Slow Spike-Wave
@phluaria.bsky.social
clinical neurophysiologist
antifascist
ACAB
antifascist
ACAB
Two days, two patients referred to me for seizures, two blatantly abnormal sets of orthostatic vital signs
December 3, 2025 at 7:53 PM
Two days, two patients referred to me for seizures, two blatantly abnormal sets of orthostatic vital signs
Reposted by Slow Spike-Wave
Administrators at Indiana University baselessly fired the student media director and ordered the student paper to cease its print edition, so it'd sure be a shame if this excellent digital front page were to be widely shared today
issuu.com/idsnews/docs...
issuu.com/idsnews/docs...
October 17, 2025 at 1:31 PM
Administrators at Indiana University baselessly fired the student media director and ordered the student paper to cease its print edition, so it'd sure be a shame if this excellent digital front page were to be widely shared today
issuu.com/idsnews/docs...
issuu.com/idsnews/docs...
Color science is wild, man. Math and models all the way down all because our eyes and brains evolved funny.
January 21, 2025 at 7:51 PM
Color science is wild, man. Math and models all the way down all because our eyes and brains evolved funny.
So I only get 20 minutes to see this teen with neurofibromatosis who is transitioning from peds to adult care and that's just wonderful
December 11, 2024 at 8:02 PM
So I only get 20 minutes to see this teen with neurofibromatosis who is transitioning from peds to adult care and that's just wonderful
I read books with an eye toward which cultural references will need a footnote in a not-too-distant critical edition
September 21, 2024 at 5:56 PM
I read books with an eye toward which cultural references will need a footnote in a not-too-distant critical edition
How can EEG better diagnose and monitor status epilepticus?
Scientists, thinkers, academics, assorted curiosities:
What’s the big question that drives your research?
Quote or reply and let’s make a h*ckin big list. 🧪
What’s the big question that drives your research?
Quote or reply and let’s make a h*ckin big list. 🧪
September 17, 2024 at 6:31 PM
How can EEG better diagnose and monitor status epilepticus?
When patients say "that should be in your records" it is tempting to point out that different hospital systems rarely play well with record sharing but I'm a little scared to admit the real reason I'm asking them for the details of their illness is because I don't always believe the records
September 11, 2024 at 7:46 PM
When patients say "that should be in your records" it is tempting to point out that different hospital systems rarely play well with record sharing but I'm a little scared to admit the real reason I'm asking them for the details of their illness is because I don't always believe the records
Me: and thus this patient's epilepsy is related to their traumatic brain injury
Some doctor doing an "independent medical examination"for the insurance company: I am an idiot and don't know much about epilepsy but I am denying that this exists
Some doctor doing an "independent medical examination"for the insurance company: I am an idiot and don't know much about epilepsy but I am denying that this exists
September 11, 2024 at 7:35 PM
Me: and thus this patient's epilepsy is related to their traumatic brain injury
Some doctor doing an "independent medical examination"for the insurance company: I am an idiot and don't know much about epilepsy but I am denying that this exists
Some doctor doing an "independent medical examination"for the insurance company: I am an idiot and don't know much about epilepsy but I am denying that this exists
One out of every twenty six people will develop epilepsy in their lifetime
What is common knowledge in your field but shocks outsiders?
It is not true that "if they knew what I knew, they would believe what I believe." In other words, just giving people more information or is an unlikely path to persuasion and change.
It is not true that "if they knew what I knew, they would believe what I believe." In other words, just giving people more information or is an unlikely path to persuasion and change.
What is common knowledge in your field but shocks outsiders?
There is no "scientific method".
There is no "scientific method".
