Discover and read the best of Twitter Threads about #passion

Most recents (24)

Q: Doc, doc, got a patient with acute progression of proximal and distal weakness after the flu 3 weeks ago. Should we get NCS/EMG to confirm GBS?
A: To confirm? What are you looking for? When was the onset of weakness? If within first 2 weeks, you might get the typical demyelinating features in only 50 percent.
Read 15 tweets
Let’s do one on scapular winging. It’s a common neuromuscular condition. Consider it by the company it keeps - a good history and exam will save you time.
Q: Doc doc, my patient got scapular winging after cervical LN biopsy. What’s going on?
Read 15 tweets
Q: Doc doc, a conundrum. Gotta patient with old mets which resolved after RT to the lumbosacral area ages ago. There’s enhancement of the cauda equina on MRI. Is this cancer or RT damage?
A: Aye, an important question which changes management. Now enhancement could mean either or both, that it could. Does it hurt? RT damage is painless whereas cancer invasion is painful.
Read 10 tweets
Let’s have a philosophical discussion today. Q: Doc doc there are fibs and sharps everywhere on the EMG! Arms, legs, thoracic and lumbar paraspinals. NCS normal. What could it be?
A: Ah, widespread muscle membrane instability. Could be neurogenic, could be myopathic. What’s the recruitment like? Remember reduced recruitment in neurogenic and normal or rapid in myopathic.
Read 11 tweets
Q: Doc, doc, got a patient with CIDP. He wants to know when he can be off IVIG. He’s a gambling man, that he is. Wants to take his chances. #MedStudentTwitter #MedEd #AcademicTwitter
A: Game theory time! Naw, let’s see if we can answer it by closely looking at studies. Or just one. Check out the ICE study in 2008 and see if you can spot Wally. #meded
Read 7 tweets
Q: What up doc. This patient’s eyes don’t move right - tell me how to assess and tell me short and sweet.
A: If patient can’t move eyes to command but can reflex when you snap your fingers right and left - that’s supranuclear - think PSP.
Read 8 tweets
Q. What up doc. My #IBM patient doesn’t have #NT51a antibodies and my #SLE patient has #NT51a antibodies. I’m confused.
A: If only life wasn’t messy. 30 percent of #IBM patients don’t have #NT51a and false positives happen with #SLE and #Sjogrens which can cause #overlapmyositis.
Read 8 tweets
Alright shall we talk about a common condition Bell’s Palsy? RT. #neurology #medtwitter #MedEd #medstudent #neurologyresident Join me in discussing/learning/educating with #passion and #humor @WNGtweets @MedTweetorials @MadSattinJ @NinaRiggins @AaronLBerkowitz @Tracey1milligan
Q: Doc doc. This patient got a droopy left face. What next? #neurology #medtwitter #MedEd #medstudent #neurologyresident
A: Localize, splice, dice. 3 little nerve shoots in the facial canal to remember - nerve to stapezius, chorda tympani, posterior auricular. There you go: check hearing, taste, pain behind the ear.
Read 12 tweets
One of the leading figures of French #islamologie in modern times was Louis Massignon (1883-1962) chair at the Collège de France on #Islam and whose name is forever associated with the study of Sufism and an #empathetic study of #Islam 1/ ImageImageImageImage
In fact his turn to faith before WW1 followed a trip to #Iraq in 1907 and encounter with Muslim hospitality and spirituality reawakened his #Catholicism along with the #intercessionary friendship of Joris-Karl Huysmans (1838-1907) and the hermit Charles de Foucauld (1848-1916) 2/ ImageImage
After his own doubt, De Foucauld became a Trappist monk living in Morocco, Syria and then in the Algerian Sahara with the Tuareg when he was martyred in 1916 and is currently in the process of being canonised by Pope Francis vaticannews.va/en/vatican-cit… 2a/
Read 24 tweets
#NeuromuscularQandA! Questions you always wanted to ask your friendly #neuromuscular doc. RT. #neurology #medtwitter #MedEd #medstudent #neurologyresident Short answers only. Join me in discussing/learning/educating with #passion and #humor @WNGtweets @somedocs @MedTweetorials
Q: Cor blimey doc. You can tell what sort of vitamin deficiency neuropathy the patient has by looking at the blood? #twilight #bella #MedTwitter #MedStudentTwitter #MedEd @AaronLBerkowitz @MadSattinJ @Tracey1milligan @WNGtweets @NinaRiggins @RachelSalasMD @AlexMuccilli
A: Elementary, my dear Watson. #megaloblastic anemia - think B12 and Folate deficiency. #leukopenia - think copper deficiency. Throw in normocytic anemia - think #dysautonomia and small fiber neuropathy. Treat these and we treat #2birdswithonestone. Sherlock, out. @dysclinic
Read 4 tweets
Is it time for #NeuromuscularQandA? Questions you always wanted to ask your friendly #neuromuscular doc. RT. #neurology #medtwitter #MedEd #medstudent #neurologyresident Short answers only. Join me in discussing/learning/educating with #passion and #humor @WNGtweets @somedocs
A: Judge the tongue by the company it keeps. If it’s weak and wasted it ain’t tremor. #Musk myasthenia gravis and #ALS tongues may be weak and wasted with fasciculations. So try #steriods - If it responds to steroids it ain’t ALS - gotta be #MG. #clinicaldiagnosis
Read 4 tweets
#NeuromuscularQandA! Questions you always wanted to ask your friendly #neuromuscular doc. #neurology #medtwitter #MedEd #medstudent #neurologyresident Short answers only. Join me in discussing/learning/educating with #passion and #humor @WNGtweets @somedocs @ContinuumAAN
Q: What gives doc? Patient took the prednisone for #myastheniagravis and got worse. Is it a wonky batch?
A: Sometimes you get worse before you get better. 20 percent of #myastheniagravis patients get weaker in 2 weeks after starting steroids. Be careful if they have bulbar or respiratory symptoms - you don’t wanna have a #myastheniccrisis on your hands. @MyastheniaOrg
Read 4 tweets
#NeuromuscularQandA! Questions you always wanted to ask your friendly #neuromuscular doc. #neurology #medtwitter #MedEd #medstudent #neurologyresident Short answers only. Join me in discussing/learning/educating with #passion and #humor @WNGtweets @AANEMorg @CambridgeMedsoc
