Ted Bowen MD

Humanist & Neurointensivist
Lifelong learner and aspiring educator
CLE sports fan, food enthusiast.
#MedEd #Neurology #Neurocriticalcare

All views are my own.

[Ted Bowen MD @NeuroTb]

Hello and welcome to my revamped Twitter/X page!

I'm a neurointensivist based in Cleveland, OH, USA with a special interest in #MedEd

My goal here is to spread knowledge and connect with neurologists and educators worldwide. Let's connect!

[Ted Bowen MD @NeuroTb]

@NDECinstitute @AANmember

[Ted Bowen MD @NeuroTb]

The most incredible talk on using AI in medical education. So many things that are going to transform my practice! @NDECinstitute #AANAM #secretmission

[Ted Bowen MD @NeuroTb]

@NDECinstitute at the Innovation Hub #AANAM !!!

[Ted Bowen MD @NeuroTb]

There is tremendous need in our field for APPs with specialized training, which is why we created the NCC APP Fellowship in 2018 @metrohealthCLE (shameless plug: https://t.co/frrIyUWKdZ)

[Neurocritical Care Society @neurocritical]

In his latest article on #Currents, Jordan Yakoby details postgraduate residencies and fellowships in neurocritical care for advanced practice providers (APPs) as well as the future of APPs in the neuro ICU. Read the article: https://t.co/KScSqm1Grn

[Ted Bowen MD @NeuroTb]

@GalovicMarian @caseyalbin @LyellJ @ContinuumAAN Caveat emptor: I'm a humble neurointensivist and my understanding in this area may not be as deep as an epileptologist. I can only speak on my own experience, and this seems to work well!

[Ted Bowen MD @NeuroTb]

@GalovicMarian @caseyalbin @LyellJ @ContinuumAAN It's my understanding that triphasics are more abundant in states of arousal. So they should attenuate with sedating medications. The trick is picking something that don't have anti-seizure properties as well. If they were epileptic, precedex and fentanyl should not suppress them

[Ted Bowen MD @NeuroTb]

@EM_RESUS I leave the glidescope outside of pt rooms who were just extubated for the same reason 😂

[Stroke: Vascular and Interventional Neurology @SVINJournal]

Check out a comprehensive review of cerebral venous anatomy Part I by @Taka_Tamaso here
➡️ https://t.co/EH8zUDSpIc

[Ted Bowen MD @NeuroTb]

Love it! #medED #neurology

[UM Neurology Residency Program @UMICHNeuroRes]

How the neuromuscular junction works:
- Presynaptic depolarization
- Calcium influx
- Ach vesicle fuses with membrane
- Binds to Ach receptor
- Na channel opens
- Acetylcholinesterase recycles Ach
- Postsynaptic depolarization

Now let’s see that in action…
#NeuroBootCamp

[Ted Bowen MD @NeuroTb]

#neuro #medED friends, this is an amazing program for those looking to develop their digital education skills and connect with like-minded ppl! I'm still unraveling all the great things I learned as part of the '23-24 cohort! @NDECinstitute

[Neurology Digital Education Collaborative @NDECinstitute]

Applications close 6/1! Don’t miss out.

[Ted Bowen MD @NeuroTb]

Is this practice changing?

[Ted Bowen MD @NeuroTb]

Patients benefit from thrombectomy. Period. Don't let low ASPECTS score deter you! #stroke #neurology #neurocriticalcare

[AshuJadhav @AshuPJadhav]

Trial of Thrombectomy for Stroke with a Large Infarct of Unrestricted Size | New England Journal of Medicine https://t.co/j381NmYZEu

[Ted Bowen MD @NeuroTb]

VACCINES WORK. The individual and societal benefits of vaccines are undeniable. It's unfortunate we are seeing the re-emergence of many diseases with severe neurologic impairments and symptoms #neurology #publichealth

[Michael Okun @MichaelOkun]

Measles is making a comeback as less people are getting vaccinated. Can you spot the neurological manifestations (SSPE)? Check out this great case by Garg and colleagues @MDCP_Journal where in addition to myoclonus and other features you will observe a sensory trick.
Key Points:
- A late complication of measles is called subacute sclerosing panencephalitis (SSPE).
- Sensory tricks are maneuvers that temporarily improve dystonic posture.
- Another name is 'geste antagoniste' derived from the description of the 'phenomenon in cervical dystonia by Henry Meige and Eugene Feindel in 1902.'
- The movement of a trick, as Dr. Hallett points out, 'does not always need to be antagonistic or in the opposing direction of the dystonia and the term antagonistic might be better thought of in terms of a trick reversing the dystonia.'
- Patel et al. recently introduced the alternative term, alleviating maneuver.
- In the current case, check out the video of a progressive cognitive decline, behavioral issues, myoclonus and abnormal posturing of the neck and upper limbs in a 15 year old.
- Jerky movements of upper limbs are actually myoclonus.
- Could touch chin on the right side with either hand, to reduce neck posturing and forward position of the head. - He could also occasionally insert a finger into the right side of the mouth for symptomatic relief.
- This boy was not vaccinated.
My take: It will be important for clinicians around the world to be on the lookout for measles and the late SSPE potential manifestations. The geste antagonist in this case was incredible, and I personally have never observed this dystonic manifestation in the setting of measles. Finem respice – consider the outcome of not vaccinating. https://t.co/Dy709rJa7J
Read about sensory tricks by @MarkHallett007
https://t.co/5nMcRbgFjM #Measles #vaccination #SSPE #dystonia #myoclonus

[Ted Bowen MD @NeuroTb]

@zach_london @PulmCrit During residency, I had one attending tell me it was a life goal of his to give someone thiamine toxicity 😂😂😂

[Ted Bowen MD @NeuroTb]

Amazing infographic on CVST trials! #neurology #neurocriticalcare #stroke #MedTwitter

[Mica Schachter, MD @neurona_critica]

Central Venous Thrombosis Anticoagulation Infographic @caseyalbin @EmoryNeuroCrit @SitaraKoneru @neudrawlogy
#Neurology #NeuroTwitter
https://t.co/fU8QrOMx7Y

[Ted Bowen MD @NeuroTb]

@neurona_critica @caseyalbin @EmoryNeuroCrit @SitaraKoneru @neudrawlogy Amazing summary!

[Ted Bowen MD @NeuroTb]

The brain is beautiful! #Neuroscience #neurology

[Danielle Beckman @DaniBeckman]

Two neurons having a conversation, surrounded by some busy microglia doing their job: maintaining neuronal networks and helping with injury, repair, and pruning! The brain is beautiful! 🧠🔬#neuroscience #Microscopy

[Ted Bowen MD @NeuroTb]

Single dose prophylaxis for VAP?? Many of our neuroICU patients remain intubated for a prolonged period of time. How many days of empiric vanc/cef/zosyn/etc can we avoid by doing this? Is this a landmark/practice changing paper for you? #criticalcare #neurocriticalcare #ICU

[Neurocritical Care Society @neurocritical]

#NCSTJC Q5: The PROPHY-VAP trial found a single dose of ceftriaxone decreased the incidence of early VAP in patients with acute brain injury. Does this finding change your clinical practice? https://t.co/6mrqts0W8V @EM_NCC

[Ted Bowen MD @NeuroTb]

I did exactly what it said 😂😂😂 @NDECinstitute #MedEd

[David Perell @david_perell]

Remember this for whenever you design something.