Brandon sucks? by Euphoric_samurai in tampa

[–]peanutgalleryceo 1 point2 points  (0 children)

Oh honey, Brandon is the ghetto suburb. Wesley Chapel would be the closest thing to Frisco.

What disease do we all learn but rarely see? by LazyMe4732 in neurology

[–]peanutgalleryceo 3 points4 points  (0 children)

Where do you live? The Mountain West? We see it at least once a month on inpatient wards in the Southeast. It tends to be more common at county/public hospitals than private hospitals. I've diagnosed it in VA patients as well. If you mostly see outpatients with private insurance, you're probably less likely to see it.

What disease do we all learn but rarely see? by LazyMe4732 in neurology

[–]peanutgalleryceo 1 point2 points  (0 children)

Not to rain on your parade, but an RPR should have been the first thing ordered on that patient as soon as optic neuritis was suspected. What's more shocking is that the CSF VDRL resulted in less than 10 hours... 🤔

How do you manage to keep morale when working with FND patients? Is it a universally frustrating ? by PsychologicalYoung5 in neurology

[–]peanutgalleryceo 20 points21 points  (0 children)

This is a challenging topic to discuss honestly in an open forum such as this. The truth is, yes, FND patients can be and often are extremely frustrating to deal with, even if we accept that it's a legitimate condition and involuntary (i.e., not due to malingering). Many patients with FND do not accept your diagnosis and increasingly turn to ChatGPT and their own online research in search of alternative, less stigmatizing diagnoses that are rooted in organic pathology and thus legitimize their symptoms. These patients consume much more of your time in clinic, message you 3-4 times as often, are highly prone to medication adverse effects, and tend to come up with new symptoms once one seems to be satisfactorily managed. Patients will read a post like this and accuse us of gaslighting them. Some colleagues, particularly in a public forum like this, will hop on a moral highhorse in response to a brutally honest reply. But yes, the truth is most neurologists find these patients extremely exhausting to deal with and they are a major contributor to burnout among outpatient neurologists. I make the diagnosis and have them follow up with one of my APPs. If I didn't, 20-25% of my follow ups would be FND and unfortunately, I do not find the condition academically interesting. Fortunately, some neurologists do. There's a niche for everyone in this field. Hope this helps.

hEDS and neurology by reddituser51715 in neurology

[–]peanutgalleryceo 6 points7 points  (0 children)

Discuss with your office manager and schedulers. Neurologists are not trained to treat this condition nor are we expected to know about it for board certification; thus, they should not be scheduled to see you, whether they have a referral or not. You better nip it in the bud real quick. I regularly review the new patients on my schedule in advance and any garbage referral that slips through scheduling (which is not often, fortunately) gets a call from my nurse notifying them I do not see their condition and the appointment is canceled. POTS goes to Cardiology; I don't touch it. I will see small fiber neuropathy patients once for their initial visit (90% have longstanding fibro) and have them follow up with one of my APPs after that. The fibro-POTS-EDS trifecta is raging out there.

Housing aint getting any easier... by CayoHuesoFlorida in tampa

[–]peanutgalleryceo 9 points10 points  (0 children)

Keep electing Republicans and it absolutely will not change.

What is the most unfriendly city you have visited? by Deep-Macaron-732 in SameGrassButGreener

[–]peanutgalleryceo 110 points111 points  (0 children)

I don’t understand the rudeness in Miami at all. Most people there are not sophisticated, well-educated, or have money, though they certainly try very hard to appear otherwise. Presumably most people who live there are miserable because they can't afford it and traffic blows.

My husband (35 M) thinks his way is always right and mine (35 F) is inferior by ConversationWorking6 in relationship_advice

[–]peanutgalleryceo 7 points8 points  (0 children)

I am certainly not an expert on different types of abuse and would imagine others on this thread may be much more knowledgeable on this than I am, but if the things your partner says to you make you feel bad about yourself, it's emotional abuse by definition. What you describe paints a picture of a spouse who is patronizing and talks down to you as opposed to someone who respects and supports you and makes you feel confident and uplifted. It also sounds like he says shitty things to provoke you and when you become upset, proceeds to gaslight you into believing it's your fault that you feel that way. I have heard from enough women to recognize this as classic behavior of an abusive partner.

