Pj Le Reste

396 posts

Pj Le Reste

Pj Le Reste

@RennesACT

Neurochirurgien

Rennes, France Sumali Ekim 2017
315 Sinusundan315 Mga Tagasunod
Pj Le Reste
Pj Le Reste@RennesACT·
@nyctalope_92 @DrJeanLefebvre @DrAkhilX Les technos d’affichage de ce type existent depuis le début des années 2000; c’est vite imbitable d’avoir autant de trucs devant les yeux, des fois c’est bien de voir le patient aussi 😁
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Dr. AK 🇮🇳
Dr. AK 🇮🇳@docakx·
Medivis's SurgicalAR platform for assisting neurosurgeons during surgery. This received FDA clearance in December 2025.
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𝟑 𝐞̀𝐦𝐞 𝐎𝐞𝐢𝐥
😱 Cette maman montre son exaspération après l’achat d’un livre nommé « meow » qui n'est constitué que de « meow » sur toutes les pages. Le livre est vendu 19 dollars sur Amazon 😳
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Eric Topol
Eric Topol@EricTopol·
"Higher intake of high-fat cheese and high-fat cream was associated with a lower risk of all-cause dementia." Results of a 25-year prospective study of ~27,000 participants. The purported benefit was not linked to APOE4 carriers or low-fat cheese intake neurology.org/doi/full/10.12…
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Pj Le Reste
Pj Le Reste@RennesACT·
@DrJeanLefebvre @Fraslin Est ce qu’on peut consulter DANS un centre commercial ? Entre le rayon boucherie et les légumes ?
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Jean Lefebvre
Jean Lefebvre@DrJeanLefebvre·
@Fraslin Je me demandais si un cabinet médical pouvait ouvrir dans une galerie commerciale. J’ai ma réponse. @RennesACT
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Dr Jean-Jacques Fraslin
Le centre médical SoMed (24 spécialistes y travaillaient) situé dans la galerie Beaulieu à Nantes, va définitivement fermer ses portes, dès le 8 décembre 2025. Les patients concernés ont reçu « des modalités pour récupérer leur dossier médical » ouest-france.fr/pays-de-la-loi…
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JAMA
JAMA@JAMA_current·
✅ Editor’s Choice: This Review summarizes the diagnosis and management of primary malignant #BrainTumors in adults, including glioblastoma, lower-grade gliomas, primary CNS lymphoma, malignant meningiomas, and ependymomas. Save this for your citations: ja.ma/4prtLJk
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NEJM
NEJM@NEJM·
Despite their frequent use, opioids have limited benefits in managing noncancer pain (seen in figure). For acute musculoskeletal pain, opioids have a small mean effect in reducing pain (a decrease of <10 points on a scale of 0 to 100, with 0 indicating no pain and 100 worst pain) relative to placebo in the first days, have no effect after the first week, and are probably associated with a small increase in pain after 12 weeks. On the basis of evidence with very low to moderate certainty, opioids have no effect on physical function. For chronic noncancer pain, opioids have a small effect on pain reduction relative to placebo in the short-to-medium term (seen in figure) and either a small effect or an effect similar to that with placebo on other clinical outcomes (e.g., physical function and quality of life). The effects of opioids relative to placebo for chronic pain beyond 6 months are unknown. The lack of evidence on the long-term benefits of opioids, the similar effectiveness of opioids and nonopioids on some pain conditions, and the dose-dependent relationship of opioid-related harm together suggest that avoiding long-term opioid use, reducing the opioid dose, or replacing opioids with nonopioid alternatives may reduce the risk of opioid-related harm. Learn more in the Clinical Practice article “Opioid Deprescribing in Patients with Noncancer Pain” by Chung-Wei Christine Lin, PhD, and Aili V. Langford, PhD: nej.md/4oL3fu2
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Psycholégiste ⚖️🧠
Psycholégiste ⚖️🧠@Anthropolegiste·
J'ai envoyé une réclamation à Doctolib car je peux pas lister un de mes diplômes considéré "non médical" et ils veulent toujours pas RÉVOLTE
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Michael Okun
Michael Okun@MichaelOkun·
To shunt or not to shunt, that is the (NPH) question? The first large randomized trial of shunting for normal pressure hydrocephalus (NPH) just dropped in NEJM, and there was clear benefit for walking, and it favored the group receiving shunts. Spoiler alert: Walking improved, however thinking (cognition) and bladder function did not. Key Points: - NPH is a condition usually presenting in older adults where fluid builds up in the brain and it associated w/ trouble walking, memory and thinking challenges as well as bladder incontinence. - Shunting significantly improved walking speed and balance compared w/ placebo. - No meaningful change in cognition or bladder control observed at 3 months. - Risks included subdural bleeding and headaches, underscoring the need for careful follow up. My take: NPH has always been a tricky area for clinicians when trying to decidr 'to shunt or not to shunt.' Here are 5 points that resonated w/ me: 1- Shunting in well selected persons can restore some walking ability in NPH. 2- Thinking did not improve at 3 months. 3- Incontinence showed no clear benefit. 4- Risks to always discuss w/ people considering shunts should include bleeding and headaches (as not uncommon). 5- Walking gains may possibly reduce falls and boost independence, however we must be careful as sometimes improved walking w/o improved balance, can actually trigger falls. nejm.org/doi/full/10.10… @FixelInstitute @ParkinsonDotOrg @alzassociation @SfNtweets @SfNtweets @NEJM
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Doc Intubator
Doc Intubator@DIntubator·
@Anthropolegiste C'EST POUR ÇA QU'IL FAUT FAIRE UNE ANESTHÉSIE LOCALE. (un des combats de ma vie, je lâche rien)
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Psycholégiste ⚖️🧠
Psycholégiste ⚖️🧠@Anthropolegiste·
Le réa qui me donne un trocart de ponction lombaire juste après que je lui dise que je veux être légiste ou psychiatre :
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Jerome Adams
Jerome Adams@JeromeAdamsMD·
Thanks for illustrating how preposterous all this is, ⁦@DGlaucomflecken⁩. 🙏🏽🤦🏽‍♂️
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Calcarine 🇳🇴🇬🇱
Calcarine 🇳🇴🇬🇱@calcarine_·
Drame en 3 actes : - Promesse de poste d’assistante pour Novembre 2025. - Annoncer sa grossesse à son futur chef pour anticiper le planning des astreintes. - Perdre son poste: «Je vais prendre quelqu’un d’autre, j’ai un service à faire tourner». Hôpital français, 2025.
GIF
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American Brain Tumor Association
July is all about #Glioblastoma—deadliest brain cancer, no cure, no early detection. 💔 But there's hope. Join us this month as we spotlight the latest in GBM treatment & honor those we’ve lost. PLEASE RETWEET AND SPREAD THE WORD 🧠💙 🔗 abta.org/glioblastoma
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