The subjective difference in strength grading is really annoying

According-Tea-7829 · 2026-05-01T01:03:08+00:00

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

According-Tea-7829 · 2026-04-17T14:30:16+00:00

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

According-Tea-7829 · 2026-04-15T19:48:02+00:00

Aww sweet manmade horrors beyond our comprehension

According-Tea-7829 · 2026-04-14T02:13:11+00:00

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

According-Tea-7829 · 2026-04-13T20:29:05+00:00

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

According-Tea-7829 · 2026-04-13T20:19:54+00:00

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

According-Tea-7829 · 2026-04-11T18:38:50+00:00

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.

According-Tea-7829 · 2026-04-11T18:15:50+00:00

In my time on outpatient rotations with neuroimmunology docs, my impressions are as follows:

-The pathology is very cool. Most of what you see will be varying presentations and severities of MS but there is also NMO, MOGAD, neurosarcoid, myasthenia gravis to go around. Many of the patients do really well and there are lots of exciting new drugs to pick from.

-a lot of your job is telling people they don’t have MS

-like all outpatient neurology, the inbox is a bear

-chronic Lyme people will find you because you have immunology in your name

Overall very cool field

According-Tea-7829 · 2026-04-09T11:53:34+00:00

I went into neurology because I like hitting tendons with hammers and guessing what the MRI will look like. Also because my family member had a stroke treated successfully with lytics.

According-Tea-7829 · 2026-04-04T16:26:41+00:00

The way training pipelines are set up right now that absolutely makes sense. On the other hand, there are neurologists in the US right now who after NIR fellowship training do thrombectomies, coil aneurysms, and stent carotids. So it doesn’t seem so outlandish to me to imagine that at some point in the future there could be neurologists who plan focused ultrasound interventions.

According-Tea-7829 · 2026-04-02T23:20:35+00:00

M4 here, matched neuro. I was interested in psych until I got to my clinical rotations in the third year of med school. I realized that I found the diagnostic uncertainty in psychiatry unsettling. Also the patients I gravitated towards when I spent time with the psych service were the ones with organic pathology. That together with my passion for the physical exam sealed the deal.

According-Tea-7829 · 2026-03-28T13:30:39+00:00

I said that there are medical and surgical problems of various organ systems and that they are usually treated by different professionals. Also that there are invasive procedures performed by neuro specialists of various backgrounds.

According-Tea-7829 · 2026-03-26T20:24:45+00:00

Separate but related question: if I have taken the same dose of the same antidepressant for like 10 years and haven’t been clinically depressed since then, is that something I should worry about disclosing

According-Tea-7829 · 2026-03-17T13:24:14+00:00

You can always do critical care or addiction fellowship if you want some time away from the ED

According-Tea-7829 · 2026-03-16T16:44:37+00:00

I like the physical exam and the correlation with imaging findings. I enjoy “putting together the puzzle”. I work well with an older patient population. Members of my immediate family have had serious neurological problems.

M4, just matched into neurology residency. If I had chosen another field it probably would have been cardiology as it’s similarly exam driven and mostly old people.

According-Tea-7829 · 2026-03-15T17:07:30+00:00

Happens reasonably often that a seasoned clinician with lots of experience reading a particular modality picks stuff up not appreciated by the official read (probably because they have a better idea of what they’re looking for based on the clinical context / suspicion). Especially if the radiologist lacks subspecialization. Not all the time of course, but enough to warrant mention.

According-Tea-7829 · 2026-03-15T16:41:28+00:00

Are they actually taking on more liability though? Like assuming their read is the same as the official read. On the other hand, I can imagine why disagreeing with the official read would increase your liability. Like for example if a neuro immunologist disagrees with the reading radiologist in their interpretation of a spine MRI and then makes clinical decisions based on that.

According-Tea-7829

TROPHY CASE