خاصمت النوم

Me to OB-GYN:

ألف إمتحان باطنية
ولا نسائية واحد

المهم، يكلك:

Patients commonly research their symptoms on the internet; searches on common benign neurological symptoms, like numbness or weakness, usually list the most alarming (and unlikely) diagnoses such multiple sclerosis, motor neurone disease or brain tumours first, and almost never mention more common conditions such as carpal tunnel syndrome or functional disorders.

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مقارنة بين نظام التعليم الطبي بألمانيا والولايات المتحدة

We keep on switching through the channels of our minds and never stop long enough on one specific channel. We pay attention half-heartedly on almost everything we do these days. We live in an activity illusion and think that ‘busyness’ is equal to good business. Busyness is sometimes just procrastination in disguise. Busyness may make you feel good and make you think you are more productive but when we look back at the end of the day we realize we haven’t done anything worthwhile.

- Unlimited memory, by Kevin Horsely

Learn to be silent. Let your quiet mind listen and absorb

- Pythagoras

Ernest de Vleeschouwer (Dutch, 19th/20th Century)
A female nude before a fire
oil on canvas
48.5 x 63 cm
Bonhams, London

الْفَقِيهُ كُلُّ الْفَقِيهِ مَنْ لَمْ يُقَنِّطِ النَّاسَ مِنْ رَحْمَةِ اللهِ، وَلَمْ يُؤْيِسْهُمْ مِنْ رَوْحِ اللهِ وَلَمْ يُؤْمِنْهُمْ مِنْ مَكْرِ اللهِ

- علي بن أبي طالب (ع)

THE NEUROLOGIC EXAM as a diagnostic tool gained mythical proportions in the pre-CT/MRI era, when great clinicians could pinpoint a lesion in the nervous system with often astounding accuracy. Decisions for surgery and other interventions were frequently made entirely on the basis of the neurologic history and physical findings. Today, with the availability of modern imaging techniques, the neurologic exam takes on a new and equally important role in diagnosis and management. Rather than serving as an end in and of itself, the neurologic exam today is a critical way station in the clinical decision-making process. Does the patient who just collapsed on the street have cardiac disease or an intracranial bleed? Is the patient with leg weakness and numbness suffering from degenerative joint disease or from impending spinal cord compression? Does the patient with nausea and vomiting need a gastroenterology consult, a head CT, or emergency interventions to lower dangerously elevated intracranial pressure? These—and many similar questions that frequently arise for health care providers in all subspecialties—can quickly be answered by a carefully performed neurologic exam.

cranial nerve testing can raise “red flags” that suggest specific neurologic dysfunction rather than a systemic disorder. For example, many medical conditions cause lethargy, unsteadiness, headaches, or dizziness. However, any of these symptoms together with cranial nerve abnormalities strongly suggests brainstem dysfunction as the cause.

Albert Camus,
By Henri Cartier-Bresson

Camus, having a staring contest with the absurd

*me, after 4 seasons of Better call Saul*:

Vince Gilligan is Dostoevsky but for TV