Micah Etter, MD
@mettermd.bsky.social
very cool guy doing (mostly) inpatient/vascular #Neurology (rumored). passionate re:edu/medtraining/8bit/+! posts are mine. he/him
absolutely incredible drop from @jbcarmody.bsky.social
a must-watch for all physicians and trainees or anyone interested in healthcare systems issues 🫥
youtube.com/watch?v=gIHR...
a must-watch for all physicians and trainees or anyone interested in healthcare systems issues 🫥
youtube.com/watch?v=gIHR...
January 15, 2025 at 1:20 AM
absolutely incredible drop from @jbcarmody.bsky.social
a must-watch for all physicians and trainees or anyone interested in healthcare systems issues 🫥
youtube.com/watch?v=gIHR...
a must-watch for all physicians and trainees or anyone interested in healthcare systems issues 🫥
youtube.com/watch?v=gIHR...
“the maneuver sensitivity is too damn low!”
December 21, 2024 at 5:22 AM
“the maneuver sensitivity is too damn low!”
Zerlasiran, an RNA therapy, lowered lipoprotein(a) by >80% in a phase 2 trial. This untargeted lipid class is linked to stroke and cardiovascular disease, but will reducing it lead to meaningful clinical benefits?🤔
Promising early data, but more research is needed!👍
jamanetwork.com/journals/jam...
Promising early data, but more research is needed!👍
jamanetwork.com/journals/jam...
December 10, 2024 at 3:29 PM
Zerlasiran, an RNA therapy, lowered lipoprotein(a) by >80% in a phase 2 trial. This untargeted lipid class is linked to stroke and cardiovascular disease, but will reducing it lead to meaningful clinical benefits?🤔
Promising early data, but more research is needed!👍
jamanetwork.com/journals/jam...
Promising early data, but more research is needed!👍
jamanetwork.com/journals/jam...
Kennedy disease is caused by a repeat expansion in the androgen receptor gene. think of it like a scratched cd making the same note skip endlessly. 💿🎶
affects males more due to that x-linked pattern. while there's no cure yet, therapies focus on managing symptoms and improving life quality. 💪
affects males more due to that x-linked pattern. while there's no cure yet, therapies focus on managing symptoms and improving life quality. 💪
December 9, 2024 at 4:29 PM
Kennedy disease is caused by a repeat expansion in the androgen receptor gene. think of it like a scratched cd making the same note skip endlessly. 💿🎶
affects males more due to that x-linked pattern. while there's no cure yet, therapies focus on managing symptoms and improving life quality. 💪
affects males more due to that x-linked pattern. while there's no cure yet, therapies focus on managing symptoms and improving life quality. 💪
now let's talk Kennedy disease, aka spinal and bulbar muscular atrophy (SBMA). 🎯
this x-linked genetic disorder affects motor neurons, leading to muscle weakness and—you guessed it—myokymia! it's like the neurons forget how to party properly. time to uncover the genetic twist! 🧬
this x-linked genetic disorder affects motor neurons, leading to muscle weakness and—you guessed it—myokymia! it's like the neurons forget how to party properly. time to uncover the genetic twist! 🧬
December 9, 2024 at 4:29 PM
now let's talk Kennedy disease, aka spinal and bulbar muscular atrophy (SBMA). 🎯
this x-linked genetic disorder affects motor neurons, leading to muscle weakness and—you guessed it—myokymia! it's like the neurons forget how to party properly. time to uncover the genetic twist! 🧬
this x-linked genetic disorder affects motor neurons, leading to muscle weakness and—you guessed it—myokymia! it's like the neurons forget how to party properly. time to uncover the genetic twist! 🧬
Isaac syndrome often stems from autoimmune shenanigans where the body mistakenly attacks its own voltage-gated potassium channels. 🛡️
treatments aim to chill out the immune system and nerves. Meds like anticonvulsants, immunosuppressants, or plasma exchange come into play. 🧪✨
treatments aim to chill out the immune system and nerves. Meds like anticonvulsants, immunosuppressants, or plasma exchange come into play. 🧪✨
December 9, 2024 at 4:29 PM
Isaac syndrome often stems from autoimmune shenanigans where the body mistakenly attacks its own voltage-gated potassium channels. 🛡️
treatments aim to chill out the immune system and nerves. Meds like anticonvulsants, immunosuppressants, or plasma exchange come into play. 🧪✨
treatments aim to chill out the immune system and nerves. Meds like anticonvulsants, immunosuppressants, or plasma exchange come into play. 🧪✨
Isaac syndrome, aka neuromyotonia. 🌩️
this rare condition amps up the myokymia volume to 11. spinal motor neurons get overexcited, causing continuous muscle fiber activity.
