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   Medicine for the brain is incredibly complex.  Yet, the joke goes around medical circles that Neurologists are admirers of disease, not treater’s of it.  This is far less true now than forty years ago, and is rapidly becoming less and less true everyday, but that small kernel of truth does say something about we who are drawn to the field.  I really do find the disease processes that affect brain function seriously fascinating. 

 

 We learn almost everything we know about the brain from what happens when things go wrong.  Genetic diseases become our laboratory, nature the experimenter, allowing us to learn things we would be monsters for trying to recreate in the lab with people.  In fact, Nazi physicians are generally hailed as monsters for doing precisely this, reducing the person to lab rat.

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Well, another week gone by and as always, I’ve mined my favorite nuggets from the internet I have surfed across, especially for you, the reader.  So without further delay, I present the very best of the internet- Read the rest of this entry »

When I was in the third grade, I learned about this very cool thing called a bike-a-thon.  I could take my bike and by just riding it help cure cystic fibrosis, a disease that I had no idea what it was, but sure sounded bad.  In my idealistic eight year old mind this just seemed like it just having fun for a good cause, so I signed right up and went for it.

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My second grader sister heard about the same thing and decided she had to do it as well.  That was a pain.  This meant every pledge I went to get had to pledge equally to the both of us by royal decree of my mother.  I was irritated, but we both pluckily canvassed the small town of under 1,000 inhabitants, all of whom knew our family, and gathered pledges.  I knew no fear in those days, heck, I didn’t even realize knocking on doors asking for money is annoying in my innocence. 

    Pledges were made per mile and so the first question we were asked was how many miles we were going to bike.  I pulled the number twenty off the top of my head as it seemed a nice even number.  I still remember some of the amused, patronizing smiles as these wordly wise adults then penciled in their donation.  Our pledges piled up and we ran out of room to contain them, requiring extra pledge sheets.  What’s the harm in donating to a couple of naive kids playing grown up biking on their Schwinn’s after all.   Read the rest of this entry »

Many apologies for the light posting.  The beginning of the medical school year always seems to kick work demands up a notch.  I have something wonderful, insightful, and enthralling coming up as soon as I figure out what it is.  Until then, here is the collection of all the enthralling stuff I wish I could write.  Enjoy! Read the rest of this entry »

It’s BAACK. It took all of a day longer to fill, but I hope you find it worth the wait. Without further delay, here is the very best of the internet to have crossed my eyes in the past 8 days. Read the rest of this entry »

Choosing on a medical specialty involves learning your own answers to a series of questions?

-Do I enjoy patient interaction or not?

If no, consider Pathology or Radiology

-Do I like surgery and procedures more, or medicine and clinical reasoning, or both?

note- Anesthesia is a procedure and OR specialty, sort of surgery-lite.

Both- Ophthalmology, Orthopedic Surgery (well peds ortho anyway), ENT, Ob-Gyn, and Emergency medicine for procedures

-Do I prefer general, broad knowledge or limiting to one area or system, Primary care or specialist?

This is often a question of knowing a little about a lot, or a lot about a little.  However, It also involves whether you prefer relatively healthy patients or relatively sick.

-Do I do I prefer to see kids, adults, or both? (remember you can do almost anything for kids that you can for adults.)

The last question was easy for me.  From my point of view, pediatric care is superior to adult medicine in so many ways. Read the rest of this entry »

Making its comeback appearance after a week off, I present, especially for you the reader, the very best of the internet to have crossed my path in the last week. Read the rest of this entry »

Becoming the parent of a child with a genetic disease is a harrowing experience. This is likely more true today than it has ever been. We are hardwired to want the best for our children. Discovering they have a life altering condition pulls the rug right out from under parents. Discovering that the very genetic blueprint they passed on to the child is the problem makes this “act of God” personal. Suddenly, it is your fault.

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