Murli Mishra MD PhD @murlimishramd.bsky.social · 24/07/2026A start of weekend full of learning #AANPALF #AANAdvocacy 000 0
Murli Mishra MD PhD @murlimishramd.bsky.social · 13/07/2026Inspired by this morning’s discussion on interview experiences and #hobbies. Sometimes the most unusual conversations lead to the most unexpected realizations. #MedSky #MedEd #Neurology #Interview www.linkedin.com/posts/murlim...linkedin.com#reflection #mentorship #leadership #lifelessons #perspective | Murli MishraA mentee asked me today: "What interview question have you struggled with the most over the years?" I paused for a couple of minutes before answering. My response surprised them. It wasn't a technic... 010 1
Reposted by Murli Mishra MD PhDMichael Okun @michaelokun.bsky.social · 02/07/2026When the scale drops in Parkinson's disease, should we worry? Unintentional weight loss means losing weight without trying. In PD it may signal changes in nutrition, swallowing, metabolism, cognition or disease progression: All hands on deck. movementdisorders.onlinelibrary.wiley.com/doi/10.1002/... 043 4
Murli Mishra MD PhD @murlimishramd.bsky.social · 11/06/2026Interesting proposal from NIH: capping simultaneous #research project grants per principal investigator to broaden funding access and support more investigators. IMO it has clear potential pros and cons depending on implementation. Worth submitting comments grants.nih.gov/grants/guide...grants.nih.govNOT-OD-26-086: Request for Information: Proposal to Cap the Number of Simultaneous Research Project Grants per Principal Investigator to Support More Researchers and Maximize Scientific Productivity a...NIH Funding Opportunities and Notices in the NIH Guide for Grants and Contracts: Request for Information: Proposal to Cap the Number of Simultaneous Research Project Grants per Principal Investigator ... 000 0
Murli Mishra MD PhD @murlimishramd.bsky.social · 10/05/2026Predefined authorship order is unfair and should be ditched. Had another example today: someone joined a project late but became its most significant contributor. The last 4 academic years taught me that some people underpromise and wildly overdeliver. Let merit lead. #Research #neurology #stroke 000 0
Reposted by Murli Mishra MD PhDMichael Okun @michaelokun.bsky.social · 06/05/2026Join the revolution in interdisciplinary neurological care at the Norman Fixel Institute for Neurological Diseases at the University of Florida. If you believe the person w/ disease is the sun, then apply for this job as a social worker: explore.jobs.ufl.edu/en-us/job/53... 021 2
Murli Mishra MD PhD @murlimishramd.bsky.social · 05/05/2026Late post! Thrilled to be accepted to the PALF 2026 @aanmember.bsky.social . Grateful to my mentors at UTHouston Stroke whose guidance over months shaped my path toward stroke advocacy. #Neurology #Stroke 000 0
Murli Mishra MD PhD @murlimishramd.bsky.social · 24/02/2026Ranking residency & fellowship programs felt straightforward compared to weighing multiple job offers post-training. Wish there were a clearer framework to systematically compare pros/cons and a reasonable, uniform decision deadline. #Neurology #stroke 000 0
Murli Mishra MD PhD @murlimishramd.bsky.social · 12/02/2026This week, I learned about a rare disease that alters #pain perception: congenital insensitivity to pain (CIP). Channelopathies never cease to amaze me with their diverse presentations, yet I wonder why this one escaped my notice until now. #Neurology pmc.ncbi.nlm.nih.gov/articles/PMC...pmc.ncbi.nlm.nih.govExpanding the Genetic Landscape of Congenital Insensitivity to PainCongenital insensitivity to pain (CIP) is a rare sensory neuropathy marked by absent nociception that predisposes patients to injuries and complications. Variants in genes, particularly PRDM12, underlie the condition. We investigated the molecular ... 000 0
Murli Mishra MD PhD @murlimishramd.bsky.social · 06/02/2026This study exemplifies how drug repurposing research can still meaningfully benefit patients in vascular neurology. Such approaches offer a promising, cost-effective path to future drug discovery for those affected by stroke. #stroke #Neurology www.thelancet.com/journals/lan...thelancet.comEfficacy and safety of minocycline in patients with acute ischaemic stroke (EMPHASIS): a multicentre, double-blind, randomised controlled trialMinocycline therapy initiated within 72 h of acute ischaemic stroke provided a significant functional outcome benefit compared with placebo at 90 days, without safety concerns. Future studies are need... 000 0
Murli Mishra MD PhD @murlimishramd.bsky.social · 22/01/2026Striking gap: ~20x recruitment incentives in non-academic vs academic vascular neurology. Many choose academia for research, teaching & impact. Are we appropriately investing in what sets us apart? #Stroke #VascularNeurology #AcademicMedicine #Neurology www.linkedin.com/posts/murlim... 010 1