Q: What gives doc. Got a #myastheniagravis patient. The repetitive stimulations are positive but the AchR antibody ain’t. Ain’t MG an #autoimmune thing?
A: AChR Ab ain’t the only fish in the sea.Try Musk antibody -positive in 40% AChR Ab negative patients. If negative, the waiting game - 20% AChR Ab negative patients seroconvert in a year. Still negative? Ab are teeny tiny and sensitivity of lab testing determines what we see.
Read 4 tweets
A question a day! Questions you always wanted to ask your friendly #neuromuscular doc. #neurology #medtwitter #MedEd #medstudent #neurologyresident Short answers only. Join me in discussing/learning/educating with #passion and #humor @WNGtweets @AANEMorg @AANMember
More on #myastheniagravis we are #onaroll Q: Doc doc. The single fiber EMG is positive for this patient. Ain’t got nothing else. He’s weak so he’s got #myastheniagravis. Right? Right?
A: Congratulations, padawan. The most sensitive #neuromuscular test, you have. #myastheniagravis, it could be. #ALS, it could be. #myositis, it could be. Any disease which affects #muscle, #nerve or #NMJ, it could be. Seek to find what ye are looking for. #Yoda
Read 4 tweets
A question a day! Questions you always wanted to ask your friendly #neuromuscular doc. #neurology #medtwitter #MedEd #medstudent #neurologyresident Short answers only. Join me in discussing/learning/educating with #passion and #humor @WNGtweets @AANEMorg @AANMember
Let’s do more on #myastheniagravis. Q: Doc doc. Patient’s AchR antibodies are super sky high. It’s a crisis! She’s a crisis! We are a crisis!
A: Ain’t no mountain high enough. Them antibody titers don’t correlate with severity or response to treatment - they are good for diagnosis is all. #allornone
Read 4 tweets
In honor of @AaronLBerkowitz let’s do a #neuromuscular Q and A on #footdrop, short answers only. #neurology #neurologyresident #MedTwitter #MedStudentTwitter join me in discussing/learning/educating with #humor and #passion @WNGtweets @AANEMorg @AANMember
Q: What gives doc. Patient’s got a foot drop. What’s the cause of the flop flop flop?
A: Nerve or muscle? #EDB - hypertrophy in myopathy/atrophy in neuropathy. Peroneal nerve or more? #ankleinversion - unaffected if only peroneal. L5 radiculopathy? #hipabduction -affected in L5 radiculopathy. Want more? Checkout @AaronLBerkowitz for more cool #swag
Read 4 tweets
Bonus question! Questions you always wanted to ask your friendly #neuromuscular doc. #neurology #medtwitter #MedEd #neurology #medstudent #neurologyresident Short answers only. Join me in discussing/learning/educating with #passion and #humor @WNGtweets @AANEMorg @AANMember
Q: What up doc. We sent for the AchR antibodies for this #myastheniagravis suspect patient and they came back #positive. Still need the repetitive nerve stimulations to confirm diagnosis?
A: Ye already have the answer ye seek. #RNS less sensitive than AChR antibody testing for #myastheniagravis. #RNS positive in only 50-70 percent generalized MG and 30-50 percent ocular MG. A yes is a yes and 2 yesses ain’t yesser. Less is more #mariekondo
Read 4 tweets
A question a day! Questions you always wanted to ask your friendly #neuromuscular doc. #neurology #medtwitter #MedEd #neurology #medstudent #neurologyresident Short answers only. Join me in discussing/learning/educating with #passion and #humor @WNGtweets @AANEMorg @AANMember
Q: What up doc. My patient has ocular #myastheniagravis for 3 years now. Why hasn’t he got weakness in his arms and legs and breathing and everything?
A: Luck be a lady. 85 percent of ocular MG generalize and most do so within 2 years of onset. So now you know, after 2 years - look in the eyes - that’s where the answers lie.
Read 4 tweets
Launching a question a day! Questions you always wanted to ask your friendly #neuromuscular doc. #medtwitter #MedEd #medstudent #neurologyresident Short answers only. Join me in discussing/learning/educating with #passion and #humor @WNGtweets @AANEMorg @AANMember
Q: What gives doc? Why do you order AchR binding, blocking AND modulating antibodies for #myastheniagravis? Can’t you just choose one?
A: We just like more data. Just kidding. If you have to choose one, take the AchR binding antibodies - they are the most sensitive - positive in 70 percent of generalized #myastheniagravis and 50 percent of ocular. Other 2 Ab are useful if present when the AchR binding Ab ain’t
Read 4 tweets
There has been a disagreement on parent having to be involved in a teenage child life of having to have an abortion because do there age. Parents have decided for this teenger what is best for them. #njcurj #Parenthood #teenagers
Some teenger do not agree on having an abortion. There willing to maintain the child on their own without having a parent involved. #Njcurj #teenage law
Parents involved in there child life has a high risk of the child doing a illegal abortion that affect the life of both baby and mother. The laws have provided an agreement form for the parent to decide on the child's choice. #Njcurj #parentinvolvement
Read 12 tweets
(1/12)
#SheInspiresUs
#Story of my journey from #Housewife to #SareeDraper
I started my career as a fashion stylist for ad-shoots. After I got married wore saree on regular basis as I love wearing saree and I respect the attire brought down by my grandmothers and mothers.
(2/12)
#SheInspiresUs
I took #career break because of random #shoot timings, got busy with my family and kids. I was a housewife and used to get many compliments for the way I wore #sarees .
(3/12)
I used to help people #drape saree and so they started recommending me to others, this is how I realized To change this passion into profession. Saree is classic Indian attire and has perennial and eminent history and I want to popularize the art of perfect saree draping.
Read 12 tweets
#Thread | #Mali | #Education |

