Hop aboard the brain train with the education chief resident at Washington University in this neurology education podcast where he interviews experts in the field to uncover the fundamentals of clinical practice, tips for young trainees, and personal insights about the profession. Dr. Jamie Holloman uses his superhuman ability for self deprecation to keeps things light as we explore the mysteries of the mind. Fantastic resource for neurologists, neurology residents, medical students, and anyone interested in learning more about applied neuroscience.
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Hop aboard the brain train with the education chief resident at Washington University in this neurology education podcast where he interviews experts in the field to uncover the fundamentals of clinical practice, tips for young trainees, and personal insights about the profession. Dr. Jamie Holloman uses his superhuman ability for self deprecation to keeps things light as we explore the mysteries of the mind. Fantastic resource for neurologists, neurology residents, medical students, and anyone interested in learning more about applied neuroscience.
Seizures are the bread and butter of the neurological consult service. Gaining proficiency in the workup and management of first-time seizures makes a young neurologist’s life much easier. To shed some light on this topic, I sit down with the incredible Dr. Brian Day, an Epileptologist at Washington University, to discuss the ins and outs of first-time seizure management. Dr. Day got his MD and PhD at the University of Kentucky and completed his neurology training at Washington University. He then did a fellowship in Epilepsy and currently works treating patients with seizure disorders.
Time stamps:
1:00: My experience with epilepsy
5:23: Why neurology
12:13: What did you study for your PhD?
16:43: Why epilepsy?
21:53: What do you like to do in your free time?
25:53: Patient case of new onset seizure
27:57: What is a seizure?
30:16: How can you tell if shaking is a seizure?
37:45: Non-epileptic events
41:41: Provoked vs unprovoked seizures
42:53: Medications that can provoke a seizure
47:38: Can certain longstanding medications cause seizures?
49:25: How to counsel seizure patients about alcohol consumption
51:58: Acute symptomatic vs remote seizures
56:08: Neuroimaging for new onset seizure
58:43: Screening for mesial temporal sclerosis
59:53: What to look for on brain MRI
1:00:53: What to look for on EEG
1:05:53: Lab workup/when to get a lumbar puncture
1:07:46: Can a UTI provoke a seizure?
1:12:08: Focal vs generalized seizures
1:13:44: Neurological exam for seizures
1:16:52: Do multiple seizures in a day change prognosis?
1:19:13: Role of serum lactate/prolactin
1:21:08: When do you start antiepileptics?
1:23:43: What to do with an abnormal EEG
1:25:05: Deep vs cortical brain MRI lesions and seizure risk
1:28:08: How to manage unprovoked seizure patients older than 60
1:30:19: Benzo bridges
1:32:43: Follow up for patients
1:33:46: Counseling patients with first time seizures
1:37:43: Summary
Disclosures:
Dr. Day report no relevant financial disclosures. Brain Boy Neurology reports no relevant financial disclosures.
Brain Boy Neurology
Hop aboard the brain train with the education chief resident at Washington University in this neurology education podcast where he interviews experts in the field to uncover the fundamentals of clinical practice, tips for young trainees, and personal insights about the profession. Dr. Jamie Holloman uses his superhuman ability for self deprecation to keeps things light as we explore the mysteries of the mind. Fantastic resource for neurologists, neurology residents, medical students, and anyone interested in learning more about applied neuroscience.
