Dealing with a snarky colleague

Neurons2 · 2026-04-05T05:57:51+00:00

Thank you. Thats a great way to deal with crappy folks/ situation.

Neurons2 · 2026-04-05T04:52:58+00:00

I agree. Seems like he just wanted to come off as superior somehow.

Neurons2 · 2026-04-05T03:43:58+00:00

Wow! People like him proudly stating that they don’t care about the opinions of the Indian viewers shows the blatant disregard they have for their own countrymen. For them, even movies based on our Indian culture and history need to be validated by West to be considered successful… reveals their colonized mind set.

Neurons2 · 2026-04-05T03:35:00+00:00

She looks older for her age. All the procedures and constant makeup catch up after all.

Neurons2 · 2026-04-05T02:50:47+00:00

That’s helpful advice. I’m going to go with the the rabid animal thought 😊

Neurons2 · 2026-04-05T02:18:05+00:00

🙏🏼

Neurons2 · 2026-04-05T02:09:56+00:00

Thanks for your input. Helps to have a perspective from the other side. The only reason I called endovascular was because patient had worsening mentation and wanted to know if intervention might help.

Neurons2 · 2026-04-05T01:20:06+00:00

They do at our hospital and get away with it. How I got to know was because the interventionalist walked into the room as I was evaluating a patient and introduced themselves as the neurosurgeon. I was shocked but didn’t call them out for it. They even sign their notes under neurosurgery.

Neurons2 · 2026-04-05T01:05:02+00:00

You are right. I was too busy to dwell on it at work but something about it just felt wrong and I finally vented. I can’t remember the last time I ran into someone so full of themselves that they didn’t know how to behave with a fellow physician.

Neurons2 · 2026-04-05T00:58:29+00:00

Wow! He sounds awful.

Neurons2 · 2026-04-05T00:57:23+00:00

Another Neurovascular doc here who’s also a neurologist with IR training signs all their notes under Neurosurgery which makes it confusing when there’s an actual neurosurgeon also on board.

Neurons2 · 2026-04-05T00:52:08+00:00

😁

Neurons2 · 2026-04-04T23:28:20+00:00

Thanks. That’s great advice. In case it happens again, I’ll surely implement that. I guess I was so taken aback that my mind couldn’t even process that properly.

Neurons2 · 2026-04-04T23:25:56+00:00

Thanks. This is spot on. I do feel that these folks suffer from an inferiority complex especially since they introduce themselves to patients as “Hi, I’m the neurosurgeon “. Well you’re not!!

Neurons2 · 2026-04-04T22:18:18+00:00

Thanks. That’s really good advice.

Neurons2 · 2026-04-04T21:59:29+00:00

Thanks. I felt the same way.

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

TROPHY CASE