Notre système éducatif produit plus de chômeurs, d’assistés et de diplômés qui n’ont aucune idée de ce qu’ils veulent dans la vraie vie qu’il n’en produise en jeunes diplômés compétents prêts à relever les #défis de #développement. Thread 👇🏼
Je n'ai jamais été contre l'école. C'est grâce à elle qu'on peut efficacement #communiquer entre nous. Et elle a, sans doute, formé les meilleurs élites que notre pays ait connus. Mais, dans le fond, il faut reconnaitre que notre système #éducatif a #échoué. #Pourquoi ?
Parce qu'il est basé sur la #recherche du matériel : les notes, les diplômes, les honneurs...jusqu'à oublier l'essentiel : les #compétences, la qualification, la #passion, la poursuite du #rêve personnel et l’indépendance #financière.
Read 7 tweets
Lets talk about John Maynard #Keynes and his #Passion for #Art...
John Maynard #Keynes is perhaps most famous for his 1936 Magnum Opus, The General #Theory of #Employment, #Interest, and #Money in which he argued for a more active role of #FiscalPolicy in #Macroeconomic management...
It is hardly disputable that #Keynes' work, and his subsequent roles during the #BrettonWoods era marked a significant intellectual shift in the way we have come to understand #Economics as a discipline...
Read 11 tweets
सफलता क्या है ??? 🤔🤗👇

4 वर्ष की उम्र में सफलता यह है कि आप अपने कपड़ों को गीला नहीं करते।

8 वर्ष की उम्र में सफलता यह है कि आप अपने घर वापिस आने का रास्ता जानते है।

12 वर्ष की उम्र में सफलता यह है कि आप अपने अच्छे मित्र बना सकते है।
(१/५)
18 वर्ष की उम्र में मदिरा और सिगरेट से दूर रह पाना सफलता है।

25 वर्ष की उम्र तक नौकरी पाना सफलता है।

30 वर्ष की उम्र में एक पारिवारिक व्यक्ति बन जाना सफलता है।

35 वर्ष की उम्र में आपने कुछ जमापूंजी बनाना सीख लिया ये सफलता है।
(२/५)
45 वर्ष की उम्र में सफलता यह है कि आप अपना युवावस्था बरकरार रख पाते हैं।

55 वर्ष की उम्र में सफलता यह है कि आप अपनी जिम्मेदारियाँ पूरी करने में सक्षम हैं।

65 वर्ष की आयु में सफलता है निरोगी रहना।

70 वर्ष की उम्र में सफलता यह है कि आप आत्मनिर्भर हैं किसी पर बोझ नहीं।
(३/५)
Read 5 tweets

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