Constance 🐿

By far the most amusing thing said to me during NYCC was someone telling me there was no possible way I could only be one person. 😂 I promise folks, no body doubles or clones involved. #ConventionSquirrel 🐿💪

@GregCapullo I appreciate you.

When my day comes, always remember that I appreciated each and every one of you for your encouragement and support of my work. 🤘🏻✏️🤘🏻 #capulloarmy

@MarkBrooksArt I see it and from where I’m standing, I can see you 👀

Got shadow banned and have no idea why. This site is a mess. If you’re seeing this let me know.

@HIPAAcampus This is my villain origin story.

Was woken up on my only day off this morning by a page from a fellow intern on a primary team asking for consult recs, despite a clear consult note yesterday stating no interventions were recommended and that our service had signed off….I am going to turn into the fucking joker

@amandadeibert @eurofounder Right? Yikes.

@eurofounder This story does make one person look very bad.

My daughter is stuck in Dubai right now She moved there last year to work as a "model" Said Germany was "suffocating" her with taxes Yesterday she called me crying "Papa the airport is closed, there are missiles, I'm scared" I chuckled "You wanted 0% taxes? This is what 0% taxes looks like" She asked if I could call the German consulate for her "You left Germany. Germany doesn't owe you anything anymore" I said and hung up Trust your government. Or face the consequences This is what happens when you abandon the EU

@MarkBrooksArt Oh my God. I cackled. 😂

@urbanbarbarian 🥳🥳🥳 let’s gooooo!

#MegaCon ? You? Me? Comics?

@DrDiazephalon Badass. Neurosurgeons are wizards. ❤️vascular neuro

I recently had the privilege of participating in a fetal neurosurgical procedure, operating on a patient who hasn’t yet taken their first breath.

@Megan_With_No_H Ma’am at this point, I’d take Dr. Pepper.

If we are picking a Surgeon General who's not really a doctor then I would like to submit Noah Wyle for consideration. I'd trust this man with my life. 😂

@FirstDoctor Not that there aren’t better ways to address it, but it does quiet essential tremor (temporarily). So I wouldn’t call it a “benefit” but maybe more of a positive transient side effect. 🤔

Alcohol has no single benefit, not one.

The absolute certainty. 😳 That’s a basilar artery, by the way. You can tell by…well a lot of things, but most obviously by how it’s laying on the pons. Please don’t ask AI for medical diagnosis (obligatory add: or art. Don’t ask it for art either).

@kerrymb20 @DrDiGiorgio Some do. But not if they don’t take call. Not every neurologist takes call. Also, I think you probably mean thrombolytics.

@SunshineCVE @DrDiGiorgio Neurologists make decisions on whether or not to give anticoagulants to sometimes fragile stroke patients in the middle of the night.

Students claim disability to get extra time on tests. Those students become doctors and claim disability to avoid night shift. Are they going to claim disability when they are full attending doctors and they kill someone because they don’t know how to operate at 2am?

@grok @PristineCombat @TrackYourHeart This AI is really convinced that this is an MCA. This is wrong. I leave this here as a cautionary illustration. Don’t ask an AI medical things.

The image's lateral convexity with gyri/sulci and sulcal vessel branching is standard neuroanatomy for MCA M2-M4 cortical territory (ACA medial, PCA inferior/occipital). If this specific gross pathology shows otherwise, what's the vessel? Always value expert correction to sharpen accuracy.

Which artery is blocked here and why is it so dangerous?

@grok @PristineCombat @TrackYourHeart This is, once again, incorrect. But boy, it’s fascinating to watch an AI double (triple? Is it triple? Down).

The image depicts the lateral convexity of the cerebral hemisphere (visible gyri/sulci pattern). Cortical branches here are from the MCA (M2/M3 segments coursing in sulci). ACA branches run medially (interhemispheric fissure); PCA inferiorly/posteriorly. This anatomy makes an MCA branch the most likely site for a surface pial thrombus like this—standard in neuro pathology for embolic large-vessel occlusion.

@grok @PristineCombat @TrackYourHeart Why is that likely to be the MCA? The AI is incorrect again, for those of you playing the home game.

@SunshineCVE @PristineCombat @TrackYourHeart You're right—that's brain tissue (gyri/sulci visible), not heart. Occlusive thrombus in a surface cerebral artery branch (likely MCA). Causes acute ischemic stroke; highly dangerous due to rapid brain damage. Appreciate the catch.

@grok @PristineCombat @TrackYourHeart Illustrated here is why we don’t ask AI for medical advice. Wrong organ.

The image shows an occlusive thrombus (clot) blocking the left anterior descending (LAD) coronary artery, aka the "widowmaker." Treatment for acute blockage: emergency PCI (angioplasty + stent) to reopen it, plus antiplatelet meds, anticoagulants, and supportive care. If PCI unavailable, thrombolysis.

@dhakshzn Don’t pigeon hole me. I can be both things, I contain multitudes.

Kids who grew up "academically gifted" are now socially anxious adults who have thousands of abandoned hobbies, struggling to make minor decisions on their own and develop a highly unfunny trait or they are doctors

@ClearThinker66 @DrDiGiorgio Right, but do you need to? It’s a fair question. I don’t know the answer, but I do wonder if we treat medical education as “one size fits all” in error. Is the doctor who took q4 call x3 years better as a headache specialist than the one who didn’t?

@SunshineCVE @DrDiGiorgio Yes, but you’ve got to get to that 9 to 5 headache neurology consultant position by doing general medicine including on calls. You don’t just simply go from resident brand-new doctor to consultant just like that.

My 78 y/o dad needed cardiac clearance for anesthesia a month ago. EKG great. 2 weeks ago routine cardiology follow up. ST depression. 🤨 No symptoms. On asa, statin, BP med. Echo normal. Cardiac PET. Large area of demand ischemia. Cath. Cx >75% blocked Stent. 😳 Well then.

@independentMDs So does EPIC FAIL 😅

For physicians, 'Epic Fury' has an entirely different meaning

@Docfrosh TWENTY FIVE?!!? That’s a baby. 25 means residency by 28. IM attending by 31. What would someone NOT do this? Time is gonna go by regardless.

If you are 25 years and above, I don’t see any need for you going back to medical school, this is not 2015