symptoms?
stiffness, cramps, and those pesky muscle twitches. but what's behind the curtain? let's find out! 🧐
this rare condition amps up the myokymia volume to 11. spinal motor neurons get overexcited, causing continuous muscle fiber activity.
symptoms?
stiffness, cramps, and those pesky muscle twitches. but what's behind the curtain? let's find out! 🧐
December 9, 2024 at 4:29 PM
Isaac syndrome, aka neuromyotonia. 🌩️
this rare condition amps up the myokymia volume to 11. spinal motor neurons get overexcited, causing continuous muscle fiber activity.
symptoms?
stiffness, cramps, and those pesky muscle twitches. but what's behind the curtain? let's find out! 🧐
this rare condition amps up the myokymia volume to 11. spinal motor neurons get overexcited, causing continuous muscle fiber activity.
symptoms?
stiffness, cramps, and those pesky muscle twitches. but what's behind the curtain? let's find out! 🧐
EMG time! 🎸 electromyography shows us the electrical jam sessions happening in your muscles. with myokymia, EMG reveals rhythmic bursts of motor unit potentials that look like marching soldiers. 🪱
wild, right?
it's like watching a muscle fiber conga line! let's see what's causing this groove! 🎶
wild, right?
it's like watching a muscle fiber conga line! let's see what's causing this groove! 🎶
December 9, 2024 at 4:29 PM
EMG time! 🎸 electromyography shows us the electrical jam sessions happening in your muscles. with myokymia, EMG reveals rhythmic bursts of motor unit potentials that look like marching soldiers. 🪱
wild, right?
it's like watching a muscle fiber conga line! let's see what's causing this groove! 🎶
wild, right?
it's like watching a muscle fiber conga line! let's see what's causing this groove! 🎶
what's myokymia?🤔 it's like your muscles are throwing a mini dance party without an invite! 💃🕺
involuntary, wormy rippling movements often visible under the skin. not usually serious (unlike fasciculations in ALS) but definitely a buzzkill. let's dig deeper! 🕵️♂️
(full video/papers in ALT tags)
involuntary, wormy rippling movements often visible under the skin. not usually serious (unlike fasciculations in ALS) but definitely a buzzkill. let's dig deeper! 🕵️♂️
(full video/papers in ALT tags)
December 9, 2024 at 4:29 PM
what's myokymia?🤔 it's like your muscles are throwing a mini dance party without an invite! 💃🕺
involuntary, wormy rippling movements often visible under the skin. not usually serious (unlike fasciculations in ALS) but definitely a buzzkill. let's dig deeper! 🕵️♂️
(full video/papers in ALT tags)
involuntary, wormy rippling movements often visible under the skin. not usually serious (unlike fasciculations in ALS) but definitely a buzzkill. let's dig deeper! 🕵️♂️
(full video/papers in ALT tags)
now let's talk Kennedy disease, aka spinal and bulbar muscular atrophy (SBMA). 🎯
this x-linked genetic disorder affects motor neurons, leading to muscle weakness and—you guessed it—myokymia! it's like the neurons forget how to party properly. time to uncover the genetic twist! 🧬
this x-linked genetic disorder affects motor neurons, leading to muscle weakness and—you guessed it—myokymia! it's like the neurons forget how to party properly. time to uncover the genetic twist! 🧬
December 4, 2024 at 8:51 PM
now let's talk Kennedy disease, aka spinal and bulbar muscular atrophy (SBMA). 🎯
this x-linked genetic disorder affects motor neurons, leading to muscle weakness and—you guessed it—myokymia! it's like the neurons forget how to party properly. time to uncover the genetic twist! 🧬
