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Neuro rotation - anyone else feel lost?

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MedLover25

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I feel completely lost on my rotation. I have 2 books I read, but honestly I can't read ALL day long. My doc likes to see patients back to back, so I have no time to see patients on my own. I have seen a couple by myself, and I do learn things from being in the room with him, but I also don't get the experience of testing what I know, or not knowing and learning from that.

Also for some reason, I feel like I've lost brain cells on this rotation. Seriously. Things that I KNOW and have "recommended" as treatment in past patients just...disappear from my thoughts. It's crazy, lol. Like today, had a patient with an obvious diagnosis. He even wrote it down as I had my "ahhhh" moment, looked at it, and thought "yeah, definitely." 10 minutes goes by and he asks me "so, what's the dx?" I sat and froze up because I was like "omg, if it's not what I'm thinking, what could it possibly be?" Then he says the original dx and in my head I was screaming "I KNOWWWWWWWW, I thought you meant.....!!!"

Is this how neuro feels for other people? I haven't felt this confused since day 1 of being in a hospital. :confused:
 

nlax30

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Neuro was an odd one. I definitely saw some of my most interesting cases that month but I kinda felt the same way. Especially in outpatient clinic I'd see the patient with whatever nebulous neuro complaint they had and then would have no idea where to go from there.

Do you also do inpatient neuro? Hopefully you have time to round on your own and examine the inpatients and not just running back and forth from clinic all day.

The really cool cases were fascinating... but there was usually nothing to do besides serial neuro exams. And the boring/bread and butter ones had some management but they were boring. At least I ruled out neuro that month. :laugh:
 

medsend

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my rotation was very different. I kept seeing the same types of patient, same treatment plan and it was very standard. What books are you using? I tried to get a good foundation down early with mksap and then read blueprints through the course. I thought this was pretty sufficient. also, quickly learn the neuro exam and try to do it really fast to save time.
 

MedLover25

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my rotation was very different. I kept seeing the same types of patient, same treatment plan and it was very standard. What books are you using? I tried to get a good foundation down early with mksap and then read blueprints through the course. I thought this was pretty sufficient. also, quickly learn the neuro exam and try to do it really fast to save time.

mksap is a good idea. i bought a neuro book, but its not as detailed as I was hoping it to be. I'll probably just stick to what I studied with in the past.

I only get outpatient exposure. I asked the doc if I could do calls with him (hoping to see something).
 
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