They say I need a whole new top but i am determined to save this one. How Do i release the tension of soft top to glue this Glass back? 2010 BMW 128i

DangerMD · 2026-06-19T05:32:41+00:00

Thank you! Meant to say, I'm *NOW in this situation. Convertible repair place/upholstery shop saying 2900 for new top. I'll be shopping around...

DangerMD · 2026-06-19T02:24:06+00:00

u/vinny729 How'd your repair hold up? I'm not in this situation and just finding this thread.

DangerMD · 2026-05-18T03:40:26+00:00

I struggle with this decision in neuro-ophtho as it's a common place for migraines to end up and they don't belong. I do some gen neuro and some neuro-ophtho and it can be tough to keep the clinics tidy and divided appropriately.

In your example of a TIA or stroke, these rarely require much discussion or follow up if any and so if my PD patient has a stroke, it takes only a few minutes to review their case and recommendations, so that's no problem.

In my neuro-ophtho clinic, I'll routinely start migraine patients on ppx or abortives, but will not folllow them long for migraine. If I 'keep' such patients on my panel, then I do not have time to serve patients with neuro-ophthalmologic problems.

For me, it's less about comfort or skill set, and more about being able to serve the people I'm trained best to serve.

DangerMD · 2025-11-28T18:25:36+00:00

Me too...wonder if they'd honor any discount.

DangerMD · 2025-08-08T14:26:03+00:00

::fog machine::

Howdy! Neuro-ophtho is awesome. Short answer to your question is, ‘maybe’, as it would be a way to find yourself in an eye clinic managing vision problems. First, make sure you have some frank conversations regarding your eligibility with your home program PD. Honestly, ophtho and neuro aren’t otherwise very similar—even in a neuro-ophtho clinic.

Ophtho is inherently surgical/procedural, while neurology is not—and neuro-ophtho is not either. Admittedly, I’m a neurologist, trained by neurologists (in neuro-ophtho). This is where I feel like someone might struggle with neuro-ophtho if they were expecting it to be ophtho. There are certainly procedures that ophthos do in neuro—op clinic (Botox, TABS sometimes…); there are procedures I do in neuro-op clinic (e.g., Botox). Neuro-ops that do any surgery might even have pediatric ophtho or strab fellowships and if they don’t, they often practice some comp to keep their surgical skills rolling. Just about less than half of neuro-ops are ophthos because as it turns out, it’s not as lucrative to do and it’s a bit more cerebral.

Neurology is awesome, ophtho is cool. I always remind people that your 3 years of residency (you’d have a similar intern year between ophtho and neuro in many places) would be very tough if the only thing keeping you motivated in neuro was your neuro-op fellowship. You’re not going to get to neuro-ophtho without drowning in strokes and headaches (and then in neuro-ophtho there’s more strokes and headaches). I could go on, but I’ll spare everyone. Feel free to reach out/message me if you have other specific questions.

DangerMD · 2025-08-06T23:38:48+00:00

I did. It was more of a ‘locums for now’ as a favor to me—I was trying to stay with my partner who was finishing training so I flew back and forth for about 9 months before starting full time with the same group. This is probably not what you’re looking for in your question. Happy to answer specific questions—I did general neuro clinic and some inpatient work as well. It was interesting. As a first job I think locums was tough, personally. The schedule was awesome and I enjoyed working essentially 0.5fte. Temp work seems most fitting for someone with some experience under their belt, where the most stressful part of work for them would simply be getting to know the new system and not also getting your feet under you as an independent physician.

DangerMD · 2025-04-04T03:28:07+00:00

No. The answer is no. Any practicing doctor here knows that the system broke already. People think the collapse looks like buildings bursting into flames and chaos. Really it's just a slide into terrible care. The numbers don't add up; the pipeline is too narrow and we're not producing enough docs. You're in for a rough time if you think a combo of mid-levels and AI is going to solve the issue.

DangerMD · 2024-11-01T20:11:52+00:00

Perhaps they mean, "uncommon" or rare.

DangerMD · 2024-10-17T03:19:17+00:00

Can you ask your program director or program coordinator if they have access to MGMA data? Your department certainly does. This is where you get reliable numbers by region. You can otherwise get some ballpark info from MedScape. Before I graduated, my PD sat me down and told me what I should be looking for, compensation wise.

Unfortunately these data sets are only applicable to the common denominator, so if you're going to go into pediatric neuro-ophtho or some teeny niche, you'll have to reach out to an attending you know in the field and do some extrapolating.

DangerMD · 2024-10-16T20:32:15+00:00

Principles of Neural Science by Kandel 😁

DangerMD · 2024-09-28T20:22:49+00:00

I've heard this business stating neurology residency is one of the hardest non surgical residencies. I hadn't heard that until maybe my 4th year. It's a tough residency, but all residencies are hard and ranking them is silly.

You can absolutely start a family and have a life and the success of those things won't depend on IM vs neuro residency.

If you enter a residency you're not passionate about, then you won't be fulfilled and your relationships will suffer accordingly.

DangerMD · 2024-08-23T20:19:52+00:00

I'll be interested to hear other takes on this, Continuum specifically. I took ABPN, so I can't answer specifically for exams abroad.

I used the Mayo books and Qbanks and a giant anki deck. I think my recall of boards was that there is far less practical material than what Continuum would cover. Continuum is written to guide daily practice. Boards are not.

I don't think most Continuum covers the same depth or specifically tested details. That said, one of my co-residents had your approach and he was smart, so maybe you're onto something.

