Murli Mishra MD PhD
@murlimishramd.bsky.social
Vascular Neurology /StrokeNet fellow at UTHouston; #Meded #Medsky #Neuro #Neurology #Stroke
Here is our new publications:
A urine-based POC test for Factor Xa inhibitors: Ideal for patients presenting with acute neurological / stroke symptoms when the last Factor Xa inhibitor dose is unclear. It may be a game-changer for many patients
www.strokejournal.org/article/S105...
A urine-based POC test for Factor Xa inhibitors: Ideal for patients presenting with acute neurological / stroke symptoms when the last Factor Xa inhibitor dose is unclear. It may be a game-changer for many patients
www.strokejournal.org/article/S105...
A urine-based point-of-care test for Factor Xa inhibitors in acute stroke management
For stroke patients with history of possible Direct Acting Oral Anticoagulant use,
clinicians must make treatment decisions without knowledge of whether the patient
is therapeutically anticoagulated. ...
www.strokejournal.org
November 24, 2025 at 5:09 AM
Here is our new publications:
A urine-based POC test for Factor Xa inhibitors: Ideal for patients presenting with acute neurological / stroke symptoms when the last Factor Xa inhibitor dose is unclear. It may be a game-changer for many patients
www.strokejournal.org/article/S105...
A urine-based POC test for Factor Xa inhibitors: Ideal for patients presenting with acute neurological / stroke symptoms when the last Factor Xa inhibitor dose is unclear. It may be a game-changer for many patients
www.strokejournal.org/article/S105...
I've never used anonymous surveys for real criticism.
Feedback works best when it’s open and accountable. Leaders need to know who's speaking so they can reach out and discuss solutions rather than guessing. Let's champion openness for true improvement. #Leadership
Feedback works best when it’s open and accountable. Leaders need to know who's speaking so they can reach out and discuss solutions rather than guessing. Let's champion openness for true improvement. #Leadership
a rainbow colored background with the words feedback please and a microphone
ALT: a rainbow colored background with the words feedback please and a microphone
media.tenor.com
November 12, 2025 at 5:12 PM
I've never used anonymous surveys for real criticism.
Feedback works best when it’s open and accountable. Leaders need to know who's speaking so they can reach out and discuss solutions rather than guessing. Let's champion openness for true improvement. #Leadership
Feedback works best when it’s open and accountable. Leaders need to know who's speaking so they can reach out and discuss solutions rather than guessing. Let's champion openness for true improvement. #Leadership
#Neurology never stops amazing me. Had an amazing case of monocular quadrantanopia on initial exam that turned out to be ischemic stroke. Differential based on CT included Temporal Crescent syndrome findings, but I had never seen a case. Here is the link:
eyewiki.org/Monocular_Oc...
eyewiki.org/Monocular_Oc...
Monocular Occipital Temporal Crescent Syndrome - EyeWiki
All content on Eyewiki is protected by copyright law and the Terms of Service. This content may not be reproduced, copied, or put into any artificial intelligence program, including large language and...
eyewiki.org
November 10, 2025 at 11:30 AM
#Neurology never stops amazing me. Had an amazing case of monocular quadrantanopia on initial exam that turned out to be ischemic stroke. Differential based on CT included Temporal Crescent syndrome findings, but I had never seen a case. Here is the link:
eyewiki.org/Monocular_Oc...
eyewiki.org/Monocular_Oc...
It’s been 4 months since my last post here. 1/3rd of #stroke fellowship completed. It’s been very eventful 4 months. 8 more months of training remaining before we can call ourselves PGY-Old
#VascularNeurology
#VascularNeurology
November 2, 2025 at 1:17 AM
It’s been 4 months since my last post here. 1/3rd of #stroke fellowship completed. It’s been very eventful 4 months. 8 more months of training remaining before we can call ourselves PGY-Old
#VascularNeurology
#VascularNeurology
June 9, 2025 at 12:28 AM
This month, US FDA @fda.gov announced that animal testing will be phased out! This echoes my article from years ago about pushing for alternatives. #AnimalTesting #Innovation
"Why is it essential to find more human-relevant toxicity testing approaches?" Link: www.linkedin.com/pulse/why-es...
"Why is it essential to find more human-relevant toxicity testing approaches?" Link: www.linkedin.com/pulse/why-es...
Why is it essential to find more human-relevant toxicity testing approaches?
Adverse outcome pathway (AOP) is a mechanistic toxicology based non-chemical structure particular methodology of risk assessment. AOPs mainly try to identify the major events or steps that occur betwe...
www.linkedin.com
April 30, 2025 at 11:05 PM
This month, US FDA @fda.gov announced that animal testing will be phased out! This echoes my article from years ago about pushing for alternatives. #AnimalTesting #Innovation
"Why is it essential to find more human-relevant toxicity testing approaches?" Link: www.linkedin.com/pulse/why-es...
"Why is it essential to find more human-relevant toxicity testing approaches?" Link: www.linkedin.com/pulse/why-es...
