If you're a doctor and you've already clocked what my ailment is after like 2 symptoms, could you let me talk for another minute and then be like "Hmm, it sounds like it's probably X" so I can feel like it's the two of us have a discussion and not that I'm just an annoying question on a pop quiz?

It's me & my scar 1 day out of the hospital, 1 week after my stroke, 1 month after my cancer diagnosis And it's me & my scar (& the sun) 14 years & 1 day out of the hospital, 14 years & 1 week after my stroke, 14 years & 1 month after my cancer diagnosis I am still here.

Coming up! The first GaMER (Games in Medical Education) Conference, free and online, July 17th. A panel of amazing speakers, plus hosts @empiricgame.bsky.social & yours truly. Learn about the creation & study of educational games, make connections and share your work!

Among patients with atrial fibrillation at high risk for stroke and bleeding, left atrial appendage closure was not noninferior to medical therapy in reducing the risk of stroke, embolism, major bleeding, or death at 3 years. Full CLOSURE-AF trial results: nej.md/3NFE1Ak #MedSky #CardioSky

Now this is interesting. Ping @damienbarraudmd.bsky.social @load-dependent.eurosky.social

NEJM.org@nejm.org · 6mo ago

Among patients with atrial fibrillation at high risk for stroke and bleeding, left atrial appendage closure was not noninferior to medical therapy in reducing the risk of stroke, embolism, major bleeding, or death at 3 years. Full CLOSURE-AF trial results: nej.md/3NFE1Ak #MedSky #CardioSky

Fresh blog: Six reasons to stop relying on the NPi (neurological pupil index) 👁️ NPi is based on a secret, proprietary formula used by one company 👁️ The neuroICU field was somehow convinced that we're too stupid to understand pupillometry tracings, so we need the NPi...(#1/2) #EMIMCC

1/ 👋 there #neurotwitter #neurosky #neurocritcare, as part of my @neurocritcarej #SoMeAmbassador role, today we will be breaking down the following article: link.springer.com/ar... about consent in research involving #DOC

Informed Consent Practices in Research Involving Persons with Disorders of Consciousness

Neurocritical Care - The Curing Coma Campaign Ethics Working Group sought to understand informed consent practices for research involving persons with disorders of consciousness (DoC) to establish...

link.springer.com

What are the perceptions of clinicians referring to a novel pediatric #neuropalliative clinic? In the latest issue of #pedneuro, Lin et al explores these perceptions. Read here: buff.ly/v2nBte7

Emergency Medicaid accounts for less than 1% of total #Medicaid spending, even in states with large undocumented populations. ja.ma/3Yx9hDD

Brainstem lesions in MS are also perivenular, often appearing radially in a "sunray" pattern. Authors include Dr. Gavin Giovannoni and Dr. Dr. Klaus Schmierer pubmed.ncbi.nlm.nih.gov/41447908/

State Medicaid Expansions and Mortality, Revisited: Medicaid expansions led to declines in all-cause mortality of 6%; HIV-related mortality accounted for 20 percent of the effect. www.journals.uchicago.edu/doi/abs/10.1...

State Medicaid Expansions and Mortality, Revisited: A Cost-Benefit Analysis | American Journal of Health Economics: Vol 3, No 3

Previous research found that Medicaid expansions in New York, Arizona, and Maine in the early 2000s reduced mortality. I revisit this question with improved data and methods, exploring distinct causes...

journals.uchicago.edu

Valacyclovir was associated with greater cognitive decline and did not improve disease markers in patients with symptomatic #AlzheimerDisease and HSV seropositivity. ja.ma/4qydeE1

1/ 👋 there #neurotwitter #neurosky #neurocritcare, and Happy Holidays if you celebrate! As part of my @neurocritcarej #SoMeAmbassador role, today we will be breaking down the following article: link.springer.com/ar... about consent in research involving #DoC

HEY EVERYBODY! i'm back! did you miss me?🙃 i was so busy co-directing the neuro block @UAZMedTucson for 1st year med students that I haven't been around as much... but it gave me time to make LOTS of fun stuff! i'll be gradually releasing, but let's start with...**drumroll**

