Simon Rowe @DrSimonRowe
Neurologist, researcher, parent. Views my own, not my employer's, government's or, occasionally, anyone else's. Australia Joined July 2017-
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@eemoin if all of your LPs diagnose bacterial meningitis, you're doing wayyyyyyy too few LPs
One of my teachers used to say to patients all the time, when reporting a 'normal test': I'm sorry, your instruments are just more sophisticated than ours. This doesn't tell us there is nothing wrong, just that the things we can test are still working.
One of my teachers used to say to patients all the time, when reporting a 'normal test': I'm sorry, your instruments are just more sophisticated than ours. This doesn't tell us there is nothing wrong, just that the things we can test are still working.
Love this. Dr Kittleson is absolutely overflowing with wisdom, but this is perhaps the most important pearl of all. In many ways, the patients you can't 'cure' need you more than the ones you can. Walking that road with them is hard, but it's the most important work we do.
Love this. Dr Kittleson is absolutely overflowing with wisdom, but this is perhaps the most important pearl of all. In many ways, the patients you can't 'cure' need you more than the ones you can. Walking that road with them is hard, but it's the most important work we do.
This is fantastic. I'll try to incorporate this kind of feedback method myself; we don't formally recognise the exemplary work of junior docs enough.
This is fantastic. I'll try to incorporate this kind of feedback method myself; we don't formally recognise the exemplary work of junior docs enough.
This is a very good idea for all adults. Do it once, at least, before you turn forty, and every time you think your values and perspective on the question has changed. A 40yo will on average have very different functional outcomes to an 80yo from the same near-death event.
This is a very good idea for all adults. Do it once, at least, before you turn forty, and every time you think your values and perspective on the question has changed. A 40yo will on average have very different functional outcomes to an 80yo from the same near-death event.
True. I know no other profession that works my hours. E.g.: every six weeks I'm on call for 168 hours straight. No breaks, no hand offs. There are 7h a night where emergency tries to be kind and not call me unless absolutely necessary. Otherwise, it's nonstop.
True. I know no other profession that works my hours. E.g.: every six weeks I'm on call for 168 hours straight. No breaks, no hand offs. There are 7h a night where emergency tries to be kind and not call me unless absolutely necessary. Otherwise, it's nonstop.
FND is absolutely real, and far more common than many of us in the medical community, let alone the general public, would like to admit. In my experience, it is also often not 'pure' FND, but a functional manifestation complicating another diagnosis. Tricky, but important!
FND is absolutely real, and far more common than many of us in the medical community, let alone the general public, would like to admit. In my experience, it is also often not 'pure' FND, but a functional manifestation complicating another diagnosis. Tricky, but important!
This is an excellent list! I feel like all care providers would benefit from some formal psych training (as distinct from the informal, ad hoc, never-named-as-such training we all do, to varying degrees and with varying success 'on the job'). But silos, amirite?
This is an excellent list! I feel like all care providers would benefit from some formal psych training (as distinct from the informal, ad hoc, never-named-as-such training we all do, to varying degrees and with varying success 'on the job'). But silos, amirite?
Cerebral cavernous malformations are far more common than we realise. The inherited form is uncommon but there may be genetic mutations that underly what we otherwise think of as 'sporadic' cases. Fortunately there are drug trials now underway that target these disease pathways.
Cerebral cavernous malformations are far more common than we realise. The inherited form is uncommon but there may be genetic mutations that underly what we otherwise think of as 'sporadic' cases. Fortunately there are drug trials now underway that target these disease pathways.
This is a tough ask. But here goes; IPA Specialty IPA American pale American amber/red or brown English mild Best bitter Dry Irish stout German pilsener Altbier Belgian tripel or quad Barleywine Russian imperial stout
This is a tough ask. But here goes; IPA Specialty IPA American pale American amber/red or brown English mild Best bitter Dry Irish stout German pilsener Altbier Belgian tripel or quad Barleywine Russian imperial stout
Amendments to a Schulz cartoon. Do not “Trust the science”, trust the scientific method. Do not “Question science”, question the ideas driving science. Questioning ideas is how you do science!
Great thread! I have no specific thoughts on Huberman, but Vyom makes some fantastic observations about science communication and its perils, when monetised. We are suckers for a good story, and this is a powerful tool for education. But our cognitive biases run deeeep....
Great thread! I have no specific thoughts on Huberman, but Vyom makes some fantastic observations about science communication and its perils, when monetised. We are suckers for a good story, and this is a powerful tool for education. But our cognitive biases run deeeep....
1 million people viewed this tweet ~500 liked it The other ~999 500 said: wait, what? (NGL, I was one of the 999.5k)
1 million people viewed this tweet ~500 liked it The other ~999 500 said: wait, what? (NGL, I was one of the 999.5k)
I love the portraits in this thread.
Watching a human being become fully sentient over hours, days, months and years, and then watching them take a place in their world of teachers and friends and society at large... It's like watching the birth of a universe. ❤️❤️❤️
Watching a human being become fully sentient over hours, days, months and years, and then watching them take a place in their world of teachers and friends and society at large... It's like watching the birth of a universe. ❤️❤️❤️
If COVID were truly 'neurotropic' (i.e. had a predilection for infecting and damaging neurons in the brain, spine or nerves), this study would have had very different results. Turns out influenza is likely much worse (almost twice as bad in fact).
If COVID were truly 'neurotropic' (i.e. had a predilection for infecting and damaging neurons in the brain, spine or nerves), this study would have had very different results. Turns out influenza is likely much worse (almost twice as bad in fact).
