Simon Rowe

Neurologist, researcher, parent. Views my own, not my employer's, government's or, occasionally, anyone else's.

[Simon Rowe @DrSimonRowe]

@radfugee @MicieliA_MD It's surely a misguided fear. You can't be sued for not answering a question that hasn't been asked. They might as well add: a normal MRI brain does not exclude pathology in the rest of the body...

All they need to say is: no evidence of [whatever the referrer has asked about]

[Simon Rowe @DrSimonRowe]

@nirmalregency I've never seen or heard it used...

[Simon Rowe @DrSimonRowe]

@GrokCertified @mufaddal_vohra Australia only bowled 67.3 overs in Perth in both innings combined. I think they'll be fine...

[Simon Rowe @DrSimonRowe]

@kookcove I don't know if it works across the board, but for me when I was a super fussy tween and for my eldest two (now 15 and 12), the game changer was letting the kids cook for themselves. Fussiness is often a wish for control and cooking for yourself gives that back.

[Simon Rowe @DrSimonRowe]

@aditya_gan3500 /... Midline shift. Decompressed. Returned to us a week later.

Mood, appetite, participation all much improved. Suddenly making progress.

SDH can be very sneaky, and older people can cope with quite a lot of misplaced blood in their heads... Until they can't.

[Simon Rowe @DrSimonRowe]

@aditya_gan3500 I still recall from my first term: 70M, Hx of CIDP, inpatient rehab after an admission for worsening mobility. Hx of a fall, 2 months before. Now languishing, depressed, getting worse despite rehab, ready to give up.

Then, new left arm weakness. CTB showed acute on chronic SDH/

[NeuRA (Neuroscience Research Australia) @neuraustralia]

Today, NeuRA proudly hosted the Parkinson's Disease Open Day a special event bringing together science, support, and community.

Welcomed by the Park and Sing choir, the event gave visitors the opportunity to learn about the services NeuRA offers for people living with Parkinson’s Disease and hear the latest research updates and clinical trial developments.

NeuRA's Dr Michael Li shared insights on the connection between genetics and Parkinson’s Disease.
@DrSimonRowe discussed the effects of diet, nutrition, and the microbiome, and Dr @gautamwali presented the latest research in Parkinson’s Disease.

Attendees also had the opportunity to connect with NeuRA researchers and explore current studies, as well as meet our fantastic event partners: Parkinson's NSW, Shake It Up Australia, and Preview Health.

#NeuRA #Parkinsons #ParkinsonsDisease @OkuboYoshiro

[Simon Rowe @DrSimonRowe]

@JaneKin54322448 @EricaCampbell48 I wonder if unwanted pregnancies might have any negative effects on young women's mental health outcomes 🤔

Oh wait, silly me. No pregnancy is unwanted by these good people. As long as the government doesn't have to help the parents, were5all good.

[Simon Rowe @DrSimonRowe]

@AndrewHayen There has been a concerted push this year at the top levels to hollow out academic life in Australia in the name of 'efficiency'.

It's so coordinated as to clearly suggest a deliberate strategy to break the remaining resistance to casualisation in academia.

[Simon Rowe @DrSimonRowe]

@NeuroJediMaster Great case and excellent discussion points. Thank you!

[Simon Rowe @DrSimonRowe]

@JaneKin54322448 @davebeerflog No, no you're doing it wrong. You have to take full credit due to your [retro conditioning move/niche nutraceutical/one weird trick] that [big pharma/the government/leftist] don't want us to know!

Then we [subscribe to your substack/buy your ebook/join your bunker cult].

Rules.

[Simon Rowe @DrSimonRowe]

@Natasha57932694 @SteveBigpond @drkeithsiau @erdocAA @ranjitrao1 Plus some frusemide for the low urine output and an ACE inhibitor for their uncharacteristic hypertension right?

[Simon Rowe @DrSimonRowe]

Alzheimer's disease is too important, and its latest 'treatments' are too fraught with harms, for the current pharma-led wishful thinking and you-can-see-it-if-you-squint analyses.

Neurodegeneration is more than any single molecule, and reductionist paradigms do not suffice.

[Alberto J Espay @AlbertoEspay]

Remember the “time saved” modeling for #Alzheimers infusions discussed a year ago? Patients would extend their months ‘saved’ to 7.5 using curve extrapolation. The data have shattered the optimistic prediction—the model-lecanemab discrepancy in 5 parts. 🧵

[Simon Rowe @DrSimonRowe]

@AlbertoEspay @alzforum Thank you for this excellent analysis. As I see patients asking for, and paying large amounts for, such therapies more and more, this data absolutely deserves more scrutiny.

[Simon Rowe @DrSimonRowe]

@m_as_in_mancy @taipan168 The problem with your argument is that eradication (i.e. extinction) of a virus requires reducing r0 to <1 globally for a prolonged period. Any reservoir will allow resurgence due to waning immunity in more suppressed areas and a return to square one.

This is just not feasible.

[Simon Rowe @DrSimonRowe]

@taipan168 @JamesGWood_UNSW @missrobinson @Ben_Richards99 @kookcove Yes, I agree. Free markets are a convenient fantasy when it comes to healthcare since the 'consumer' [🤮] does not and never can have 'free choice'. They are a captive market, and the only semblance of freedom belongs to the providers.

[Simon Rowe @DrSimonRowe]

@JamesGWood_UNSW @missrobinson @taipan168 @Ben_Richards99 @kookcove Major equity issues. A heat map of NDIS uptake vs median household income would have a very clear correlation. This is a major issue with the whole NDIS system which applies market principles to healthcare, a strategy known to drastically inflate cost and reduce value.

[Simon Rowe @DrSimonRowe]

@missrobinson @taipan168 @Ben_Richards99 @kookcove I think it also needs to be said: simplistically describing the NDIS inclusion of autism as 'incentivising' diagnosis neglects the main dynamic that used to prevail, namely:

Without access to funding, what use is a diagnosis that actually costs thousands of dollars to obtain?

[Simon Rowe @DrSimonRowe]

@disco___cat Yeah I recall when moving to northern Germany for a while that the total rainfall in Sydney was much higher, but the total rainy days in Hamburg were close to double. Plus here, the rain mostly falls when then days are longest (this month is exceptional, obvs).

[Simon Rowe @DrSimonRowe]

@JaneKin54322448 I honestly think that the Venn diagram of those who deride the autism diagnosis as a whole and dispute its inclusion in the NDIS, and those who used to bully such kids into a life of isolation and misery is a perfect circle.