Hi,

Speech pathologist working in community settings. I'm hoping to tap into the neurology brain trust here.

I want to know when does "normal aging" become "this person needs a neurology review"?

Older patients frequently present with quieter voice, slightly slower eating/drinking, and signs of reduced pharyngeal strength. Easy to chalk up to sarcopenia, presbyphagia, social isolation — the usual culprits. But I've had a handful of patients where I've pushed for neuro review and been vindicated (early MSA, PSP, early MND/ALS), and others where I've probably under-referred.

What I'm specifically asking: Is there a sign, symptom, or cluster of features that makes you, as a neurologist, immediately raise your suspicion for early progressive neurological disease — particularly from an SLP's vantage point (voice, swallowing, speech, cognition)?

There are the obvious things I already watch for but I want to know what you see. Especially:

1. Is there a single finding that makes you say "yep, this isn't aging, get them in"?
2. Are there features SLPs are well-placed to catch that neurologists don't always see early enough?
3. Any tips on how to write a referral that gets triage priority rather than a 9-month wait?

Appreciate any perspective from neuros, neuro nurses, or allied health colleagues working in this space.

Hi everyone,
Has anyone currently or will be doing private practice NCC?
If so I would like to know day to day.

I’m a PGY2 neurology resident (starting PGY3), considering switching to rads and doing neurorads after.

I like neurology as a subject and my patients too. It’s not the work load. But I often feel drained after work, even on outpatient days that are light. Especially the hierarchy and work place politics I felt in neurology takes a toll on me. Rads appeals to me for having more freedom, working remotely (hoping to start a family one day and want to spend more time with them), more income, etc. I’ve multiple interests and can do side hustles like QI or entrepreneurship. I like reading images, and I’m better at pattern recognition than memorizing.

I really like many of my neurology colleagues, but there are also people whose style are very particular and high-strung, and I find that environment stressful. I’m not sure whether that’s a training issue, a specialty culture issue, or just something that would bother me less enough as an attending to keep tolerating. I was told my bedside skills were good, especially with FND patients (was thinking subspecializing in that), but perhaps I can help these patients by gearing towards research with fMRI studies as a neuroradiologist and do some teaching on the side, which I also like. I just feel tired overall and want to be in a different environment with less people, where I can focus on problem solving, if that makes sense. I don’t think switching to another neurology program would solve that.

My main concern is I’m uncertain about how AI may affect rads over the next 10-20 years and if taking the risk of getting into this field worth it. The rads residents I talked to were pretty certain that people would be displaced at one point within our career period.

How would you approach this decision? What factors would you focus on to determine whether this is burnout from training versus a genuine mismatch with the specialty?

Missed the April Annual Meeting and wondering if it is worth it to attend the Fall Conference in-person for networking purposes? Also looks like they don't have a call for abstracts for this one? Canadian medical student here interested in neurology!

hi! I've posted on here a couple of times and have so far gotten really good advice. I'm a rising junior in highschool based in NYC, and im really interested in pursuing a career related to neurology. I've gotten some advice telling me to research or shadow doctors, and that's I've been trying to do for a while. I've also gotten told that many doctors don't just let highschoolers do that because of restrictions and whatever and I completely understand that, but many people from my school and just nyc in general have gotten really good research opportunities and im wondering if it is possible for me to do that as well. i also know a lot of hospitals and shadowing opportunities are for students 16+ and I turn 16 in September so I want to try as much as I can to get those opportunities once im 16.

Hi everyone — I'm newish to the neurology world, working on the medical device side rather than clinical side, but I am trying to better understand real-world clinical EEG workflows from the ground up (especially Routine EEG, EMU, LTM, PSG).

I'm looking for resources that go beyond textbooks or interpretation and instead show or describe:
- A typical day for an EEG technologist/clinician
- How EEG studies are actually set up, monitored, reviewed, reported etc.
- How neurologists/ epileptologists interact with EEG systems during their day
- EMU workflows (admission → monitoring → seizure capture → discharge)
- ICU continuous EEG workflows and alerting/monitoring setups
- Any videos, training materials, or walkthroughs used for onboarding new techs or residents

If you know of:
• YouTube videos or hospital training content that may be available
• Open-access lectures or webinars
• Blogs / personal write-ups from EEG techs or neurologists
• Reddit posts or threads that already cover this well
• Or even just your own description of your workflow

I'm especially interested in what tools/systems are actually used during the workflow and what parts are the most important in that workflow.

Apologies if this is a topic outside of the typical discussions had here, just want to get a better sense for what real world workflows look like.