this x-linked genetic disorder affects motor neurons, leading to muscle weakness and—you guessed it—myokymia! it's like the neurons forget how to party properly. time to uncover the genetic twist! 🧬
Isaac syndrome often stems from autoimmune shenanigans where the body mistakenly attacks its own voltage-gated potassium channels. 🛡️
treatments aim to chill out the immune system and nerves—meds like anticonvulsants, immunosuppressants, or plasma exchange come into play. science saves the day! 🧪✨
treatments aim to chill out the immune system and nerves—meds like anticonvulsants, immunosuppressants, or plasma exchange come into play. science saves the day! 🧪✨
December 4, 2024 at 8:51 PM
Isaac syndrome often stems from autoimmune shenanigans where the body mistakenly attacks its own voltage-gated potassium channels. 🛡️
treatments aim to chill out the immune system and nerves—meds like anticonvulsants, immunosuppressants, or plasma exchange come into play. science saves the day! 🧪✨
treatments aim to chill out the immune system and nerves—meds like anticonvulsants, immunosuppressants, or plasma exchange come into play. science saves the day! 🧪✨
Isaac syndrome, aka neuromyotonia. 🌩️
this rare condition amps up the myokymia volume to 11. spinal motor neurons get overexcited, causing continuous muscle fiber activity. symptoms?
stiffness, cramps, and those pesky muscle twitches. but what's behind the curtain? let's find out! 🧐
this rare condition amps up the myokymia volume to 11. spinal motor neurons get overexcited, causing continuous muscle fiber activity. symptoms?
stiffness, cramps, and those pesky muscle twitches. but what's behind the curtain? let's find out! 🧐
December 4, 2024 at 8:51 PM
Isaac syndrome, aka neuromyotonia. 🌩️
this rare condition amps up the myokymia volume to 11. spinal motor neurons get overexcited, causing continuous muscle fiber activity. symptoms?
stiffness, cramps, and those pesky muscle twitches. but what's behind the curtain? let's find out! 🧐
this rare condition amps up the myokymia volume to 11. spinal motor neurons get overexcited, causing continuous muscle fiber activity. symptoms?
stiffness, cramps, and those pesky muscle twitches. but what's behind the curtain? let's find out! 🧐
EMG time! 🎸 electromyography shows us the electrical jam sessions happening in your muscles. with myokymia, EMG reveals rhythmic bursts of motor unit potentials that look like marching soldiers. 🪱 wild, right?
it's like watching a muscle fiber conga line! let's see what's causing this groove! 🎶
it's like watching a muscle fiber conga line! let's see what's causing this groove! 🎶
December 4, 2024 at 8:51 PM
EMG time! 🎸 electromyography shows us the electrical jam sessions happening in your muscles. with myokymia, EMG reveals rhythmic bursts of motor unit potentials that look like marching soldiers. 🪱 wild, right?
it's like watching a muscle fiber conga line! let's see what's causing this groove! 🎶
it's like watching a muscle fiber conga line! let's see what's causing this groove! 🎶
what’s myokymia? 🤔 it’s like your muscles throwing a mini dance party without an invite! 💃🕺
involuntary, wormy rippling movements often seen under the skin. not usually serious (unlike fasciculations in ALS) but definitely a buzzkill. let's dig deeper! 🕵️♂️
(full video/paper links in the ALT texts!)
involuntary, wormy rippling movements often seen under the skin. not usually serious (unlike fasciculations in ALS) but definitely a buzzkill. let's dig deeper! 🕵️♂️
(full video/paper links in the ALT texts!)
