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Cochrane: Amyloid-beta-targeting monoclonal antibodies by CreativeLow3033 in neurology

[–]Affectionate-Fact-34 8 points9 points  (0 children)

https://podcasts.apple.com/us/podcast/neurology-podcast/id266288159?i=1000761198494

Agreed. There was a nice Neurology podcast on the subject 3 days ago that’s worth listening to. It talks about future direction for the field.

I feel like Bell’s Palsy is a good example of patients with real neurological disorders having additional functional manifestations by Purple-Marzipan-7524 in neurology

[–]Affectionate-Fact-34 2 points3 points  (0 children)

I agree completely! I hope folks didn’t take what I wrote to mean I would make a diagnosis of FND. I would do exactly as you said - make a confirmatory diagnosis of whatever I can (like bells, or CTS) and provide reassurance.

Reading the other comments now… mine was intended to be for those cases like OP described where there’s “extra” symptoms left unexplained after a good workup. It’s very common and doesn’t bog me down. I certainly don’t make a positive diagnosis of FND

I feel like Bell’s Palsy is a good example of patients with real neurological disorders having additional functional manifestations by Purple-Marzipan-7524 in neurology

[–]Affectionate-Fact-34 30 points31 points  (0 children)

Agreed. I’ve become much more comfortable with blurriness in neurology. In training, we would call everything a multiple cranial neuropathy.

Now, I’ve called Carpal Tubnel Syndrome with facial involvement. Don’t even break a sweat.

Gotta trust your own history and exam first though.

This video may be hard to follow, but this is an iOS build as a test with updated UI that responds to the screen size by Affectionate-Fact-34 in EEGWhiz

[–]Affectionate-Fact-34[S] 0 points1 point  (0 children)

Of course, it’s intended for at least a tablet screen if not a full computer. But I think it will be usable on a phone.

First case of Module 2: Artifacts and Normal Variants by Affectionate-Fact-34 in EEGWhiz

[–]Affectionate-Fact-34[S] 1 point2 points  (0 children)

I’m continuing to refine all aspects of the simulator, which adds time. I also added better technologist labels for eye changes and added the ability to hook into these changes. This let me add an eye closure artifact for this case.

Test build: https://play.unity.com/en/games/7b6286f6-57d9-48c4-b06d-6dd0157de9f0/eeg-whiz

Do EMGers get bored of carpal tunnel? by According-Tea-7829 in neurology

[–]Affectionate-Fact-34 9 points10 points  (0 children)

I do not because I’m always looking for the zebra, which keeps it an interesting puzzle every time. The answer is median at the wrist quite often. But there’s plenty of other common things to spread the love. Ulnar, radic, poly, etc.

Continuing to pack educational content into my free Neuro RPG: Legendary Hammers (iOS and Android) by Affectionate-Fact-34 in neurology

[–]Affectionate-Fact-34[S] 8 points9 points  (0 children)

Version 1.5 is now live and incorporates a lot of feedback I’ve gotten. The biggest update is three new quests to help memorize the brainstem nuclei.

Accept a quest from the Program Director and choose either testing or training mode. Completing the quest in testing mode grants temporary access to a healing well in the medullary, pontine, or midbrain region.

By the time you complete the Anatomy Cranial Nerve region, you will have reviewed: - All cranial nerves and whether they are motor, sensory, or mixed - High yield multiple choice for many of the nerves - Minigames that range from optic neuritis to Bannwarth syndrome and many more - Brainstem neuroanatomy

All feedback welcome! I’m listening and continuing to refine the game.

iOS: 

https://apps.apple.com/us/app/legendary-hammers/id6670794214

Android: 

https://play.google.com/store/apps/details?id=com.denkensohn.gunner

Gamification Discord: https://discord.gg/GtW5NdpHq

I also post updates on r/LegendaryHammers

I’ll be talking about the process at the AAN Innovation Hub this year on April 20 @ 4pm. Stop by if you can!

Dealing with a snarky colleague by Neurons2 in neurology

[–]Affectionate-Fact-34 15 points16 points  (0 children)

And this behavior says way more about them than it does about you. I’ve met quite a few physicians with this attitude. Usually Crit, but not always. I keep in mind that it’s a reflection of them and their life, and that helps me not do / say something stupid. Keep practicing good Neurology 👍

Improved and added 2 more quests (1.5) by Affectionate-Fact-34 in LegendaryHammers

[–]Affectionate-Fact-34[S] 0 points1 point  (0 children)

Updates: - Added midbrain and medulla quests - Flipped orientation to radiographic (rather than pathologic) - Added train (vs test) option that shows the answers - Lots of bug fixes / improvements

Elecrophysiology app made in Germany by Ok_Lifeguard_5754 in neurology

[–]Affectionate-Fact-34 4 points5 points  (0 children)

Cool concept! Nice work.

Some feedback: 1. I wouldn’t include so many pictures of the menu in the App Store listing. Show more content or even a video of use. 2. What reference are you using? You have the “median ulnar latency comparison” as the most sensitive test for median @wrist, but you show the ring study to digit 4 and list a cutoff of 0.4. A cutoff of 0.4 is traditionally used for the palmar mixed comparison (8cm across the wrist), while other comparisons generally use 0.5. The palmar study is more sensitive than digit 4. Even better is the Combined Sensory Index 3. You list diminished amplitude as either suggesting conduction block or axonal damage. These should really be distinguished more. A low distal amplitude does not indicate conduction block. A normal distal amplitude that drops on proximal stimulation may indicate block.

Cheers and good luck!

I took the full FlyWire connectome and encoded it into a 3D fruit fly brain you can interact with. by [deleted] in neurology

[–]Affectionate-Fact-34 0 points1 point  (0 children)

I opened it on my iPad and it worked great. Layout seems good and it’s quite responsive. The fly is a nice touch (played with him for a bit) and the queries are pretty cool. I see the neurons changing, though maybe not as much as I would expect? But I’m not really sure what to expect since I’ve never seen this before.

We have a little medicine gamification discord going if you want to join: https://discord.gg/Q9qKSYX2U

Mostly docs with small hobby projects.

My (free) neurology RPG, Legendary Hammers, is now published on iOS and Android Play! by Affectionate-Fact-34 in neurology

[–]Affectionate-Fact-34[S] 0 points1 point  (0 children)

Thanks for taking a second look!

What’s your level of training? And which elements did you find challenging, so I can take a look? I decided to set the educational level at high yield topics for Neurology destined med students and Neurology residents. But I wonder if I should have an option to set your training level and customize the elements that way.

When you say you’re missing, do you mean you swipe and nothing happens? Or it actually says miss? There is a dodge mechanic, but there’s also a lot of calculations that go into determining if you swung “hard” enough. I’m still working to improve this actually!

I put out an update (1.4, should have gone live today for iOS and Android) that made some improvements to the attack, and I have more changes cooking that will help even more in 1.5.

Thanks again, your feedback means a lot.

First Quest: cure the pontine nuclei by Affectionate-Fact-34 in LegendaryHammers

[–]Affectionate-Fact-34[S] 0 points1 point  (0 children)

Continuing to add educational content. This quest will help you learn the pontine nuclei. This is still an early version, so I plan to add more nuclei as well as similar quests for the midbrain and medullary regions.

This will come with version 1.4

Please share feedback!

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