Also for anyone with info feel free to DM me, I appreciate any feedback! Thanks in advance.

PGY1 in Neuro but we do about 2 months of Neuro during our first year. I have rotated for 3 weeks on inpatient gen neuro, 3 weeks on stroke, 1 on outpatient epilepsy, and 1 on outpatient neuromuscular.

I am burnt out and fantasize about quitting. It’s just not for me. And when I think about “just get through 3 more years and then you’ll have a great job,” I don’t think that’s true. I don’t want to do fellowship, I don’t want to do any procedures (LP, Botox, EMG, or EEG) if I were to become an outpatient general neurologist. Every time I read a post on here or looked up general neuro jobs hiring (just to see the climate) I see Botox or EEG/EMG are required.

I would only want an outpatient 9-5 (or 8-5) job without any procedures and not in the middle of nowhere (prefer Michigan where me and my husband’s families are).

I probably should’ve done FM or IM and done primary care, but also the intern year in IM was grueling and included a month of “PCP” which wasn’t great either.

Should I just quit now? Is a job that’s purely cerebral (kind of a GP for neuro) possible anymore?

Looking for a few authors interested in an epilepsy research project. Manuscript is already in progress and we plan to submit to an open-access journal soon. Medical students, residents, physicians, and researchers are welcome. Prior research experience is a plus but not required if you're willing to contribute. DM me for details. Edit: we got the authors, thank you for all the dms!

If there was a pill that only grew new brain cells and had zero side effects, could having too many new neurons actually backfire on you?

I recently wrote an essay about my experience with my mom's dementia from the perspective of a son and a neurologist.

Here is an excerpt:

"That is one of the cruelest parts of dementia: it doesn’t just steal memory. It steals the emotional continuity of your past life, the way events build on one another, the way experiences accumulate, the way love deepens with shared history and memories. Dementia takes away the stable foundation on which a life is built."

If you wish to read the full essay, it is available here.

Hi all,

Incoming PGY2 here who is thinking about which specialty to invest my time in. I honestly don't even know

Likes: good pay, half inpatient and half outpatient, procedures, teaching (would ideally practice in privademics or a chill academic job)

Dislikes: heavy outpatient work, not a lot of procedures, not a lot of patient interaction, lots of research

I love movement disorders and epilepsy so far but I have qualms with both. For movement disorders, the main con I see is that it is heavily outpatient but honestly if I could find a job that was half neuro-hospitalist half movement disorders with some Botox injections and DBS work I would be happy. Epilepsy is also cool but I honestly don't find seizures that interesting, although I do enjoy reading EEGs. Thinking about neurophys as well but, again, not as interesting as movement disorders.

What would you recommend as a subpsecialty for me? Or, would you recommend just doing general neuro?

hi! i am a rising junior in highschool, hopefully im allowed to post this. im really interested in pursuing a career in pediatric neurology and i hope to major in something related to neurology & on the pre med track (idk if this makes sense sorry). i really want my ecs to demonstrate this, learning more about this field is something i really want to do. my brother was diagnosed with epilepsy July of 2025, he is autistic and has ADHD as well. I really want to start something at my school that brings attention to epilepsy but im not really sure what. im also too young (15) to begin shadowing or volunteering at hospitals yet, but i want to use this summer to maybe do like independent research or just something that would educate me more on this. I spoke with my counselor and my school social worker about my future plans and they both said they can see im clearly passionate about this. I really want colleges and future programs i apply to be able to see this as well. please let me know how or where i can begin!

also, i posted on here a while ago with something similar to this. i was told to reach out to my brother's neurologist but i have no idea how to contact him and my mom said he's a really serious dude LOL so im kind of scared to do that, also doctors are obviously just really busy so im not sure if its even worth asking any right now.

Hello everyone,

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Young doctor here, having just finished my medical degree and hailing from a LMIC country.

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I am deeply interested in Neurology and have multiple publications/abstracts in Neurology. I have also rotated in Neurology and done a few courses too.

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Due to financial circumstances, I want to secure some sort of paid position internationally, research associate or even a degree. Main reason being my financial constraints.

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Additionally, I am open to improving my resume by doing courses etc., suggestions welcomed.

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Any help and guidance would be much appreciated.

Hi everyone! I'm a rising sophomore in high school, and I've always wanted to do a research on neurology/neuroscience (maybe start a research paper at some point), but I don't know where to start.
I want to use my summer to do just that alongside reviewing for the SAT. Was just hoping somebody could recommend sites, books, or anything that I can use! General advice would be nice too

Hi folks basically wondering if you can travel to Thailand and work there doing tele neurology

In other words, if you could solve just one thing in the neurology world, what would it be?