1/ 👋 there #neurotwitter #neurocritcare, as part of my @neurocritcarej #SoMeAmbassador role, today we will be breaking down the following article:

Prospective Trial of Cerebrospinal Fluid Filtration After Aneurysmal Subarachnoid Hemorrhage via Lumbar Catheter Extension (PILLAR-XT)

Neurocritical Care - There is a growing consensus that blood in the cerebrospinal fluid (CSF) is deleterious to outcomes in patients with aneurysmal subarachnoid hemorrhage. The extracorporeal...

link.springer.com

On September 24, ERAS will open to programs. Which means applicants have only 2 weeks left to decide which programs to signal. And if you want to know how to allocate your signals in the most effective manner possible, I’ve got something for you: thesheriffofsodium.com/2025/09/10/t...

The Applicant’s Guide to Strategic Preference Signaling

Whenever I discuss preference signaling on social media, one of the first replies is always “Wait – what’s that?” In the olden days, when an applicant was interested in a particular residency…

thesheriffofsodium.com

1/ Hello #medsky #neurosky #neurocritcare #FOAMEd have another brief case that I wanted to discuss with you and see if maybe you can learn something new or reinforce old knowledge!

🚨NEW RELEASE🚨 🔍Daily neurology connections, anyone? neuroconnections.me has launched with a free, fun micro-learning puzzle game every day! Still the initial release so let me know if you spot any bugs.🐛 Play and learn here: neuroconnections.me #Neurology #MedEd

🚨New thing release announcement! 🚨 StrokeBot.me is a free stroke code simulator for trainees! Practice workflows, interventions, disposition calls, and more! This is just the initial release so bugs are expected and updates ongoing! Enjoy! #Neurology #MedEd

Could a metal ion supplement that cost pennies per day protect from Alzheimer's disease? erictopol.substack.com/p/lithium-an...

1/ Hello #medsky #neurosky #neurocritcare #FOAMEd have a brief case that I wanted discuss with you and see if maybe you can learn something new or reinforce old knowledge!

A 50-year-old woman presented to the emergency department with a 10-day history of a throbbing headache that had suddenly started after she had felt a “pop” in her back. The headache worsened with upright positioning and improved with lying flat. 1/4 #MedSky

Case series w/ cumulative total n=110 pts support use of rivastigmine as alternative antidote to physostigmine for anticholinergic delirium. Both oral & transdermal formulations of rivastigmine may expedite recovery #medsky #EMsky #pharmsky #emimcc #FOAMed 👉 link.springer.com/article/10.1...

Just the facts: rivastigmine for the management of anticholinergic toxicity - Canadian Journal of Emergency Medicine

Canadian Journal of Emergency Medicine -

link.springer.com

OpenEvidence is generally very good, but it's occasionally horrifically wrong One place it falls down a lot is drug allergy (where it's often too conservative) There are NO absolute contraindications to acetylcysteine for acetaminophen OD Reported "allergy" = anaphylactoid rxns... (#1/3) #EMIMCC

You had MS even before you had symptoms. This study found increased absenteeism from work 6 years prior to diagnosis. jnnp.bmj.com/content/earl...

Prodromal phase of multiple sclerosis: evidence from sickness absence patterns before disease onset – a matched cohort study

Background We aimed to investigate the prodromal phase of multiple sclerosis (MS) by investigating annual sickness absence rates before MS onset. Methods A retrospective cohort study was conducted us...

jnnp.bmj.com

This is what we were waiting for. A direct comparison between apixaban and rivaroxaban for the treatment of acute VTE. Apixaban reduces bleeding risk in the first 3 months by >50%! Practice changing investigator-initiated RCT. #ISTH2025

Peer review is being transformed by AI, whether we like it or not. From my own experience, most researchers are using it wrong… and that’s because no one’s talking about it! Let me share some ideas on how to harness its potential to improve scientific publishing.

Herpes zoster vaccination eligibility reduced the probability of new dementia diagnoses, suggesting its potential preventive effect. https://ja.ma/4lagSB6

What is the prevalence of elevated opening pressure in children with Alexander Disease? In the current issue of #pedneuro journal, Joung et al. explore this question through analysis of opening pressure, MRI and examination in a cohort of 43 patients. Read Here: buff.ly/UrvyLjh