How did you know Neuro was the right choice?

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vegasdo

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MS-III here, interested in neurology. I have a question for the Neuro residents and applicants. How did you choose Neuro? Did all of you guys ace your neuroscience course? I did OK in neuro but as we all know it can get ridiculously complicated. Do you need to have a firm grasp of all the nuclei and tracts in order to be a good neurologist? Should I use neuroscience and neuroanatomy as indicators on how I will like Neurology as a specialty?


Thanks

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MS-III here, interested in neurology. I have a question for the Neuro residents and applicants. Did all of you guys ace your neuroscience course? I did OK in neuro but as we all know it can get ridiculously complicated. Do you need to have a firm grasp of all the nuclei and tracts in order to be a good neurologist? Should I use neuroscience and neuroanatomy as indicators on how I will like Neurology as a specialty?


Thanks

I'm just applying this year, and I think more experienced residents and practicing docs will be able to give you more insight, but I'll give you my two cents anyway.
In choosing my specialty I started with what subjects/systems had interested me most in pre-clinical years: endocrine, cardio, rheum, neuro (in no particular order). Then I looked at the types of patients I had seen on the various clinical rotations and the types of patients I had heard are "bread and butter" in practice. Diabetes and osteoporosis? Not what interested me about endocrine. CHF, HTN, CAD, and scores of cleverly acronymed trials? Not so much into cardio as I thought. (Really I think I just liked hearing murmurs and pointing to the involved valve.) Fibromyalgia? No thanks, rheum. Plus, I just don't like doing a lot of detailed musculoskeletal exam maneuvers. Lots of imaging + stroke and seizure for excitement in inpatient + really interesting diseases in outpatient = winner, winner, chicken dinner, NEURO! The lifestyle is not bad, and the everyday "boring" patients of headache and back pain are still interesting enough to me. So that was my process in 90 seconds. I'm curious to see what others say.
 
This is a good thread. I was a philosophy major in undergrad and got totally fascinated w/ behavioral neurology early on in med school. I love how the field moves back and forth between big picture questions about what makes us human and fascinating molecular questions about the pathogenesis of neurodegenerative diseases. I did have a crisis of confidence this summer when doing a rheum rotation which I really dug. Immunology is so elegant, and I was blown away by what amazing clinicians rheumatologists are. The vasculitides and other rheumatologic diseases are super interesting, and because of their chronic nature, the patient-doc relationships seem really good. I'm interested in palliative care too so that kept me on the fence btn med and neuro also. At any rate, I ended up deciding that I'm gonna try to have my cake and eat it too by doing something in the area of neuroimmunology/neuro-ID/HIV neurology and keep my hand in the palliative care world as well (don't laugh😉 ). So that's my story.
 
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For me, it was a combination of factors that led me to neurology in the end. First, the brain is vastly interesting. From just about any angle it is truly a beautiful organ with hidden mysteries, amazing complexities, and elegant structure.

Second, I find neurological illnesses (including schizophrenia and depression) to be the most devastating of all illnesses since it leads to terrible disability and often a loss of the things that make us human. Therefore, treating and learning to treat neurological illnesses is to me among the most noble endeavors of humankind.

Third, clinically neurology is becoming more and more rewarding. Maybe not quite as rewarding as cardiology or surgery by sheer numbers of success, but if you have ever seen someone with devastating Guillain-Barre walk out of the hospital days after having been in the NICU, or a stroke patient completely turn around after some tPA, you will understand that on occasion, neurologists have the opportunity to render amazing treatments that completely changes a patient's and a family's world.

Fourth, neurology is expanding quickly with new breakthroughs every year. It is breathtaking to await the next stroke trial that pushes the window up to 9 hours, or the antibody treatments for Alzheimer's. In 20 years, I expect neurology to be performing miracles frequently, that will surely give the field a new status in society (and likely greater material rewards for its practicioners as well--for those who care).

Finally, the practice of neurology remains true to the art of medicine. The detective work in solving a patient's problems that has resisted years of investigation, surgical efforts, and therapies (like a recent case of neurosarcoidosis that I saw), the careful subtle clues on a neurological exam, the detailed examination of head CT's, MRI's, EEG's, etc, and the ability to use all of this information to know what to do next appears to be a challenge that one can continue getting good at throughout one's career. Choosing on treatments when the evidence, and possible even a diagnosis, is not there requires mastery of this art. Taking care of patients at their worst and providing them solace when treatment still offer little is also a way to experience the art of medicine.