Med Myth reminder:
If a patient hasn’t used 75% of prescribed meds in 9 months, it’s not treatment failure or a side effect. Adding more meds won’t help. Investigate non-compliance reasons first.
They self-reported? Just listen.
Listening is essential to the art of medicine
If a patient hasn’t used 75% of prescribed meds in 9 months, it’s not treatment failure or a side effect. Adding more meds won’t help. Investigate non-compliance reasons first.
They self-reported? Just listen.
Listening is essential to the art of medicine
March 28, 2025 at 2:06 AM
Med Myth reminder:
If a patient hasn’t used 75% of prescribed meds in 9 months, it’s not treatment failure or a side effect. Adding more meds won’t help. Investigate non-compliance reasons first.
They self-reported? Just listen.
Listening is essential to the art of medicine
If a patient hasn’t used 75% of prescribed meds in 9 months, it’s not treatment failure or a side effect. Adding more meds won’t help. Investigate non-compliance reasons first.
They self-reported? Just listen.
Listening is essential to the art of medicine
The biggest advantage of having great juniors @VUMCneurology is that once you design a project, others are willing to take it to the finish line. After getting IRB approval, I barely contributed 10% to it. Here is full text:
#PNES #FND
doi.org/10.1016/j.se...
#PNES #FND
doi.org/10.1016/j.se...
Redirecting
doi.org
March 13, 2025 at 10:45 PM
The biggest advantage of having great juniors @VUMCneurology is that once you design a project, others are willing to take it to the finish line. After getting IRB approval, I barely contributed 10% to it. Here is full text:
#PNES #FND
doi.org/10.1016/j.se...
#PNES #FND
doi.org/10.1016/j.se...
Here is the full-text link to our recent article related to neuroimaging findings in Moyamoya disease
#Neurology
pubmed.ncbi.nlm.nih.gov/39801713/
#Neurology
pubmed.ncbi.nlm.nih.gov/39801713/
Cerebrovascular reactivity and response times describe recent ischaemic symptomatology in patients with moyamoya - PubMed
Moyamoya is a non-atherosclerotic intracranial steno-occlusive condition that places patients at high risk for ischaemic stroke. Randomized trials of surgical revascularization demonstrating efficacy ...
pubmed.ncbi.nlm.nih.gov
February 3, 2025 at 11:18 PM
Here is the full-text link to our recent article related to neuroimaging findings in Moyamoya disease
#Neurology
pubmed.ncbi.nlm.nih.gov/39801713/
#Neurology
pubmed.ncbi.nlm.nih.gov/39801713/
Indianapolis trip is incomplete before stopping at Hyderabad House and getting some biryani
February 2, 2025 at 1:25 AM
Indianapolis trip is incomplete before stopping at Hyderabad House and getting some biryani
Enjoying our newsletters? I’m thrilled to share we’re working on something even bigger for neurology trainees & practitioners, launching by the end of this academic year. 🚀
Stay tuned—exciting updates are coming soon!
Stay tuned—exciting updates are coming soon!
Since the very first @NowyouknowNeuro newsletter in July 2022, I’ve been part of this incredible journey. Now, with 36 landmark articles, our newsletter project is officially complete!
You can catch up on them here:
www.nowyouknowneuro.com/landmark-art...
You can catch up on them here:
www.nowyouknowneuro.com/landmark-art...
Landmark Articles
Our team has selected what we feel is a compilation of some “landmark” neurology journal articles, and included a short summary of each. Please note, that neurology examinations do not ...
www.nowyouknowneuro.com
January 27, 2025 at 11:06 PM
Enjoying our newsletters? I’m thrilled to share we’re working on something even bigger for neurology trainees & practitioners, launching by the end of this academic year. 🚀
Stay tuned—exciting updates are coming soon!
Stay tuned—exciting updates are coming soon!
Since the very first @NowyouknowNeuro newsletter in July 2022, I’ve been part of this incredible journey. Now, with 36 landmark articles, our newsletter project is officially complete!
You can catch up on them here:
www.nowyouknowneuro.com/landmark-art...
You can catch up on them here:
www.nowyouknowneuro.com/landmark-art...
Landmark Articles
Our team has selected what we feel is a compilation of some “landmark” neurology journal articles, and included a short summary of each. Please note, that neurology examinations do not ...
www.nowyouknowneuro.com
January 27, 2025 at 10:57 PM
Since the very first @NowyouknowNeuro newsletter in July 2022, I’ve been part of this incredible journey. Now, with 36 landmark articles, our newsletter project is officially complete!
You can catch up on them here:
www.nowyouknowneuro.com/landmark-art...
You can catch up on them here:
www.nowyouknowneuro.com/landmark-art...
Reposted by Murli Mishra MD PhD
December 19, 2024 at 11:51 PM
Promoting a toxic person or a sycophant and expecting them to be a great leader is like planting weeds and hoping for roses. Leadership demands & thrives on integrity, not ego or flattery.
