mTORopathy: an emerging buzzword for neurology

I was recently perplexed with my first case of tuberous sclerosis complex (TSC). I had no idea what treatment, monitoring and surveillance I needed to institute. I quickly checked things up in neurochecklists; I found excellent checklists on the pathology and clinical features, but was disappointed that there were no treatment or monitoring checklists. I quickly hunted down TSC diagnostic criteria and TSC surveillance recommendations and… Read More mTORopathy: an emerging buzzword for neurology

How will neurology checklists unlock excellent practice?

Launching neurochecklists After 5 years of data gathering and sorting, neurochecklists launches today. This is a web-based application which covers the spectrum of neurological practice. I was prompted by Atul Gawande‘s call to physicians to develop checklist-driven medicine, as I discussed in my previous blog post, What is the value of checklists in medical practice? Conceived in libraries and coffee shops, lay-bys… Read More How will neurology checklists unlock excellent practice?

Imagine you have just suffered a devastating stroke!

Imagine you have just had a stroke! Devastating,  distressing, life changing. Imagine you are stuck in a wheelchair, Helpless and speechless. Now imagine you are transported back in time, 6 months before your stroke You see your physically able self, Master of your faculties, Enjoying all the ‘good things’ of life. Now feel the regret, That you… Read More Imagine you have just suffered a devastating stroke!

What are the obstacles to creating reliable neurology checklists?

This is a follow up to my previous blog post on the value of checklists in medical practice. That post explored how checklists improve clinical practice and promote patient safety. It also cited Atul Gawande‘s call to Medicine to “seize the opportunity” and produce checklists for all aspects of clinical practice.   Picking up this gauntlet for neurology comes with peculiar challenges. Here are the 7… Read More What are the obstacles to creating reliable neurology checklists?

What is the value of checklists in medical practice?

Checklists We all know how important checklists are in our day-to-day lives. We cannot survive the day without a to-do list reminding us of the tasks that make our lives go round. It is clearly not an exaggeration to say we live by the checklist. Airline safety But checklists perform far more important roles than reminding us to buy the milk,… Read More What is the value of checklists in medical practice?

What strange things about IBM leave neurologists puzzled?

Inclusion body myositis (IBM) is classified as an inflammatory muscle disease. It however stands out from all other muscle diseases, inflammatory or not. IBM has quite unique, and often unexplained, characteristics. These features mark it out as an enigma, and the mystery deepens the more neurologists research it. IBM continues to throw up new and challenging riddles for neurologists, and here are… Read More What strange things about IBM leave neurologists puzzled?