That is why I chose neurology.

B
 
very insightful. I guess with more experience I will soon be able to answer my own question. Hopefully I can find a good neuro rotation.
 
Do you have to do research during your neurology rotation?
 
Basically, I was interested in neuroimaging and neuroanatomy from the beginning of medical school.

I enjoyed my Gross Anatomy and Neuroscience courses in the first two years of medical school, and then enjoyed my Neurosurgery and Neurology rotations as a third and fourth year. Was very interested in headache, stroke, and head trauma.

Became much more interested in Neurology when I learned more about stroke and it's new treatment options.
 
I did a lot of soul searching before I decided to apply for Neurology this year. After I did an Epilepsy elective at the beginning of fourth year, I knew that I loved Neurology. Neurologists get to manage conditions that are acute and chronic. I am especially intrigued by the chronic conditions because they allow you to form long term relationships with patients. And you get to work with a diverse patient population. You work with patients who are young and old for conditions that are severe or mild. I can't count how many times I've heard people say that neuro is depressing because you can diagnose but cannot treat. That is so untrue. Neurology is changing from a purely diagnostic field to a therapeutic one. And for the chronic conditions you really cannot treat, you get a unique opportunity to provide comfort by being human and sharing your empathy. As someone already mentioned, neurology is a beautiful example of medicine as an art and a science. Sometimes people forget that there are a lot of problems that cannot simply be cut out or fixed immediately.
 
Other than the lifestyle, any big difference between neurology and neurosurgery ? I'm having both rotations in february-march 2007, but I'd be interested in hearing more opinions. I enjoyed neurology way more than anything else so far in med school (aced it like there was no tomorrow), but I'm leaning toward surgery/rads if neurology isn't an option.
 
As a neurosurgeon, you are the most elite physician in the hospital and you enjoy the power to 'fix' and 'cure' neurological disease. Current neurosurgical research is breath-taking.. viral vectors for neurolgical disease, intra-thecal drugs, endoscopic neurosurgery, vascular neurosurgery, Interventional vascular surgery, deep brain stimulation, brain implants for various disorders, sensory implants for paralyzed patients, transplantation... sky is the limit.

As a neurologist, you have limited treatment options. Most drugs do not cross BB barrier. Many neurologists have limited options for research. Lifestyle is not as good as Internists or other medical professionals.
 
For me, it was a combination of factors that led me to neurology in the end. First, the brain is vastly interesting. From just about any angle it is truly a beautiful organ with hidden mysteries, amazing complexities, and elegant structure.
B

Hmmmm... spine look sexier than brain 😉

brain.gif


Spinal_column.gif
 
As a neurosurgeon, you are the most elite physician in the hospital and you enjoy the power to 'fix' and 'cure' neurological disease. Current neurosurgical research is breath-taking.. viral vectors for neurolgical disease, intra-thecal drugs, endoscopic neurosurgery, vascular neurosurgery, Interventional vascular surgery, deep brain stimulation, brain implants for various disorders, sensory implants for paralyzed patients, transplantation... sky is the limit.

As a neurologist, you have limited treatment options. Most drugs do not cross BB barrier. Many neurologists have limited options for research. Lifestyle is not as good as Internists or other medical professionals.

Stop your stereotype peddling. You are wrong. Neurosurgeons would be first ones to tell you. 'Fix and cure'? That's rare just like other specialties, if not worse. Take your neursurgery worshipping elsewhere, please!

And limited options for research? Are you smoking grass again?
 
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As a neurologist, you have limited treatment options. Most drugs do not cross BB barrier. Many neurologists have limited options for research. Lifestyle is not as good as Internists or other medical professionals.

You make three statements, each of which is arguable.

1) Limited treatment options? Hardly. Consider: a) thrombolytic stroke therapies (miraculous...you have to see this to appreciate it); b) pharmacotherapy for Parkinson's Disease, epilepsy, myasthenia gravis, and MS.

2) Limited options for "research?" Wrong again. Neurologists have plenty of oportunities for clinical and academic research.