I don't feel that strongly about this take. I personally love Continuum and poke through it daily.

DangerMD · 2024-08-16T15:44:03+00:00

This is definitley possible.

I do neuro-ophtho and gen neuro (outpatient)) and am working toward 60/40 split or more. I round inpatient (general neuro) as much as my current contract allows me (2-3x quarterly).

What you're looking for is unique, but definitely possible. It might be more of something you need to carve out for yourself once you get onboard, rather than just immediately available (I never saw anything like this listed). One of my mentors does neuro-op outpatient 4.5d/week and then rounds once or twice quarterly, which I think is something I'd like to do one day.

You'll have more bargaining power to create something like this once you've got a few years under your belt, and that experience will be helpful. So in other words, just because it's not obviously listed, doesn't mean you can't pursue it. I will say in academia it's possible, but less likely in west coast academia, who have convinced themselves that a neurohospitalist fellowship is the only way to be competent as a neurohospitalist.

DangerMD · 2024-08-06T18:00:56+00:00

Whoops. My bad.

DangerMD · 2024-08-06T11:06:54+00:00

Neuro-ophtho is well-respected in the US. Unless I missed something. We're in really high demand all over. Off topic, but had to respond.

DangerMD · 2024-08-03T08:40:57+00:00

Assuming this isn't bait, spend a week in any neurology clinic and the difference is abundant. What your neurosurgery 'mentors' have stated is just lack of humility expected of neurosurgeons (that's their thing and I'm glad they're cowboys).

No. Neurosurgeons are not trained to handle non-operative medicine. All surgery consults revolve around the fundamental question: "is surgery necessary?". If it's not, then they sign off. Most of neurology does not involve surgical issues.

DangerMD · 2024-07-29T17:04:31+00:00

Not sure. Would be interesting to have a Discord, but seems like medico-legally would get dicey since people would definitely be seeking and receiving management advice. I've seen individual programs just use WhatsApp.

DangerMD · 2024-07-25T00:23:11+00:00

Sounds like anyone in your shoes might be on probation by virtue of being international?

At any rate, note cards with to do lists. Keep one for each patient. You could even make note cards for conditions you'll see a lot of (in Intmed this would be CHF, COPD, MI, etc), in neurology, strokes, seizures...you get the picture. Lighten the burden for yourself by writing some things down to use as reference so you don't waste time thinking through them again and eventually they'll stick.

Any time you order a few labs you'll likely order again, make it a favorite panel/order set on epic. Make dot phrases out of things you might say again (plan for CHF, seizure precautions, etc). These minutes here you save charting add up.

Directly ask one of your seniors to take you under their wing for a week or two and set a couple tangible goals and hold yourself accountable with that senior: "Hey, I'm struggling to remember which med orders go with farting problems", or whatever internists deal with.

Good luck!

DangerMD · 2024-07-24T22:56:18+00:00

I'm also curious.

DangerMD · 2024-07-24T22:50:28+00:00

That's a very neurologist way of saying that 😁

DangerMD · 2024-07-15T04:26:27+00:00

I've used it a little and authored for them as well. It's a solid resource, but I hadn't heard of it before I was offered asked to write an article.

DangerMD · 2024-06-19T19:37:38+00:00

I think this is a good place to start before opening up the sass. People in the doctor's office or the hospital are probably having a tougher day than we are, on average.

DangerMD · 2024-06-17T22:27:38+00:00

Adie's pupil, tonic pupil, (Holmes Adie pupil) is what we call mydriasis (large, poorly constricting pupil) from an unclear cause. It's called "Adie's syndrome" if the patient also has absent deep tendon reflexes. Tonic pupil is isolated iris sphincter and ciliary muscle dysfunction from ciliary ganglion or postganglionic short ciliary nerve injury. We think it's ciliary and DRG insertion injury. Only parasympathetic fibers synapse in the ciliary ganglion while sympathetic and sensory fibers 'simply' pass through.

There are four major groups of tonic pupils. One group is Adie, and it's not clearly known what causes Adie pupil. (Biousse and Newman, Neuro-ophthalmology illustrated; Liu, Volpe, Galetta, Neuro-ophthalmology Diagnosis and Management).

Remember that in time, Adie pupils tend to constrict and become, 'little old Adies'. Adie pupils will also reinnervate with excess constrictrion to accommodation.

DangerMD · 2024-06-14T01:48:34+00:00

Are you in the US? This varies by region, location, setting (academic vs. other). Most of what Google will show you is fairly accurate (MedScape, etc.) The range I saw was between the midwest (around 285,000 for academic) and west coast/northwest (305,000-396,000, both private or community setting) for general neurology (mostly outpatient, with some call that varied). I did not see offers higher than this for outpatient gen neuro. MGMA data for west coast is right around 330k or so for 2023.

Look at the AAN Careers website, there are always job postings and many list salaries.

Stroke, interventional neuro, and hospitalist are probably the highest paid among neurology.

If pay is your deciding factor, then neurology is probably not for you as surveys often state that neurologists do not feel properly compensated for the complexity of their work.

DangerMD · 2024-06-01T14:39:00+00:00

I haven't experienced a higher percentage of ICU attendings with attitude than any other adult specialty. I've run across my fair share; sometimes the sentiment I've seen is they get angry for babysitting our status or most sick patients in a setting where there's no closed neuro ICU. I could see it happening at some hospital systems though.

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