#medtwitter We talk a lot about documentation💻 for the sake of insurance companies, other physicians, and even the patient (now that notes are shared) but we never talk about a very (the most?) important person you are communicating with in your notes.....

YOUR FUTURE SELF If you have any longitudinal relationship with patients, you should be talking to your future self in your notes- your between-visits phone call📞and message answerer self, your next office visit self👩‍⚕️, your "oh shoot we need a PA" self🤦‍♀️.

The ED has "a weird one for you." Middle aged female with numbness on one side of the chin. The ED doc asks you- should we get an MRI of her brain? Something triggers deep in your memory. You are really concerned. You decide not to get an MRI and instead ask for a CT w/wo of the face. Um, what? Excuse me. Neurologists are interested in the brain not the face.

A conversation I have every week in @yaleneurons resident clinic: let's talk triptans. A basic approach for all you #neurotwitter and #medtwitter folks who aren't board certified in headache medicine 🤯but see these patients- just like me! This topic is dear to my heart b/c I have migraines and let me tell you- migraines. are. awful. My life was changed when I got triptans. Gimme some suma + high dose NSAIDs = 😃 But not all triptans are created equal! If your patient fails one, it doesn't mean you're out of luck.

Beep!📟A new inpatient neuro consult for new onset "tremor." What's the first question that flies through my mind??

Is the patient on gabapentin? A #meded #medtwitter #neurotwitter #tweetorial % of time inpatient consults for tremor are actually tremor....