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Slow Spike-Wave

@phluaria.bsky.social
380 followers 130 following 73 posts

clinical neurophysiologist antifascist ACAB

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Slow Spike-Wave @phluaria.bsky.social · 23/08/2026
link.springer.com
Guidelines for Seizure Prophylaxis in Patients Undergoing Supratentorial Neurosurgery: A Statement for Healthcare Professionals from the Neurocritical Care Society - Neurocritical Care
Background There is significant heterogeneity related to the use of prophylactic antiseizure medications (ASM) following supratentorial craniotomy. Methods We conducted a systematic review and meta-an...
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Slow Spike-Wave @phluaria.bsky.social · 23/08/2026
publicdomainreview.org/essay/ars-no...
publicdomainreview.org
Artificial Intelligence: Ars Notoria and the Promise of Instant Knowledge
Centuries before Neo instantly mastered Kung Fu in The Matrix, medieval scholars found a shortcut to years of difficult study: a magical manuscript that promised to fast-track advanced learning. Anne ...
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Slow Spike-Wave @phluaria.bsky.social · 30/04/2026
Writing an M/EEG analysis suite from scratch kinda sucks/kinda rules but I need analysis to go ahead so we're switching to MNE-Python. Thank God there's signal analysis software out there that doesn't use a suck-ass language like Matlab
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Slow Spike-Wave @phluaria.bsky.social · 02/01/2026
Grand rounds presenter talked about how AI can help you write your scientific paper and how AI can help you read a scientific paper and when I asked okay well then what's the paper really for they totally missed the point
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Andreas Horn @andreashorn.org · 19/12/2025
What is the status of DBS for epilepsy? Find out in our new review/metaanalysis spearheaded by @laurenahart.bsky.social & Garance Meyer in JNNP: pubmed.ncbi.nlm.nih.gov/40666371/ A 🧵 — please RT for reach! 🙏
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Slow Spike-Wave @phluaria.bsky.social · 18/12/2025
scientific code that isn't well commented is the devil looking at you NoiseTools
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Slow Spike-Wave @phluaria.bsky.social · 03/12/2025
Two days, two patients referred to me for seizures, two blatantly abnormal sets of orthostatic vital signs
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Reposted by Slow Spike-Wave
Bill Grueskin @bgrueskin.bsky.social · 17/10/2025
Administrators at Indiana University baselessly fired the student media director and ordered the student paper to cease its print edition, so it'd sure be a shame if this excellent digital front page were to be widely shared today issuu.com/idsnews/docs...
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Slow Spike-Wave @phluaria.bsky.social · 21/01/2025
Color science is wild, man. Math and models all the way down all because our eyes and brains evolved funny.
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Slow Spike-Wave @phluaria.bsky.social · 11/12/2024
So I only get 20 minutes to see this teen with neurofibromatosis who is transitioning from peds to adult care and that's just wonderful
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Slow Spike-Wave @phluaria.bsky.social · 21/09/2024
I read books with an eye toward which cultural references will need a footnote in a not-too-distant critical edition
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Slow Spike-Wave @phluaria.bsky.social · 17/09/2024
How can EEG better diagnose and monitor status epilepticus?
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Slow Spike-Wave @phluaria.bsky.social · 11/09/2024
When patients say "that should be in your records" it is tempting to point out that different hospital systems rarely play well with record sharing but I'm a little scared to admit the real reason I'm asking them for the details of their illness is because I don't always believe the records
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Slow Spike-Wave @phluaria.bsky.social · 11/09/2024
Me: and thus this patient's epilepsy is related to their traumatic brain injury Some doctor doing an "independent medical examination"for the insurance company: I am an idiot and don't know much about epilepsy but I am denying that this exists
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Slow Spike-Wave @phluaria.bsky.social · 09/09/2024
One out of every twenty six people will develop epilepsy in their lifetime
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Slow Spike-Wave @phluaria.bsky.social · 04/09/2024
New post up at status.epileptic.us
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Slow Spike-Wave @phluaria.bsky.social · 19/08/2024
Squid have eight arms and two tentacles The colossal squid is the largest mollusc Squid have beaks made of chitin
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Slow Spike-Wave @phluaria.bsky.social · 14/08/2024
You can't just recapitulate the history of present illness in the assessment and plan. It's there for summarization and, well, ASSESSMENT
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Slow Spike-Wave @phluaria.bsky.social · 10/08/2024
Fucked around with Thomas and found doubt
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Slow Spike-Wave @phluaria.bsky.social · 04/08/2024
Interesting seizures on this patient. Spectrogram shows two waves of fast activity for each seizure.
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Slow Spike-Wave @phluaria.bsky.social · 20/04/2024
Critical care doctor about an encephalopathic patient: it's not the cefepime, it's never the cefepime Neurologists: ummmm
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Slow Spike-Wave @phluaria.bsky.social · 20/04/2024
Fuck the DEA
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Slow Spike-Wave @phluaria.bsky.social · 28/02/2024
I don't think people understand how much medical doctors have to rely on good faith by patients. We don't have tricorders that instantly tell us what's wrong
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Slow Spike-Wave @phluaria.bsky.social · 25/02/2024
Yes we're in a smaller city but the big hospital does have a university affiliation and plenty of smart docs so I just don't understand the parochial, incurious, and feckless nature of consultants there
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Slow Spike-Wave @phluaria.bsky.social · 19/02/2024