Murli Mishra MD PhD @murlimishramd.bsky.social · 02/01/2026I’m curious to learn from your experiences and perspectives. How do you think we can collectively shift toward more meaningful research practices? #Academia #Neurology #Medsky #Neurosky www.linkedin.com/pulse/reflec...linkedin.comReflecting on Predatory Journals and the Pressures Shaping Modern Academia: Is the Publish‑or‑Perish Mindset Fueling Predatory Publishing?As conversations around predatory journals continue to surface, I often find myself asking a deeper set of questions: How did we get here? Who enabled the growth of this ecosystem? Who sustains it? An... 001 1
Murli Mishra MD PhD @murlimishramd.bsky.social · 24/11/2025Here is our new publications: A urine-based POC test for Factor Xa inhibitors: Ideal for patients presenting with acute neurological / stroke symptoms when the last Factor Xa inhibitor dose is unclear. It may be a game-changer for many patients www.strokejournal.org/article/S105...strokejournal.orgA urine-based point-of-care test for Factor Xa inhibitors in acute stroke managementFor stroke patients with history of possible Direct Acting Oral Anticoagulant use, clinicians must make treatment decisions without knowledge of whether the patient is therapeutically anticoagulated. ... 100 1
Murli Mishra MD PhD @murlimishramd.bsky.social · 12/11/2025I've never used anonymous surveys for real criticism. Feedback works best when it’s open and accountable. Leaders need to know who's speaking so they can reach out and discuss solutions rather than guessing. Let's champion openness for true improvement. #Leadershipmedia.tenor.coma rainbow colored background with the words feedback please and a microphoneALT: a rainbow colored background with the words feedback please and a microphone 000 0
Murli Mishra MD PhD @murlimishramd.bsky.social · 10/11/2025#Neurology never stops amazing me. Had an amazing case of monocular quadrantanopia on initial exam that turned out to be ischemic stroke. Differential based on CT included Temporal Crescent syndrome findings, but I had never seen a case. Here is the link: eyewiki.org/Monocular_Oc...eyewiki.orgMonocular Occipital Temporal Crescent Syndrome - EyeWikiAll content on Eyewiki is protected by copyright law and the Terms of Service. This content may not be reproduced, copied, or put into any artificial intelligence program, including large language and... 000 0
Murli Mishra MD PhD @murlimishramd.bsky.social · 04/11/2025Received news that all three abstracts from my fellowship research at UTHouston were accepted for #ISC2026 (and one at #SVIN2025). Grateful to have an awesome team. Looking forward to connecting with colleagues in New Orleans. #Stroke #CRAO #AHA_ASA 000 0
Murli Mishra MD PhD @murlimishramd.bsky.social · 02/11/2025It’s been 4 months since my last post here. 1/3rd of #stroke fellowship completed. It’s been very eventful 4 months. 8 more months of training remaining before we can call ourselves PGY-Old #VascularNeurology 000 0
Murli Mishra MD PhD @murlimishramd.bsky.social · 09/06/2025The variety of flowers in my backyard garden today #Memories #Gardening #Nashville 030 3
Murli Mishra MD PhD @murlimishramd.bsky.social · 04/05/2025Done with last weekend day of work in residency. No overnight calls, no weekend shifts for remaining weeks of residency #neuro 000 0
Murli Mishra MD PhD @murlimishramd.bsky.social · 01/05/2025This month, US FDA @fda.gov announced that animal testing will be phased out! This echoes my article from years ago about pushing for alternatives. #AnimalTesting #Innovation "Why is it essential to find more human-relevant toxicity testing approaches?" Link: www.linkedin.com/pulse/why-es...linkedin.comWhy is it essential to find more human-relevant toxicity testing approaches?Adverse outcome pathway (AOP) is a mechanistic toxicology based non-chemical structure particular methodology of risk assessment. AOPs mainly try to identify the major events or steps that occur betwe... 000 0
Murli Mishra MD PhD @murlimishramd.bsky.social · 28/03/2025Med Myth reminder: If a patient hasn’t used 75% of prescribed meds in 9 months, it’s not treatment failure or a side effect. Adding more meds won’t help. Investigate non-compliance reasons first. They self-reported? Just listen. Listening is essential to the art of medicine 010 1
Murli Mishra MD PhD @murlimishramd.bsky.social · 13/03/2025The biggest advantage of having great juniors @VUMCneurology is that once you design a project, others are willing to take it to the finish line. After getting IRB approval, I barely contributed 10% to it. Here is full text: #PNES #FND doi.org/10.1016/j.se...doi.orgRedirecting 010 1
