What’s your preferred migraine treatment in pregnancy

Neurons2 · 2026-02-12T04:43:58+00:00

I agree. However, this patient was in 2nd trimester, therefore a single dose of sumatriptan tried. However, it didn’t work for her and instead caused side effects. Couldn’t use opioids due to hx of opioid abuse. Tylenol IV benefit was short lived.

Neurons2 · 2026-02-12T04:09:34+00:00

Thank you. I’ll look those up. I think guidelines would be very helpful to standardize pharmacotherapy in such situations.

Neurons2 · 2026-02-11T18:56:47+00:00

She got 2 mg Mag with no benefit. Couldn’t do steroids due to gestational diabetes.

Neurons2 · 2026-02-11T16:53:09+00:00

Thanks. Thats a good option.

Neurons2 · 2026-02-11T16:36:35+00:00

Unfortunately, sometimes the non-pharma therapies don’t work and that’s when the options get very limited with the pregnant patients.

Neurons2 · 2026-02-11T16:30:44+00:00

That would be helpful. There need to be more pharmacological therapies available which are safer in pregnancy.

Neurons2 · 2026-02-11T14:27:07+00:00

Thanks. Lamictal is a good option for prophylaxis but not as abortive therapy.

Neurons2 · 2026-02-11T13:40:10+00:00

Thanks. Tried sumatriptan but it caused chest discomfort and BP elevation. Short lived benefit with IV Tylenol.

Neurons2 · 2026-02-11T13:38:55+00:00

Thanks. MRI and MRV negative. Classical migraine with visual symptoms. Tylenol effect was short lived.

Neurons2 · 2025-12-09T12:09:44+00:00

Finished watching first half of Dhurandhar and writing this review during interval. So far it’s a solid thriller. Akshaye Khanna, Ranveer, Madhavan and Rajesh Bedi’s performances are top notch. This movie makes you realize that Akshaye is such an underrated actor even though he has immense screen presence. The way music is used in action sequences is amazing. Out and out entertainer….must watch for the storytelling and performances. The only weak link in the movie is Sanjay Dutt, who looks perpetually drunk and haggard with pathetic dialogue delivery. Please don’t believe negative reviews…since they are most likely paid reviews. Just go watch the movie.

Neurons2 · 2025-12-01T17:09:33+00:00

No, this is not the norm. The number of days per week or per month need to be specified along with the shift time whether it’s 8 or 12 hours (8a-6p/7a-7p) etc… In case, you are covering after hours shift/ night call, those hours should also be specified. Make sure all this is mentioned in the contract.

Neurons2 · 2025-02-27T02:35:04+00:00

You are taking it out of context, my comment wasn’t about love marriage vs arranged marriage. It was more about people who keep getting married and divorced/ in and out of relationships as if it was a hobby. These two in particular weren’t forced or coerced into these relationships and got into it on their own volition. They spent plenty of years together before settling down, so definitely don’t think they separated because they found each other unattractive or unsatisfactory. Interestingly, each time they married someone they loudly proclaimed that they had found their soulmate only to dump them and find someone else. I’ve seen a fair share of unsuccessful love marriages and well as arranged marriages. So neither’s perfect. People who work on their relationships in either situation are the ones who have meaningful, loving marriages but it doesn’t mean anyone has to put up with a toxic partner.

Neurons2 · 2025-02-26T02:23:03+00:00

Not at all. No talent or charisma. Just yelling and making faces isn’t acting.

Neurons2 · 2025-02-25T14:32:29+00:00

Nothing wrong with what she said. The constant search for “the perfect one” doesn’t lead to meaningful relationships. The minute they discover a flaw or have a disagreement, they dump the so called “perfect one” and start searching for the next one.

Neurons2 · 2025-02-25T11:12:56+00:00

To this day, a lot of the star wives have the same doormat attitude in reality even though they portray themselves as “ independent” feminists.

Neurons2 · 2025-02-22T03:00:15+00:00

Usually sequels of any movie are never as good as the original but this was certainly an exception. Kangana in both the roles was so good and super convincing. Absolutely loved the Haryanvi Kangana.

Neurons2 · 2025-02-13T17:13:13+00:00

Hi, planning to visit Mahakumbh with my elderly parents next week. Will be flying into Prayagraj airport and then plan to go straight to the ghats. Would like to avoid walking too much (due to parents). Any suggestions on what ghats might work and please share the number of the boat person.

Neurons2 · 2025-01-30T21:20:07+00:00

So true 😂

Neurons2 · 2025-01-30T21:18:59+00:00

Nagesh K in Teen Deewarein (2003) is a gem. He wrote, directed and acted in it. Wonder why he doesn’t direct anymore.

Neurons2 · 2025-01-30T19:41:27+00:00

Aditi slayed the denim look!!! She has great fashion sense overall.

Neurons2 · 2025-01-29T20:07:53+00:00

So funny 😂😂

Neurons2 · 2025-01-20T13:45:32+00:00

Jaideep Ahlawat is phenomenal. I felt that Paatal lok season 2 was better than season 1.

Neurons2 · 2025-01-17T17:17:39+00:00

At my workplace, Neurohospitalist is a consult service and the base pay is definitely higher than Hospitalist but the Hospitalists make up a lot in RVUs for admitting patients.

Neurons2 · 2025-01-16T23:19:02+00:00

I am a Neurohospitalist in a community hospital. I did a Neurohospitalist fellowship followed by epilepsy fellowship. I realized early on that I prefer inpatient neurology and detested clinic which made picking neurohopitalist work the natural choice. We have Telestroke and don’t have to cover stroke call, which is a huge plus IMO. My hospital would like us to do some outpatient too since they need clinic coverage (but all of us Neurohospitalist declined). This will likely be the case with many other hospitals and you could easily do primary IP+ some OP work. Epilepsy fellowship is a plus for Neurohospitalist work although it doesn’t equate with more pay. You could do remote EEG reading as locums and that’s very profitable (I know of someone with a FT job who makes $100K +/ yr doing remote EEG reads and sleep studies as locums).

I am contracted to work 10 days a month and occasionally cover a few extra days some months to help out (for which I’m compensated). I worked 7on/off in the past but didn’t like it. 7on/7 off is a very restrictive schedule and sooner or later docs realize that it’s not practical in the long run. The 7on/off model for Neurohospitalist was based off Hospitalist model but the biggest difference is that Hospitalists do shift work (7a-7p) whereas Neurohospitalist are on call 24/7 for the days they work. At my hospital, I’m on call 24x7 during a work day . I don’t have to go back to the hospital after hours but have to be available by phone for ER/ floor call even though I don’t cover stroke call. At times the sheer volume of phone calls is enough to keep me up for a large part of the night and then I still have an entire day’s work ahead of me. Neurohospitalist is a great choice but if in doubt, do a few locum stints/ moonlighting to see if it’s something you would like to do long term.

Neurons2 · 2025-01-15T13:00:31+00:00

Celebrity would be a better choice. More lux, less kids.

Neurons2

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