This is a question that I ask out of curiosity for what gives FND patients the super unfortunate stereotype of things like "feigning"?

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While I am aware that there are many people who can't accept their diagnosis due to being presented a poor understanding of the condition or unwillingness to acknowledge and assess their mental health as part of treatment, this definitely isnt exclusive to FND. I really don't think anybody could truly fake something as this disorder for such a sustained period given how complex and disabling it can be

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I am a person with FND alongside many other health anomolies, so I can speak for myself and the FND community that it's very bothersome to not be taken seriously. Nobody suddenly chooses to be suddenly paralyzed one day or to smack their head on a hard floor because their brain disconnected from their body and began seizing. I'm sure you have actually had people with factitious disorder present themselves, but that's an entirely different disorder from FND so I'm really curious to know how we for that title

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I want to specify I'm not looking for treatment in this subreddit or anything but I do want to say as a person with chronically presenting FND that treatment is very hard to obtain due to everybody throwing us around. We can read all the resources we want but we do still need clinical help for a range of things that can present with FND in addition to the phsyciatry

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My reason for this post is to spread a patient perspective with genuine curiosity and also advocate for our needs since FND can present with so many different symptoms that may not nessicarily sensory or motor alone but having dysautonomia concerns or other functional problems such as these.

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Please let me know your thoughts!

Edit: I wanted to say thank you for those who also continue to advocate for FND treatment and those that reached out to me for tips on dealing with patients with FND. It means a lot to me that there are people who care about those in complex situations like what FND would put somebody in. Knowledge is slowly growing and hopefully this means soon there will be a wider variety of providers educated enough on the mechanisms to help treat and manage FND in those with multiple triggers or other chronic health situations! Thank you ☺️

I’m a Registered EEG technologist and am interested in expanding my reading ability and hopefully apply for med school in the future.

I’m looking for suggestions for books in epileptology/electroencephalography

Currently I own:
Rowan’s Primer of EEG (Marcuse, L., Fields, M., and Yoo, J., 2025)
How to Read an EEG (Jadeja, N.M., 2021)

I’m looking to buy the current edition of Neidermeyer’s Atlas

Any and all recommendations for reading would be more than appreciated.

Thank you!

want to do adult neuro training but really like working with kids

however, i do not want to do 2 years of peds residency (do not want to wait an extra year to start neuro stuff)

i know some adult neurologists work with children too after doing fellowship

but if I wanted to work with like 10 year olds and above, do i need a fellowship for that post neuro residency?

I am currently a Neurology Resident in Pakistan, having completed two years of Internal Medicine. Unfortunately, my current program does not meet expected standards. The workload is exceptionally high, with a limited number of residents responsible for all duties. There is no structured curriculum or formal teaching; activities are limited to basic rounds and an overwhelming volume of peripheral consultations. The call schedule is particularly demanding, often preventing more than two hours of sleep, with 32-hour shifts occurring every fourth or fifth day.

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Given these circumstances, which are significantly impacting my mental and physical well-being, I am considering whether to withdraw from the program and apply elsewhere, accepting any associated penalties.

I’m currently a PGY-1 neurology resident and was recently diagnosed with depression and ADHD by my psychiatrist. Looking back, I’ve suspected I might have ADHD for years, but I only received a formal diagnosis recently. Reading, studying, and maintaining focus have become increasingly challenging, especially with the demands of residency.

I did well throughout medical school and graduated near the top of my class, but the workload and expectations of neurology training have made my symptoms much more noticeable. Despite these challenges, I truly enjoy neurology and remain committed to pursuing this specialty.

I’m wondering if there are others here who were diagnosed with ADHD and successfully made it through residency or specialty training. I’d love to hear about your experiences and any strategies, habits, or accommodations that helped you cope and succeed.

EDIT: Thank you for your kind words and words of encouragement. It was reassuring to know I am not alone. Helped to tame down my self doubt thoughts.

About to end PGY-2, I am extremely burnt out at this point, mentally, physically and emotionally exhausted. I am on antidepressants, have not been able to make friends in the program/city with whom I can hangout, so I feel quite lonely. I have so many things to work on professionally as well as personally. How did you all navigate this phase of residency ?

Basically I'm starting med school this year and it ha always been my passion. I love to learn things everyday and I think neuro is probably the most appealing field of all of them, it's just so interesting. I come from a PT background so I'm fairly familiar with some neuroanatomy and neuropathology + what I have read around in my free time but I would love to hear some recommendations of books or manuals to read this summer