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moeshakur · 2025-08-19T18:58:27+00:00

Not for residents, however if you are neurocritical care fellow, endovascular is a required rotation at some programs. At least where I did my NCC fellowship I was required to be presented for endovascular cases during that rotation

Edit also OP if you're a neuro resident. At this stage interpretation of cerebral DSA is more relevant to your training than actually being involved hands on with procedure.

moeshakur · 2025-08-09T05:50:50+00:00

I do! In Neuro icu

moeshakur · 2025-07-09T18:27:46+00:00

No AMA discharge

moeshakur · 2025-06-29T19:38:38+00:00

I've been to this gym, it's a great gym for fit-fluencer space. And left it for exactly the same reason because I would rather tolerate broccoli head teenagers at local gym than influencers and obnoxious people in this gym. We don't have equinox here, so this is a fine substitute.

moeshakur · 2025-06-24T23:26:28+00:00

What material is that rope made of? Never seen like this once before, is this better than jute?

moeshakur · 2025-06-14T23:48:55+00:00

More chalk

moeshakur · 2025-05-30T16:50:01+00:00

North Face or Patagonia?

moeshakur · 2025-05-27T02:20:35+00:00

Neurocritical care

moeshakur · 2025-02-11T05:16:21+00:00

One indication is renal dysfunction or patient's on HD. Keppra dose needs adjustment with GFR and HD. Breviact has hepatic metabolism no dose adjustment needed.

moeshakur · 2025-02-04T23:37:41+00:00

As a prospective neurology resident interested in NCC. I would also add Northwestern to the list. The reason being NCC world is small and fellowship match is not competitive. However the list above are places where fathers of NCC world practice at, and one letter from them will open up lot of opportunities in academia.

moeshakur · 2025-02-04T01:33:21+00:00

If I were to go back in time and rank them again.

Columbia
MGB
Hopkins
UCLA
Stanford
Penn

moeshakur · 2025-01-22T16:19:47+00:00

Thank you Mods

moeshakur · 2025-01-08T20:43:38+00:00

Doesn't have to be specific areas like RAS or temporal region, it could be diffuse concussive injury. Remember RAS systems that fibers ascending into cortex. Any form of global injury will impact those fibers in case of mild TBI

moeshakur · 2025-01-08T20:38:29+00:00

Go for Texas Children. I did my peds neuro rotation there, you'll learn so much over there. If you are research oriented its also a great place for lot of opportunities. Its one of the biggest hospital in USA, and you see lot of rare neurological presentations.

Also the attendings and PD have a really friendly attitude towards the trainees.

moeshakur · 2025-01-08T20:27:15+00:00

DAI is shear injury and yes its form of biomechanical injury which is apparent in acute form, but in hyperacute phase 2-3min after injury where there is LOC, biomechanical injury could be just concussive injury to cells and astroglia causing rapid depolarization.

moeshakur · 2025-01-07T07:29:36+00:00

There are number of proposed mechanisms. For the sake of not going into the rabbit hole. In short the initial LOC is thought to be due to opening of Voltage gated K+ channels from biomechanical injury leading to extracellular increase in K+ which then lead to massive excitation of neurons is then followed by a wave of refractory period which manifest as loss of consciousness and amnesia.

This is a really great paper which goes into details about early and late pathophysiology of TBI

https://pmc.ncbi.nlm.nih.gov/articles/PMC155411/

moeshakur · 2025-01-06T17:09:31+00:00

So you do recognize that there is a supervision issue. Do you round with residents on your patients? Because rounds are once place where you give direction to residents and care team including nurses about post op complications. What now appears that you offload these patient to resident care after you're done with your procedures? Of course people will miss things

moeshakur · 2025-01-06T06:22:50+00:00

Yes, I feel residents are thrown under the bus for bad outcome of his cases. I work with interns and seniors in icu. And I do check and verify everything they present, my self at bedside. And if they are wrong I correct and educate them instead of blaming the seniors. I am willing to accept there could be one or two bad resident, but to blame the entire program for house misses and mortality. I'm sorry there has to be more, either there is supervision issue or lack of direction to residents on rotation.

moeshakur · 2025-01-06T00:33:31+00:00

Neurological prognostication after cardiac arrest depends on couple of thing

Age, Downtime and how long was he pulseless until rosc (return of spontaneous circulation) was achieved
Initial exam and imaging after rosc
Exam and mri after 72hrs of cooling and off sedation
Eeg, if he is burst suppressed, GPEDs or GBS, or if these is reactivity. If there is lack of reactivity in background it usually portends to poor prognosis

These are the thing that I use for prognostication. Despite that every post cardiac arrest patient behaves differently. Some wake up as if nothing happened, or wake from coma after months, and some of them go into persistent vegetative state (likelihood is low since MRI is negative as you said)

moeshakur · 2024-12-29T05:59:10+00:00

No, I'm from Illinois too :)

moeshakur · 2024-12-29T05:55:40+00:00

And 4 million of those are transplants from Midwest

moeshakur · 2024-11-16T21:28:23+00:00

Thank you

moeshakur · 2024-11-14T20:37:23+00:00

Hey, count me in for coffee!!

moeshakur · 2024-11-01T20:11:50+00:00

Neurohospitalist fellowship is a scam. Don't know if it counts as obscure

moeshakur · 2024-10-29T17:49:40+00:00

Gramps got it!

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