The topographical model of #MS is my career contribution, and it’s changed the conversation towards a unified view of MS. This is the 10th anniversary 🎂 of the initial idea, Oct 2013, that led to the paper & all that followed. A 🧵on how it came together. tinyurl.com/yxk83byt
I’m often asked how the idea for the topographical model of #MS came about, and the short answer is: from listening to my patients. In MS sometimes reserve is full, but when it’s drained MS reveals itself above the surface. High & low tide; the disease hiding below the threshold.

Even before @Dglaucomflecken created The Neurologist — a brilliant parody of how neurologists think we know better than everyone — we were working on a project examining just that…
We even cite him in the paper out now in #NeurologyEd @greenjounal!
tinyurl.com/4fys63hz 🧵 In this project we looked at what makes some neurology consults seem “inappropriate” — as @Dglaucomflecken has demonstrated, neurologists have some *particular* ideas about what other docs do and don’t know about neurology…
#NeuroTwitter

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)