iiinova — where your digital self keeps evolving

Zach London @zachlondon.bsky.social · 24/04/2026

My new Sanford-approved copy of Empiric has arrived! Labradoodle shown for scale. @empiricgame.bsky.social

Zach London @zachlondon.bsky.social · 22/01/2026

Today, we are also dropping Neuroglyphs: Secrets of Medullary Pyramid! www.neurdgames.com/neuroglyphs This is a 2-player game about the anatomy of the brainstem, set in Egypt in the 1920s. Made with @MikaelaStiver (who also did a lot of the art) and Jeremy Grachan.

381

Zach London @zachlondon.bsky.social · 22/01/2026

I've got big game news today. Please share widely (and wildly!) First, I'm excited to introduce the planet to Cranial Vault 2, the newest big box of neurology party games for your whole ganglia. www.neurdgames.com/cranial-vaul... Cool fact: We are co-releasing this today in English and Spanish!

1105

Zach London @zachlondon.bsky.social · 01/01/2026

Puerto Rico’s best-selling beer. Could it be even more popular with a simple vowel swap?

161

Zach London @zachlondon.bsky.social · 25/12/2025

Olfactory fans rejoice! In Puerto Rico, they have a card game dedicated to Cranial Nerve 1.

281

Zach London @zachlondon.bsky.social · 05/09/2025

Fill out the form below to win a free copy of Earth's greatest* board game, Circle of Willis! You may be thinking, "Self, if I don't repost this, I'll be more likely to win." Fair enough, but won't doing the right thing feel even better? Please share! * Not an exaggeration.

063

Reposted by Zach London

Ali Christy, MD, PhD @oligoclonalband.medsky.social · 21/08/2025

Q: What the heck is this? A: It's a neurology game called Plaques and Jengles. Q: OMG I love it, where can I play??? A: You've got 2 options: 1) Come play this and other games in the Child Neurology Foundation fundraiser game room October 8 - SO MUCH FUN! tinyurl.com/CNF-Beauty-of-… or...

It looks like a Jenga tower but somebody wrote little neurology words all over it!

152

Zach London @zachlondon.bsky.social · 05/08/2025

Excited to share a new resource for students of neurology! 🧠 Jordan Newman, one of our stellar University of Michigan adult neurology grads, designed this concise, high-yield interactive curriculum to help demystify brain MRI for new learners. tinyurl.com/3m82tz48

tinyurl.com

Foundations of MRI Brain on the Neurology Rotation: Curriculum Overview | Neurology® Journals

151

Zach London @zachlondon.bsky.social · 03/08/2025

Premarin is a medication containing conjugated equine estrogens, derived from the urine of pregnant mares. The name "Premarin" is a shortened form of "PREgnant MARe urINe". Should one assume, then, that pregabalin is derived from a pregnant goblin?

260

Zach London @zachlondon.bsky.social · 22/07/2025

Congratulations to Dr. Christy and her team on the publication of their original history of medicine research. Well worth the read, as always!

121

Zach London @zachlondon.bsky.social · 19/07/2025

“The Neuron” by sculptor Roxy Paine at the Frederick Meijer Gardens in Grand Rapids. I wonder who the model was…

160

Reposted by Zach London

Braydon Dymm, MD @befast.bsky.social · 09/07/2025

What if learning about Neurology was as fun as playing your favorite game? In collaboration with master game designer @zachlondon.bsky.social, we made that a reality! 🤩 Gorgeous neuroanatomy artwork 🎮 Unique co-op gameplay with real medical stakes Learn more: neurdgames.com/circle-of-wi...

2153

Zach London @zachlondon.bsky.social · 09/07/2025

Time to get excited. Like toddler at Disney World excited. CIRCLE OF WILLIS, a board game about vascular anatomy, is here! @befast.bsky.social and I set out to make a #MEdEd game that is more fun than Epcot. Life goal unlocked. Tell your friends and parents! www.neurdgames.com/circle-of-willis

neurdgames.com

CIRCLE OF WILLIS | Cooperative Stroke Vascular Neurology Game

A cooperative set-building game about stroke prevention, neurology, and vascular anatomy.

093

Zach London @zachlondon.bsky.social · 02/07/2025

Excited to announce that our visual fields game, "Field Cut," is a finalist for an educational game award called the Gee! Being a finalist also makes it eligible for their People's Choice Award. Please vote for Field Cut here! www.geeawards.com More on Field Cut: www.neurdgames.com/field-cut

264

Zach London @zachlondon.bsky.social · 17/06/2025

Do you call the carpool lane "HOV" or is that just the brand name for fremanezumab?