Thank you to Fiona for sharing her story. It is increasingly clear that chronic pain is not just 'acute pain, but for longer'. @neuraustralia and Prof. McAuley @Pain_NeuRa have shown that psychological and social interventions are remarkably effective; drugs and surgery less so
Thank you to Fiona for sharing her story. It is increasingly clear that chronic pain is not just 'acute pain, but for longer'. @neuraustralia and Prof. McAuley @Pain_NeuRa have shown that psychological and social interventions are remarkably effective; drugs and surgery less so https://t.co/DHZqLd3Ylk
“Queensland's CHO believes the symptoms of long COVID are real — but he wants people to stop calling it that” It’s unfortunate that the focus will shift onto a debate questioning its existence as opposed to researching and addressing the real pathophysiology of the various…
Fiona Russell @Fiona_M_Russell
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11K Followers 2K Following Science communications. Quantum materials physics. Director @FLEETCentre Personal account. I happily block conspiracy theorists.Dr Kate Gregorevic @DrKGregorevic
10K Followers 1K Following Geriatrician and Internal Medicine Physician, PhD, author Staying Alive and longer and Before Dementia, living on Wurundjeri landBob Cumming @bobepidemiology
2K Followers 825 Following Professor Emeritus (Epidemiology) | Travel (100 countries), electric guitar, learning Russian, NiueDr. Nick Coatsworth @nick_coatsworth
25K Followers 472 Following Nine Network Medico | Ambassador for Health Reform @patients.org.au | Infectious Diseases | Public Policy | Clinical Associate Professor @ouranuProf Peter Collignon @CollignonPeter
14K Followers 374 Following Infectious Diseases Physician and Microbiologist. Professor Medical School. Australian National University. Views are my own.Prof Francois Balloux @BallouxFrancois
148K Followers 1K Following Director @UGI_at_UCL. Interest in Infectious disease epidemiology, pathogen genomics, global health, and all sorts of other stuff.Vinay Prasad MD MPH @VPrasadMDMPH
287K Followers 4K Following Prof @ucsf, Physician-Scientist, IG @vprasadmdmph @vkprasadlab @plenary_session, YouTube, #vpzd podcast & @Sensible__Med; Views minewombot @_colourmeamused
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8K Followers 653 Following To advance headache science, education & treatment. Our Journal: @JCephalalgia. Find us on https://t.co/wjNPoTFRIZ…Migraine World Summit @MigraineSummit
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1K Followers 1K Following Recovered from 25 years of severe pain, 14 years of M.E.🌟Passionate 🌟about the treatment of both. MSc in health psychology. Tweeting in a personal capacityPaul Barry @TheRealPBarry
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41K Followers 638 Following Connecting Healthcare with Technology | Your Health, Our Priority | Transforming Medical Experiences Digitally | Join the Future of Healthcare with Docxus 🌐@mstotty88 @Davemademedoit They can give advice remotely. In most cases they don't need to be physically hands on
@CatherineOrr73 Weird, pathetic losers who will use any excuse to take a woman down a peg. Hope you don't let them get to you. Most of us know a good GP is worth their weight in gold, and anyone who knows YOU knows you are an 😇
Sleeping in a bed with a roof over my head to raise awareness for the younger generation who can’t afford it.
Very telling that some people seem to think a rally should be for the PM and not for victim survivors.
When I see so-called “progressive” men make disgusting remarks about a woman’s appearance or how they sound because they don’t like her politics or beliefs, I often wonder how long before they say this to the women they allegedly respect.
@adorablegov @JaneKin54322448 Perhaps I can ask the AFR: “Dear Editor, can I sell this, invest the profits and still claim the aged pension?” 😂😂
@theBSinBSN Have I seen patients die of encephalitis because someone with lesser diagnostic acumen called it "urosepsis" ? Yes. Too many times.
@DrSiyabMD Neuro here - if I got called about a patient with unexplained AMS, fever & elevated inflammatory markers, I wouldn't say "let's wait for urine cultures to come back before we get an LP."
Not a dunk on this account but a VERY important teaching point for any trainee. Hell, for *any* practicing CLINICIAN no matter how many years out of training. Never just assume any presentation is from a particular diagnosis. This is why we teach trainees to form a DIFFERENTIAL…
I have strategically unfollowed a lot of medtwitter accounts over the years for, quite frankly, my own sanity, so I missed this, but it's a great illustration of a VERY common misconception about diagnosis: just because a test is negative does not mean it was not indicated.
@eemoin if all of your LPs diagnose bacterial meningitis, you're doing wayyyyyyy too few LPs
Just had a right radical orcidectomy for testicular cancer @Leic_hospital Have taken my #Parkinsons meds and have had a welcome cup of coffee. Never tasted so good. Great team couldn’t have been better. Thanks for all the messages of support. #NHS does what it does do best
@OGdukeneurosurg BP control, reverse antithrombotics, call neurointerventional, make NPO, analgesia (assuming they’re in the ED since we have a cta)
#idboardreview 60 M businessman who goes to Ghana 🇬🇭 annually presents w/ cognitive deterioration, unsteady gait, urinary incontinence & increased somnolence progressively worse over 10 months. +hypertonia hypereflexia. Diagnosis? #MedEd #idmeded #idxposts #idtwitter
Dear @twitter. I report porn bots and Nazis. All the time. Nothing happens. Now you've figured out how to pull my hair, in about an hour, for *hateful conduct* over a statistics joke. Is everything OK at home?
Pleased to have written something substantial for @CAmericain_mag Hopefully published 10th May.