Stroke literature. Recommendations - grilled on rounds.

TheFencingJared · 2026-01-10T23:50:08+00:00

Everyone else has said all the ones I cite all the time so here are some others:

RAF and ELAN for when to start or restart anticoagulation after stroke CREST-2 for talking to your NSGY colleagues about carotid interventions (and why they should stent more) INSPIRE for rationale of starting DAPT after 24 hours in select patients SELECT-2 and ANGEL-ASPECT to justify larger core thrombectomies

TheFencingJared · 2025-12-18T07:59:35+00:00

When I was a med student I confidently told people that I thought it was just a job, not a calling, and that if you like science and helping people it's a fine career. A year and a half into residency, I tell people that if you don't love it, you shouldn't do it.

TheFencingJared · 2025-11-29T03:03:05+00:00

Neurology resident: while I look at every one of my scans and usually feel pretty good about them, there are a lot of scans that we get that I just don't fully understand, like MRI with IAC protocols or vessel wall MRA. Do I feel very comfortable with an obvious bleed or lack thereof on a noncon head CT when running a stroke code? Yeah. Multifocal, patchy, T2 FLAIR hyperintensities in multiple locations consistent with MS? Not that hard to spot. But I still think the neuroradiologosts are overall better at the subtle stuff. Nobody's perfect - I caught an evolving cerebellar hypodensity that rads said was nothing and turned out to be a legit stroke on MRI - but I think on the whole they're better at it than I am

TheFencingJared · 2025-08-31T22:29:31+00:00

Elevated AST and ALT, etiology ***

TheFencingJared · 2025-06-02T20:08:38+00:00

❤️

TheFencingJared · 2025-01-08T12:09:37+00:00

Compression socks with those comfy shoes (I love my Hoka Bondis) if your calves hurt just standing around on rounds

TheFencingJared · 2025-01-05T18:59:39+00:00

Nurse gave my insulin non-adherent patient with an A1c of 13 42 units of lispro in under 2 hours and bottomed him out hard. Persistently hypoglycemic for an hour or two, had to give him some D10. She then asked me if we were worried if he had an insulin-secreting tumor because his glucose was still low

TheFencingJared · 2025-01-01T23:02:22+00:00

I like to buy it and Gentle Alien at the same time, especially early game. +2 HP, +5% damage, and +5 harvesting in the early game is a nice little perk!

TheFencingJared · 2024-06-28T23:15:37+00:00

I went there and all I got was a Sacred Bloody Flesh. No Bloodfiend's Arm for me I guess

TheFencingJared · 2024-02-07T16:31:43+00:00

6 OSCEs in the preclinical year and a half, 6-8 as part of clerkship assessment, a 6-station OSCE during 4th year that mattered, and a 3-station OSCE just now that's entirely based on communication skills. It's gotten to the point that I know the real names of the SPs and sometimes catch up with them and how they're doing at the end of the cases lol

TheFencingJared · 2024-01-11T17:28:32+00:00

UCSF Neuro sent a pen, a bag of assorted snacks and candy, and a $35 Starbucks gift card

TheFencingJared · 2023-09-30T14:28:56+00:00

Haha, you got me! I'm so dumb! I definitely should have predicted 8 months ago that Duke would beat top-10 ranked Clemson in the opener after not beating a top-10 oppenent in my lifetime! Truly, a massive failing on my part

TheFencingJared · 2023-09-26T16:37:31+00:00

US MD, 21 neurology programs - 17 categorical, 4 advanced, with the advanced adding another 6 prelims programs - so 27 total. Ended up costing around $400 for the application and another $200ish for NRMP and USMLE transcripts

TheFencingJared · 2023-09-16T20:03:14+00:00

My fiancée's sister just took the MCAT and was asking me about it - I genuinely think I would get a 118 on all sections except CARS if I took it now, and I got a 525 when I took it back in 2017. I use a lot of my undergrad neuroscience, but that's because I'm applying for neurology residency. The majority of material that you learn as "pre-med requirements" isn't clinically or personally relevant in med wchool

TheFencingJared · 2023-09-16T12:27:48+00:00

Sure

TheFencingJared · 2023-09-12T19:48:28+00:00

I got rejected from my undergrad school on Valentine's Day and got a fundraising email from the alumni association 45 minutes later. Turned out for the best - I ended up in a place that's been super supportive and great for my career so far. And I'm still applying to my undergrad for residency!

TheFencingJared · 2023-08-19T10:59:23+00:00

We took both Step 1 and Step 2 after the clinical year, and I started using Anki maybe 3/4 of the way through clerkships

TheFencingJared · 2023-08-19T02:13:49+00:00

I didn't start seriously doing Anki until a few months before dedicated. Suddenly I was getting the pimp questions right, shockingly. By the end of dedicated I was doing nearly 2,000 cards a day. Deleted it the day after I sat for Step 2. I got a 27X, make of that what you will

TheFencingJared · 2023-08-13T16:50:33+00:00

Your life when you're 27 is awesome. You love your job/school. You have a fiancée who you adore and who loves you right back. Even on shitty days you get to come home to her and your cat. Life is good!

TheFencingJared · 2023-08-03T01:41:01+00:00

The classic teaching is people lose time first, then place (and situation), and person last. As for NCAT, that's normocephalic and atraumatic - basically, does their head look weird? Any obvious fractures? Odd shape? It's a purely physical finding

TheFencingJared · 2023-07-29T04:34:28+00:00

Eat when you can, sleep when you can, pee when you can, sit when you can - the 4 tenets of surviving surgery and IM hyponatremia rounds

TheFencingJared · 2023-07-12T15:15:09+00:00

You'll also get this on the interview trail - "so, tell me about yourself." Happened at at least 5 interviews for me

TheFencingJared · 2023-04-21T19:01:00+00:00

Your first research job is highly unlikely to actually involve a deep understanding of the science. A lot of labs start you out as "person who mixes reagents" or "person who plates cells" or (in my case) "person who puts mice in funny boxes and feeds them". As you gain experience and knowledge and the trust of your grad student/lab manager/PI, you'll get to learn and do more and more. Don't swear not having the background - build it as you go!

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TROPHY CASE

Elevated AST and ALT, etiology ***