3) "Lifestyle" is not as good as [that of] 'internists or other medical professionals? What do you mean by "lifestyle?" I should say "What the Hell are you smoking...," but I'm bending over backwards to be polite.

Methinks you are a flame, but maybe you are just sincerely mistaken. 🙂

Nick
 
Objectively speaking, internal medicine does offer more therapeutic options than neuro. Count the different types/brands of blood pressure meds out there--just that alone is probably more (in terms of numbers) than ALL the meds neurologists use. In medical oncology, the number of chemotherapeutics, the various chemo regimen combinations and the complexity of those treatments, are more than anyone can imagine. So if you enjoy using a wide variety of therapeutics to treat diseases, I think internal medicine is a better choice. There are lots of exciting therapeutics in neurology too, just not as many as internal medicine at this point.

In 20-25yrs, when cardiologists have cured MI/CHF and oncologists have significantly extended cancer patients' life, people will all live long enough to get alzheimers. I predict that's when neurology will once again flourish like the golden days back then. But until then, lots and lots of neuroscience research need to be done.
 
As a neurosurgeon, you are the most elite physician in the hospital and you enjoy the power to 'fix' and 'cure' neurological disease. Current neurosurgical research is breath-taking.. viral vectors for neurolgical disease, intra-thecal drugs, endoscopic neurosurgery, vascular neurosurgery, Interventional vascular surgery, deep brain stimulation, brain implants for various disorders, sensory implants for paralyzed patients, transplantation... sky is the limit.

As a neurologist, you have limited treatment options. Most drugs do not cross BB barrier. Many neurologists have limited options for research. Lifestyle is not as good as Internists or other medical professionals.

I think you are probably smoking something worse.

First of all, neurosurgeons often recommend non-surgical treatment and wash their hands from consults, as in, nothing for them to do unless its truly bad e.g. SAH or ICH, in which case the person will have already sustained permanent damage and will have minimal symptomatic improvement from their deficit. Much of the neurosurgical consults are done for liability reasons rather than with the hope to "fix or cure." If you think so, you must be a PGY1 in neurosurgery at the best (and I'm being polite by saying this).

Second of all, your hysterical and laughable comment on neurosurgical research is breathtaking in and of itsself. Essentially every single one of those research topics you just mentioned, including "viral vectors for neurological disease, intra-thecal drugs, vascular interventions, Interventional vascular surgery, deep brain stimulation, brain implants for various disorders, sensory implants for paralyzed patients, transplantation..." were pioneered by NON-neurosurgeons. The majority of those were developed by basic science researchers, many of whom were neurologists or neurological researchers. Perhaps you should go and do some research on who came up with the first viral vector approach for the brain, the first intra-thecal proposition, the first sensory or motor-related implant, the first nerve-related transplantation, the first PET scan of the brain, the first transcranial magnetic stimulator, the first gamma-knife set-up, the first overexpression of transgenes in the brain, the first injection of pharmacological agents into parenchymal tissue or intra-ventricular injection, the first discovery of brain stem cells and the first animal model of transplant thereafter, the first blah blah blah .....and then you will realize that neurosurgeons were often used or will be used eventually as monkey to implement the tool onto humans. I can give you specific examples of publications if you are interested. Often the work came out of a neuroscience laboratory that was run either by a neuroscientist and/or a neurologist who then hand-picked their favorite neurosurgeon to collaborate with them on the clinical trial of the basic science protocol that the laboratory pioneered. The neurosurgeon could have been substituted in many of these cases. Technique is technique. But novel pioneered research is unique, ingenious, and requires a creative mind who can think diagnostically, therapeutically, and a clear understanding of neurological diseases and basic neuroscience at the molecular and cellular level. You want me to be more sarcastic about? Would you rather be a mechanic or would you rather be an engineer and designer? I'm not going to be childish about it because being childish is a sign of insecurity. But the bottom line is that clinicians work as a team, and true discovery of a medical breakthrough at the basic science level is not done by clinicians a large proportion of the time. Clinicians often do the translational research that bridges the discovery from rodents to eventually humans. And neurosurgeons are one of the last ones to implement this since very few do basic science research, among the 20+ neurosurgeons that I know, only 1 or 2 conducts research at the basic science level whereas the others implement discoveries done by the neurologists and neuroscientists.

