Feeling difficulty in decoding Nystagmus ?
Eyes never lie—every rhythmic jerk, every subtle wobble of nystagmus whispers exactly where the lesion hides.
Master the eye movements, and let the brain reveal its secrets!
Keep this flowchart handy
The female Raj Shamani and queen of health misinformation is back again. This time misleading millions of followers on the despicable MAHA bullsh*t that was trending a while back after the USA's Ayush Minister RFK Jr started this nonsense trend.
As always these health Illiterate podcasters cherry pick third rate health influencers to come on stage and spout absolute rubbish.
I encourage producers and directors to sign these celebrities up for movies so that they spend less time on these utterly low class podcasts. It will be a public service if you can give them their actual jobs.
Please do not consume methylene blue in any form thinking it's going to help you. Whoever this so-called doctor is, he claims Methylene Blue is a "nutrient." It's not. It is a synthetic chemical dye.
Methylene blue’s new-age “wellness” reputation is built on Instagram filters, not on data. The only thing regulators let doctors use it for is a rare blood disorder called acquired methemoglobinemia - full stop. Every other promise you see online (longevity, anti-aging, cancer benefits, virus immunity, super-brain function) has zero human-trial proof and no regulatory approval.
Methylene Blue is not benign. It has serious body-wide risks.
Methylene blue is a potent, reversible MAO-A inhibitor. Take it with common antidepressants, migraine drugs, or tramadol and you can trigger life-threatening agitation, high fever, seizures and coma. The FDA has a standing safety bulletin on exactly that interaction.
It can destroy red blood cells. In people with or even without the enzyme G6PD deficiency methylene blue use has resulted in ICU admissions with acute hemolytic anemia.
Even at medical doses it can spike blood pressure, cause chest pain, dizziness, confusion, headaches and seizure-like episodes.
In pregnant women, it crosses the placenta; human case series show exposure can result in abnormal development of intestines in the fetus, anemia and death, and animal studies show multiple birth defects. Breastfeeding is off-limits for at least a week after a dose.
Most over the counter wellness methylene blue pushed by biohackers are aquarium- or industrial-grade. Those can carry arsenic, cadmium, lead and other heavy-metal contamination. Because concentrations vary wildly, two dropper fulls today may deliver triple the dose you got yesterday. You can never be sure what you are really ingesting.
Do yourselves a favor and unsubscribe from these third rate "healthcare" podcasts.
✨ Sunday is Back
Let us learn a rare type of stroke.
A short 🧵
1/7
55F ♀
Sudden onset altered mental state
Mild ptosis
B/l vertical gaze palsy, both up & downgaze
Horizontal gaze OK
MR 6 hrs after last well known 👇
🚨 Think you know NOAC dosing?
🧠 Quiz time:
1️⃣ Apixaban dose if age ≥80 & Cr ≥1.5? 2️⃣ When to use Edoxaban 30 mg?
3️⃣ Rivaroxaban DVT: how many days 15 mg BID?
4️⃣ Which NOACs need heparin first?
📘 Answers on p.131 of Tips and Tricks in Cardiology
DM “Tips” to get your copy!