Before ward rounds we convened as a firm over bourbons or croissants to discuss the ward patients and their diagnoses for 1 hour, then do the business round requestioning and reexamining and then communicating the planned management. The nursing sister was always present
I remain fascinated by my ‘lizard brain’ with its prehistoric fears, intuitions, elations and soulfulness.
I have always preferred cellars to attics
#Basalganglia #amygdala #nucleusaccumbens
Be careful what you wish for
My book review of Nature Within by @wrenandbee. A clarion call for all physicians to embrace Erasmus Darwin’s romantic science and sustainability
@jonstoneneuro @ACNR @PracticalNeurol @Brain @UCLIoN
acnr.co.uk/book-review/...
I'm talking about emergent grass-roots dancing of the brain that is far greater than its component parts.
Cheaper than a Big Mac royalties go to Parkinson's research
Press your Amazon button now. A great gift for neurologists psychiatrists and neurophiles.
www.amazon.co.uk/Murmuration-...
Old age is a planet to itself where all those minor psychic and physical bumps and scratches are suddenly disinhibited taking on new and suddenly robust lives of their own. Anything that has been ignored or closeted is now lit like a Noir film, shadows looming over the everyday.
A great present for all life scientists but especially those with an interest in the brain.
Cheaper than a box of chocolates and better for you. Any royalties go to Parkinson’s research
#Neurologicalbirdsong
Murmuration amzn.eu/d/9zbsdOh
Belatedly it dawned on me that many of Kennedy and Trump’s notions of health and illness stem from the orgone boxes, golden dawns, trepanning, psychedelics, macrobiotics of the Swinging Sixties.
I found it all a pile of baloney
Finding new ways to provide hope is an important part of neurological practice but you wont find enlightenment in our journals or our textbooks.
I found seeing patients, avoiding functions and committees, walking & listening to music & reading about important developments a way of reducing angst and creating flux.
I didn’t have electronic health records which allowed me time to think and carry out clinical research
Errors of omission are looked on by society as heinous while errors of commission are brushed under the carpet - wastage is never punished
Sometimes when i test large language models with questions relative to neurological practice they come back with the sort of ill informed peacockian response one used to hear in the days of diva doctors. I call them Sprattisms
Errors of omission are looked on by society as heinous while errors of commission are brushed under the carpet - wastage is never punished
Winter scene as i travel the paths from Highgate to Hampstead. Murders of crows, the odd jay, robin song everywhere. Jimmy Ruffin brain worm
I have a major advantage over large language models. I can say I don’t know to my patients and watch and wait to
get them better
For me medicine has always been a privilege and highly satisfying but i was given the opportunity to spend most of my time on patient care and clinical research, had mentors and a supportive firm system
The resident doctors have been denied this by a disrespectful society.
I live in my own echochamber of followers and following believe in my little way im helping to improve thr algorithm and subscribe to nothing.
I detest Musk but less than Trump. Who owns BlueSky?
No idea how you cope with the vacuum that the high ground comes with. I feel like im blowing a saxophone in an echo chamber?
Safe sailing
Neurologists who believe the literature began with the internet are not only missing out but repeating in print what is already known. Perhaps it doesn’t matter but it does to me
"Moving to the music had helped me rebuild and resynchronise. The trip to Soul Town told me I needed to take more time out to dance on the edge of volcanoes and spend time watching the sunbeams flirt with the shadows."
"The music seemed timeless. Soon I was floating out on the floor, feeling the syncopated horns and strings, galvanising my thinning muscles. I was still the old modernist, making moves I didn’t know I still had in me."
A.J. Lees regains his Northern Soul in Blackpool.
@thearsonista.bsky.social
My essay about a quest for authenticity with thanks to my editor @ccohanlon and publisher @thearsonista
Also thanks to @AnneHellevik @doufous and @RichardSearling
#NorthernSoul #Blackpool
"Charcot Redux" - @ajlees.bsky.social has written a magisterial article on Charcot, which gives you something of the man and his context.
Essential for anyone needing an introduction
doi.org/10.1093/brai...
Its awful and in my view negligent
I agree but it may be better than the terrible screen gazing and control imposed by electronic health records desibned primarily to send bills out and unfit for neurological or psychiatriv purpose
To commemorate the bicentenary of Jean-Martin Charcot's life. Without him Neurology would be a different speciality.
@uclqsion.bsky.social @brain1878.bsky.social @masudhusain.bsky.social
academic.oup.com/brain/articl...
How much easier it was as a medical student to shut oneself in the library than to visit the wards, but as time went on, I realised I was gleaning far more by the ‘doing’ than the passive absorption of facts
My textbooks are passé but I can picture those first patients clearly
#Brainspotting
‘Among all the friendships I have made in life those of school and childish acquaintance are the sweetest- there is no deseption(sic) in them… there is nothing to regret in them but the loss’
@yerwha @JohnClarePoetry @JohnClareSoc
