Recently joined the mod team on medical salaries and got permission from Offcall to use some of their data/infographs that talk about different salary trends across the profession. This one highlights the four specialties where salary progression is basically non-existent throughout an MD's career.
Incoming PGY-1, finishing up a TY year and sat for day 1 of Level 3 yesterday and don't feel the greatest about my performance. Potentially interested in NCC/Vascular fellowships and/or NIR afterwards (I know how competitive it is and feel like i would still feel fulfilled in NCC or vascular if it doesnt work out). Feeling kinda devastated from day 1 and wondering how much level 3 score plays a role in my future application for these fellowships?
Donanemab consistently slows disease progression across multiple complementary outcome measures. The benefits are clinically resonant, this is the kind of data that helps families understand what "slowing AD" actually looks like:
MCI → mild AD: 33% lower risk with donanemab (HR 0.67; NNT 8.5 over 76 weeks)
Mild → moderate AD: 50% lower risk (HR 0.50; NNT 21.4)
Overall NNT to prevent progression to next clinical stage: 9.1
Meaningful within-patient change (MWPC):
CDR-SB: 38% lower risk
iADRS: 30% lower risk
Link: https://www.neurology.org/doi/10.1212/CPJ.0000000000200621
Basically the title. I’m confused as to why neurologists are seen as the “nerdy” doctors when all doctors are nerds, I mean you have to be a nerd to be a physician. Unless of course we’re defining nerd differently. I’m sure this has been asked before but wanted to ask anyways, what are your alls thoughts?
Med student here. We all know this stereotype. I hear it every other time I mention I'm interested in neurology. What gives!? Will I not fit in unless I'm a hyper-analytical, introverted, strange ol' fella?
Again kidding, but also... not?
We currently have 7, primarily subspecialty neurologists and are looking to expand our practice. Located in Eugene/Springfield. If interested, respond here or feel free to DM. I am one of the partnered providers.
Hello everyon. I am trying to improve my neurology skills but I find it so hard.
do you have any videos with the correct and proper way to see how the clinical exams perform (ex muscle strength etc) since my book says one way, I find other way on YouTube and I am so confused. I want to learn the right way
I hope this type of discussion is allowed in this thread.
I’m a Registered EEG Technologist with over 20 years of experience and recently purchased my first EEG system. I’m currently exploring opportunities to collaborate with neurologists in private practice—or those considering starting a private practice—to provide EEG services directly within their office.
I also had a second question for those with experience in outpatient neurodiagnostics: do you think it is more practical to partner with existing neurology practices, or is there a viable model for opening a dedicated outpatient EEG center?
In my local area, I’ve noticed that many hospitals either do not offer outpatient EEG services, are booked out 3-6 months for an appointment or outsource to larger monitoring companies with significantly higher rates. It made me wonder whether there is unmet demand for a more accessible outpatient EEG option.
I’d truly appreciate any insight regarding business structure, workflow, operational considerations, reimbursement realities, referral development, or lessons learned.
If anyone has experience with physician–technologist partnerships or contract EEG service models, I’d love to hear your perspective. I’m open to supporting practices locally and, if appropriate, traveling for opportunities.
Thank you in advance for your feedback
For example, a 30 year old with epilepsy has been seeing an epileptologist for several years. The patient begins to develop migraines, should their epileptologist mange their migraines?
Or suppose a 65 year old with Parkinson’s is well established with a movement specialist. The patient ends up getting a TIA. Should they follow up with their movement specialist for stroke prevention care?
At my residency program I’ve seen it go both ways. Some attendings are comfortable managing all of these things on their own. Other attendings try to look to pass on everything not related to their sub speciality onto someone else (usually resident clinic).
I am a medical student (MS2) having a difficult time deciding between anesthesiology and neurology. I am fortunate to attend a medical school with magnificent anesthesiology and neurology departments, so there has been no shortage of clinical-, research-, and mentorship opportunities. Went to graduate school for neuroscience (pain research) and have continued doing pain research as a medical student, so my mentors and connections are spread out across both departments.
I just wrapped up my neurology clerkship and had a great time. The residents and attendings felt like "my kind of people", and could see myself being quite content with neurology as a career. I do think I am more intellectually interested in neurology, but I also believe that anesthesiology may be slightly more aligned with my preferred workflow and work environment.
What I am ideally looking for:
Would really appreciate hearing from people in either field, especially anyone who seriously considered both.
If you had seen my previous post of peak spread: https://www.reddit.com/r/compmathneuro/comments/1szlrgy/preliminary_peak_spread_montage_from_processed/, I have further developed these renderings to use 8 specific bands with an overall view as well now, using differential entropy standard deviation this time instead.
This rendering uses 5 second intervals of a processed seizure recording broken down into 3 phases: preictal (up to 20 minutes before seizure), ictal or seizure period, and then preictal period until the end of the recording. Here are the bands with the "infraslow" band being the only band that wasn't used:
BANDS = {
'overall': (0.1, 100.0*),
'infraslow': (0.1, 0.5),
'delta': (0.5, 3.5),
'theta': (3.5, 8.0),
'alpha': (8.0, 13.0),
'low_beta': (13.0, 20.0),
'high_beta': (20.0, 30.0),
'gamma': (30.0, 50.0),
'high_gamma': (50.0, 80.0),
'ripples': (80.0, 100.0*),
}
* is a placeholder, the processor determines the highest frequency and then sets to that.
