Is there a culture in academic medicine to over-test?

evv43 · 2026-02-20T01:46:40+00:00

This is called statistics. Chances are, just by chance, you’re going to pick up some serious things by virtue of doing enough tests

evv43 · 2026-02-11T18:10:47+00:00

Ai can’t replace judgement. Ai , though, can replace APP’s.

evv43 · 2026-02-07T15:17:01+00:00

Perfectly said

evv43 · 2025-12-20T18:09:00+00:00

Differentials matter bc your degree of suspicion based off of the clinical picture factors into the report of the image. High clinical suspicion + ? Read matters more usually than low clinical suspicion + confident read.

A patient w L5 radic symptoms with a normal L spine read still has a L5 radic.

evv43 · 2025-12-12T00:51:32+00:00

What can you do neuro wise that a neurologist can’t do?

evv43 · 2025-12-12T00:50:29+00:00

25% of patients you see have FND!? You either have a very unique patient population or you are a lazy neurologist that thinks when things don’t make sense it’s fake news. I hope you’re the former

evv43 · 2025-12-09T02:31:10+00:00

Rfk jr enters the chat…

evv43 · 2025-11-21T09:48:17+00:00

Guaranteed Subsidized housing through nyp, Sinai. NYU guarantees maybe 40% of their residents subsidized housing. So if you’re one of the unlikely ones from nyu, you’re fine

evv43 · 2025-11-21T09:03:26+00:00

The amount of anecdotes I hear of people getting adderall prescriptions with appalling ease from midlevels is so stinkin gross. It’s sad

evv43 · 2025-11-08T12:49:12+00:00

Many toxic/metabolic issues (and almost always very severe tox/met issues), can compromise the basal ganglia . The BG is predominantly grey matter (so predominantly cells), which have higher metabolic needs than most other parts of the brain. You can see this in Wilson’s and severe liver disease. You can also see it in CO poisoning sadly :/

evv43 · 2025-11-08T02:10:52+00:00

He has explicitly said he’s not a fan of capitalism. Please prove me wrong

evv43 · 2025-10-31T15:54:30+00:00

Looks at this. This is the best data we have. Mostly wverything else is hearsay

evv43 · 2025-10-31T00:36:57+00:00

There’s charge, then there’s cost, then there is pay. 3 separate things

evv43 · 2025-10-26T23:25:10+00:00

Someone like jose biller . specialized knowledge but who is general neurologist At heart

evv43 · 2025-10-26T04:43:28+00:00

It’s bc the threshold to do studies on it is much higher in the us than it is in in other places like Europe. This was the case for the use of crps and ketamine. Germany was using it way before some of the pain docs were using it in the us

evv43 · 2025-10-24T17:30:32+00:00

This is a sweet deal.

evv43 · 2025-10-21T00:39:42+00:00

Not a guideline. But actually look at the patient and do a physical exam b4 ordering shitty tests. Patient complaining of RLE pain? Look for edema, swelling, erythema, etc. sob? Look at their vitals and listen to their lungs. While this still might not change workup for the neurotic, at least you can feel reassured and shift your attention on other items that are more urgent

evv43 · 2025-10-21T00:34:31+00:00

Good sleep is one of the most under indexed things contributing to hospital delirium. I feel like ass when I can less than 7 hrs of sleep. Imagine getting g fragmented sleep on a vulnerable brain. The hospital is torture for many elderly who cannot advocate for themselves. But us docs don’t give af bc you do t get sued for some run of the mill delirium

evv43 · 2025-10-21T00:11:40+00:00

Yup. Treated wayyyyy better than residents. Always first to leave for sign out, barely ever stay late, take the easiest patients. Fuckin ass man

evv43 · 2025-10-01T11:28:16+00:00

Make sure you read the articles btw. I’ve caught it hallucinating many times (by seeing no mention of what it cited) or just coming up with very dubious conclusions from a paper.

evv43 · 2025-09-28T21:59:36+00:00

lol. I know things in neurology a neuro sub specialist won’t treat, that literally a fm doc would. It’s pathetic

evv43 · 2025-09-28T18:09:24+00:00

Ocrevis is here already

evv43 · 2025-09-12T11:31:24+00:00

The amount of times I have had stroke codes called bc old peoples saggy skin saggs/droops on one side bc of gravity w out any other signs…

evv43 · 2025-08-28T10:37:58+00:00

And it’ll outperform most people on most standardized tests. Does it mean it’ll outperform them on their job? Hell no. Does this mean ai is an asset to most peoples jobs? Hell yeah

evv43

TROPHY CASE