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Using Ultrasound To Zap The Brain Back Into Action

Scientists at Arizona State University have developed a new method of non-surgical brain stimulation using pulsed ultrasound that enhances cognitive function in mice, and may one day be used to non-invasively treat patients with mental retardation, Alzheimer’s disease and other central nervous system (CNS) dysfunctions.

In intact motor cortex in mice, ultrasound was found to stimulate action potentials and elicit motor responses comparable to those only previously achieved with implanted electrodes and related techniques. It also activates meaningful brain wave patterns and the production of brain-derived neurotrophic factor (BDNF) in the hippocampus — one of the most potent regulators of brain plasticity. Read more »

*This blog post was originally published at Medgadget*

Can Stuttering Be Contagious?

Recently I was seeing a patient who was left with somewhat of a stutter after a prior stroke. It was a long history and probably longer for the patient, who had to work very hard to be understood through an unwanted speech impediment.

Inexplicably, when I walked out of the room I started to stutter, too — I wasn’t trying to make light of the patient’s problem, and I had to stop talking for a few moments before I could speak in my normal cadence.  It was super-strange, like my brain heard the new cadence and said “Oh, that’s how you do it.”  Awful.

It was embarrassing and weird. Fortunately the patient didn’t hear it, and I apologized to the staff who did. I have no idea why my mouth-brain connection picked that anomaly to repeat. Strange.

Anyone else have this?

*This blog post was originally published at GruntDoc*

Book Review: Stroke Diaries – A Guide For Survivors And Their Families

strokediariesI had the distinct pleasure of reading Stroke Diaries this past week. Its author, Dr. Olajide Williams, is a dear friend and contributor to this blog. I first met Dr. Willliams (or Jide, pronounced “gee-day”) as a young neurology resident at Columbia Presbyterian Hospital. I was in my third year of medical school and rotating through the neurology service.

A few things struck me about Jide back then. First, he was the only resident who never got an answer wrong when put on the spot (aka “pimped”) by his superiors. I was in awe of his knowledge base — something he’d developed by disciplining himself to do additional reading long after his peers were asleep.

Second, Jide was always immaculately dressed — his stylish, brightly-colored shirts and ties complimented his dark skin and cheerful, British accent.

And third, his love for his patients and medical students was abundantly clear, as he always went out of his way to educate them in the most friendly and sensitive of ways. In short, Jide was an inspiration to me — as a teacher, a neurologist, and a friend.

Stroke Diaries is a reflection of Jide’s character — a perfect blend of poetic vignette and straightforward science. This short book (130 pages) chronicles the true life stories of various patients who’ve suffered strokes. Read more »

It’s American Stroke Month

AHA-ASA logoMay is American Stroke Month as designated by the American Heart Association and American Stroke Association. As I talk about in this video, stroke is the third leading cause of death in the United States, and every 40 seconds someone in the United States suffers from a stroke.

The key thing to recognize is that symptoms are sudden — whether it’s weakness on one side of the body, difficulty with talking, difficulty with walking, or other neurological changes. One of the important things to remember is that even subtle weakness or difficulty with speech can be an early sign. Read more »

*This blog post was originally published at Doctor Anonymous*

Examine A Hand, Foreshadow A Future

Back to the subject at hand.

To those who are relatively new to this blog, one of the most popular…uh…tolerated series of posts has been my series on the physical exam. If you haven’t done so already, you may want to go back and read the posts to get in the proper mindset (or destroy enough brain cells).

Astute readers will note that doctors are not the only professionals to examine the hand.

Long before we knew anything about carpal tunnel syndrome or the thenar eminence, we had Madam Linda and her cohorts looking at the hand for signs of what the future will bring for the individual that happens to be connected to the hand in question. Just as stars and planets can have a peculiar interest as to whether a person will run into money, the lines on a person’s hand can foreshadow a person’s future. Read more »

*This blog post was originally published at Musings of a Distractible Mind*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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