The videos are then rendered at 30 fps with added transition frames for smoothing.
For each band and EEG channel that is then mapped to a DK region, variance is computed across the 5 second time samples using the closed-form differential entropy of a Guassian distribution, with a small epsilon added to prevent a log of zero: 0.5 · log(2πe·σ²).
Although I am still trying to understand what this may be telling me, I think it is very interesting to see some patterns emerging, especially in the superiorparietal area. As I understand it, this is spatial variability across channels/regions showing coherence in blue and noisy/high-variance in red. I am a broad data scientist with a background in stats who took interest in EEG recordings and seizures, so I am still trying to learn a lot more about the medical side of things.
Anywho, hope you like it!
Note this has not been peer-reviewed or clinically proven.
serious question
I have been using pTau217 in serum increasingly this year, for patients presenting with mild cognitive impairment. My understanding is that test has a much better sensitivity / specificity profile than previous serum biomarkers for AD. It's much easier to perform a serum test than do LP / PET on every patient. Consequently I am picking up a lot more mild AD than I was in years past.
It has recently come to my attention that there are a few different labs performing the pTau217 assay. Thusfar I've been asking patients to get their serum drawn by our local hospital lab, which sends referral labs to Mayo. I've been assuming the Mayo lab is accurate and reliable, but my impression is only based on Mayo's reputation. One recent patient's serum was sent to Labcorp, and their cutoff for abnormal is 0.18pg/mL. The report includes the disclaimer "Test 484391 p-tau217 was developed and its performance characteristics determined by Labcorp. It has not been cleared or approved by the Food and Drug Administration."
My question for the cognitive neurologists out there is: Is there variable reliability with pTau217 testing depending on which lab performs the test? Are Labcorp results as reliable as Mayo's?
Also, are you following up abnormal results with additional confirmatory testing (CSF / PET) when considering anti-amyloid therapies, or is a positive pTau217 in serum enough to justify AAT for MCI patients?
My friend and I are two med students in Canada and we built a nice little app called OcuLearning to help trainees study neuro-ophthalmology (and ophthalmology as a whole), I thought I would share this here for anyone interested.
The app is 100% free on AppStore; we have a repertoire of high yield ophtho conditions, a neuro-ophthalmology simulator (for EOMs, pupillary light reflex, etc.), a small qbank (we’re working on it), and an algorithms section.
We trying to get some early feedback before we try collaborating with our medical school to get a large database of medical imaging / neuro-anatomy diagrams
Feel free to check it out! Thanks
Hello! Current neurology resident here trying to plan for future career choices.
I feel like I enjoy all of neurology and am having difficulty deciding on if I want to pursue fellowship training. I like both inpatient and outpatient but leaning outpatient at the moment.
Are general neurologists happy with their decision not to pursue fellowship training? Is reading EEGs burnout causing and time consuming? Do you spend too much time on admin stuff, answering inboxes, fighting with insurance?
Do you have any regrets?
Would love to hear your thoughts.
Alice in Wonderland syndrome is one of those neurologic phenomena that often gets framed as psychiatric before anyone considers migraine aura or focal cortical dysfunction.
A patient described recurrent episodes where the room seemed to stretch away, the ceiling rise upward, and her hands appear small and distant, accompanied by depersonalization. No headache. Multiple ER visits ended with a diagnosis of panic attacks.
But the episodes were highly stereotyped, gradual over minutes, similar in duration, and without a postictal phase. Interictal EEG was normal. Family history of migraine.
The phenomenology raised the possibility of migraine aura without headache (acephalgic migraine) presenting primarily as Alice in Wonderland–type perceptual distortion rather than typical visual aura.
The overlap with focal seizures and psychiatric presentations makes attribution difficult, but it is striking how often unusual neurologic syndromes are initially interpreted through a psychiatric lens before anyone recognizes the neurologic pattern.
How often have you seen atypical aura syndromes mistaken for psychiatric disease?
Hi, I’m Ami and I am a 57-year-old PhD epidemiologist who is documenting my own cognitive decline in real time on YouTube.
This is not what I would have chosen to be my life mission but this is what it turned out to be …. like it or not.
It’s really important when you have dementia for your environment to be calm and quiet. If you’re a loved one or a caregiver, this is why. I hope this video helps you.
https://youtu.be/t92NhsfDQ7I?si=FBqFhrr3fy5NYr3a
My channel is cold in case this ends badly. And can be found at www.youtube.com/@incasethisendsbadly
Trained in stroke, starting a job in the fall. Truthfully I’m not sure medicine is the long haul for me. I want to do other things with my degree. How do y’all supplement income? Things like legal work? Anyone ever heard of doing forensic work with neurology? Being a rich persons neurologist? Etc etc. just trying to see other paths people have created for themselves and ideas to pivot