Husband and father, Christian, Fitness, PGY-5 neurophysiology fellow, Video Games, ENTJ, Libertarian
Durham, NC
Joined August 2013
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Hunter Roark retweeted
ICU Facts:
In my experience, in any decent size ICU (~15 beds), at any point in time there is at least 1 patient with unequal pupils (anisocoria). People are often freaking out & rush to get a CT brain to rule out intracranial bleeding. Just think hard before reflexively do this
Hunter Roark retweeted
I absolutely LOVE this @Sensible__Med guest post today.
It’s utterly sensible.
The master clinician must master the art of doing nothing! Which is no small thing, these days.
sensible-med.com/p/when-noth…
Hunter Roark retweeted
505kg. World Record. To my fans: I love you. To my haters: You helped make this happen too. Keep watching. #505 #WORLDRECORD #HafthorBjornsson
Hunter Roark retweeted
the entirety of the evidence is compelling against any meaningful benefit and now with serious harm signal
I know it sucks and we want treatments
but let's not disguise it as gold
For many Duchenne families, halt to Sarepta $SRPT gene therapy treatments is heartbreak upon heartbreak statnews.com/2025/07/24/duch…
My colleague @Jasonmmast with more reporting on the patient/physician perspective.
Hunter Roark retweeted
My dean in medical school told us that the best thing you can do when asked to give a lecture or talk is to end five minutes early. Always makes the audience happy at the end no matter how well or poorly you've done. The opposite is also true: run over ten minutes and you'll get scowls regardless of anything you've said.
Hunter Roark retweeted
Lecture 1 of our 9 part series is out now on @Sensible__Med
All the other parts will come every other week and available to subscribers
This is the best course on critical appraisal you will ever see
@adamcifu @drjohnm
Subscribe now!
Hunter Roark retweeted
Dylan Ryan, MD ('15) highlights his time with @DukeWRES, his move to medicine, and his recent opportunity commentating matches for @DukeATHLETICS in our Neurology Faculty Spotlight.
neurology.duke.edu/news/facu…
~ 80 year old patient with 6-8 months of resting tremor, shuffling gait, and hypophonia. Also some increasing pre-syncopal symptoms. I diagnose #parkinsons by bedside exam. She opts to not take treatment since symptoms are mild. She goes to see PCP (not sure their training/
Credentials) a couple months later. PCP says it’s not Parkinson’s and then orders a bunch of blood work to see if it’s “something else.” They ordered CMP, CBC, B12, CK, liver enzymes. It’s fine to have a differential but I’m confused as to the thought process here. #neurology
Hunter Roark retweeted
Pensacola, Florida vs Juneau, Alaska
Hunter Roark retweeted
The problem here is who decides what is misinformation?
Almost every Noble-worthy discovery was rejected by contemporary experts when the new ideas were proposed. If we limit information by allowing experts to control it-scientific advances will stop.
Looking back on the pandemic, we now know that most of what we were told by experts was not true. Do we lock those wrong ideas in place byu not allowing discussion of dissenting opinion?
The best solution is to maintain compeltely free speech and allow people to derive their own conclusions from data presented. We, as scientists, need to educate and convince the public with data and not maxims of what we call the 'truth'.
Language such as 'climate denier' needs to go away. Dataless ad hominem criticisms like these have no role in scientific debate. In real science, alternate ideas are considered and the truth determined via experimentation and convincing others with data.
The spread of health misinformation and disinformation poses a serious threat to public health.
How can we respond to the danger and combat the tide of misinformation and disinformation to protect public health?
Find out more in our latest Editorial: hubs.li/Q032YWZ40
ALT Cover of The Lancet's Jan 18th, 2025 issue. Quote reads: "Disinformation has become a deliberate instrument to attack and discredit scientists and health professionals for political gains. The effects are destructive and damaging to public health."
Hunter Roark retweeted
The true cause of the epidemic is the unsexy part of public health
Poverty, mistrust of medicine, ineptitudes and coverups
Hunter Roark retweeted
“I knew I shouldn’t buy shoes from a drug dealer,” said Tom, tripping the rest of the day.
Sweden privatized social security and had amazing results. Currently, SS is a huge and sad scam for many Americans.
Hunter Roark retweeted
So I’m very happy to share that we have collected Continuum content that meets the DEA CME requirements all in one place
Continuum subscribers can complete these articles and meet the 8 hour requirement. And learn some neurology along the way!
CME link:
learning.aan.com/courses/849…
Hunter Roark retweeted
The main thing I learned from models, is what unproven assumptions the authors hold.
Hunter Roark retweeted
1. Which prophylaxis do you chose after a hip or knee surgery?
Simplistic: ASA=LMWH
Correct: ASA has similar mortality & PE as LMWH but 1-2% more uncomplicated DVTs
In people at very high VTE risk, may consider LMWH if convenience & cost not an issue
teapawt.net/AnilMakam/status/16161…
New @NEJM pragmatic trial says aspirin is same vs LMWH after fracture
Last summer a JAMA cluster RCT study said aspirin was worse after hip/knee replacement
In reality both say the same thing
LMWH has similar mortality but 1-2% less VTE within 90 days
nejm.org/doi/full/10.1056/NE…
Hunter Roark retweeted
IVC filters should never have been approved and have no proven use.
Also. I wouldn't go searching for asymptomatic IVC filters and remove them without an RCT showing this strategy helps. gains> complications
We recently removed this 24 year old greenfield using some advanced maneuvers. But this #filterout post is not about the end result….
Hunter Roark retweeted
Some thoughts on #ESCCongress decision to remove women from CHADS-2-VASc.
drvinayprasad.com/p/women-ha…
