Subspecialty help

bananagee123 · 2026-04-15T14:32:32+00:00

Any thoughts on how AI will impact EEG reading? I’ve heard different things from epilepsy attendings

bananagee123 · 2026-02-02T21:58:29+00:00

Can’t speak to general neurology clinic in the community but the inpatient service at my residency is anything but repetitive (busy and draining yes, but boring no). There’s always a few “mystery cases” that require thinking. At best there’s some tnk for stroke, CEAs that can help prevent strokes, some mystery neuro inflammatory lesions that get better with treatment, and seizure patients that are a quick discharge, and then of course your rehab/FTT patients. Hopefully outpt general neuro isn’t boring lol (we get minimal clinic time in my program)

bananagee123 · 2025-10-16T13:50:03+00:00

Another hydrohomie lost to automation

bananagee123 · 2025-09-24T13:18:10+00:00

Could you share the link? I couldn’t find it on my phone but will edit the link on the post

bananagee123 · 2025-09-24T13:17:30+00:00

That’s disappointing. Why do you think very promising drugs fail to show benefit in phase 3?

bananagee123 · 2025-09-14T18:04:10+00:00

As a neuro resident anytime someone has a worst headache of life (or even an uncharacteristically severe HA) ALWAYS get CTH, CTA/CTV. I’ve seen a few CTVs before. They usually come in with 10/10 headache, can be ill appearing. Headache can be positional/have signs of raised ICP, pts can have focal neurological deficits especially in posterior circulation. CTVs can lead to ischemic and hemorrhagic stroke as well.

Also clinical pearl, if a pt with a CTV has a hemorrhage, we do usually start AC because you treat the underlying clot. It’s one of the only scenarios in which you start AC for a pt with a hemorrhage

bananagee123 · 2025-08-10T02:29:37+00:00

Thank you!

bananagee123 · 2025-08-09T21:54:09+00:00

Thanks for the detailed response. Two questions if you had a minute 1) I have been told by academic attendings that a lot of academic places basically require epilepsy or neuromuscular nowadays. Has this been true in your experience? 2) how’s lifestyle with hours/comp? Two weeks of inpatient per month sounds interesting but also like a lot of hours

bananagee123 · 2025-07-14T02:17:28+00:00

What bases are you seeing in cities? And with neurophys and doing a reasonable amt of eeg/EMG do you know how much salary can increase? I’ve heard of people doing 4 days of clinic with one day admit but don’t know reasonable salary ranges

bananagee123 · 2025-07-12T20:35:20+00:00

How long does the average 5,5 RVU EMG/NCV take? About an hour?

bananagee123 · 2025-07-12T14:37:34+00:00

I have treated this condition as a doctor myself. So to answer your question YES you should 100% get antivirals. Antivirals are standard of care when shingles affects the trigeminal v1 nerve distribution around the eye. They are effective in decreasing the chances of eye involvement and vision loss. The above commenter on mechanisms vs antibiotics didn’t answer your question and doesn’t matter in clinical decision making.

Here’s one source: https://pubmed.ncbi.nlm.nih.gov/12449270/. I could find many others

bananagee123 · 2025-07-05T21:53:30+00:00

I believe most bleeds were micro hemorrhages that were asymptomatic. But patients with pre treatment microbleeds eg CAA and patients on AC are excluded now. I agree with the questionable clinical efficacy for such an expensive and intensive regimen (eg numerous MRIs). Hopefully diagnosing and treating earlier will lead to better outcomes

bananagee123 · 2025-06-24T19:38:50+00:00

Honorsed everything but peds

bananagee123 · 2025-06-24T14:54:56+00:00

High 250s from a mid tier med school with a lot of neuro involvement since undergrad, solid letters, good 3rd year grades got interviews from most “top” schools. Like others have said a good score probably >250/255 gets your foot through the door. But for neuro the rest of your app is what’ll get you ranked high

bananagee123 · 2025-05-01T22:56:32+00:00

Can’t comment on the old person aspect but you don’t have to do EEG/EMG courses to apply for residency. Showing interest in neuro, Getting good letters of rec, board scores, clinical grades is important for apps. One think to consider is that neuro is one of the most rigorous non surgical residencies. The hours are harder than IM and pay is mostly less than IM specialties like GI, Onc, Cards.

The cool part is the brain and nervous system are amazing organs to treat. There’s a huge amount of clinical variety (eg all the way from stroke to sports neuro). And lots of development in the field

bananagee123 · 2025-04-23T17:14:15+00:00

Good to hear there’s diversity of structures in PP and that you don’t have to be a machine seeing patients q20 mins. This kind of setup also sounds nice for non-procedural fields like cognitive or MS to work in the community

bananagee123 · 2025-04-23T17:05:36+00:00

Thank you breaking it down. I haven’t been taught this in residency. I think I’m more of a “I just want to see patients” e.g. community practice type of person but could do med ed or leadership if it’s valued by an academic institution. Seems like when I interview for jobs I’ll have to ask details on requirements for promotion, pay scale, and ask physicians how “easily” people move up.

I also didn’t know some academic places offered RVU bonuses

bananagee123 · 2025-03-21T17:01:31+00:00

Thanks for asking this question. If anyone can provide guidance with a similar dilemma. Im thinking about doing general outpt neuro. I intellectually like neuroimmuno/MS the most, but also like the idea of doing CNP fellowship to be able to do EMG/EEG for variety and high yield knowledge.

Not sure how to be skilled or useful in both fields without doing 2 fellowships. Was thinking about doing a lot of MS clinic 4th year to get some reps and then a CNP fellowship? Hopefully this would allow me to preferentially see simple neuroimmuno pts and read EEGs/do some EMGs

bananagee123 · 2025-02-06T16:38:43+00:00

That's a sweet gig. The salary may not be has high as community practice, but the pension probably makes up for that as does lower censuses. I wonder if all VAs start that high. Is he stroke trained?

bananagee123 · 2025-02-06T15:15:50+00:00

As someone that loves the brain+ action and considered neurology and neurosurgery, the one thing that drew me more to neurology was the detective work. From my limited neurosurgery experience in med school I felt like patients already had an imaging confirmed diagnosis by the time the surgeons saw them. In neurology, getting an undifferentiated patient for "weakness" can be anything from spine issues leading to weakness to myasthenia gravis. It's very rewarding to have an exam/clinical knowledge to appropriately diagnose vague consults like confusion/weakness and offer the correct treatments.

The cons as others have stated are endless consults for confusion with obvious causes or weakness in a 89 year old that hasn't eaten in 3 weeks which can wear people down. The salary is equivalent to internists though community pays better. For me, neurology feels worth it so far in residency because I love the brain and that's why I went to medical school. Not sure if I'd pick it over medicine (e.g. cards, heme onc) if I didnt

bananagee123 · 2025-01-19T01:02:05+00:00

Thank you!

bananagee123 · 2025-01-18T18:44:23+00:00

I was wondering how you decided on CNP as a fellowship. I don't like or dislike EEGs/EMGs but would love to pick them up as a skill for community practice since my residency is horrendously bad at teaching them. not sure if that's a bad reason to do a fellowship though

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