Miguel

@neurodocente Ooooh ok that's an angle I havent thought about!

@neuronalnewbie Absolutely, Miguel, the neuroendocrine axis is fascinating 🤩In my case, I’ve been looking at it from a slightly different angle: how endocrine and metabolic states can shape, or even constrain, learning in educational contexts

🧠 The highlight of my second-to-last doctoral semester has been the Neuroscience and Endocrinology unit. What a surprise!! This is an intersection I had started to explore in practice while working weekly on overweight and obesity since January 2025, studying it now is helping me make sense of what I had been seeing. I’m so happy for how much there is still to learn and for the chance to contribute in small ways along the way 🥳

It is essential

@drrdemon As someone who started residency 2 years after graduating (and never even used EMRs before!): you may feel rusty at the beginning, but I promise you that you will be your worst critic. To the rest, you'll be just another resident. Be extra gentle to yourself

Does anyone have any advice for not being absolutely terrified of starting residency after essentially taking 2 years off lol I feel extraordinarily dumb

@irenevg3 QUÉ 😂

eso no es nada, todavía quedan 37 cm más

This is certainly a take

Unless you're really good with numbers.

If you google "196884 = 196883 + 1" you'll find yourself down a rabbit hole where no matter how hard you try to understand what you're reading, you won't understand a thing.

Despite some unhinged twitter takes about the show, Season 2 was a success (and deservedly so).

@fuqekgs And that's why I follow you 😂

@neuronalnewbie I've been bad 😭😭😭

I'm gonna say it...Greys Anatomy over glorifies surgeons

@fuqekgs Wow, what a thread

You can tell this person is ableist because they're calling an autistic dumb Go check your biases

@fuqekgs Embriology. It was literally my first class 😂

Anatomy

@reverendofdoubt @nickmmark Yeah! It felt so weird initially giving IV diazepam for seizures, but there was no noticeable difference

@neuronalnewbie @nickmmark everyone is forgetting we literally just had a 6 month plus ativan shortage....

Weird medical decision making in the final episode of the Pitt 1. Using diazepam instead of lorazepam in status epilepticus. The latter is probably superior. Probably should have used more mag too. 2. They delayed intubation until she was clearly in status. I get waiting a minute to see if the mag works but giving multiple second line meds before deciding to take the airway is not a great move imho. 3. This is the big one. Using succinylcholine to intubate a seizing woman with eclampsia —> major risk for provoking hyperkalemia and cardiac arrest, which is exactly what happened! The rationale was “we need a neuro exam after”. Dude first of all you are gonna use an EEG to titrate anti-seizure meds (they showed this). Second you can just reverse roccuronium with suggamadex. That’s way more reliable than *hoping* the dangerous drug you gave wears off (in a patient with renal and liver injury no less)! 4. I could quibble about transfusions too. Rapid infusing blood when her Hb was 7 is wrong, though she was actively bleeding so 🤷 . Platelets should be transfused to >50k not necessarily higher. They didn’t give FFP for some reason, which is not good. 5. The depiction of the resuscitative hysterotomy was realistic but not having OBs there? Pretty unlikely. If there are OBs anywhere in the building you better believe they will be at the bedside of the eclamptic seizure code! (When I’ve done resuscitative hysterotomy IRL, lack of OBs was not a problem!) From a realism perspective this is not as bad as ER docs declaring brain death within a few hours of an overdose (season 1) but really felt unrealistic in a big urban academic hospital.

@itss_rikki Not quite! It is Waltham 😄

@neuronalnewbie is this western mass?

Residency can be overwhelming sometimes. A day like today helps: peace and quiet.

@fuqekgs You're way too cool for twitter

Y'all I am a liberal arts degree turned MD. I literally wanted a career in medieval/Renaissance history for the first two and a half years in college

@parianormal Me encanta que twitter pensó que escribiste en turco jajaja

@GhostinScrubs @fuqekgs Yeah, when I hear a patient went to the chiro, my spidey sense goes off.

@fuqekgs Chiro’s scare the shit out of me. We’ve had multiple serious injuries from them including subarachnoid hemorrhages.

Chiropractor injury 👇🏼👇🏼👇🏼

@fuqekgs Yeah, I might have had a similar number of pages per day 😂 I could spend a day obsessively reading a book lol. I mean I still could if I had the time 💀

@neuronalnewbie Back in the day, I once read 600 pages in a day 😂😂 multiple times

Absolutely doable