Moreover, you say neurologists have limited options for research? How funny. The truth is almost the exact opposite. As neurologists, you have the option of pursuing very basic research that would only be possible if you were highly adept at very basic techniques acquired through years of basic science research, i.e. I don't see too many neurosurgeons doing molecular biology and cloning and making transgenic animals with highly cutting edge research on animals that has never ever been proposed. I do, however, see the neurosurgeon wondering if that already discovered and proposed topic would also work on humans. Well, no problem...that neurosurgeon doesn't have to think too hard, because if he/she cannot do the technique already described in animals then I'm sure there will be another 100 neurosurgeons would probably step and volunteer to perform the clinical trial. The lucky neurosurgeon would probably become a co-author on the study (not lead author and not the senior author....tsk tsk).


As for your other immature comments about neurologists having a bad lifestyle, that dumb comment is clearly based on ignorance. Perhaps you should go and shadow some internists and neurologists, both in the academic and private practice sector, and then compare the fields to realize how wrong your statement is.
 
Count the different types/brands of blood pressure meds out there--just that alone is probably more (in terms of numbers) than ALL the meds neurologists use.

Not sure if you realize this but Neurologists also use BP meds. It's called treatment/prevention of strokes. Look it up!😉
 
I think you are probably smoking something worse.

First of all, neurosurgeons often recommend non-surgical treatment and wash their hands from consults, as in, nothing for them to do unless its truly bad e.g. SAH or ICH, in which case the person will have already sustained permanent damage and will have minimal symptomatic improvement from their deficit. Much of the neurosurgical consults are done for liability reasons rather than with the hope to "fix or cure." If you think so, you must be a PGY1 in neurosurgery at the best (and I'm being polite by saying this).

Second of all, your hysterical and laughable comment on neurosurgical research is breathtaking in and of itsself. Essentially every single one of those research topics you just mentioned, including "viral vectors for neurological disease, intra-thecal drugs, vascular interventions, Interventional vascular surgery, deep brain stimulation, brain implants for various disorders, sensory implants for paralyzed patients, transplantation..." were pioneered by NON-neurosurgeons. The majority of those were developed by basic science researchers, many of whom were neurologists or neurological researchers. Perhaps you should go and do some research on who came up with the first viral vector approach for the brain, the first intra-thecal proposition, the first sensory or motor-related implant, the first nerve-related transplantation, the first PET scan of the brain, the first transcranial magnetic stimulator, the first gamma-knife set-up, the first overexpression of transgenes in the brain, the first injection of pharmacological agents into parenchymal tissue or intra-ventricular injection, the first discovery of brain stem cells and the first animal model of transplant thereafter, the first blah blah blah .....and then you will realize that neurosurgeons were often used or will be used eventually as monkey to implement the tool onto humans. I can give you specific examples of publications if you are interested. Often the work came out of a neuroscience laboratory that was run either by a neuroscientist and/or a neurologist who then hand-picked their favorite neurosurgeon to collaborate with them on the clinical trial of the basic science protocol that the laboratory pioneered. The neurosurgeon could have been substituted in many of these cases. Technique is technique. But novel pioneered research is unique, ingenious, and requires a creative mind who can think diagnostically, therapeutically, and a clear understanding of neurological diseases and basic neuroscience at the molecular and cellular level. You want me to be more sarcastic about? Would you rather be a mechanic or would you rather be an engineer and designer? I'm not going to be childish about it because being childish is a sign of insecurity. But the bottom line is that clinicians work as a team, and true discovery of a medical breakthrough at the basic science level is not done by clinicians a large proportion of the time. Clinicians often do the translational research that bridges the discovery from rodents to eventually humans. And neurosurgeons are one of the last ones to implement this since very few do basic science research, among the 20+ neurosurgeons that I know, only 1 or 2 conducts research at the basic science level whereas the others implement discoveries done by the neurologists and neuroscientists.

Moreover, you say neurologists have limited options for research? How funny. The truth is almost the exact opposite. As neurologists, you have the option of pursuing very basic research that would only be possible if you were highly adept at very basic techniques acquired through years of basic science research, i.e. I don't see too many neurosurgeons doing molecular biology and cloning and making transgenic animals with highly cutting edge research on animals that has never ever been proposed. I do, however, see the neurosurgeon wondering if that already discovered and proposed topic would also work on humans. Well, no problem...that neurosurgeon doesn't have to think too hard, because if he/she cannot do the technique already described in animals then I'm sure there will be another 100 neurosurgeons would probably step and volunteer to perform the clinical trial. The lucky neurosurgeon would probably become a co-author on the study (not lead author and not the senior author....tsk tsk).


