Outstanding production! Excellent quality with a true excellence in making the content fun and engaging. I can't recommend this video enough to other neurologists. Please keep creating high value content!
Last night we had a patient with small stroke (dwi) on Xarelto. We discharged pt on his home Xarelto. He did not miss even one dose. I got confused 🫤 help 😭 Is it because we are watching this video three years later?
Us physicians from around the world are truly blessed to be able to watch such quality medical educational material on the internet. I hope someday the team at Rutgers will offer an online refresher course in neurology. I would be the first to sign up!
Thank you! We have an annual refresher course in Stroke and Neurocritical care, but unfortunately it is in person. We will work on making something online. For now, I would recommend International Stroke Conference and the American Academy of Neurology's annual conference. These are excellent and have online content.
I've only discovered your channel yesterday and it amazed me completely. So easily explained with occasional humour so you don't get bored and drift off. I can only imagine the tremendous work that goes into making each video. Huge thanks from all the aspiring physicians, including me.
The video is a little dated at this point. ELAN trial helped make this subject a little more straightforward, but I’m waiting for the rest of the anticoagulation trials to be published before remaking the video.
If there were a prize for the best educational youtube channel, you my friend would have a great chance to win. Just outstanding how structured, deep, jet easy to understand. Thanks for your time and hard work
@@theneurophile Nice! Is it possible for you to make another neuroimaging video which focuses (in more detail) on how a lot of diseases look like + their typical localization? eg. wernicke's, lymphoma, tb, toxoplasma, aids, cancers etc (autoimmune aswell)
Correct. With ELAN trial, mild or moderate strokes without severe hemorrhagic transformation can be anticoagulated within 48 hours. Anticoagulation in severe strokes are delayed by 6 days. I am waiting for the other two anticoagulation trials to be published before revising the video.
@@Chernoochene DVT prophylaxis is not contraindicated in acute ischemic stroke regardless of size. DVT prophylaxis dosing of LMWH is not anticoagulation. Aspirin is usually continued until full-dose anticoagulation may be started.
I recently started watching your videos and I find them outstanding. Normally I have big trouble watching those dry theoretical videos and yours are pretty much the only ones, which I found recently, which are not only watchable, but actually also enjoyable. Cheers!
Thank you. This depends on the indication. If you are anticoagulating for stroke prevention with AFib, then antiplatelet agents should be discontinued. However, in patients with fresh stents or acute cardiac disease together with atrial fibrillation, antiplatelets may need to be added to anticoagulation.
Thank you. Actually, antiplatelet can be started immediately despite hemorrhagic transformation unless the hemorrhage is massive (then I would wait for a 24 hour stability imaging).
I am so grateful to you for such a spectacular channel! I had followed so many channels within the past year, and this one is by far the most comprehensive and most interesting channel with the highest quality in production and content selection. Compared with other channels with more subscribers, I have to say this channel is significantly under-appreciated, may be because you really don't have much to disclose about the conflict of interest that I guess has made the RU-vid's algorithm does not favor you...... I truly hope more medical professionals will discover your channel soon. Gold will be shining everywhere even with RU-vid's algorithm :)