September 9, 2024 at 7:33 PM
One out of every twenty six people will develop epilepsy in their lifetime
Squid have eight arms and two tentacles
The colossal squid is the largest mollusc
Squid have beaks made of chitin
The colossal squid is the largest mollusc
Squid have beaks made of chitin
nobody will remember:
- your salary
- how “busy you were”
- how many hours you worked
people will remember:
- how many squid facts you knew
- if you offered others squid facts
- how you made people feel when you told them a squid fact
- your salary
- how “busy you were”
- how many hours you worked
people will remember:
- how many squid facts you knew
- if you offered others squid facts
- how you made people feel when you told them a squid fact
August 19, 2024 at 1:42 PM
Squid have eight arms and two tentacles
The colossal squid is the largest mollusc
Squid have beaks made of chitin
The colossal squid is the largest mollusc
Squid have beaks made of chitin
You can't just recapitulate the history of present illness in the assessment and plan. It's there for summarization and, well, ASSESSMENT
August 14, 2024 at 6:13 PM
You can't just recapitulate the history of present illness in the assessment and plan. It's there for summarization and, well, ASSESSMENT
Fucked around with Thomas and found doubt
Fucked around in a pub and found stout
fucked around in a river and found trout
August 10, 2024 at 9:28 PM
Fucked around with Thomas and found doubt
Interesting seizures on this patient. Spectrogram shows two waves of fast activity for each seizure.
August 4, 2024 at 3:21 PM
Interesting seizures on this patient. Spectrogram shows two waves of fast activity for each seizure.
Critical care doctor about an encephalopathic patient: it's not the cefepime, it's never the cefepime
Neurologists: ummmm
Neurologists: ummmm
“Anyone can say ‘avoid nephrotoxins’, but to know which toxins are nephrotoxic … aye, that takes a nephrologist.”
We got a lotta mockery for “avoid nephrotoxins” as part of our assessment and plan for acute kidney injury but honestly that’s pretty much it most of the time. Just stop giving the bad things and don’t start giving the other bad things.
April 20, 2024 at 7:18 PM
Critical care doctor about an encephalopathic patient: it's not the cefepime, it's never the cefepime
Neurologists: ummmm
Neurologists: ummmm
Fuck the DEA
The fast rise of prescriptions for Adderall and other stimulants suggest the start of another drug crisis like the opioid epidemic, according to the DEA
Adderall Abuse Risks Becoming Another Opioid Crisis, DEA Says
The fast rise of prescriptions for Adderall and other stimulants, along with rampant online treatment and advertising, suggest the start of another drug crisis like the opioid epidemic, a senior Drug ...
www.bloomberg.com
April 20, 2024 at 5:44 PM
Fuck the DEA
I don't think people understand how much medical doctors have to rely on good faith by patients. We don't have tricorders that instantly tell us what's wrong
February 28, 2024 at 4:07 PM
I don't think people understand how much medical doctors have to rely on good faith by patients. We don't have tricorders that instantly tell us what's wrong
Yes we're in a smaller city but the big hospital does have a university affiliation and plenty of smart docs so I just don't understand the parochial, incurious, and feckless nature of consultants there
February 25, 2024 at 3:13 PM
Yes we're in a smaller city but the big hospital does have a university affiliation and plenty of smart docs so I just don't understand the parochial, incurious, and feckless nature of consultants there
Every time I have to google something at work I realize just how unusable the web is without ad-blocking
February 19, 2024 at 10:42 PM
Every time I have to google something at work I realize just how unusable the web is without ad-blocking
Few pleasures these days are as sweet as going off-call at the hospital
February 18, 2024 at 6:23 PM
Few pleasures these days are as sweet as going off-call at the hospital
Sometimes a patient deteriorates and you worry you're missing something and sometimes they deteriorate and you worry you're not
February 17, 2024 at 2:05 AM
Sometimes a patient deteriorates and you worry you're missing something and sometimes they deteriorate and you worry you're not
Serotonin toxicity is no joke.
February 16, 2024 at 1:10 AM
Serotonin toxicity is no joke.
When the satellite hospitals call about neuro cases I have never regretted having them transported here to the main hospital
February 15, 2024 at 12:59 PM
When the satellite hospitals call about neuro cases I have never regretted having them transported here to the main hospital
Colleague humorously said impeti instead of impetuses and I quickly barked back NO IT IS FOURTH DECLENSION THE PLURAL IS IMPETUS
February 7, 2024 at 11:19 PM
Colleague humorously said impeti instead of impetuses and I quickly barked back NO IT IS FOURTH DECLENSION THE PLURAL IS IMPETUS
"I have broken up with greater men for lesser epistemological errors."
Saturday Morning Breakfast Cereal
SMBC is a daily comic strip about life, philosophy, science, mathematics, and dirty jokes.
www.smbc-comics.com
January 26, 2024 at 1:28 PM
"I have broken up with greater men for lesser epistemological errors."