gk

[gk @gpk0523]

@MarcusVPinto The most important part is the history, and identifying which parts of the examination are high yield for the clinical scenario

[gk @gpk0523]

@DrSteveTaylor The paper states causality cannot be inferred so for them to also use a title in the paper that says the vaccine reduces risk is highly misleading. Why is this not an observation that people who opt to have the vaccine are less likely to have prodromal cognitive impairment?

[gk @gpk0523]

@higherutley @Parody_RCGP Spasticity related spams probably the most useful situation but doesn't work for everyone and can make make mobility worse

[gk @gpk0523]

@AvantiWestCoast Staff on the train have said it's very unlikely this train will depart this evening

[gk @gpk0523]

@AvantiWestCoast I am on 1940 eus to Crewe not yet left euston. No information on board. Can an off peak single from today be used during morning peak time tomorrow?

[gk @gpk0523]

@AvantiWestCoast For this reason alone you should allow the today's tickets to be used tomorrow and allow people to plan their night in advance not at the drop of a hat

[gk @gpk0523]

@MichaelOkun DIS and DIT are still the cornerstone because they paint the typical clinical picture of RRMS also. Theres no consensus on what to do when someone can be diagnosed as biologically having MS but no typical clinical picture so there is a lot of caution about this

[gk @gpk0523]

@thameswater Hi are there any problems reported in the se18 area? Thanks

[gk @gpk0523]

@ankitkant Resources are not equal across all hospitals. Ours has no mechanism by which blood results are sent to the requesting clinician. Not a problem for primary care to fix of course but mad how much risk we all acknowledge in health care

[gk @gpk0523]

@BoyGeekDrone @Neuro_Matt No one argues with this and across the country neurology input into inpatient work has massively increased. The issue, like all specialties, is about how to avoid diluting training for both GIM and neurology. And also balancing the need for outpatient demand which has rocketed

[gk @gpk0523]

@jfdwolff It's very common to wait that long and somwtimes its not feasible in confused patients. Also if high suspicion of HSV could consider full treatment even with negative pcr. A lot here rides on the renal failure -recognition and treatment, for which details are lacking

[gk @gpk0523]

@tomhfh Knew I'd seen this before

[gk @gpk0523]

@goldstone_tony Hi who do we contact if there is no pension statement on the website and just tabs for personal information and employer benefits? Thanks

[gk @gpk0523]

@ecalabr Like all tests, useless information without clinical context

[gk @gpk0523]

@TJCoats @MarcusVPinto I'd say about one diagnosed (at least as initial diagnosis) every 2-3 months in a mid size dgh.

[gk @gpk0523]

@StevenMAlderson @DrDavidWarriner @emahase_ @RCP_RDC I was at a tertiary centre smack back in the middle of a major city, not rural!

[gk @gpk0523]

@StevenMAlderson @DrDavidWarriner @emahase_ @RCP_RDC What does this mean in practice? When I was in Australia occasionally some of my bosses were hundreds of km away not even realising they were even on call. Learning independent clinical reasoning is importsnt as long as the feedback is there. Doesn't always have to be immediate

[gk @gpk0523]

@MarcusVPinto Do we know sensitivity of testing for nodopathies in serum post ivig? Thanks

[gk @gpk0523]

@ABNTrainees "CCT preferable" they say but will not pay you the salary of a consultant. One big problem with post CCT fellowships in the UK summed up