Jason Cohen
@MemoryDoc
Followers
1,478
Following
917
Media
115
Statuses
4,517
Neurologist, dementia specialist, New Yorker, dad. Puns welcome. @NeuroMonteEinst . @MontefioreNYC . All opinions my own and are not medical advice. He/him.
Joined June 2021
Don't wanna be here?
Send us removal request.
Explore trending content on Musk Viewer
AFIP
• 218679 Tweets
Lamar
• 98838 Tweets
Ravens
• 85692 Tweets
#WWERaw
• 83893 Tweets
#TrappingxLingOrm
• 63337 Tweets
LINGORM WRITTEN IN THE STAR
• 58397 Tweets
Baker
• 56755 Tweets
#IRIAMメンテ中のフォロー祭り
• 35947 Tweets
Chargers
• 34370 Tweets
Bucs
• 27712 Tweets
Godwin
• 26536 Tweets
TEAM McKOL MAGPASIKAT2024
• 25313 Tweets
Sant Shri Asharamji Ashram
• 25147 Tweets
Holistic Development
• 24968 Tweets
मंत्री श्री
• 22123 Tweets
Francella
• 21468 Tweets
Cardinals
• 21462 Tweets
Bron
• 18311 Tweets
Derrick Henry
• 18169 Tweets
Bateman
• 15311 Tweets
Herbert
• 13928 Tweets
ABSENCE MEW SINGLE
• 13898 Tweets
Jackson 5
• 12295 Tweets
Brandoni
• 12189 Tweets
スヤスヤ教
• 11948 Tweets
#ファミマ史上最強の背徳まん
• 10423 Tweets
#FelizCumpleJavo
• 10248 Tweets
Ok folks, 2nd teaching video in recent weeks. This is a focal unaware seizure.
Not a stroke
Not a "mini stroke"
Not an absence seizure
I hope his staff & family have ensured that he's gotten proper neurological care and is not sacrificing his health for optics
17
71
265
@jenna_s_h
If you place a plastic bag over their head and seal it, there will be a considerable decrease in short-term infectivity and perhaps a long-term local improvement in public health metrics.
This tweet does not constitute medical advice
1
7
227
Covid causes brain damage.
Covid causes cognitive impairment.
Covid is still here.
Good science takes time. The paper below took 2 years under review to be published. Reliable evidence of
#LongCovid
will just keep coming. Medical doctors and scientists need to keep up with the literature. It is our duty.
39
1K
3K
6
78
218
Hey Nassau County, I think Queens is making fun of you.
Nassau, maybe stop for a min and consider: if a mask ban is such a bad idea even Mayor Adams hasn't done it, you should reconsider
#NoMaskBanNY
Here in NYC we know that wearing a high-quality mask can help protect you and others from COVID-19. 😷
With cases and hospitalizations on the rise this summer, New Yorkers should wear a mask in crowded indoor settings to protect themselves and others:
248
699
2K
5
27
188
@clhubes
But then you show up, you get a cheap, huge, delicious cake, and you're good.
Just know you may want to start taking insulin, just in case.
4
0
137
@KaleeGrassiaMD
Edit: if you are unvaccinated and eligible, this is on you. If you are unvaccinated and not eligible, this is on everyone around you who isn't vaccinated
3
3
131
@CVarnellMD
A group of brain doc residents came to speak with me. They were a bundle of nerves
0
2
123
@alzassociation
@CMSGov
@alzassociation
should be ashamed to publish this. Advocating for patients ≠ pushing a drug w no proven benefits + lots of proven harms.
Where are your data?
Where are the underrepresented/ disadvantaged populations in the trial?
This is the evidence we needed in the 1st place
4
16
107
How do neurologists deliver bad news?
Epilepsy - generalize it
MS - disseminate it in time and space
Dementia - only in aggregate
Stroke - stepwise
Movement - see what shakes out
Migraine - spreading depression
#NeuroTwitter
6
25
104
@LynneaSimone
You get the “I actually grew up AND became a paleontologist who studies dinosaurs” badge!
(From the sadly defunct Science Scouts folks)
0
6
101
@thatdanhanna
@jtrebach
No! Do not try to outrun a bear. Or climb something to get away from a bear. Just tell him you work for UnitedHealth, tell him you have a question about his claim, and he'll get out of there quick
1
1
94
@BeingCharisBlog
Remember, a cane doesn't make you look old. Falling on your face makes you look old.
A shower chair may seem a little funny at first, but so does a stranger bathing you after you fall and hurt yourself
Use the devices that keep you healthier and more independent
0
3
82
@ahandvanish
Still can't believe we're letting __[preventable tragedy]__ happen, again, in our country.
There, I fixed it. Now the same tweet can be used everyday :/
1
10
81
@DGlaucomflecken
Also, "Ox3" in a patient who now has "change in mental status" 2 days later, and I'm trying to figure out the baseline. Turns out they are severely demented for the last 2 years. --> I will track you down.
2
0
73
@TheRealRhllor
Can I give you the same advice I give my pts' families? Now is a great time to make sure you're taking care of yourself too. Eating & sleeping at least some, or don't come to the hospital. Now is not a time for you to get sick or have an accident
2
1
67
@TRyanGregory
When asking patients & families to mask up before coming into the office, I explain "Covid causes brain damage." No one argues but way, way too many ppl are surprised 3 yrs into a pandemic. Many times, every single day. It's still hard for me to wrap my head around that.
5
9
65
@pjputh
3 years later, skeptical doc reviewing chart: "So you got typhoid, cholera, _and_ gonorrhea from diving in a highway lake? Uh huh."
1
2
65
@RiderToast
Why do pathologists start teaching medical students with the phrase "As you can clearly see..." when pointing to something that's basically invisible?
