Princi

Adult Neurology; Born Ilongga; Bread and coffee enthusiast. 🤷‍♀️

[sikandar adwani @SikandarAdwani]

One common complaint I hear in my dementia OPD is,

Doctor, he is not eating anything.

Many times, the family gets frustrated. They request, argue and even scold the patient.

Then I ask them to try one small thing.

Sit next to him.

Smile.

Talk softly.

Give just the first bite.

Many times, something beautiful happens.

The patient starts eating on his own.

This can happen because of feeding apraxia. The patient is not refusing food. The brain has difficulty starting the act of eating, and the first bite acts as a gentle cue.

If this happens repeatedly, do not ignore it. The patient needs a proper assessment to look for feeding apraxia, swallowing difficulty, progression of dementia, or other treatable causes.

Not every dementia patient who is not eating has lost appetite.

Sometimes, they simply need help taking the first step.

Understanding this changes the way we care.

#Dementia #Caregivers #Neurology #BrainHealth

[Princi @prncdmspmd]

@iakai28 Hi!!! 2 tix sa LB available pa po? 🥹

[Princi @prncdmspmd]

https://t.co/nO0RXPbTVg

[Neurochecklists @neurochecklists]

Incidental findings from 16,400 brain MRI examinations of research volunteers https://t.co/lOCOIU1cnL

[Andreas Charidimou MD, PhD @a_charidimou]

🧠🔖 For all the #neurotwitter enthusiasts and romantics that still read books, a new edition (50 years anniversary) of Adams and Victor’s was just released!

#AANAM #Neurology #MedStudentTwitter

[Princi @prncdmspmd]

Do you remember when you joined Twitter? I do! #MyTwitterAnniversary

[Princi @prncdmspmd]

@TalalFazmin Congratulations

[Princi @prncdmspmd]

Tell me you're a 🧠👩‍⚕️ without telling me you're a 🧠👩‍⚕️.
🙏☝️💜
https://t.co/2PhMzBRmw4

[Andreas Charidimou MD, PhD @a_charidimou]

📀 MRI findings / ☠️toxic-metabolic 🧠-pathies

🚀Stellar schematic via: @drcyncity

#MedTwitter #neurotwitter #FOAMrad #radres #NeuroRad #Neurology #Neurosurgery #RadEd #MRI #neuroradiology #radiology

[World Stroke Academy @WorldStrokeEd]

#MondayTip

🩸The #Heidelberg #Bleeding Classification

Classification of bleeding events after ischemic stroke and reperfusion therapy

#openacces

https://t.co/KGqTgI81k1

[Continuum: Lifelong Learning in Neurology @ContinuumAAN]

Bonus Key Point 4 from the article Progressive #MultipleSclerosis by Dr. Lilyana Amezcua (@AmezcuaLilyana), which is available to subscribers at https://t.co/K639j44Vl3. #neurology #neurotwitter #meded #MS

[World Stroke Academy @WorldStrokeEd]

#MondayTip

💊Dual Antiplatelet Therapy is currently part of evidence based management in minor #stroke and #TIA

☝🏼Check this summary from @StrokeAHA_ASA of the 3 main #DAPT trials

#CHANCE #POINT #THALES

#openaccess

https://t.co/Mdcqhf96fh

[Casey Albin, MD @caseyalbin]

1/
Wrote a #tweetorial (the first one in awhile!) about the role of hypercoag testing in acute ischemic stroke (Check out ⬇️)

But Twitter cut me off before we could think about the role of hyperhomocysteinemia.

In case you couldn’t sleep without this info… (lol)
✨Part II✨

[World Stroke Academy @WorldStrokeEd]

#MondayTip

☝️#MRI sequences are useful in dating ischemic #stroke as hyperacute, acute, subacute or chronic
ie:
🧠ADC low: < 1 week
🧠FLAIR (+): >6-12hr after onset
🧠CE-T1w: parenchymal enhancement typically 1week-2months

#openacces
👉https://t.co/dp6kM2GpUJ

[Rodolfo @RodoSabogal]

@sohailahmedmarr @AvrahamCooperMD For sure, this is the link in critical care clinics.

https://t.co/CQbDkwxBAS

[Oren Gottfried, MD @OGdukeneurosurg]

Resection of Large PARASITE from the BRAIN by Dr. Ammar Kadhim.

[World Stroke Academy @WorldStrokeEd]

#MondayTip

Some #NIHSS Pitfalls:

☝🏼0 does not equal “No Stroke”‼️

👉Items with poor reliability (LOC, gaze, facial palsy, ataxia)

🧠 Emphasis on 🗣 and following commands may result in higher score for dominant hemispheric strokes

⏬ sensitivity for posterior circulation

[Pickle @mpickle]

Do you struggle with focus?

Here are 5 tips to develop lazer focus and get into deep work:

[Princi @prncdmspmd]

TODAY is the day that our senior residents are getting their board exam. Go get that FPNA! #neurotwitter #philippineneurologicalassociation #ANSB #Fellowship

[Princi @prncdmspmd]

Did some old-school learning with the whiteboard and markers. Thanks, Dr Rivera! #neurotwitter #neuroresidency #neuroanatomy