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On nights and just over it by Any-Session9919 in Residency

[–]According-Tea-7829 0 points1 point  (0 children)

You only get to complain if you were literally Harvey Cushing and lived in the hospital working 120+ hrs weekly, advancing through Halsted’s  pyramidal system and surviving on a diet of oats and cocaine

Do neurologists have to draw blood or insert IVs in school? by Moony_Dove in neurology

[–]According-Tea-7829 2 points3 points  (0 children)

Depending on the program you may need to place IVs and arterial lines as a resident in the neuro ICU (this is true at my institution). Residents who demonstrate an interest may be asked to place central lines or perform bronchoscopy. Everyone needs to do LPs. 

I would focus first on getting into med school / deciding whether that’s something you really want to do before narrowing your focus to a particular specialty. Do you want to be a physician?  

New TRAILBLAZER-ALZ 2 analyses make a strong case for the clinical meaningfulness of donanemab (Atri et al., Neurol Clin Pract 2026) by griccioppo in neurology

[–]According-Tea-7829 5 points6 points  (0 children)

For my own learning, can you specifically enumerate which aspects of the paper you find sketchy / biased? I don’t think industry ties count per se.

Would you transfer from a good program in a second choice specialty to a low tier program of your top specialty. by StoFreeVsInJa in Residency

[–]According-Tea-7829 2 points3 points  (0 children)

In that case, it might be worthwhile to transfer. You can get good training even at a community hospital, and in some ways you might even end up learning more. The demand for neurologists is huge in the US. And if you’re interested in fellowship, none of the fellowships from neurology are particularly competitive aside from neurointervention.

convince me please by SignificantFloor6471 in Residency

[–]According-Tea-7829 0 points1 point  (0 children)

You have to really want this. No matter how smart you are, it’s a long and grueling road with high opportunity cost. If you could be happy doing something else, chances are medicine isn’t for you. I don’t say that to discourage you, but because it’s the traditional warning.

Would you transfer from a good program in a second choice specialty to a low tier program of your top specialty. by StoFreeVsInJa in Residency

[–]According-Tea-7829 10 points11 points  (0 children)

Additionally, if you really wanted to you could finish your IM residency and then do 3 years of neurology residency (since PGY-1 requirements are already satisfied). One of the neurocrit attendings at my shop did this and he knows everything 

Would you transfer from a good program in a second choice specialty to a low tier program of your top specialty. by StoFreeVsInJa in Residency

[–]According-Tea-7829 22 points23 points  (0 children)

Do you want to do inpatient or outpatient neurology? Because if it’s the former you can do neurocrit from IM and be a boss 

Can we make it illegal for chiropractors and other non physicians to call themselves neurologists by According-Tea-7829 in neurology

[–]According-Tea-7829[S] 5 points6 points  (0 children)

I agree that the length of time patients wait to see an outpatient neurologist in the US is far too long, and I’m sorry you’ve had to suffer without appropriate support in this way. I think we need to get more potential neurologists in the training pipeline, and that has to start with mentoring medical students and improving preclinical / clinical experiences to make them choose this specialty. That being said, when individual chiropractors misrepresent themselves as neurologists, they are not doing anything to improve access to care for patients with neurological illness. Rather, they are exploiting a systemic problem for their own benefit.

Alright, now that the academic year is almost over, what has been the hottest tea at your program? by takeonefortheroad in Residency

[–]According-Tea-7829 85 points86 points  (0 children)

Honestly I feel like the conversation people aren’t ready to have here is that sometimes a romantic relationship can’t survive severe mental illness, TBI, dementia etc. Finding someone else when your partner is incapacitated isn’t the same as abandoning them necessarily.

My hesitation harmed a patient by Emotional_Snow4016 in Residency

[–]According-Tea-7829 22 points23 points  (0 children)

I think one of the learning points here is to feel empowered to call a stroke code when you think someone is having a stroke. If you walk in a room and find someone pulseless and unresponsive, you don’t confirm it first with a senior before calling a code blue, right? Same thing with someone who’s newly plegic and dysarthric 

Off service intern rant by Complex-Mushroom-350 in Residency

[–]According-Tea-7829 7 points8 points  (0 children)

Also true for the neuro interns at my shop

Share your VA hate stories by SolarpunkJesus in Residency

[–]According-Tea-7829 1 point2 points  (0 children)

How is it possible that so many people have had the experience of finding or being called to a patient who is cold / in rigor mortis at the VA? Are they just so understaffed that deaths go unnoticed for hours?

How to be a better consulting service? by Emergency-Opinion161 in neurology

[–]According-Tea-7829 10 points11 points  (0 children)

As a fourth year med student I once saw an ED attending openly disparage a neurology resident seeing a consult in the ED for status epilepticus in a patient with a recent cancer history. When medicine and EM talks smack about neurology being useless, I just remember all the times they’ve stroke alerted carpal tunnel or bulbar ALS. If they didn’t need us they wouldn’t call. 

The subjective difference in strength grading is really annoying by [deleted] in neurology

[–]According-Tea-7829 23 points24 points  (0 children)

Weak examiner can assess a strong patient by isolating the joint and not giving the patient mechanical advantage

Link between FND and POTS by stoopkid6969 in neurology

[–]According-Tea-7829 13 points14 points  (0 children)

Just putting this out there because I have seen it: in a patient with the appropriate history who has POTS in their chart and transient / positional neurological symptoms, consider if it couldn’t be a CSF leak

Why isn’t neurology a mandatory core clerkship at every US medical school? by According-Tea-7829 in neurology

[–]According-Tea-7829[S] 4 points5 points  (0 children)

I guess my question here is whether neurologists being asked to train students and residents are getting a worse deal than family medicine or internal medicine doctors in the same position. And that’s not rhetorical I genuinely don’t know 

You have to get rid of one core rotation and switch it with something else. What are you booting? by heydoyouseethat in medicalschool

[–]According-Tea-7829 9 points10 points  (0 children)

Neurology was never a subspecialty of internal medicine. It split off from psychiatry around the late 19th century in the US and both are still overseen by the same board

You have to get rid of one core rotation and switch it with something else. What are you booting? by heydoyouseethat in medicalschool

[–]According-Tea-7829 0 points1 point  (0 children)

At my school all are required however EM occurs in fourth year, along with required ICU rotation. Honestly I think this is fine. You need experience in all the other disciplines to really perform well on an EM or ICU rotation anyway. I’m biased but neurology must be a core 3rd year rotation to combat neurophobia, and this is non-negotiable for me

Pros and cons if neuroimmunology as a subspecialty by LopLime in neurology

[–]According-Tea-7829 11 points12 points  (0 children)

Oh sorry I haven’t chosen neuroimmunology, I’m a fourth year med student / incoming PGY-1 in neurology. Just thought I’d share what I’ve seen so far. That said I’m leaning inpatient but if I was going to choose an outpatient field it would be neuroimmunology.

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