As for your other immature comments about neurologists having a bad lifestyle, that dumb comment is clearly based on ignorance. Perhaps you should go and shadow some internists and neurologists, both in the academic and private practice sector, and then compare the fields to realize how wrong your statement is.


Quite an emotional outburst 😕

I bet you havent heard the names Gazi Yasargil or Robert Martuza or Robert Spetzler or Harvey Cushing.. just to name a few. Just google these men and perhaps you can enlighten yourself by actually learning who first proposed that viruses could be used for treatment of brain tumors and who invented intravascular manipulations to treat stroke.

Neurologists could not came up with a good drug to relieve suffering in diseases like trigeminal neuralgia, parkinson's disease, refractory seizures.. to name a few. Dont tell me that Sinemet is miraculous because those who can afford it now prefer Deep Brain Stimulation before excessive Sinemet gets them to a complete 'on-off state'.. Yeah you havent heard of the on-off phenomena. Slowly neurosurgeons are beginning to tackle the entire spectrum of neurological disease. Memory chips are being tested for Alzheimer's (I think this is a Nobel prize in the making).

We all know that TPA is not going to solve Stroke. In 20 years, Stroke will be an archived disease (much like Polio) when people will finally learn to avoid fatty food and keep their blood pressures in check. Rest of the Stroke cases will be treated by neurosurgeons using state of the art stents and vessel replacement operations..

On yeah.. you are so naive you havent heard of blood vessel transplantation..

Enjoy the 3rd year..
 
I already recognize the names of many of the posters on this thread to be those who are irrationally and disrespectfully anti-Neurology, so the utility of my posting something on this thread is probably limited. Regardless, here are some thoughts of mine.

1. "In 20 years, Stroke will be an archived disease (much like Polio) when people will finally learn to avoid fatty food and keep their blood pressures in check." And we will have flying cars, light-speed travel and world peace.

2. Interesting that people bring up Oncology and hypertension as examples of how Neurology doesn't have many drugs, since Neurologists do both. There are plenty of Neuro-oncologists out there, even if salmonella doesn't know they exist. And how many anti-epileptics are there now?

3. How does a neurosurgeon know where to place a DBS for Parkinson's? Who adjusts the DBS? Who localizes the seizure focus to ablate? The last time I checked, these were things that were done by a Neurologist who work closely with the operating neurosurgeon. At institutions I've been at, Neurologists and Neurosurgeons may both consider themselves to be superior on one way or another, but they work together very collegially. This interaction benefits the patients, and the education of practitioners in both fields. They don't waste time bickering over who is more important.

4. Neurology is still definitely an evolving field. It's exciting to see new advances in areas that previously were quite limited in treatment options. And it's frustrating to have areas that are still quite limited. There's still a lot of "we don't know what to do, so let's try IVIg, PLEX, or Rituxan. But most epileptics are at least as well controlled as most hypertensives. I'd like to see an internist "cure" essential hypertension.

5. Who the hell cares what a non-neurologist thinks about neurology? I think accounting must be the most boring thing in the world, but I don't go to their web forums and bash their field. I respect that they have a function in society, and leave it at that. I only wish that others could do the same, but as I said earlier, it's probably useless to even say this.
 
Not sure if you realize this but Neurologists also use BP meds. It's called treatment/prevention of strokes. Look it up!😉

Well, if you were going to use this argument, then I could say internists and FP also do stroke prevention (Isn't that one of the main reasons why IM control people's BP?), and most of the current oncologists treating neurological malignancy were actually trained as medical oncologists. Plus, the number of chemotherapeutics available for treatment neuro-oncological conditions is still much less than those for other organ systems.

I am not anti-neurology here...just trying to give the OP an objective comparison between IM and Neuro, since Onco brought up this issue in the first place. To get a fair assessment on a medical specialty, you have to speak with people BOTH inside and outside of that field. This is very important for MS3s.
 
1. "In 20 years, Stroke will be an archived disease (much like Polio) when people will finally learn to avoid fatty food and keep their blood pressures in check." And we will have flying cars, light-speed travel and world peace.