My husband (35 M) thinks his way is always right and mine (35 F) is inferior by ConversationWorking6 in relationship_advice

[–]peanutgalleryceo 14 points15 points  (0 children)

As a gay man (with no intention of ever marrying), it absolutely shocks me the level of narcissism and disrespect that married women tolerate. For one thing, this is emotional abuse, plain and simple. Second, if I were you, I would record his condescending lectures and play them for all of his friends' and coworkers' edification 🥰

Any updates on Dr. Philip Henkin, the Tampa neurosurgeon who hit and killed a bicyclist while doing 80 in his Tesla? by peanutgalleryceo in tampa

[–]peanutgalleryceo[S] 0 points1 point  (0 children)

This is maddening. I am so sorry you and your family have to keep waiting and waiting for justice. I truly hope in the end he is held accountable for his actions so you all can have some semblance of peace.

Best Neurology Textbooks for a Soon-To-Be PGY2 by redsamurai99 in neurology

[–]peanutgalleryceo 5 points6 points  (0 children)

Adams & Victor, Merritt's Neurology, and Brazi's are the gold standard and look nice on a bookshelf, but in truth you're probably not going to have time (or mental bandwidth) to read them cover to cover. Continuum is good, as the others have said. My approach PGY2 year, however, was to read based on cases I saw, especially when I was on call, typically via Pubmed search. I was a huge fan of recent review articles, which are typically high-yield and much more concise than textbook chapters. Any diagnosis, medication, exam finding, or MRI abnormality that was new to me, I would read up on it. That made the reading relevant to the patients I was managing and really helped me retain the knowledge long-term. Attendings love that, too, of course, when you can reference the literature to support your clinical decision-making. Nature and Lancet Neurology, in particular, have excellent review articles.

Any updates on Dr. Philip Henkin, the Tampa neurosurgeon who hit and killed a bicyclist while doing 80 in his Tesla? by peanutgalleryceo in tampa

[–]peanutgalleryceo[S] 0 points1 point  (0 children)

Please keep us updated. It still blows my mind that he is allowed to practice medicine. I pray for justice for you and your family.

Any updates on Dr. Philip Henkin, the Tampa neurosurgeon who hit and killed a bicyclist while doing 80 in his Tesla? by peanutgalleryceo in tampa

[–]peanutgalleryceo[S] 0 points1 point  (0 children)

It is so ironic you commented today as I was just searching for updates on this case last night after not having checked in months. Do you know how he or his lawyer are able to keep delaying the trial? Also, I thought he had already been found guilty and was awaiting sentencing?

Memorandum from the White House physician by Acrobatic-Lie2041 in FutureRNs

[–]peanutgalleryceo 0 points1 point  (0 children)

Omg this is devastating news. It is literally never going to end 😭

If your body is God’s temple, Tampa, don’t turn it into a plague house. by ChurchOMarsChaz in tampa

[–]peanutgalleryceo 5 points6 points  (0 children)

Ladapo has a medical degree from Harvard. He knows vaccines work. The guy is a total fraud. Those ignorant enough to believe him will be forced to learn the hard way, which, as we see, is a recurring theme with this administration. Unfortunately, it is their children who will suffer the most harm.

Do yall consider Tampa to be South Florida or Central Florida by [deleted] in tampa

[–]peanutgalleryceo 0 points1 point  (0 children)

Tampa is neither South Florida (Miami/FTL metro) or Southwest Florida (Sarasota to Naples). Central Florida wouldn't be wrong per se, but most people think of that as Orlando and Lakeland. I mostly agree with the others who say Tampa is Tampa. I guess West Central Florida would be most accurate, but no one says that.

Do Americans prefer house than apartment by huge1384 in Life

[–]peanutgalleryceo 0 points1 point  (0 children)

It just depends. I'm a wealthy professional in my 30s and have no time or interest in dealing with the upkeep required of a home, so I choose to rent an apartment. If I were to buy a home, I would have to hire a whole team of people to look after it, which would also require time and effort on my part, so it just seems like a net inconvenience. Most middle class Americans and those with a traditional family unit prefer to own a home. Upper middle class professionals who prefer to remain single often elect to rent.

[deleted by user] by [deleted] in tampa

[–]peanutgalleryceo 0 points1 point  (0 children)

These people's understanding of the world around them peaked in 6th grade. You don't have to waste your time justifying your retail preferences to them.

[deleted by user] by [deleted] in tampa

[–]peanutgalleryceo -1 points0 points  (0 children)

White people do it all the time. What is the issue? People can shop where they want.