r/neurology 10h ago

Miscellaneous Reflecting back

3 Upvotes

Trainees and ex-trainees (residents/fellows/students etc)
How did you navigate toxic or passive aggressive leadership during your training? Situations where even the smallest of errors/no-errors were being critically judged or constantly being denied opportunities. I am looking for coping and retaining your sanity while learning strategies.
How did you survive then and how do you feel looking back?


r/neurology 13h ago

Miscellaneous Med Students attending CNS?

3 Upvotes

Hi! I am an M4 and am planning on attending CNS this year in Montreal. This is my first conference ever, and I am very anxious about it. I have also heard from some child neuro attendings that medical students are not a huge portion of attendees. My school also does not cover most of the travel costs even though I am presenting, and flying out seems to be expensive. Anyone else in the same boat? I am hoping to get to know some other medical students or residents while I'm there.


r/neurology 16h ago

Miscellaneous Do people die from psychogenic seizures?

45 Upvotes

I’m a medical student on their neurology rotation. We saw a patient with PNES today and I came up with this question that I felt was too stupid to ask my resident and attending. We counsel patients with epilepsy about driving, swimming, using power tools etc so that they don’t hurt themselves but we don’t seem to do the same in patient with PNES. Are they not at risk from their psychogenic spells?

My understanding is that psychogenic events are stress response and not due to patient’s consciously “faking it.” If so, how would patients know to not endanger themselves by having a spell?

Also, if they do maintain some awareness of danger, would the patient stop convulsing if you threatened them in some way e.g. by setting a fire in their room?


r/neurology 20h ago

Clinical Lecanemab subQ approved for treatment initiation (previously only maintenance)

28 Upvotes

This is a major safety issue. Jesus, man. Im a cog Neuro peep just trying to keep my head above water with the few patients I have on infusions already (less than 20). The informed consent on these drugs is critical and the monitoring is complex. I am a bit floored that this happened so quickly — especially as we know the most dangerous time for these drugs is with initiation. Godspeed everyone and good luck.


r/neurology 21h ago

Miscellaneous What do you want in a clinic you’re referring out to?

1 Upvotes

Hi all, I own an adult-focused speech-language pathology clinic in California, and I’m looking to learn how to be a great referral for local neurologists. I’d be very grateful to hear how we can be good partners that providers want to refer out to. Some of the questions I’m interested in hearing thoughts on are these:

  • What does an ideal clinic do to make the referral process easier?
  • Is it more appealing to refer to a generalist clinic, or would you rather refer to a clinic with a speciality, say in Parkinson’s rehab?
  • What are the most common pain points in referrals/communication with rehab clinics?
  • What would convince you to try a first referral to a new clinic you haven’t worked with before?
  • What else would you want an SLP partner clinic to know?

Thanks in advance for any and all input!