Every time I have to google something at work I realize just how unusable the web is without ad-blocking
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Slow Spike-Wave @phluaria.bsky.social · 18/02/2024
Few pleasures these days are as sweet as going off-call at the hospital
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Slow Spike-Wave @phluaria.bsky.social · 17/02/2024
Sometimes a patient deteriorates and you worry you're missing something and sometimes they deteriorate and you worry you're not
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Slow Spike-Wave @phluaria.bsky.social · 16/02/2024
Serotonin toxicity is no joke.
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Slow Spike-Wave @phluaria.bsky.social · 15/02/2024
When the satellite hospitals call about neuro cases I have never regretted having them transported here to the main hospital
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Slow Spike-Wave @phluaria.bsky.social · 07/02/2024
Colleague humorously said impeti instead of impetuses and I quickly barked back NO IT IS FOURTH DECLENSION THE PLURAL IS IMPETUS
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Slow Spike-Wave @phluaria.bsky.social · 26/01/2024
"I have broken up with greater men for lesser epistemological errors."
smbc-comics.com
Saturday Morning Breakfast Cereal
SMBC is a daily comic strip about life, philosophy, science, mathematics, and dirty jokes.
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Slow Spike-Wave @phluaria.bsky.social · 19/01/2024
Cenobamate seems like the real deal. Spared at least 3 patients from epilepsy surgery.
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Slow Spike-Wave @phluaria.bsky.social · 19/01/2024
Some languages allow you to express how you came by the information in a statement. As in, "he hit her (so she said)" versus "he hit her (I saw it)." But using grammar/syntax. This would be beautiful in medical notes.
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Slow Spike-Wave @phluaria.bsky.social · 19/01/2024
Once more the residents are afraid to call a diagnosis what it is and just describe the symptoms in their A&P
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Slow Spike-Wave @phluaria.bsky.social · 11/01/2024
New blog post
status.epileptic.us
Divalproex and T-type Calcium Channels - This Week in Neurophysiology and Epilepsy
Valproic acid (VPA) has multiple mechanisms of action; this is not in dispute. We were teaching didactics from Wyllie the other day and noted their section on VPA says “Similarly, despite &helli...
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Slow Spike-Wave @phluaria.bsky.social · 05/01/2024
Me after spending 30 min talking about all options for epilepsy treatment: Patient: thanks! Also I've had a terrible cough. Could you listen to my lungs? Me: What are lungs?
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Slow Spike-Wave @phluaria.bsky.social · 04/01/2024
The evidence of the past 20 years in epilepsy circles seems to boil down to * antiseizure meds (ASMs) are now safe and tolerable * it's okay to use them even when risk of sz recurrence is on the lower side * early surgery in drug-resistance is da bomb * withdrawing ASMs is tricky
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Slow Spike-Wave @phluaria.bsky.social · 04/01/2024
Half my patients cancelled and now I have time to do proper chart prep for the ones that are showing up and it's amazing.
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Slow Spike-Wave @phluaria.bsky.social · 02/01/2024
For the curious, the paper itself is here: www.frontiersin.org/articles/10.... For what it's worth, I've seen half a dozen or so patients die during continuous EEG monitoring and I have not seen anything but suppression of all rhythms *before* the heart stopped.
frontiersin.org
Enhanced Interplay of Neuronal Coherence and Coupling in the Dying Human Brain
The neurophysiological footprint of brain activity after cardiac arrest and during near-death experience (NDE) is not well understood. Although a hypoactive state of brain activity has been assumed, e...
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Slow Spike-Wave @phluaria.bsky.social · 02/01/2024
anthropomics2.blogspot.com/2023/12/crit... An essay about the difference between biological and anthropological ancestors.
anthropomics2.blogspot.com
Critical Hominin Theory
[Note: Both reviewers recommended publication of the following essay for Paleoanthropology , but it has not yet been accepted. If you like i...
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Slow Spike-Wave @phluaria.bsky.social · 21/12/2023
Consider this a reminder that EEG as an ancillary test for brain death is a bad idea. You need to show 30 min of absolutely NO potentials above 2 µV with a double-distance montage. Good luck with that.
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Slow Spike-Wave @phluaria.bsky.social · 21/12/2023
These residents dance around a diagnosis so much. It's like they're afraid to call something a specific disease.
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Slow Spike-Wave @phluaria.bsky.social · 20/12/2023
Julia's ecosystem is pretty great. Instead of re-implementing approximate joint diagonalization like they do in EEGLAB for Matlab I just import Diagonalizations and run the routine #julialang
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Slow Spike-Wave @phluaria.bsky.social · 19/12/2023
I wish I could go through the entire electronic medical record and just do s/HIPPA/HIPAA
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Slow Spike-Wave @phluaria.bsky.social · 14/12/2023
The worst part about translating Matlab code to a sane programming language is having to understand Matlab
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Slow Spike-Wave @phluaria.bsky.social · 14/12/2023
I hate AIDP
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Slow Spike-Wave @phluaria.bsky.social · 11/12/2023
Two things can be true at the same time: that both Stefanik and most university presidents are garbage
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Slow Spike-Wave @phluaria.bsky.social · 08/12/2023
The capabilities of my computer and electronic health record are never so expansive and powerful as in my patients' imaginations
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Slow Spike-Wave @phluaria.bsky.social · 29/11/2023
Whoa
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Slow Spike-Wave @phluaria.bsky.social · 18/11/2023
ACAB thewalrus.ca/why-do-cops-...
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