Rachel Gottlieb-Smith, MD, MHPE Profile picture
#ChildNeurologist 🧠 & Residency Program Director #umichchildneuro @MottChildren • @JournalofGME Associate Editor • #MedEd • 🎾 • She/Her • Views my own
Jul 8, 2022 16 tweets 9 min read
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Ever look at an #EEG & wonder what the 🧠 squiggles mean?

This #twEEGtorial is for you

#MedTwitter #NeuroTwitter #EEGTwitter #Tweetorial 2/
Let’s start with some background:

💡 #EEG = electroencephalogram
💡 What an EEG does: records electrical activity in the 🧠
May 21, 2022 17 tweets 7 min read
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The only good thing to come of finding this on my leg last week: I learned enough to write a #tweetorial about it

A 🧵/twitter PSA about what to do if a tick comes for you – & what neuro presentations you can see w/ tick-borne illnesses

#MedTwitter #NeuroTwitter #IDTwitter 2/
After time outside in a non-wooded area, I found this on my leg. I didn’t realize what it was, so I grabbed it & flung it off... only to then find a very active, crawling tick on my counter. 😱

So after freaking out for a moment (or 2), I had to figure out what to do with it.
Apr 15, 2022 10 tweets 6 min read
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What’s going on in the 🧠 that causes motion sickness – and what’s the link with #migraine?

A #tweetorial about motion sickness, the importance of matching, and why serotonin matters

#MedTwitter #NeuroTwitter 2/
First, let’s review some structures of the vestibular system that help us sense body movement:

1⃣ Semicircular canals = angular acceleration
2⃣ Otoliths (utricle & saccule) = linear acceleration & head tilt

📷: cell.com/current-biolog…
Feb 13, 2022 11 tweets 7 min read
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#MedTwitter: ever learn a mnemonic that you can’t remember 5 minutes later? 🙋‍♀️

What makes a mnemonic useful (or not)?

A 🧵 about the good – and the bad – of mnemonics

#MedEd #NeuroTwitter #Tweetorial 2/
First, some background:

Mnemonic = relating to memory

Mnemonic devices/techniques (often called mnemonics for short) = memory aids or strategies that help with recall

Goal: transition info from working memory to long-term memory (and then be able to retrieve it later!)
Feb 3, 2022 12 tweets 7 min read
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How does botulinum neurotoxin (BoNT) work to improve chronic migraine? 🤔

⚡️ Spoiler: it's probably not what you think!

A 🧵 about BoNT & #migraine

#MedTwitter #NeuroTwitter #tweetorial 2/
Let's start with a definition: what makes a migraine "chronic?"

◾️ Headache occurs at least 1⃣5⃣ days per month
◾️ Of which at least 8⃣ have features of migraine headache
◾️ For 3⃣ months or more

From: Int'l Classification of Headache Disorders ichd-3.org/1-migraine/1-3…
Jan 22, 2022 7 tweets 5 min read
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What's the best strategy for effective - and time efficient - teaching in clinic?

A 🧵 for 4⃣ teaching strategies when 🕗 is limited (& how they might be used in #neurology)

#MedEd #NeuroTwitter

pubmed.ncbi.nlm.nih.gov/18276715/
pubmed.ncbi.nlm.nih.gov/29383053/ 2/
1⃣ One-minute preceptor (initially called: 5-step microskills)
pubmed.ncbi.nlm.nih.gov/1496899/

5 steps & examples 👇

Pros:
✅ Assess learner's knowledge
✅ 👍 & constructive feedback "built in"
✅ Clinical reasoning
✅ Good for novice learners

Cons:
⛔️ "1 min" is a bit unrealistic
Jan 13, 2022 9 tweets 7 min read
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What's your favorite anti-seizure medication (ASM)?

If you said levetiracetam (LEV), you're not alone.

Why do so many #neurologists ♥️ LEV? A #tweetorial.

#MedStudentTwitter #NeuroTwitter #MedTwitter @MedTweetorials 2/
What's so good about LEV? First, some #pharmacology:

✅ Fast PO absorption
✅ 1:1 PO:IV 💉
✅ Few med interactions
✅ Can load for status epilepticus

pubmed.ncbi.nlm.nih.gov/31029217/ Image