#Leadership
#Leadership
January 24, 2025 at 1:12 AM
Promoting a toxic person or a sycophant and expecting them to be a great leader is like planting weeds and hoping for roses. Leadership demands & thrives on integrity, not ego or flattery.
#Leadership
#Leadership
Every time I see a patient for a second opinion who was recommended to see a psychiatrist for neurological symptoms that clearly have an organic origin, I realize some doctors have a hard time saying, "I don't know".
Asymmetric dystonia, contraction, and hypertrophy are not psychological.
#FND
Asymmetric dystonia, contraction, and hypertrophy are not psychological.
#FND
January 9, 2025 at 12:20 AM
Every time I see a patient for a second opinion who was recommended to see a psychiatrist for neurological symptoms that clearly have an organic origin, I realize some doctors have a hard time saying, "I don't know".
Asymmetric dystonia, contraction, and hypertrophy are not psychological.
#FND
Asymmetric dystonia, contraction, and hypertrophy are not psychological.
#FND
December 19, 2024 at 11:51 PM
As neurologists, we must be clear with patients: treatments like IVIG are unlikely to work for Functional Neurological Disorders. Offering ineffective options breeds mistrust. If you're unsure, saying 'I don't know' is far better than false hope.
#FND @fndsociety.bsky.social #Neurosky #Medsky
#FND @fndsociety.bsky.social #Neurosky #Medsky
December 13, 2024 at 1:22 AM
As neurologists, we must be clear with patients: treatments like IVIG are unlikely to work for Functional Neurological Disorders. Offering ineffective options breeds mistrust. If you're unsure, saying 'I don't know' is far better than false hope.
#FND @fndsociety.bsky.social #Neurosky #Medsky
#FND @fndsociety.bsky.social #Neurosky #Medsky
I often wonder if we underutilize intranasal lidocaine as #migraine / #Headache abortive therapy. I personally do not know anyone using it but literature support seems worth trying. Would love to hear if people have different thoughts
#neurosky #medsky
pmc.ncbi.nlm.nih.gov/articles/PMC...
#neurosky #medsky
pmc.ncbi.nlm.nih.gov/articles/PMC...
Intranasal lidocaine for acute migraine: A meta-analysis of randomized controlled trials
Intranasal lidocaine has been shown to be effective in treating patients with acute migraines; however, its efficacy is still controversial. In this study, we intend to assess the efficacy and safety ...
pmc.ncbi.nlm.nih.gov
December 5, 2024 at 9:58 PM
I often wonder if we underutilize intranasal lidocaine as #migraine / #Headache abortive therapy. I personally do not know anyone using it but literature support seems worth trying. Would love to hear if people have different thoughts
#neurosky #medsky
pmc.ncbi.nlm.nih.gov/articles/PMC...
#neurosky #medsky
pmc.ncbi.nlm.nih.gov/articles/PMC...
A must-read on #LongCovid in younger adults: Did you know symptoms often differ from those in older individuals? 🧠 Fatigue, brain fog, and unique neurological signs are common. Understanding this is key to better care.
onlinelibrary.wiley.com/doi/10.1002/... 📚
onlinelibrary.wiley.com/doi/10.1002/... 📚
Neurologic Manifestations of Long COVID Disproportionately Affect Young and Middle‐Age Adults
Objective To investigate neurologic manifestations of post-acute sequelae of SARS-CoV-2 infection (Neuro-PASC) in post-hospitalization Neuro-PASC (PNP) and non-hospitalized Neuro-PASC (NNP) patients...
onlinelibrary.wiley.com
November 24, 2024 at 4:05 PM
A must-read on #LongCovid in younger adults: Did you know symptoms often differ from those in older individuals? 🧠 Fatigue, brain fog, and unique neurological signs are common. Understanding this is key to better care.
onlinelibrary.wiley.com/doi/10.1002/... 📚
onlinelibrary.wiley.com/doi/10.1002/... 📚
Hi all,
Introducing to #medsky :
I am a #neurology resident and future #stroke fellow. I love discussions on topics related to #research, drug discovery, #pharmaceuticals, regulatory approval process, toxicology, and Ethics.
I will love to follow medical and neurology educators.
#MedEd
Introducing to #medsky :
I am a #neurology resident and future #stroke fellow. I love discussions on topics related to #research, drug discovery, #pharmaceuticals, regulatory approval process, toxicology, and Ethics.
I will love to follow medical and neurology educators.
#MedEd
November 23, 2024 at 4:54 PM
Hi all,
Introducing to #medsky :
I am a #neurology resident and future #stroke fellow. I love discussions on topics related to #research, drug discovery, #pharmaceuticals, regulatory approval process, toxicology, and Ethics.
I will love to follow medical and neurology educators.
#MedEd
Introducing to #medsky :
I am a #neurology resident and future #stroke fellow. I love discussions on topics related to #research, drug discovery, #pharmaceuticals, regulatory approval process, toxicology, and Ethics.
I will love to follow medical and neurology educators.
#MedEd