December 4, 2024 at 8:51 PM
what’s myokymia? 🤔 it’s like your muscles throwing a mini dance party without an invite! 💃🕺
involuntary, wormy rippling movements often seen under the skin. not usually serious (unlike fasciculations in ALS) but definitely a buzzkill. let's dig deeper! 🕵️♂️
(full video/paper links in the ALT texts!)
involuntary, wormy rippling movements often seen under the skin. not usually serious (unlike fasciculations in ALS) but definitely a buzzkill. let's dig deeper! 🕵️♂️
(full video/paper links in the ALT texts!)
I drew this a while back👍
November 23, 2024 at 4:43 AM
I drew this a while back👍
Type 3: The youngest sibling and the overachiever. 🏆 Fracture extends into the body of C2. It's like a crack in the foundation but with good blood flow. 🩸 Healing chances are better—unlike the Terminator of fractures; it probably won’t be back! 🤖
Less risky than Type 2, surprisingly! 🤔
Less risky than Type 2, surprisingly! 🤔
November 21, 2024 at 3:45 PM
Type 3: The youngest sibling and the overachiever. 🏆 Fracture extends into the body of C2. It's like a crack in the foundation but with good blood flow. 🩸 Healing chances are better—unlike the Terminator of fractures; it probably won’t be back! 🤖
Less risky than Type 2, surprisingly! 🤔
Less risky than Type 2, surprisingly! 🤔
Type 2: The real mischief-maker “middle child!” 😱 Fracture occurs at the base of the dens where blood supply is poor.🩸🚫
This results in a true disarticulation of the head and neck!😱 Healing is tough, and risks are high. This one's the bad apple 🐛🍎 of the bunch and can be an neurosurgical emergency!🏥
This results in a true disarticulation of the head and neck!😱 Healing is tough, and risks are high. This one's the bad apple 🐛🍎 of the bunch and can be an neurosurgical emergency!🏥
November 21, 2024 at 3:45 PM
Type 2: The real mischief-maker “middle child!” 😱 Fracture occurs at the base of the dens where blood supply is poor.🩸🚫
This results in a true disarticulation of the head and neck!😱 Healing is tough, and risks are high. This one's the bad apple 🐛🍎 of the bunch and can be an neurosurgical emergency!🏥
This results in a true disarticulation of the head and neck!😱 Healing is tough, and risks are high. This one's the bad apple 🐛🍎 of the bunch and can be an neurosurgical emergency!🏥
Type 1: The mild-mannered older sibling. 😇 It's a fracture at the tip of the dens. Rare and often stable, it's like a tiny crack on your phone screen—annoying but manageable. 📱
Usually heals well with a collar, but every once in a while can be unstable. But don't lose too much sleep over this one! 😴
Usually heals well with a collar, but every once in a while can be unstable. But don't lose too much sleep over this one! 😴
November 21, 2024 at 3:45 PM
Type 1: The mild-mannered older sibling. 😇 It's a fracture at the tip of the dens. Rare and often stable, it's like a tiny crack on your phone screen—annoying but manageable. 📱
Usually heals well with a collar, but every once in a while can be unstable. But don't lose too much sleep over this one! 😴
Usually heals well with a collar, but every once in a while can be unstable. But don't lose too much sleep over this one! 😴
First things first: what's a dens fracture? 🤔 It's a break in the odontoid process—a tooth-like peg on the second cervical vertebra (C2). 🦷 Think of it as the neck's Jenga block; when it snaps, things get shaky! Let's explore the fracture types. 🕵️♂️
November 21, 2024 at 3:45 PM
First things first: what's a dens fracture? 🤔 It's a break in the odontoid process—a tooth-like peg on the second cervical vertebra (C2). 🦷 Think of it as the neck's Jenga block; when it snaps, things get shaky! Let's explore the fracture types. 🕵️♂️
great piece with this great table! words matter.💬
November 19, 2024 at 6:01 PM
great piece with this great table! words matter.💬
So could science pull this off IRL? 🫤
Maybe someday. But for now, eyeball transplants belong in sci-fi/horror flicks like 1993's "Body Bags." Hats off to @markhamillofficial.bsky.social for his (ahem) visionary performance!
