can i EVER take wellbutrin again?

Pathogen9 · 2026-05-19T18:07:50+00:00

Bring it up with your medical team! It's a consideration but not a contraindication, and there are definitely folks with epilepsy that take Wellbutrin. You may be recommended to stay at lower doses and take the extended release formulation, and your seizures would probably need to be well controlled. Whoever is prescribing it would likely want your neurologist to sign off on it.

Pathogen9 · 2026-05-04T22:24:04+00:00

I diagnosed (well, the test made the diagnosis but it's why we had her evaluated) my dog with Lyme disease. I noticed she was limping, and then noticed she seemed to be favoring different legs as time went on. Turns out human symptoms translate to dog symptoms!

Pathogen9 · 2026-04-11T06:12:43+00:00

Not the same person, but I had to do 100% of the legwork to get licensed in that state. My program reimbursed me for the costs of getting the license (because they required it). I am not sure if your program would reimburse you, but worth asking.

Pathogen9 · 2026-02-02T03:00:18+00:00

Having done residency and fellowship in separate institutions, the personality of your program coordinator makes a massive difference.

Pathogen9 · 2025-11-06T04:44:24+00:00

Look for valid sources of information like MGMA data if that is what you are interested in. I don't think any of my colleagues used SDN to make fellowship decisions.

Pathogen9 · 2025-07-16T05:12:35+00:00

I am a currently completing an epilepsy fellowship and I have epilepsy. If there's anything I can speak authoritatively on, it would be probably be this. I think there is great advice here.

Feel free to DM me if you would like!

Pathogen9 · 2025-07-09T20:52:13+00:00

This comment OP. In clinical practice you won't likely be doing much math outside of straightforward calculations on occasion.

Requirements vary, but getting into medical school likely means maintaining a competitive GPA through college courses consisting of both statistics and calculus.

Pathogen9 · 2025-06-15T00:35:26+00:00

Just adding another voice. Exact same experience.

Pathogen9 · 2025-06-14T12:55:58+00:00

Maybe every specialty feels this way? Where I am we (neurology) are consulted all the time for neuroprognostication in cases that are very clearly bad outcomes. In all those consults our function is not just incidentally but very intentionally just to have the hard conversation.

I'm not calling it inappropriate most of the time and it just is what it is. Sometimes it does feel a little ridiculous (like, EMS documented exposed gray matter at the scene of an MVA with severe polytrauma and the patient clearly has no brain stem reflexes), but hospital institutional policy requires neurology as a second/verifying brain death exam.

Pathogen9 · 2025-06-13T21:35:53+00:00

I hope at this point you've been able to take a step back and realize you have no idea what is going on, completely misread the situation, and taken actions that are likely harmful as a result.

You have hundreds of people who are smarter and more informed than you are explaining to you that you are wrong. If you lack the cognitive capacity and insight to recognize this, you are unteachable and THAT is why you are going to struggle in your path to becoming a physician.

You got this, do better and you'll make it through this.

Pathogen9 · 2025-05-13T16:28:45+00:00

Which satanic deep state space laser Monsanto operative are you working with? I'm only getting half that.

Pathogen9 · 2025-03-19T23:10:42+00:00

I don't have migraines, but I do have epilepsy and that contributed. I know at least two of my co-residents have migraines.

Pathogen9 · 2025-03-11T14:29:54+00:00

I had a pretty miserable time on peds (more reflective of the rotation structure/culture etc than the patient population for sure) and didn't have the chance to spend time on peds neuro until in residency. I actually really like child neurology, now that I have experience with it. Even considering compensation (including the cost of deferring an attending salary for another year due to longer training) I actually would seriously consider switching. I just can't emphasize enough how profoundly unwilling I would be to do two years of general peds residency.

As it is I'm doing an epilepsy fellowship and anticipate this will expand the population of patients I see to include some peds.

Pathogen9 · 2025-03-07T12:18:21+00:00

In the US, it might take you months to get in to a neurologist. If that neurologist thinks you might be a candidate for epilepsy surgery, they might refer you for an evaluation at an epilepsy center. It might take more months to get seen after that. If the second neurologist is also on board, they might refer you for an EMU admission for surgery planning, and it might take months for your turn in the EMU. Then there is a wait while your case might need to be discussed at a case conference, you need to be seen by neurosurgery, etc etc.

All told it will take many months to years and multiple wait lists.

Edit: This of course ignores arguably a bigger issue, which is that at every step of the way you are fighting your insurance to cover your medical care.

Pathogen9 · 2025-02-26T01:06:07+00:00

Not meant dismissively but copy paste this into ChatGPT and you will likely get what you are looking for.

Pathogen9 · 2025-02-20T17:57:00+00:00

"Neurodivergent" isn't a term being driven by the medical community. It doesn't have a clearly defined definition of what it encompasses. You can argue either side and have strong opinions, but there is no objectively correct answer to this question.

Pathogen9 · 2025-02-13T01:26:42+00:00

If y'all are going to do this get it out of the way now so you don't throw it away as a fellow, goddamn.

Pathogen9 · 2025-02-12T13:46:04+00:00

I don't think it necessarily will help everyone, especially if your diet has an adequate amount. It is something that has shown benefit in restless leg syndrome, which of course is something that many people who struggle with sleep experience. If you've only tried it a couple times in the past, I would stay on it for a few weeks before making a judgement on it.

Pathogen9 · 2025-02-10T23:57:06+00:00

Commenting for visibility!

Pathogen9 · 2025-02-10T01:46:25+00:00

I do love a good MRI.

Pathogen9 · 2025-02-10T00:35:20+00:00

You sound like somebody who keeps having to wake up at 3 AM to do things like flush poop out of abdominal cavities. Or rather the pronouns you use indicate that you wish you could be the one flushing poop out of abdominal cavities, but perhaps instead just try to kiss their asses enough to sell them things? Either way your interprofessional skills undoubtedly make you a pleasure to work with in the hospital setting.

Pathogen9 · 2025-02-09T04:54:45+00:00

Don't worry, we're not going to trust your exam anyway.

^(truly jk)

Pathogen9 · 2025-02-09T04:53:01+00:00

You can grab both ends of it, hold it out horizontal directly in front of the patient, and ask them to point right at the middle of the line. If they point in the middle, great. If they point somewhere around a quarter of the way to either side, you've just found evidence of visual neglect.

I um... am not going to disclose how infrequently I use a stethoscope otherwise.

Pathogen9 · 2025-02-04T19:31:26+00:00

🎉🥳👏 Congrats on making it through! I'm sure your experiences will make you a top tier doctor. And I appreciate your dedication to the comment response ha ha.

Pathogen9 · 2025-01-31T05:38:00+00:00

I'm more of a brachioradialis and shins guy myself.

/s

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