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Neurology
Rotation Causes Worst Headache Of Life
Crushing symptoms similar to those of intracranial bleed
DETROIT,
MI--Students and medical residents rotating through Neurology experience
an unusually high incidence of terrible, one-of-a-kind headaches, says
a new report.
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Doing
a neuro rotation?
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"Usually,
when someone complains of the 'worst headache of my life,' you have to
think about subarachnoid hemorrhage," said Dr. Lewis Levy, editor
of the Journal of the American Medical Association (JAMA). "But the
new study suggests that the very first question should be, 'Are you doing
a Neurology rotation?'"
Typically,
in a subarachnoid hemorrhage, pain results from the rupture of an intracranial
aneurysm, causing a severe, acute headache which is progressive and unrelenting
in nature.
In contrast,
experts believe that headaches during Neurology rotations, though also
excruciating, are more often due to irritating interactions with arrogant,
obsessive-compulsive attendings, or with conceited, supercillious neurology
residents.
These headaches
appear to be exacerbated by the tedium of unnecessarily long and drawn-out
neurology rounds, during which attendees are forced to endure exhaustive
neurological examinations of patient after patient.
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Doctor's
Bag =
Poor Prognosis
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An especially
noteworthy finding is that the possession by the attending of a "doctor's
bag," containing instruments used to perform an endless array of
redundant tests on patients during rounds, heralds an especially poor
headache prognosis. In extreme cases, say researchers, resulting headaches
may last long after the rotation is over.
"Just
get the damn CT, give the dude some aspirin, and get on with it already,"
says Levy.
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