Watch the movie for free here: bit.ly/4fS2U45
And stay neurdy! 🎬👁️
Maybe someday. But for now, eyeball transplants belong in sci-fi/horror flicks like 1993's "Body Bags." Hats off to @markhamillofficial.bsky.social for his (ahem) visionary performance!
Watch the movie for free here: bit.ly/4fS2U45
And stay neurdy! 🎬👁️
November 19, 2024 at 5:04 PM
So could science pull this off IRL? 🫤
Maybe someday. But for now, eyeball transplants belong in sci-fi/horror flicks like 1993's "Body Bags." Hats off to @markhamillofficial.bsky.social for his (ahem) visionary performance!
Watch the movie for free here: bit.ly/4fS2U45
And stay neurdy! 🎬👁️
Maybe someday. But for now, eyeball transplants belong in sci-fi/horror flicks like 1993's "Body Bags." Hats off to @markhamillofficial.bsky.social for his (ahem) visionary performance!
Watch the movie for free here: bit.ly/4fS2U45
And stay neurdy! 🎬👁️
You’d also need to reattach sensory fibers from the trigeminal nerve (CN V) branches to restore feeling to the cornea (mostly the ophthalmic branch V1). Otherwise? Good luck sensing that stray eyelash poking you. 🪶😭
November 19, 2024 at 5:04 PM
You’d also need to reattach sensory fibers from the trigeminal nerve (CN V) branches to restore feeling to the cornea (mostly the ophthalmic branch V1). Otherwise? Good luck sensing that stray eyelash poking you. 🪶😭
And the muscles! 💪
SIX extraocular muscles—superior/inferior rectus, medial/lateral rectus, superior oblique, and inferior oblique—ALL need reattachment. Miss a connection, and your eyeball’s coordination is going to be... not coordinated. 😐
SIX extraocular muscles—superior/inferior rectus, medial/lateral rectus, superior oblique, and inferior oblique—ALL need reattachment. Miss a connection, and your eyeball’s coordination is going to be... not coordinated. 😐
November 19, 2024 at 5:04 PM
And the muscles! 💪
SIX extraocular muscles—superior/inferior rectus, medial/lateral rectus, superior oblique, and inferior oblique—ALL need reattachment. Miss a connection, and your eyeball’s coordination is going to be... not coordinated. 😐
SIX extraocular muscles—superior/inferior rectus, medial/lateral rectus, superior oblique, and inferior oblique—ALL need reattachment. Miss a connection, and your eyeball’s coordination is going to be... not coordinated. 😐
Now, BLOOD SUPPLY. 🧛
The eyeball runs on the ophthalmic artery, a branch of the internal carotid artery. No blood, no eyeball. Reattaching this artery is like trying to sew spaghetti—but hey, it’s gotta happen if we are going to avoid necrosis in this surgery! 🍝🩸
The eyeball runs on the ophthalmic artery, a branch of the internal carotid artery. No blood, no eyeball. Reattaching this artery is like trying to sew spaghetti—but hey, it’s gotta happen if we are going to avoid necrosis in this surgery! 🍝🩸
November 19, 2024 at 5:04 PM
Now, BLOOD SUPPLY. 🧛
The eyeball runs on the ophthalmic artery, a branch of the internal carotid artery. No blood, no eyeball. Reattaching this artery is like trying to sew spaghetti—but hey, it’s gotta happen if we are going to avoid necrosis in this surgery! 🍝🩸
The eyeball runs on the ophthalmic artery, a branch of the internal carotid artery. No blood, no eyeball. Reattaching this artery is like trying to sew spaghetti—but hey, it’s gotta happen if we are going to avoid necrosis in this surgery! 🍝🩸