120

Zach London @zachlondon.bsky.social · 12/06/2025

In our editorial for Neurology: Education, Megan Jiao and I make a case that if we want serious games in #Meded to be taken seriously, we need to treat them like any other intervention: with transparency, rigor, and reproducibility. 1/2 www.neurology.org/doi/10.1212/...

175

Zach London @zachlondon.bsky.social · 02/06/2025

Congrats to the future neuromuscular neurologists and physiatrists who matched into the fellowship of their dreams today! (Even if it wasn't your first choice, you're still going to start dreaming about it, so it counts.) And a big thanks to the AANEM for hosting the match.

062

Zach London @zachlondon.bsky.social · 01/06/2025

Tomorrow’s morning commute just got a lot more interesting! Solid gold poddin’ from these two, with more episodes coming monthly! And I had the honor of composing the theme song. Guess how many phrases rhyme with “immature.”! turns out it’s a lot.

050

Zach London @zachlondon.bsky.social · 14/05/2025

Happy epilepsy Fellowship Match Day to those who celebrate! (And to those who don’t, happy Day Like Every Other.)

020

Zach London @zachlondon.bsky.social · 11/05/2025

We should stop referring to common, everyday cases as “bread and butter.” I don’t see many doctors eating bread and butter on the regular. What should we call them instead that would capture the same sentiment?

621

Zach London @zachlondon.bsky.social · 09/04/2025

End your #AANAM journey on a high note with quality edutainment you can take home with you. The Neurology Playground: fast, fun, and free near games for you and your learners. We're going to demo and play ~10 games at breakneck speed at 12:50 in the Exhibit Hall BCD. Join us!

062

Zach London @zachlondon.bsky.social · 08/04/2025

Not to toot my own electrode, but our EEG/EMG course today will be epic. I overheard some very trustworthy people saying to each other that it will go down as the best #AANAM session of 2025. And the previous and subsequent hundred years. Yes, the title sounds dry, but trust me.

141

Reposted by Zach London

Mike @empiricgame.bsky.social · 04/04/2025

Fellow education boardgames and fellow board designers. Apply for the analog category! I was a finalist a few years back so I know you have it in you. www.geeawards.com

162

Zach London @zachlondon.bsky.social · 02/04/2025

Who is pumped for Charcot’d Breakers? Look for this logo around the #AANAM convention center. Solve all 10 puzzles in any order to get clues that will help crack the final code and join the ranks of Sherlock Holmes, Benoit Blanc, Miss Marple, and of course, Jean-Martin Charcot!

041

Zach London @zachlondon.bsky.social · 01/04/2025

Happy days are here! The universe has gifted us with a new neuro game: Magnetic Resonance, by @oligoclonalband.medsky.social and Me. If you like party games like Cards Against Humanity or Apples to Apples, but hate that they aren't even a little about neurology, check this out. 1/🧲

2112

Reposted by Zach London

Ali Christy, MD, PhD @oligoclonalband.medsky.social · 27/03/2025

Stolen (gasp! another puzzle!) from @zachlondon.bsky.social: Charcot'd Breakers, 10 stations of soul-boggling puzzles found around the conference center, will be returning to the @aanmember.bsky.social annual meeting this year! 1/🧠

161

Zach London @zachlondon.bsky.social · 18/03/2025

Get pumped for Dendritic Dare, neurology's fiercest game show, hosted by @oligoclonalband.medsky.social and li'l me. #AANAM 4/7 4:30pm. We'll have ukuleles, pies in faces, feats of skill, & neuro puns galore! Sign up to play tinyurl.com/yp38dera or just shower the contestants with bouquets!

1112

Zach London @zachlondon.bsky.social · 17/03/2025

For those of you marching into neurology this week: Congratulations and welcome to the family! (Shhh. Don’t let the rest of them know we have a secret handshake!)

1114

Zach London @zachlondon.bsky.social · 14/03/2025

Happy Pi day! I saw this in a record store and realized that it answers the age old question… Where would we be without Pi? (Or in this case, py.)

030

Zach London @zachlondon.bsky.social · 27/02/2025

CBC without differential should be called an IBC (Incomplete Blood Count.)

