Neurologist, researcher, parent. Views my own, not my employer's, government's or, occasionally, anyone else's.

Australia
Joined July 2017
Today, NeuRA proudly hosted the Parkinson's Disease Open Day a special event bringing together science, support, and community. Welcomed by the Park and Sing choir, the event gave visitors the opportunity to learn about the services NeuRA offers for people living with Parkinson’s Disease and hear the latest research updates and clinical trial developments. NeuRA's Dr Michael Li shared insights on the connection between genetics and Parkinson’s Disease. @DrSimonRowe discussed the effects of diet, nutrition, and the microbiome, and Dr @gautamwali presented the latest research in Parkinson’s Disease. Attendees also had the opportunity to connect with NeuRA researchers and explore current studies, as well as meet our fantastic event partners: Parkinson's NSW, Shake It Up Australia, and Preview Health. #NeuRA #Parkinsons #ParkinsonsDisease @OkuboYoshiro
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Alzheimer's disease is too important, and its latest 'treatments' are too fraught with harms, for the current pharma-led wishful thinking and you-can-see-it-if-you-squint analyses. Neurodegeneration is more than any single molecule, and reductionist paradigms do not suffice.
Remember the “time saved” modeling for #Alzheimers infusions discussed a year ago? Patients would extend their months ‘saved’ to 7.5 using curve extrapolation. The data have shattered the optimistic prediction—the model-lecanemab discrepancy in 5 parts. 🧵
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This is simply not true. Overdiagnosis is real and needs to be taken seriously.
For those questioning whether whole-body MRI for healthy people is a good idea : Incidental findings in radiology have saved countless lives—never taken one.
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Neurology people often joke about getting an MRI when all the patient actually needs is a plantar response Guys, getting an MRI is important. How else does the patient know there are things more expensive in medicine than a neurological consultation?
Medicine people often joke about checking plantar reflexes when all the patient actually needs is an MRI Guy, checking plantar is important. How else would you know that you haven't lost your car keys ?
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Paracetamol is lethal in doses as low as 10g, if appropriate treatment is not provided before permanent liver damage occurs. So rather than work on adolescent/teen mental health and suicidality, let's make it ever so slightly more annoying to buy 10g. 9news.com.au/national/parace…
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Yikes. Alana King is bowling beautifully against England. Such a rare privilege to watch legspin bowled with such control and subtlety. #ENGvsAUS #Ashes @7plus
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Simon Rowe retweeted
A 59 year old patient is brought to clinic by her family for cognitive decline. They want to start her on lecanemab She has a history of hypertension and migraine. On exam she has mild executive, attention, and memory impairment This is her imaging. What would you do?
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Tl;dr - science bro can't read an English literature thesis abstract but still thinks he can dump shit on the author and seem intelligent
I spent half my life pursuing a PhD in biotechnology. I dedicated myself to honest science—running experiments, being critical, and trying to disprove my own hypotheses. Eventually, I earned my degree. It was grueling but meaningful work. Then you see this. This woman just received a PhD from one of the so-called “elite” universities for a thesis claiming that describing smells is racist. Yes, you read that right. The core of her research? If you say someone stinks, people like them less—a concept any child learns from cartoons at age four. Her abstract is stuffed with pretentious language and inflated words, making a simple idea sound profound. But what’s worse is that this kind of “scholarship” is increasingly being legitimized. At least this is an eye-opener. Academia is dead. And we can no longer take these so-called “elite” universities seriously.
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Another week on call, another chance to reflect on the unpredictable and fragile nature of our lives, and to hug the little ones especially tight 😪
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Most pizza is actually pretty crap and not worth the financial or physical cost.
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Stroke is by definition 'not normal' in anyone. But stroke in people under 50 has represented 10-15% of cases for many years, and has been sadly going up steadily over the last twenty. Not normal, but not new.
Nobody can convince me that heart attacks & strokes before age 50 are normal. I've been around for a long time. This is not normal. Most of my doctor colleagues agree in private that something is very, very wrong, but they won't comment publicly.
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I'm sorry, but this season of American Democracy has totally jumped the shark.
Roseanne Barr: They eat babies. It’s true. Tucker Carlson: so it's not just the dogs and cats? Barr: Everybody thinks I’m crazy. I’m not crazy. They love the taste of human flesh & they drink human blood Tucker: I think you have some authority on this
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Is there a bigger dickhead in the world at the moment than Elon Musk? Serious question.
The Dems want to take your kids
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Bought a water filter last week. Now, >90% of ads on Twitter are for the SAME water filter. After a week of clicking 'i don't like this ad', I'm giving up. Will be staring at filters for the rest of my life apparently.
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10/10, no notes
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So true. The loss of a loved one is so hard at first, but never gets 'easy'. After a month or so, as the rest of the family and friendship circle start to move on, it can actually become harder to keep going.
If you know someone who’s lost a loved one maybe check in on them a few weeks or even months later It’s not one of the Kubler-Ross stages but I see a lot of loneliness creep in for the bereaved as the grass grows over the grave and the world moves ever on
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Here you go:
Anyone have a <1 hour edit of the highlights of the @realDonaldTrump conversation? That’s what most people will be looking for tomorrow.
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The most up to date stroke stats in Australia only go up to 2020-21, so predate COVID. The rise in young stroke since 2014 is not mystifying: it's because rates of hypertension, diabetes and high cholesterol have increased in people under 55. Hope this helps @DALupton
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The break down by age for these deaths is not, as far as I can find, available. But in clinical practice, I can only say that young strokes remain rare tragedies, thankfully.
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This graph (again, only up to 2021 because comprehensive stats have not been released for the past three years) shows an incredibly welcome trend.
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