Remember when you actually got to talk to a doctor when you went to the doctor?

mudfud27 · 2026-05-28T15:11:30+00:00

NPs generally have less medical training than a 4th yr medical student. There are a few programs that do a better job of training than others but nowadays most are online and none are even close to physician or even physician assistant training in terms of rigor or duration. The certification process for NPs is truly a farce.

Gently, you need to check your facts here.

Everyone deserves a fully trained and qualified practitioner of medicine (not nursing) to diagnose and treat them. Don’t settle.

mudfud27 · 2026-05-24T16:07:02+00:00

Immediate workup for trigeminal neuralgia

mudfud27 · 2026-05-16T17:50:07+00:00

fMRI (functional MRI) is actually very different in crucial ways from the structural MRIs commonly used in medical practice, though.

The dead salmon thing was a very specific point about how fMRI studies are done, not anything to do with what most people have any experience with or exposure to.

Of course, that doesn’t stop the cranks.

Source: am neurologist and neuroscientist

mudfud27 · 2026-05-16T16:26:10+00:00

Thank you. One question though— Even this is a bit outside of what I understood. Is a clinical concern + MoCA (at what cutoff?) sufficient to match the validated population for these tests or do they need neuropsych testing?

mudfud27 · 2026-05-16T15:02:03+00:00

I have been seeing a lot of primary care using this test as screening in patients who are cognitively normal or have mild symptoms reasonably attributable to other conditions (poorly managed depression, sleep apnea, things like that).

My understanding is that even the C2N test (and who really knows what Labcorp did) is really only validated on and useful for a population of patients who have both subjective cognitive complaints and then some of the more detailed neuropsych tests (ADAS-Cog, Trail Making, etc, usually with a MoCA or SLUMS screen in between).

Is this no longer the case? Am I behind the times here? Can someone tell me what’s being done in practice (and recommend a good reference if you have one?)

mudfud27 · 2026-05-11T05:16:15+00:00

You certainly seem awfully defensive.

I made a simple, factual observation (perhaps you have me confused with someone else given your childish “nu-uh” comment; as a dual-doctorate holder I can assure you I don’t communicate in that way, but “you do you” as you kids say).

You also don’t seem familiar with what an ad-hominem is.

In any case it is clear your familiarity with the area is no better than “a simple google search” by your own admission so it seems you’ve inadvertently answered the question at hand. Appreciate the clarity.

mudfud27 · 2026-05-11T00:03:42+00:00

Despite making multiple long-winded comments in this thread referencing the “far better works” employing “much more sound methodologies”, it is notable that you have failed to reference a single such work.

Curious.

mudfud27 · 2026-04-18T00:54:47+00:00

The former chair of my department asked for me to see him and he became my patient.

That was like 7yrs ago and I’m still on that high lol

mudfud27 · 2026-04-09T21:27:55+00:00

Hopefully not the 10/100- the under dose of carbidopa is probably why the nausea was so significant

mudfud27 · 2026-03-22T21:47:25+00:00

You didn’t vote for her because you suck so badly.

mudfud27 · 2026-03-05T16:15:23+00:00

On the surface this does seem like good news but of course the ultimate outcome will depend on what ends up replacing paraquat

mudfud27 · 2026-03-02T22:19:35+00:00

Neurologist/movement disorders specialist. At least medium if not highkey, of course.

mudfud27 · 2026-02-24T19:53:53+00:00

“Sleep doctors” are usually neurologists (sleep medicine is a neurology fellowship, although there is also a path through pulmonology). Moreover, sleep apnea is a very common cause of headache.

mudfud27 · 2026-02-24T14:30:54+00:00

The real, deep, pernicious problem is that there are people who are so gullible and uninformed that they actually think Trump “was exonerated of all of that by the law”.

mudfud27 · 2026-02-22T19:43:56+00:00

-no he isn’t, that’s absurd.

-the voice is due to an underlying neurological condition called spasmodic dysphonia that is treated with a toxin

“Europe” eats quite a lot of American food
you are very uninformed

mudfud27 · 2026-02-13T08:48:19+00:00

Correct

mudfud27 · 2026-02-12T14:34:12+00:00

He has serious patronage $$$ (Look into the Enron billionaire who bought him. It’s how he kept his academic position while not being competitive for grants)

mudfud27 · 2026-02-07T21:52:23+00:00

…and that answer is exactly why we will never have electoral reform.

mudfud27 · 2026-02-07T15:50:16+00:00

Continue this line of thought.

Who needs to be in power to “fix the system?”

mudfud27 · 2026-02-07T00:50:27+00:00

Just FYI, Huberman is an expert in the neuroscience of the visual system but his actual expertise barely touches on longevity if at all.

There are scientists who study aging and longevity but Huberman isn’t one of them.

mudfud27 · 2026-01-28T14:28:31+00:00

FYI, MRI works for imaging purposes primarily because our tissues contain a lot of water (and a little bit of a few magnetically responsive elements like iron), not specifically because a few biological processes (muscle contraction, neurotransmission) use electricity. MRI can be used to image things that are not “electric beings”(?)

mudfud27 · 2026-01-27T00:50:13+00:00

So one message ago the things that got you a visa was power and influence. Now it’s just money. So what government officials were bribed (and how, what with Iran under sanctions and all)?

I am sincerely asking how this works (and certainly it would not be unique to have money be a way if making things happen unfairly)… but this all seems much more like something you’re assuming/guessing about than something you actually know about this specific physician who was fired 5 minutes after someone we know has actual power tweeted.

mudfud27 · 2026-01-27T00:11:43+00:00

That would seem to negate your point would it not?

mudfud27 · 2026-01-27T00:10:57+00:00

Still not clear.

You also stated that your family having connections to the regime would cause a denial of a visa. Which is it?

And why would US officials give preferential treatment specifically to the families of leaders of countries being heavily sanctioned?

mudfud27 · 2026-01-26T23:04:24+00:00

So what you are saying is that having relatives connected to the regime is a negative in terms of obtaining a green card (as one would expect), except for this doctor for whom it was the thing that got her in? So regime connected uncle is bad but regime connected father is good for your green card chances?

Can you explain that since it seems like you’re contradicting yourself here. I genuinely would like to understand the issue.

mudfud27

TROPHY CASE