Sunday, September 24, 2006

Neurology Notes

Some neuro-related thoughts collected over the past four weeks:
  • On the very first day of our neuro unit, I counted down exactly how many days of the 4-week clerkship I would have to work (taking into account weekends, lecture days, and a few school functions). The final count: 12. Only 12 working days out of 4 weeks! Most people in the "real world" would laugh at such a schedule. I, however, barely lasted those 12.

  • We had a random lecture one day about neuroimmunology ... 2 topics I couldn't despise more. I don't even know what neuroimmunology. I really do not know what puts me to sleep quicker, talking about the cerebral cortex or T-cells. Actually, a topic that does put me to sleep even quicker is anything related to a uterus. There's the triple threat: a lecture on gynecologic neuroimmunology.

  • My dog doesn't have reflexes. I tried tapping her knees with my reflex hammer to elicit a response, but I didn't see any movement. Who knows if I was doing it correctly, though, since she kept trying to sniff the hammer. Come to think of it ... I don't know if she even has knees.

  • Speaking of reflexes, I need some better ones for myself. I just learned the hard way why one should load silverware into the dishwasher with the sharp sides pointed down. As I was emptying the dishwasher, I was stabbed by a fork ... and I now have 4 holes in my thumb. All in a straight line.

  • Neurology rounds are possibly the most boring event ever ... and not just in a hospital, either. One day our attending, while we all stood around and observed, interrogated an obstinate patient for over 30 minutes about a seizure he had had ... it was unbelievably painful since there are only so many ways to ask "what happened during the seizure?". And he ended the whole encounter by pleading with the patient to tell a dirty joke (to evaluate a part of the brain involved with the sense of humor), which the patient refused to do. I wanted to kick both my attending and the patient.

  • No more left-sided weakness, right-sided weakness, dysarthria, fasciculations, fibrillations, nerve conduction studies, EMGs, pain and temperature sensation, or two-point discrimination!

1 comment:

foofoo5 said...

I maintain an unconscious repetition of touching my thumb to the tip of each finger, forward and back. Quite often when I'm engrossed or bored. I have yet to master beginning the left-hand thumb to pinkie, right hand thumb to index finger simultaneously, without looking at my left hand. Likewise, I frightened a woman in my office by noting the absence of a Babinsky sign in either of her feet. In my opinion, these are virtuous applications of neurology.

By the way, if you are ever spontaneously called upon to sing the National Anthem, you'll wish you had kept that fork. Congrats.