Zain Ashary, MD

Stroke Neurologist and Vasc Neuro Fellowship PD @RUSH_Neuro. Subspecialty in Neuro-trolling

[Zain Ashary, MD @zainandthebrain]

Docs, focus less on who:
1. is getting paid more
2. has the less call
3. has published more

Instead focus on:
1. being swift as the coursing river
2. With all the force of a great typhoon
3. With all the strength of a raging fire
4. Mysterious as the dark side of the moon

[Zain Ashary, MD @zainandthebrain]

@IntJStroke Unfortunate blanket statement for this article. Significant differences between the two populations as it seems anticoagulation populations seemed to be more sick.

[Zain Ashary, MD @zainandthebrain]

The what trial???

[C. Michael Gibson MD @CMichaelGibson]

SINGLE-AF trial: In patients with atrial fibrillation and intermediate stroke risk, DOAC therapy lowered the risk of net adverse clinical events (stroke, systemic embolism, major bleeding, or CV death) compared to no anticoagulation at 24 months. View slides here: https://t.co/b36rhC1emf

[Andrew Micieli @MicieliA_MD]

I continue to see many stroke in the young cases where Lp(a) isn’t measured. Add it to your stroke in the young toolbox👌

Sincerely,
Your friendly community stroke neurologist 😎

[Zain Ashary, MD @zainandthebrain]

Corporate America: "I have an onsite next week."
Healthcare workers: "You mean your job?"

[Zain Ashary, MD @zainandthebrain]

What role do you think neurologists should play in terms of recovery from stroke?
We are getting better at acute therapies and prevention but recovery is lacking. I encourage my trainees to offer ways to help like offering Botox for post-stroke spasticity!

[Zain Ashary, MD @zainandthebrain]

End of the year dinner to celebrate the accomplishments of our fellows!

[Zain Ashary, MD @zainandthebrain]

Very excited to welcome our new Vascular Neurology fellows for 2027-2028
Academic Year here at Rush University!

Congrats to everyone who matched and looking forward to the next generation of stroke care! #FellowMatch

[Zain Ashary, MD @zainandthebrain]

Congrats to our third year resident and medical student for presenting very interesting stroke cases at the #AANAM conference this year

[Rich Duszak, MD @RichDuszak]

Radiologist here. I'm ready to replace ill-informed hospital administrators with AI.

[American Academy of Neurology @AANmember]

Exciting news! Congress just introduced the H-1Bs for Physicians & the Healthcare Workforce Act, a bill that would provide exemptions from the $100,000 H-1B visa processing fee for providers.

Urge your representatives to co-sponsor today: https://t.co/j9Y0IUA4Iu

[Zain Ashary, MD @zainandthebrain]

So would you say that the NIHSS ‘neglects’ the right hemisphere??

[Fawaz Al-Mufti, MD, FSVIN @almuftifawaz]

The right hemisphere would like a word. Turns out the right brain has been getting robbed.

Our new paper in @StrokeAHA_ASA shows right MCA strokes actually have worse inpatient outcomes than left.

Higher mortality.
More edema.
More complications.

Yet these patients often score lower on the NIH Stroke Scale.

If your stroke does not affect speech, the system sometimes thinks you are doing just fine.

Translation: patients with right hemisphere strokes can look “better” on paper while actually doing worse.
#Stroke #NeuroTwitter #Thrombectomy #MedTwitter

[Zain Ashary, MD @zainandthebrain]

Thank you to our expert hematologist Dr Gezer for giving us a very informative multi-disciplinary Grand Rounds on arterial thrombosis. Learning about Lipoprotein A’s significant contribution in coagulation cascade can be practice changing for me!

[Zain Ashary, MD @zainandthebrain]

Wait so you’re saying minocycline can help with stroke recovery whilst also getting rid of acne? #MiracleDrug

[AshuJadhav @AshuPJadhav]

Efficacy and safety of minocycline in patients with acute ischaemic stroke (EMPHASIS): a multicentre, double-blind, randomised controlled trial - The Lancet https://t.co/qPkbRvQyeM

[Zain Ashary, MD @zainandthebrain]

Me trying to watch my functional neurological patient easily walk out of the clinic

[McNeil @REFLOG18]

Me making sure the green is clear from 260 yards out before I top it 20 yards

[Zain Ashary, MD @zainandthebrain]

Our fellow as a visiting lecturer @MX_College. Teaching essential neurology to our future first responders. #Timeisbrain

[Zain Ashary, MD @zainandthebrain]

Thank you to @Rush_Pathology for allowing our fellows to observe a dissection of a brain with a stroke. Pointing out anatomical structures and stroke pathological changes definitely gives us a new perspective on how to think about stroke pathophysiology and care for our patients

[Zain Ashary, MD @zainandthebrain]

Oddly my wife uses this term to describe me before coffee…and she is not even a neurologist.

[Brain @Brain1878]

Up to one quarter of coma or vegetative state/behaviourally unresponsive syndrome patients may be conscious, despite being unable to communicate with observers. Aubinet et al. propose that the term ‘covert consciousness’ be used to describe these patients. https://t.co/TkMgNJxKUR

[Zain Ashary, MD @zainandthebrain]

My hope for 2026 is that #strokedocs start to lvl up their swag by using these terms

“Give ‘em the juice”- administer TNK
“Time to go fishing”- send for thrombectomy
“Pipes are chalked”- significant atherosclerotic plaque with the vessel lumen

[Zain Ashary, MD @zainandthebrain]

Exciting! Always looking for new ways to give the 🧃🧃🧃

[Shadi Yaghi @ShadiYaghi2]

Ending the year with this terrific paper! IV thrombolysis may be safe & effective in ischemic stroke patients on a DOAC. Ongoing trials (ACT-Global and DO-IT) and ESTER-DOAC (if funded) will help address this question. @TotoMynell @bijoymenon @DavidSeiffge https://t.co/fGOqQYQBsx