Yes, @Tracey1milligan! How do I #LoveNeurology let me count the ways! 🧠❤️
A 🧵
Below is from a presentation where we each gave a pitch to students why our specialty was the best. All due respect to admired colleagues in other specialties, roasting/humor was encouraged😀
So when trying to choose a specialty, your advisor may ask you what’s your favorite organ?

You’ve heard the arguments:
- the skin is the largest organ in the body
- the heart moves and makes cool sounds
- the kidney has such fascinating biochemistry (if you're into that)
We have THE BRAIN. It makes us human, it's the stuff of philosophy, the only organ that can use itself to learn about itself, the organ that controls everything!

All those other organs are cool and stuff but ..um...sorry, they can be transplanted or replaced by machines....
Now some people say that's really limited to spend your whole life on just the brain, but we also take care of patients with diseases of the spine, the nerves, the muscles, each w/countless conditions that would take a life time to learn and have great impact to treat or study.
It still might seem specialized, but there is a neurology of everything! Entire books on neurology of pregnancy, of cancer, of critical illness. We still think about other organs and see patients of all ages in the clinic, emergency room, ward, and ICU.

Neurology is everywhere!
Your advisor might say will if you’re not sure pick what will give you flexibility later. We have it all!
If you like high adrenaline medicine choose neurocritical care or stroke. If you prefer clinic or lab choose cognitive neurology…and so much in between!
Is neurology too depressing? We often hear this one.

First, it’s depressing when people get sick–that’s not unique to neurology!

Second, not all care is meds/surgery. We can provide so much to patients and their families with a diagnosis and support.

And third...
During–and since–my residency I’ve seen not just countless new treatments emerge for stroke, epilepsy, MS, Parkinson, migraine…but entirely new DISEASES! Tell me another field that has not just had an explosion of new treatments but new DIAGNOSES!? #lifelonglearning #futureisnow
An advisor once told me this...Choose the field in which the chief concerns sound the most interesting...

Sorry, other specialities but...
...how's this for a chief concern? A man who mistook his wife for a hat!?

all due respect for shortness of breath, rash, and knee pain, but, um, did anyone write a best-selling book about those?
You think @OliverSacks looks like just a neuro nerd? My friends, reads his autobiography: he was a motorcyclist and could bench press 300 lbs.

Neurologists rock!
Neurology is not just the stuff of literature but also of movies:

Sorry if I missed it, but I don't think I've seen any award winning movies on GI bleeding, nephrotic syndrome, or pemphigus?
And if you're thinking, it’s not the organ or the chief concern or whatever, I'll go where I'm most needed, well look at this...
Rising burden of disease, huge neurologist shortage in the US and globally.

We need you!!! In neurology you can have an enormous impact in your local community and throughout the world!
OK, you're almost convinced but...wait neurology seemed so complicated in the 1st/2nd year of med school...

Maybe you have neurophobia?
It's not so complicated! I got you, check out these tweetorials for all of your neuroanatomy studying needs:
twitter.com/i/events/12671…

#EndNeurophobia
I dropped out of med school for 6 years, almost quit internship & never thought I'd find a specialty I'd like, let alone love. I'm 8 years out of residency and I LOVE neurology–our patients are inspiring, neurology is fascinating, and I learn something new every single day!

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Aaron Berkowitz

Aaron Berkowitz Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @AaronLBerkowitz

Oct 2, 2021
The pupils can constrict (miosis) and dilate (mydriasis)
Mydriasis = bigger word = bigger pupil.

Constriction is a PARASYMPATHETIC function (tiny relaxed happy pupils)

Dilation is a SYMPATHETIC function (eyes wide with fear)
Pupils constrict in response to LIGHT and NEAR

Pupils dilate in response to DARKNESS and ADRENERGIC TONE

Drugs can also affect the pupils as can prior trauma/surgery
Read 26 tweets
Aug 22, 2021
Hi #medtwitter #neurotwitter #medstudenttwitter #meded #FOAMed

It's been too long since my last #EndNeurophobia #tweetorial. As requested by @sukritibanthiya here is a tweetorial on MUSCLE DISEASE (MYOPATHY)

Let me know what you think and what I should cover next!
Classic pattern of weakness in myopathy is PROXIMAL symmetric weakness of the limbs, though there are exceptions.

There should be NO sensory findings (unless there is concurrent neuropathy) and reflexes are often spared until the patient is extremely weak.
Difficulty rising from a chair (hip girdle musculature), washing hair (shoulder girdle musculature)

CK is often elevated but not always

EMG can demonstrate myopathic pattern (though can be normal eg statin myopathy)

Definitive Dx may require muscle biopsy and/or genetic test
Read 19 tweets
Aug 15, 2021
I have been asked where to donate for #earthquake response efforts in #Haiti. I donated to @PIH & @StBonifaceHaiti Both partner with local communities and govt to provide healthcare to those in greatest need. #haitiearthquake #globalhealth 💔 cc: @CPSolvers @DxRxEdu @rabihmgeha
healthequityintl.org/news/respondin…
@StBonifaceHaiti is probably the best-resourced hospital in the affected region. I visited in 2012 and what was already an extraordinary facility and group of talented dedicated staff has only grown.
pih.org/article/statem…

@PIH has collaborated with rural communities and the Ministry of Health in Haiti for over 30 years. They were an integral part of the response to the 2010 earthquake, subsequent cholera outbreak, and rebuilding efforts.
Read 5 tweets
Apr 19, 2021
Excited to attend health equity symposium #AANAM @AANMember supported by Cheryl Jay Endowment. Dr. Jay made incredible contributions to our neurology training program in Haiti and I'll never forget how she took all the applicants out to lunch when I interviewed @neurores_ucsf Image
"Zipcode is a greater predictor of health outcome than genetic code" Dr. Joseph Betancourt @MGHMedicine , Health Equity Symposium @AANMember #AANAM
"Structural Racism isn't up for debate, this is our history"
Reminds me of one my favorite quotes from Paul Farmer @PIH "History didn't begin when you arrived..." Image
Read 6 tweets
Apr 18, 2021
Happening now @AANMember #AANAM, Disparities in Care with @NRosendaleSF!
Read 4 tweets
Apr 14, 2021
A lot of talk about #CVST Rare to have neuro in the news, so here's a quick #neurology #Tweetorial on cerebral venous sinus thrombosis.

#MedEd #MedTwitter #neurotwitter @CPSolvers @rabihmgeha @DxRxEdu #EndNeurophobia
I will focus on the condition/neurology, not the possible association w/vaccine or hematology. I leave that to experts like @shemarmoore and her excellent thread here:
First, what are the cerebral venous sinuses?

They are the final pathway of venous drainage from the brain into the jugular veins.

They are formed from folds in the dura.
Read 16 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

:(