Monday, August 28, 2006

First Day of Neurology

It's been four weeks, so it's time for another rotation: neurology. I can't say I am looking forward to this rotation since I do not find neurology -- or even neuroscience -- fascinating. Any time I hear words like "thalamus" or "amygdala" I seem to zone out of the conversation, so I have to watch myself for the next month.

Neurology might be particularly agonizing because one of my surgical subspecialty electives was neurosurgery, and so I had first-hand experience (and enjoyment) with the surgical side of solving neurologic problems. Unfortunately, the medical side of neuro problems is essentially limited to diagnosis, since not much can be done medically for neurologic problems.

I am also a little worried, since I tend to be susceptible to neurologic conditions when it comes to my hypochondria. After meeting our three myasthenia gravis patients today, I am already a little self-conscious about my possibly drooping eyelids.

This will be a long 4 weeks, now for more than one reason.


keagirl said...

And you thought Internal Medicine rounds were painful?
I actually dozed off during my neurology rounds...

On the Same Page said...

What I found so frustrating about neurology is that, basically, you really can't help. You can assess, test, and report outcomes. My dept. has a specialized neuro-geriatric assessment center that diagnosis dementia & Alzheimer's. Now let me tell you the good news... ah, there is no good news. What a great job.

Axis said...

keagirl: Nice timing. I fell asleep during rounds myself today ... it doesn't help that our "rounds" are just sitting around a table (no walking from patient to patient). Normally I wait at least a week before I feel comfortable falling asleep in front of my team.

foofoo5: That's what I hear. I'm trying to give this rotation/specialty the benefit of the doubt, so let's see how long I can last.

In case I forget said...

Maybe you could look at the neurological subspecialty that deals with epilepsy. It is a neurological disorder that an MD can indeed do something about. With meds and/or surgery you can truly make a difference in your patient's lives. I can understand that a doctor wants to DO something and wants to see the results, wants to see the patient's life improve. My neuro who does only epilepsy (Texas Comprehensive Epilepsy Center) gets great satisfaction in diagnosis intractable symptoms that other doctors couldn't define and then helping his patients regain their lives. (AND he gets to play with a gamma knife!)