062

Zach London @zachlondon.bsky.social · 17/02/2025

The second letter in the MRI sequence tells you what you are looking for in stroke. DWI… W for White ADC… D for Dark.

021

Zach London @zachlondon.bsky.social · 14/02/2025

One of our residents decided to put the sensory exam in the S part of the SOAP note. Thoughts?

010

Zach London @zachlondon.bsky.social · 07/02/2025

It's all about Ostensive Learning. Never heard that term before? This Neurology Today article explains how it can be used to make virtual learning more... not awful. My two cents: Stand up. Point at floating text. Sprint. Do planks. Read on and this will all make sense! hubs.ly/Q035qbyF0

hubs.ly

Remote Neurology Medical Education—What Works, What... : Neurology Today

An abstract is unavailable.

162

Zach London @zachlondon.bsky.social · 06/02/2025

This is embarrassing. We were hosting applicants here for a second look, and we were mingling in a shared conference room. It looks like another department was using this room to make their rank list. Everyone laughed, but I doubt this made our visitors feel more at ease!

140

Zach London @zachlondon.bsky.social · 05/02/2025

Look at the mortality trends reported in various AIDP trials 1988-2013. Did we get better at treating AIDP or are we just getting better at diagnosing mild cases? Or is this just comparing apples and oranges? (Not shown: Intubation rates haven't really changed during the time.)

040

Zach London @zachlondon.bsky.social · 04/02/2025

Smallenberg Syndrome (n). A brainstem stroke that isn't big enough to see on the MRI.

041

Zach London @zachlondon.bsky.social · 30/01/2025

My computer just asked me how likely I am to recommend Microsoft Word to others. You know what? Yes. And then I’ll say, “You heard it here first!”

020

Zach London @zachlondon.bsky.social · 27/01/2025

"She takes 5 million grams of diazepam as needed" #DictationError

0172

Zach London @zachlondon.bsky.social · 22/01/2025

The voice in the airport PA keeps calling me Dude. As in, “Dude, a heightened security.”

030

Zach London @zachlondon.bsky.social · 21/01/2025

And when you open the box, dangerous blister packs fly out! #spellcheck

060

Zach London @zachlondon.bsky.social · 20/01/2025

Thanks, as always, #spellcheck. Glad to know the treatment plan is seaworthy.

181

Zach London @zachlondon.bsky.social · 25/12/2024

Neurologist’s travel guide to Brussels! Here’s a brewery named after our inpatient service. 1/3

180

Zach London @zachlondon.bsky.social · 21/12/2024

Daughter, doing a crossword: What’s a 3-letter prefix before Noir? Me: Neo. Her: What does Neo-noir mean? Me: New Black. Wife, chiming in: As in, “Orange is the Neo-Noir.”

020

Reposted by Zach London

Ali Christy, MD, PhD @oligoclonalband.medsky.social · 19/12/2024

Neurology just lost a true legend and trailblazer. Ana Judith Román-García (1930-2024) The 1st female neurologist in Puerto Rico and one of the 1st Black women to complete a neurology residency 1/10 #NeuroSky #MedSky www.elnuevodia.com/noticias/loc...

elnuevodia.com

“A mí me enseñaron que la salud es el paciente”

Entrevista con Ana Judith Román, la primera mujer neuróloga en Puerto Rico

13010

Zach London @zachlondon.bsky.social · 10/12/2024

Med schools: Please complete our new grading rubric. Evaluate students in 25 subcompetencies using a multi-tiered scale which will be consolidated with their mid-rotation quiz and final exam to generate a composite score. Also, we will ignore the score. Everyone gets Honors.

080

Zach London @zachlondon.bsky.social · 04/12/2024

Happy Sleep Medicine #Match Day! (And Happy Medicine Fellowship Match day, too.) Congrats to everyone! It's nice that neurology residents going into Sleep don't have to apply until their last year of training. Wouldn't it be cool if other fellowships did the same? Just saying.

070

Zach London @zachlondon.bsky.social · 03/12/2024

In October, Labcorp/Invitae ended their sponsored program that provided free genetic testing for hereditary neuropathies. Now they are closing their free periodic paralysis testing program. Has anyone figured out workarounds for either of these?

061

Zach London @zachlondon.bsky.social · 03/12/2024

According to the TikTok trend, the average man thinks about the Roman Empire at least once a day. Not true. But we do think about cerebral angiography at least once a day, especially when we see road maps of the Roman Empire.

1120