Murli Mishra MD PhD @murlimishramd.bsky.social · 03/02/2025Here is the full-text link to our recent article related to neuroimaging findings in Moyamoya disease #Neurology pubmed.ncbi.nlm.nih.gov/39801713/pubmed.ncbi.nlm.nih.govCerebrovascular reactivity and response times describe recent ischaemic symptomatology in patients with moyamoya - PubMedMoyamoya is a non-atherosclerotic intracranial steno-occlusive condition that places patients at high risk for ischaemic stroke. Randomized trials of surgical revascularization demonstrating efficacy ... 000 0
Murli Mishra MD PhD @murlimishramd.bsky.social · 02/02/2025Indianapolis trip is incomplete before stopping at Hyderabad House and getting some biryani 000 0
Murli Mishra MD PhD @murlimishramd.bsky.social · 27/01/2025Enjoying our newsletters? I’m thrilled to share we’re working on something even bigger for neurology trainees & practitioners, launching by the end of this academic year. 🚀 Stay tuned—exciting updates are coming soon! 010 1
Murli Mishra MD PhD @murlimishramd.bsky.social · 27/01/2025Since the very first @NowyouknowNeuro newsletter in July 2022, I’ve been part of this incredible journey. Now, with 36 landmark articles, our newsletter project is officially complete! You can catch up on them here: www.nowyouknowneuro.com/landmark-art...nowyouknowneuro.comLandmark ArticlesOur team has selected what we feel is a compilation of some “landmark” neurology journal articles, and included a short summary of each. Please note, that neurology examinations do not ... 000 0
Reposted by Murli Mishra MD PhDMurli Mishra MD PhD @murlimishramd.bsky.social · 19/12/2024This CT head shocked me until I found out what’s going on. Any guesses? #Neurosky #Medsky #Radiology 311 3
Murli Mishra MD PhD @murlimishramd.bsky.social · 19/12/2024This CT head shocked me until I found out what’s going on. Any guesses? #Neurosky #Medsky #Radiology 311 3
Murli Mishra MD PhD @murlimishramd.bsky.social · 24/01/2025Promoting a toxic person or a sycophant and expecting them to be a great leader is like planting weeds and hoping for roses. Leadership demands & thrives on integrity, not ego or flattery. #Leadership 000 0
Murli Mishra MD PhD @murlimishramd.bsky.social · 09/01/2025Every time I see a patient for a second opinion who was recommended to see a psychiatrist for neurological symptoms that clearly have an organic origin, I realize some doctors have a hard time saying, "I don't know". Asymmetric dystonia, contraction, and hypertrophy are not psychological. #FND 000 0
Murli Mishra MD PhD @murlimishramd.bsky.social · 04/01/2025If a junior trainee wants to quit a specialty after working with your department, check: 1. Schedule 2. Leadership 3. Team dynamics 4. Selection process 100% chance you failed at one of the above. >95% chance you failed more than one of the above. #Medsky #neurosky 010 1
Murli Mishra MD PhD @murlimishramd.bsky.social · 13/12/2024As neurologists, we must be clear with patients: treatments like IVIG are unlikely to work for Functional Neurological Disorders. Offering ineffective options breeds mistrust. If you're unsure, saying 'I don't know' is far better than false hope. #FND @fndsociety.bsky.social #Neurosky #Medsky 120 2
Murli Mishra MD PhD @murlimishramd.bsky.social · 05/12/2024I often wonder if we underutilize intranasal lidocaine as #migraine / #Headache abortive therapy. I personally do not know anyone using it but literature support seems worth trying. Would love to hear if people have different thoughts #neurosky #medsky pmc.ncbi.nlm.nih.gov/articles/PMC...pmc.ncbi.nlm.nih.govIntranasal lidocaine for acute migraine: A meta-analysis of randomized controlled trialsIntranasal lidocaine has been shown to be effective in treating patients with acute migraines; however, its efficacy is still controversial. In this study, we intend to assess the efficacy and safety ... 100 1
Murli Mishra MD PhD @murlimishramd.bsky.social · 24/11/2024A must-read on #LongCovid in younger adults: Did you know symptoms often differ from those in older individuals? 🧠 Fatigue, brain fog, and unique neurological signs are common. Understanding this is key to better care. onlinelibrary.wiley.com/doi/10.1002/... 📚onlinelibrary.wiley.comNeurologic Manifestations of Long COVID Disproportionately Affect Young and Middle‐Age AdultsObjective To investigate neurologic manifestations of post-acute sequelae of SARS-CoV-2 infection (Neuro-PASC) in post-hospitalization Neuro-PASC (PNP) and non-hospitalized Neuro-PASC (NNP) patients... 095 9
Murli Mishra MD PhD @murlimishramd.bsky.social · 23/11/2024Hi all, Introducing to #medsky : I am a #neurology resident and future #stroke fellow. I love discussions on topics related to #research, drug discovery, #pharmaceuticals, regulatory approval process, toxicology, and Ethics. I will love to follow medical and neurology educators. #MedEd 020 2