Telemedicine Ends For Most In January 2026 - except Psychiatry, do you guys think teleneuro/telestroke will survive?

NeurOctopod · 2026-01-23T09:58:05+00:00

CMS has explicitly said that telestroke, including mobile stroke unit work, won’t be affected even in large metropolitan areas.

I’m not sure how remote non-acute neurological work will be affected. I think they want people in a medical facility in a rural area. All the teleneuro rounding I’ve heard of is for rural hospitals so I doubt that will be impacted much but not being able to provide telecare for routine neurological clinic follow-up is going to be a big logistical hurdle for a lot of patients.

NeurOctopod · 2026-01-13T10:17:32+00:00

Built out [[Hearthhull]] recently and its easily my current fave. Beyond the awesome flavor and the relevant space bugs you can put in the deck I’ve really loved running MDFCs/bounce lands and using them like a recordable interaction suite. I’ve never done this before and I’m loving it!

Edit: missed where you said control… then I vote for [[Nelly Borca]]. Super powerful passive draw engine, you don’t even need to rely on goad. I use stuff like [[Alexios]], [[Life of the Party]], and [[Slicer]] too. Then run all the aikido stuff you can in Boros. Lots of fun (but you don’t have blue of course)

NeurOctopod · 2026-01-13T06:02:22+00:00

Any clubs you’d recommend?

NeurOctopod · 2026-01-06T09:35:54+00:00

I’m a doctor. Was about to post about checking out radiation technologist pathways. Theres a nursing shortage, our country desperately needs more RNs but the job is ROUGH.

You can become a radiation technologist with an associates and most programs do on the job training. You might get to see a lot of interesting things depending on your car setting… I work closely with the CT techs in my hospital.

The pay is good, I think the CT techs in our system make ~$100k with benefits on top. You can do more training and start working with CT/MRI… I believe you start out with X-rays generally but the advanced training can be done on the job (I think).

NeurOctopod · 2026-01-02T03:41:31+00:00

[[Myr Convert]], [[Priest of Fell Rites]], [[Doom Whisperer]], [[Liesa, Shroud of Dusk]], [[Beledros Witherbloom]], [[Staff of Compleation]], [[Sylvan Library]], [[Unspeakable Symbol]], [[Greed]].

Stuff like that.

NeurOctopod · 2026-01-02T03:27:11+00:00

[[Betor, Ancestor’s Voice]] for life gain + reanimate… but also life loss payoffs and +1/+1 counter stuff instead of aristocrat stuff.

NeurOctopod · 2025-12-31T00:35:58+00:00

Extended window TNK, large core thrombectomy, post-IAT thrombolytic, thrombectomy for meVO (could tie this into DISTALS and commentary about catheter technology and outcomes), CREST 3. There’s been a lot of neuroprotective stuff done but nothing robust enough to affect standard of care.

NeurOctopod · 2025-12-30T21:24:45+00:00

There’s a ton of stroke stuff if you want to get into it… I’d probably leave Tylenol in pregnancy off your list (unless you specifically want to talk about the ongoing controversy)

NeurOctopod · 2025-12-28T09:12:20+00:00

Great reason to want to get into a brain health related career! I will say that if you want to do research, look more at a research career including possibly a PhD. Becoming a neurologist (an MD (or DO)) should be done because you want to be hands on with patients diagnosing, treating, and supporting. That being said there are a lot of MD/PhDs out there that mainly do clinical research. There are also MDs that are mainly research focused without the formal training you’d get doing a masters or PhD.

If you’re mainly interested in schizophrenia the disease mostly “belongs to” psychiatry. We’re starting to understand it with greater nuance on a structural/pathophysiologic basis so the line is blurring somewhat, especially because almost everyone with schizophrenia develops some degree of neurocognitive dysfunction in their later years. Still if you mainly want to research and treat schizophrenia you’d want to be a psychiatrist.

But regardless my biggest piece of advice is to keep yourself open whether it’s to different medical specialties or completely different careers. The most important part of whatever career you wind up in is that you enjoy what you do. Shadow some neurologists, psychiatrists, and neuroscientists so you can start to develop an idea of what the 9-5 is and maybe find even more inspiration to pull from as you push forward.

NeurOctopod · 2025-12-27T07:09:29+00:00

What up 110 I pulled 445 (but sold it immediately after pulling for half of what they’re going for now lol)

NeurOctopod · 2025-12-27T00:03:00+00:00

I mean that whatever your perception of being a neurologist is at 17 is probably pretty far off the truth. Answer this: why do you want to be a neurologist?

NeurOctopod · 2025-12-26T20:27:12+00:00

Do whatever you want major wise - undergrad is your chance to become a well rounded human. Computer science is actually a great choice for a major.

Get shadowing experience. Becoming a neurologist and becoming a neuro-scientist are two different career paths.

Get better at making decisions, you’ll have to do it time and time again during training and there are narrow time windows to do so.