:laugh: :laugh: :laugh: :laugh: :laugh:

Onco's views are simply stupid.
 
We all know that TPA is not going to solve Stroke. In 20 years, Stroke will be an archived disease (much like Polio) when people will finally learn to avoid fatty food and keep their blood pressures in check.

Kind of like how everyone has quit smoking since we found out it causes cancer? Just like how all alcoholics quit drinking when they realize how much it affects their lives.

TPA "solves Stroke" as well as aspirin "solves" MI. Unless you have some plan to ressurect dead tissue, you have to reevaluate what you are expecting the treatment to do, especially in light of what has actually happend to the patient. No neurosurgical option is going to magically revive dead tissue, and no neurological option should be expected to. What is your rationality behind attacking an effective treatment option simply because it is used in a field you are not interested in?
 
Stroke is rare in the west and northeast (except New Jersey area). Stroke belt is in the south. Incidence of Stroke has decline steadily over the past 20 years.

I sincerely hope Stroke is eradicated in 20-25 years. Doctors should always remain positive. 🙂 Cheers.
 
How many times does Onco have to spout these tired defamations designed solely to inflame before he gets banned? Other posters have already pointed out the flaws in his statements, and I will not reiterate them. On the topic of number of treatment modalities available, the number of different medications available to treat HTN is a specious argument that IM offers more treatment options than neuro since none of those medications cure HTN anymore than levodopa cures PD (of course, the difference is that patients actually notice when levodopa works and rarely know the difference between taking their ACEI or not unless it makes them cough or hypotensive). Moreover the entire argument is devoid of merit since there are patients with neurologic diseases that no one other than a neurologist will treat. There are values and traits held by those that choose to treat these patients and elucidating these values and traits was the point of this thread until the Neurology Defamation League jumped on it.
 
Stroke is not rare anywhere. Stroke is more or less common in some areas. And even if all the risk factors were eliminated, which will NEVER happen, Stroke will not be. Or were you also going to eliminate coagulopathy, collagen vascular disease, all forms of hypertension, arrhythmias, congenital and acquired hyperlipidemias, diabetes, and freak accidents? That list, by the way, is far from all-inclusive.

Nobody on this forum will argue that Neuro doesn't have its limitations, but most of the people on this forum find it interesting, and many have chosen it as their field of study/practice. Making hyperbolic irrational and disrespectful comments about the field helps no one. Please stop.
 
How many times does Onco have to spout these tired defamations designed solely to inflame before he gets banned? Other posters have already pointed out the flaws in his statements, and I will not reiterate them. On the topic of number of treatment modalities available, the number of different medications available to treat HTN is a specious argument that IM offers more treatment options than neuro since none of those medications cure HTN anymore than levodopa cures PD (of course, the difference is that patients actually notice when levodopa works and rarely know the difference between taking their ACEI or not unless it makes them cough or hypotensive). Moreover the entire argument is devoid of merit since there are patients with neurologic diseases that no one other than a neurologist will treat. There are values and traits held by those that choose to treat these patients and elucidating these values and traits was the point of this thread until the Neurology Defamation League jumped on it.



I sure hope that Onco does NOT get banned. I have not laughed this hard in a while.

:laugh: :laugh: :laugh:
 
Deep breath in, now here goes......

Okay, allow me to weigh in for a moment without pointing fingers or trashing anybody.

I will agree that as a neurosurgeon you are highly respected. But neurosurgery does not always equal cure and a good neurosurgeon will readily admit this. Many neurosurgeons are hesitant to operate if they know the outcome will be more grave than the situation at hand. That is not unreasonable. The frustration of neurosurgery is to make patients understand that you can make them worse. Mucking sharp instruments around the human nervous system can do this. Most back pain patients don't realize this when they get their surgery, hence the high rate of litigation.

Internist and FP's don't cure everything either. You can cath a patient having an MI and angiographically speaking, their coronaries look wonderful and the patient does better. But they still have vascular disease. This is the same for stroke intervention that everybody loves to talk about on here. You can place a CHF patient on 15 different meds and dramatically improve their symptoms, but they still have CHF. You can place a person on insulin or hypoglycemics and if they are compliant, will likely have excellent blood sugar control, but they still have diabetes. You can extend the life of a cancer patient by XRT or chemotherapy, but they still have cancer.

