Discover and read the best of Twitter Threads about #neurology

Most recents (10)

“Around 2012 or 2013, researchers identified evidence that gadolinium retention was connected to illness in patients with normal kidney function.” scholar.google.com/scholar_case?c…
“In September 2017, after the FDA voted to add concerns about gadolinium retention on warning labels, [gadolinium-based contrast agent] manufacturers, including Defendants, issued a new joint warning to patients with normal kidney function.” scholar.google.com/scholar_case?c…
“The warning [RE: #gadolinium retention] also directed physicians to advise patients of these concerns.”

Consent: valued in the United States since the Nuremberg trials of 1947 🇺🇸 scholar.google.com/scholar_case?c…

☢️#radiology
🥼#nephrology
🏥#publichealth ⚠️#patientsafety
💉#MRIdye
Read 4 tweets
I listen to ~90 #Podcasts on a (semi) regular basis. Let me give you a rundown of ALL of them and why you should listen to some amazing #FOAMed, especially for all the new #EmergencyMedicine interns. #FOAMed #MedEd #medtwitter
First of all, you need a good podcast app. I absolutely love Downcast. Great app, gives you more control over playback, downloading, and allows you to categorize your podcasts into playlists (picture 2). This is where you get to customize your #FOAMed experience! #medtwitter
In no particular order,

- Anesthesia and Critical Care Reviews and Commentary (ACCRAC). Great insight into Crit Care from an anesthesia perspective. Coming from EM, this is great to listen to- much different from my day-to-day! #FOAMed #FOAMcc #CriticalCare
Read 88 tweets
“Gadolinium-based contrast agents: Stimulators of myeloid-induced renal fibrosis and major metabolic disruptors,“ is now in press—sciencedirect.com/science/articl…

#gadolinium
#neurology 🧠
#radiology ☢️
#patientsafety
#publichealth
#toxicology
#dermatology
#nephrology
Gadolinium-based “magnetic resonance imaging contrast agent treatment impaired renal function, induced pathologic damage, and increased kidney fibrosis,” sciencedirect.com/science/articl…

#gadolinium
#nephrology
#radiology ☢️
#patientsafety
#publichealth
#toxicology
Read 11 tweets
“[I]t is known that during those at least 6 weeks [after exposure to gadolinium-based contrast agent] equilibrium has not been reached and [gadolinium] can be measured for all [gadolinium-based contrast agents] in tissue,” fda.gov/downloads/Advi…

#gadolinium
🧠
☢️
“It is important to note that the exact mechanism and in particular other co-factors that are likely needed to trigger [‘nephrogenic’ systemic fibrosis] are still unknown,” fda.gov/downloads/Advi…

#gadolinium
#neurology 🧠
#radiology ☢️
#patientsafety
#publichealth
“[T]he levels of gadolinium in the body considered normal in the absence of any [gadolinium-based contrast agent] exposure is, for practical purposes, zero,” fda.gov/downloads/Advi…

#gadolinium
#neurology 🧠
#radiology ☢️
#patientsafety
#publichealth
#toxicology
Read 4 tweets
“Notably, in recently published rodent studies, complete clearance of the brain took up to 6 months after injection of a large amount of” gadolinium-based contrast agents. journals.lww.com/investigativer… @HrsQuiet
#gadolinium
#neurology 🧠
#radiology ☢️
#patientsafety
#publichealth
“[S]o it can be assumed that the total clearance—if achieved at all—might also take months in humans,” after gadolinium-based contrast administration— journals.lww.com/investigativer… @HrsQuiet
#gadolinium
#neurology 🧠
#radiology ☢️
#patientsafety
#publichealth
#toxicology
Read 4 tweets
#கிருஸ்தவர்கள் வந்துதான் தமிழ்நாட்டில் கல்வி கற்ப்பிக்கப்பட்டது.--வைரமுத்து பேச்சு.

நன்றாகக் கேட்டுக் கொள்ளுங்கள் கபாலம் காலியானவர்களே..!

