection presenting that way. itâs rare but itâs a differential diagnosis you should always keep at the back of your mind, especially when there is something that doesnât fit (aphasia and latent arm paresis on the left side, patient was right handed). thrombolysis could very well have killed her. instead she was airlifted to another hospital (we had no surgical capacity at that moment) and operated on immediately. interesting case that could potentially have ended very, very badly.

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Where's the lie?
when doing one (1!!) neuro consult on a different ward becomes the highlight of your week
neurology & tea
Health care professionals signed up to take care of people and save lives. They did not sign up to martyr themselves in a system unprepared to protect them in the face of an emergency.Â
Medicine.
Being a doctor is like *work long hours until you forget what normal hours are like* *mess up your sleep cycle permanently* *become weirdly control freak about to-do lists* *gain trust issues because âtrust no oneâ is literally a doctor rule* *get screamed at by patients and relatives for the faults of the system* *almost cry and offer a nurse your firstborn when they make you a cup of tea on one pf your horrible shifts* *go so long without drinking that you donât pee in a 13h shift* *resent your own life admin because your entire life is a jobs list* *cry in the treatment room* *prescribe stuff sometimes* *sort out that thing that was someone elseâs responsibility because if it doesnât happen, youâll get blamed* *grow to love your colleagues fiercely* *feel a sense of dread whenever a nurse walks up to you and says âdoctor, just to let you knowâŚâ* *feel happy that you made the correct diagnosis and made someone better* *get bullied by seniors* * burn out at some point or pick up a mental illness or two* *get sick from working too hard that you become run down* * make a patient feel better* *look at all the people leaving medicine and wonder whether you are doing the right thing* * ask for some tickets/feedback* *cry some more* *give someone medical advice*

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my word, thereâs a lot of healthcare workers - mostly on facebook and twitter - who are absolutely LOVING the drama of this pandemic.
uniformed selfies, long emotive essays about how rewarding their Frontline Job is, derailing any talk about ventilators with âi might need one because i have a blue inhalerâ, ghoulish speculation on healthcare worker mortality
fucking stop it.
retail workers and truck drivers are managing to get through this without needing to constantly be told how Brave And Heroic they are.
do your job. support your team. donât be an attention whore.
honestly fuck viruses theyâre not even alive theyâre just strands of punk ass DNA that go around fucking up us normal and god fearing life forms you donât even have a nucleus you stupid bacteriophage looking horizontally transmitting RNA clump
*someone asks me to do something in my job, where i am paid to do things*
âŞi almost asked the neurosurgical attending if i could scrub in with him on a procedure at 12:30 in the morning so maybe i donât know who i am anymoreâŹ
when youâre doing a lumbar puncture and right in the middle of it youâre just like
oh fuck. oh fuck.
did i actually check the platelet count and inr? WHAT IF THEY ARE PATHOLOGICAL?
and you just try to keep your hand steady and reassure the patient a very normal amount of times that everything is okay all the while sweating profusely until the puncture is done and you can safely run out of the room and check and thatâs when you remember that you did check it, twice in fact, right before marching into the room and sticking the needle into the personâs back.
neuro is exciting!! what an adrenaline rush!!

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ok this did more for me than an entire year of pharmacology
when obstetrics asks for a consult on one of their pregnant patients who has epilepsy (dd: dissociative seizures) and you go through the med list and not only are they on the weirdest three med combo, one of the drugs they are on is
FUCKING.
VALPROATE.
aka the âdo not give me to women of childbearing age unless they are on a pregnancy prevention programâ drug.
like...who prescribed this to her???? how come neither her obstetrician nor her ACTUAL NEUROLOGIST noticed/cared/knew???
iâm...just....nope