Now lets go back to neurosurgery as I once heard an ignoramus once utter that neurosurgeons will cure all the things neurologist can cure and that now they have cures for epilepsy and parkinsons. Again, false! Sure, a deep brain stimulator can dramatically improve a tremor, but the person still has parkinsons. Yeah, whacking out a piece of brain might reduce seizures when all else fails, but this could leave behind neurological deficits and these surgeries certainly are not without their risks.

Now, lets return to the topic at hand: how did you know neurology was for you? Well, youjsut have to like examining the human nervous system. If you like this, then you will like neurology.
 
I sincerely hope Stroke is eradicated in 20-25 years.

So do I, but as the third leading cause of death in this country (behind cardiovascular disease and cancer), it is extremely doubtful that this would occur. You might as well wish hear attacks away.

I wouldn't mind seeing a cure for cancer or HIV, either.
 
So do I, but as the third leading cause of death in this country (behind cardiovascular disease and cancer), it is extremely doubtful that this would occur. You might as well wish hear attacks away.

I wouldn't mind seeing a cure for cancer or HIV, either.

Stroke can be prevented by relatively simple measures. Its not a complicated disease unlike autoimmune disorders or cancers or HIV or congenital/genetic diseases. Almost everything is known about the pathogenesis of Stroke. Realistically Stroke is one of the most preventable (and easily preventable) diseases. The prevalence is surely likely to decrease in the coming years.
 
Stroke can be prevented by relatively simple measures. Its not a complicated disease unlike autoimmune disorders or cancers or HIV or congenital/genetic diseases. Almost everything is known about the pathogenesis of Stroke. Realistically Stroke is one of the most preventable (and easily preventable) diseases. The prevalence is surely likely to decrease in the coming years.

In your opinion, which subspecialty within neurology will advance most in the future?
 
Stroke can be prevented by relatively simple measures. Its not a complicated disease unlike . . . HIV or congenital/genetic diseases. Almost everything is known about the pathogenesis of Stroke. Realistically Stroke is one of the most preventable (and easily preventable) diseases. The prevalence is surely likely to decrease in the coming years.

Hmmm, last I checked HIV is actually even more easily prevented than strokes. Just put a condom on! Or do you find that difficult to do (which may in fact be the case)????

Your reasoning is laughable! And your idiocy is truly surprising!
 
In your opinion, which subspecialty within neurology will advance most in the future?

You might want to ask a Neurologist.. this is a tough question.
 
Stroke can be prevented by relatively simple measures. Its not a complicated disease unlike autoimmune disorders or cancers or HIV or congenital/genetic diseases. Almost everything is known about the pathogenesis of Stroke. Realistically Stroke is one of the most preventable (and easily preventable) diseases. The prevalence is surely likely to decrease in the coming years.

I see your logic. Sure, if you have a low fat diet and take preventative measures, you certainly can avoid stroke. I suppose that only leaves a few other things out there that can cause stroke----

Vasculitis
SLE
Connective Tissue Disease
Atrial fibrillation
Cancer: Can only list a few types that can lead to hypercoagulable states, right?
Cancer chemotherapy
Factor V Lieden
Protein C&S
Antirhthrombin III
Familial Dyslipdemia syndromes
Heart valve disease
Endocarditis/Septic emboli
Head Trauma
Pregnancy/OCP usage
AVM
Cerebral Aneurysms
Polycythemia Vera
Neonatal (mother is hypercoagulable and passes clot transplacental)
Congenital vascular abnormalities


I suppose those are the only few few things left that could lead to stroke. I suppose if everybody quits smoking, eats right, takes an aspirin, and exercises, I will be out of business.
 
Stroke can be prevented by relatively simple measures. Its not a complicated disease unlike autoimmune disorders or cancers or HIV or congenital/genetic diseases. Almost everything is known about the pathogenesis of Stroke. Realistically Stroke is one of the most preventable (and easily preventable) diseases. The prevalence is surely likely to decrease in the coming years.
Anyone who believes "almost everything" is known about the pathogenesis of stroke (or vascular disease in general) is exceedingly ignorant. Failure to recognize how much you do NOT know is the greatest ignorance. Also, anyone who believes that stroke prevalence will decrease in the face of the aging population is simply wrong.
 
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