#Civil_Engineering தெரியாமல் தஞ்சை பெரிய கோவில், மதுரை மீனாட்சியம்மன் கோவில், போன்ற எந்த கோவிலும் கட்ட முடியாது.
#Marine_Engineering தெரியாமல் சோழர்கள் கடல் கடந்து வாணிபம் செய்திட முடியாது.

#Chemical_Engineering தெரியாமல் இரசவாதம், மற்றும் மூலிகை வண்ணம் கண்டறிந்திட முடியாது.

#Aero_Technology தெரியாமல் கோல்களை ஆராய்ந்திட முடியாது.
#Mathematical தெரியாமல் கண்க்கதிகாரம் படைத்திடல் முடியாது, ஜோதிடம், பஞ்சாங்கம் படைத்திட முடியாது.

#Explosive_Engineering தெரியாமல் குடவறைகளை படைக்க முடியாது.

#Metal_Engineering தெரியாமல் ஆயுதங்கள், உபகரணங்கள், ஆபரணங்கள் படைத்திருக்க முடியாது.
Read 7 tweets
“A conspicuous knowledge gap now exists about” the safety of gadolinium-based contrast agents—Dr. Stephen Brown, Harvard Medical School, in
The Need for National Guidance Around Informed Consent About GBCA Safety
tandfonline.com/doi/abs/10.108…
#gadolinium #radiology #patientsafety
“The research protocol under discussion highlights where the [National Institutes of Health] Roadmap around [gadolinium-based contrast agents] falls short,” because informed consent about gadolinium deposition could be left out—Dr. Stephen Brown
tandfonline.com/doi/abs/10.108…
“The [Institutional Review Board] should first clarify that gadolinium deposition is NOT INCIDENTAL in this study,” [emphasis added]—Dr. Stephen Brown, Harvard Medical School, in
The Need for National Guidance Around Informed Consent About GBCA Safety
tandfonline.com/doi/abs/10.108…
Read 7 tweets
“Despite significant differences in the thermodynamic stability between non-ionic Omniscan and ionic Magnevist, the [#gadolinium ☠️] concentrations were about the same in the brain,” nibib.nih.gov/sites/default/…
#radiology ☢️ #patientsafety #publichealth #neurology 🧠 #dermatology
“Chronic symptoms attributed to [gadolinium-based contrast agent] exposure:” paresthesias, dysesthesias, clouded mentation, skin discoloration, skin changes, skin thickening, bone pain, bone/joint pain, muscle spasms, arthralgia, muscular weakness—nibib.nih.gov/sites/default/…
“Chronic symptoms attributed to [gadolinium-based contrast agent] exposure:” fatigue/asthenia, digestive symptoms, nausea, vomiting, diarrhea. nibib.nih.gov/sites/default/…
#gadolinium #radiology ☢️ #patientsafety #publichealth #neurology 🧠 #dermatology #nephrology #rheumatology
Read 14 tweets
every year I give my #neurology residents a very personal talk on how I sought to overcome #burnout during #residency. I call it “finding the good.” I gave that talk to my residents today, and it contains my core beliefs as a clinician educator. #meded 🧠
(these are some realizations that helped me, and your mileage with them will vary. not all will resonate with all, of course. I welcome your comments, anecdotes, and additions. but, for what it’s worth, here are my educational mantras)
“finding the good” is a creative, proactive endeavor composed of generosity of spirit, cognizance of the gravity of others’ situations, deep listening, and creative thinking. there are no protocols or algorithms for finding the good, though a few pointers follow...
Read 9 tweets
Our first WNG survey results are out, highlighting women neurologists' experiences in the workplace. ncbi.nlm.nih.gov/pubmed/30620238
--68% of respondents without children would choose to become a physician again, compared to 42% with one, 36% with two, and 32% with three or more children
--42.6% of respondents experienced symptoms of burnout
--Only 20.2% had access to paid maternity leave
--Perceived gender-based discrimination at their current workplace was reported by 76.6%
--Highest ranked measures to improve work-life balance for women neurologists were flexible work schedules (97.7%), followed by paid maternity leave (83.7%) and the option to work part time (83.2%)
Read 5 tweets

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