eLetters

42 e-Letters

published between 2009 and 2012

  • Warum in die Ferne schweifen, wenn das Gute liegt so nah? - Goethe. (Why search far afield when the good is so nearby?)
    Annett Blochberger

    Dear Editor

    Imagine my surprise on reading your recent editorial regarding head injury. Perhaps the editor could have looked a little closer to home before concluding that neurologists in the UK are not involved in the management of patients with head injuries per se.

    I am a neurosciences pharmacist who is working very closely with a consultant neurologist who has recently developed a fully comprehens...

    Show More
  • Formula given in this paper cannot be used to calculate the QTc
    Tony Lopez

    The formula given in this paper can only be used to calculate a QTc if the variables QT and RR are entered as time measured in seconds.

    The RR is not the "heart beat in beats per min". It is the time elapsing between R wave peaks eg ten small squares which equals 0.4 seconds.

    Sadly, despite the obvious good intentions of this paper, any neurologist who follows the instructions to calculate the QTc wil...

    Show More
  • sometimes a stethoscope may be more of a hinderance than a help
    oscar,m jolobe

    The irony of the provocative invocation "Get rid of your stethoscope"(1) is that, for evaluation of systolic blood pressure(SBP) in the context of hypertension-related neurological disorders such as stroke(hypertension being the underlying cause of 54% of strokes worldwide)(2), and reversible cerebral vasoconstrictor syndrome(3), palpatory measurement of sytolic blood pressure may be a good substitute for auscultation, a...

    Show More
  • I like my stethoscope!
    Nitin K. Sethi

    We read with interest Dr. Hawkes point of view titled "get rid of your stethoscope"1. In his indomitable style of writing (which we have grown to appreciate!) he makes a rather outlandish plea to neurologists around the world to sell their stethoscopes and move on to new more fancy gizmos. I trust Dr. Hawkes takes this polarized viewpoint with the intention to spur debate among the readers. Old technology is not synonymous...

    Show More
  • Saving the grand round
    Nitin K. Sethi

    I read with interest the article by Dr. Stern and the accompanying comments by Dr. Warlow in which they lament about the deteriorating standards of grand rounds in the academic neurology institutions of today. Here across the Atlantic we too are confronting some of the same issues. The standard of grand rounds varies from institution to institution. In certain institutions the job of organizing the grand rounds is wholly en...

    Show More
  • The grand round has a broad spectrum of educational benefit
    oscar,m jolobe

    Given the fact that the advent of medical admissions units(MAUs) and their ethos of "physician of the week" has coincided with increasing subspecialisation(1), physicians with a special interest who participate in the MAU on call rota are now the ones in greatest need of the educational benefit conferred by grand rounds. In this context the grand round has the potential to refresh those "generalist" diagnostic skills which...

    Show More
  • Re:Why I shall never stop examining patients
    Jan M. Keppel Hesselink

    Dear Editor,

    With great interest I savoured the editorial by Dr. Warlow (1). Apart from learning the meaning of the word shibboleth, his analysis is most crisp and brings us back to the most important factor in medicine: the interaction between patient and physician.As a pain specialist I see many patients suffering from neuropathic pain, and I always examine thesm, especially their painful feet.Although I can...

    Show More
  • Good doctor, bad doctor: who images more?
    Nitin K. Sethi

    Dr. Al-Shahi Salman in his editorial writes about the dangers of acting on incidental findings on brain MRI. He says primary prevention by avoiding MRI in the first place is the best approach. Unfortunately today in the United States avoiding imaging is easier said than done. The pressure to do a quick MRI is omnipresent. Thus almost every patient who walks into the emergency room with a headache, a new onset seizure or even...

    Show More
  • the practical approach also requires recognition of cardiogenic vertigo
    oscar,m jolobe

    Over and above the recommendation that clinicians should have a low threshold for lying and standing blood pressure measurements in the elderly, even when the history is not typical(1), mention must also be made of the role of cardiac investigations such as telemetry, so as to identify conduction defects as an underlying cause in patients who present with vertigo(2), even though this issue was not raised by the authors. Th...

    Show More
  • Why I want to be a Neurologist?
    Lekhjung Thapa

    Dear Sir,

    The article "Why I became a neurologist" passed through my brain into my heart because I am in the same place as you were so many years ago. The world has changed a lot, but in different countries at different paces - we in Nepal are many years behind you in Australia. You were inspired by your father and grandfather by virtue of their intelligence, but for me I became interested in neurology, and in stroke...

    Show More

Pages