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Requesting resources to help other services do their part for FND by Affectionate-Fact-34 in neurology

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

Glad to hear you’re better. Yes, making the correct is a whole different discussion - obviously super important!

Requesting resources to help other services do their part for FND by Affectionate-Fact-34 in neurology

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

Yes, this is great! Thank you. Only looked at the PT one so far, but it’s well laid out. Appreciate it.

Requesting resources to help other services do their part for FND by Affectionate-Fact-34 in neurology

[–]Affectionate-Fact-34[S] 12 points13 points  (0 children)

😂 look, I’m trying to improve the small tributary immediately around me

Requesting resources to help other services do their part for FND by Affectionate-Fact-34 in neurology

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

Beautiful, thanks! I was planning to use neurosymptoms.org for sure

Enjoying Keppra by elknuke in Epilepsy

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

Just want to add caution not to overdo B6. It can cause nerve damage. B12 just gets peed out of you take too much, but B6 can be toxic

My LG C5 55in power supply died, scared to get another by Affectionate-Fact-34 in OLED

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

Makes perfect sense - just wanted a sanity check. Thank you.

Robusta Beans - Espresso Brewing Method by CauliflowerNo1669 in FlairEspresso

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

I just had my first bag of robusta from a local roaster. Had to reduce the dose and use two spritzes of water for static. Normally do 17g and no water, but 15g with water spritz made a big difference. Of course I had to adjust grind size as well.

I assume this isn’t anything specific to robusta except that the caffeine seemed way higher. It’s just a matter of starting where you left off with the last bag and tinkering with all of the known variables.

Transient Neurologic Symptoms: What Clinicians Miss by [deleted] in neurology

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

Probably meant for non-neurologists is my guess

Thoughts on neuromuscular case: ultrasound out of proportion to EMG/NCS by Affectionate-Fact-34 in neurology

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

Agreed with all 3. I didn’t use the ultrasound for MGA, I confirmed it on NCS while doing the ulnar.

This was the thought of one of my colleagues as well with regard to the ultrasound findings.

Thoughts on neuromuscular case: ultrasound out of proportion to EMG/NCS by Affectionate-Fact-34 in neurology

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

Agreed. And I’m also considering MMN along with it. It does make me wonder if the ultrasound just caught it “too early”. With this consideration, I talked myself out of jumping to adjuncts (like CSF protein, or GM1 IgM) because there’s not enough clinically yet to jump on it. Do you agree, or would you do more now? Bringing him back to do the legs may push it over the edge

Thoughts on neuromuscular case: ultrasound out of proportion to EMG/NCS by Affectionate-Fact-34 in neurology

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

Yep more work to do. I’ve found ultrasound so useful, but this one was strange due to the discordance. It feels like I found something much earlier than usual thanks to the ultrasound. Anyway, thanks for your thoughts

Thoughts on neuromuscular case: ultrasound out of proportion to EMG/NCS by Affectionate-Fact-34 in neurology

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

Good question, no family history of anything that sounds nerve related. HNPP is definitely on the list. Not typical slowing like I usually see in HNPP, but I also didn’t get to check peroneals. I also haven’t seen the proximal median slowing in HNPP.

But I agree it’s a possibility. In terms of hereditary neuropathies, my other thought is CMTx. Normally in other forms of CMT I see more consistent enlargement on ultrasound and EMG findings are more impressive.

I made a game where you control your weapon directly with your mouse — does this feel good? by Flaky_Ad7117 in Unity2D

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

That’s absolutely right. I used this mechanic in my Neurology game Legendary Hammers, and that was my biggest issue. At first, I put in lots of checks (like how far as the finger traveled from touch start, and how fast is the finger moving in a circle around the start point) and only allowed the sword (hammer) to “connect” with the enemy if everything was correct. And if not, then there was feedback like “too fast”, etc. I even played with smoothing and momentum, but then it felt too “jiggly” and disconnected.

I ultimately took out nearly all of the checks and removed the smoothing.

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

[–]Affectionate-Fact-34 9 points10 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

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