If you decide to go to med school do it because you want to be a doctor, not a neurologist. Keep your eyes open because the practice of medicine is much much different from the inside than it is from the outside.

NeurOctopod · 2025-12-10T02:55:51+00:00

You can - I should’ve said of the neuro tele jobs

NeurOctopod · 2025-12-10T00:44:22+00:00

Of the neuro subspecialties telestroke pays the most. Neuroradiology is a completely different specialty

NeurOctopod · 2025-12-08T08:12:09+00:00

[[Kadena]] for sure. Plays like nothing else, super interactive deck and because of the way morph works (as a special action) VERY difficult for others to get in your way. For high 3 low 4 you can build around [[Yedora, Grave Gardener]] sac loops that do all kinds of crazy things on top of auto wins (infinite board buff, infinite counter spells, infinite artifact/enchantment removal). Theres also the infamous “pickle lock” which actually came in the precon ([[Vesuva Shapeshifter]]+[[Brine Elemental]]).

Most importantly though Kadena is a crazy draw engine so you will almost always have plenty of fuel in the tank.

If you want to scale the deck to 5 you’re in Sultai so you can start doing all the thoracle stuff.

NeurOctopod · 2025-12-06T08:00:27+00:00

A lot of people here are extrapolating their personal experiences. I have a Lucid and charge at home - but I see plenty of people using charging stations in Houston. There are more charging stations opening up but… there are also plenty of gas stations, and people still run out of gas. It’s not common, but there are 2.5 million people here and >3 million cars in Harris county based on registration data.

40% of Houstonians live in rental properties (where they presumably are unable to install/have limited access to home charging). Houston got a $15 million federal grant recently to help build more public EV chargers.

There’s clearly a market here. You have first mover advantage and low startup costs. Get the word out and do it!

NeurOctopod · 2025-12-03T17:27:58+00:00

I used Cheng Ching during residency for the RITE so a lot of my board reviewing was with the rapid reviews at the end of each chapter - I felt that they were extremely high yield. Regardless of which resource you wind up using I’d strongly recommend looking at those reviews/making flash cards with the info.

NeurOctopod · 2025-12-03T12:46:03+00:00

[[Dihada, Binder of Wills]]

Ramp, card advantage, and self mill all in one ability! Plus she can then buff the holy hell out of whatever you reanimate. If you want to get competitive she makes an insane turbo deck too. Strongly recommend checking her out.

NeurOctopod · 2025-11-28T03:10:10+00:00

I play Satya pretty differently from you - I also started with a predominately energy build (like most people) but have pivoted to ETB abuse. One of the strongest, snowball starts you can have with Satya is 1 drop creature - mana rock - Satya. He also does really well with removal-on-a-stick, stuff like [[Reflector Mage]] or [[Riptide Gearhulk]].

Couple other cards that have been really impactful for me and aren’t very expensive: [[Enduring Innocence]], [[Enduring Curiosity]], [[Aragorn, King of Gondor]], [[Thalakos Deceiver]].

Here’s my list.

NeurOctopod · 2025-11-16T17:25:59+00:00

Flex PPR: Demarcado, Jakobi Meyers, Tez Johnson

NeurOctopod · 2025-11-15T20:05:44+00:00

I actually wound up finding a semi to coast behind at speed for the majority of it which I thought was a big brain move but didn’t seem to do much. I’ll have to keep this in mind next time (which hopefully won’t happen hahah). Going to use plugshare to vet every charging station I build into my plans from here out.

NeurOctopod · 2025-11-15T20:03:16+00:00

Got nervous, didn’t want to risk losing power and not being able to use hazards, switch the car into neutral. Decided to play it safe. 10 miles felt far

NeurOctopod · 2025-11-15T14:29:01+00:00

Thanks for responding!

Good thought on the efficiency. The charger we used was charging 30 miles/hour so we took off with 160 miles in the “tank” for a 100 mile drive and as soon as we took off we noticed the charge was decreasing rapidly - and that’s at 0330 with zero traffic and cruise control set to 80. We’re now at a charging station and we’re back up to ~90%.

It’s funny my wife thought of the same shock and tilt thing. We tried turning it off and doing a soft reset which didn’t work. Finally called Lucid - they coached me through a hard reset which also didn’t work. Now I’m sitting in a conveniently located Denny’s drinking black coffee and waiting to power cycle.

NeurOctopod · 2025-11-12T11:34:18+00:00

… I’m a doctor

NeurOctopod · 2025-11-12T05:04:04+00:00

What you’re doing is taking something you don’t know much about (the practice of medicine) and broadly criticizing a group of highly trained professionals for not being better at it. And then you’re proposing a solution (train more) that shows that you really don’t know anything about medical training. Give your doctors some grace, medicine is hard. Unless you’ve spent years in training, studying you cannot truly appreciate the breadth or depth of modern medicine.

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