3
2
62
@DGlaucomflecken
Are you a doctor without a weird personality or strange pet peeves? Really? I don't believe you.
Pediatricians, being happy and bubbly at 7am counts as weird.
Fellow neurologists, don't even bother
2
1
62
@AshleyGWinter
@DrPayItBack
If you got it into the spinal canal, you may need to lay off the weights for a couple months and switch to cardio
1
0
59
@Dr_DeanS
Someone better tell the night shift team this happened before they get a whole lot of "So tell me about this 'penguin' that came to play with you today..."
0
3
51
@eemoin
May you have the confidence of a mediocre white man. The world could use more informed perspectives.
1
0
49
@OGdukeneurosurg
I think the fish will need some lorazepam after this: 0.25mg/kg for most freshwater species
No idea for the person, but he may have to lay low for a while until the new nicknames calm down
0
2
42
@KelseyObGyn
A couple lines of crushed graham crackers + a couple shots of Shasta that's so old it has fermented.
2
0
41
@1goodtern
I don't like brain damage
I appreciate things that try to protect people from brain damage
Thank you for your work
0
4
43
0
0
41
@OGdukeneurosurg
"Why don't you want to be a surgeon?" they said.
"You should be a surgeon!" they said*.
*to the student sitting next to me. No one said this to me. I appreciate what you guys do but noooooooope.
2
0
40
When I worked at the Central Park Zoo,
@TheWCS
keepers & other staff were amazing. They're going to be working their tails off taking great care of the animals.
But would I pay to see Roy try to coerce, wrestle, cajole, and bribe a sea lion back to her enclosure? Oh Yes
How much did it rain in Central Park, you ask? Enough so that some of the Zoo's sea lions were able to leave their enclosure and swim around the zoo!
63
756
2K
3
9
39
@DrLAOConnor
@kate94651
@DrJenGunter
@denehy1
@KeriCrewsonMD
@UHC
Neurologist, and I see it too. We need Derm and Path for bingo
1
0
35
@myrabatchelder
The goal is police discriminating against people by how sick they look? Yeah, this will end well
1
2
32
@rdaily
ED: consult for AMS after head injury
Neuro: baseline mental status?
ED: guy was trying the crate thing
Neuro: ... Gotcha.
0
0
28
@geri_doc
First, d/c the hypoglycemic med. The DM is over controlled
Second, caregiver should get some too if possible, as long as they have it with the person and can enjoy together
1
0
29
@Caulimovirus
WAVY HAIR
by Shel Silverstein
I thought that I had wavy hair
Until I shaved. Instead,
I find that I have straight hair
And a very wavy head
1
0
27
@TheRealDoctorT
You forget the last two items on the clinical decision tool are:
Coach, I really want to get back in there, +5
Kid, this is a really big game, +5
(Compare: Loss of consciousness, +2)
1
0
27
@luckytran
If ppl think theres a nursing shortage now, just wait till long Covid disability + retirements due to seeing others sick/disabled (without triggering protections or concern) catches up.
Without good nurses, there is no good healthcare
@nynurses
, R U protecting RNs & patients?
2
3
27
Once again, amyloid+ is NOT the same as Alzheimer disease
Trialists beware! Overly aggressive recruitment of questionable folks "confirmed" with A-PET ➡️ failed trials
Clinicians beware! Clinical diagnosis is suboptimal but still necessary
Characterizing Amyloid-Positive Individuals With Normal Tau PET Levels After 5 Years
0
5
15
1
7
26
Amyloid ≠ Alzheimer
Alzheimer ≠ dementia
Aggressive lobbying ≠ good public health decision
Even if I support expanded access to Amyloid PET, the caveats and nuances make this a challenging tool to use properly.
Only 1 of these can be true. One is the FDA label for Amyvid, the 1st approved amyloid PET tracer. 2nd is the Alz Assoc’s giddy response to CMS decision to cover it announced today
@marcomeglio1
@LonSchneiderMD
@ProfRobHoward
@pash22
@geraldposner
@RitaRubin
@judith_graham
1
6
17
3
5
24
@HaseldenMd
But what about the House dress code? Put on a suit, and someone may confuse you for cardiology
2
0
24
@MrsPA_C
Acute delirium? Get history, med rec, vitals, physical exam, labs, urine in an hour. Not a few day wait for PCP. Not 12 hrs in a crowded ED. Uptriage only if needed. Also much cheaper for most pts.
5
0
24
@TactNowInfo
@BinitaKane
I was very much hoping this study was lousy. It is not. No one knows the long term effects, but there are clear brain changes after even mild Covid.
0
1
23
@FireOnIce54
@1goodtern
Death certificates can be changed when appropriate. Contact the doctor who signed it.
1
2
24
@zaneskii
As a neurologist who ran a Covid floor in 4/2020
- I'm sorry
- srsly WTF *!?!&$@* HOW ARE WE STILL DOING THIS WE HAVE VACCINES
- hopefully you have checklists & algorithms made by Med folks, and lots of support.
- I'm really sorry
0
2
23
What is this
#frontotemporaldementia
#FTD
thing everyone is talking about? Let's break it down.
Dementia = a category, w memory loss or other thinking changes that get in the way of daily function. It is not 1 disease. Alzheimer is the most common type but not the only one.
1/n
2
6
23
@fuzzymittens
If you've been in medicine for even a little while and you think you've never made an error or near error, you're in error
0
0
22
@MaartenVHemelen
@DGlaucomflecken
Of course you wouldn't do a mental status exam on some pts. Just don't document that you did and we can be friends
1
0
22
@jeremyfaust
Science = safety, but EUA = Paperwork
With opening schools and spiking cases, can you clarify?
Any concerning data out? Myocarditis is < 1:20,000 and is self limited w/o coronary artery abnormalities
Any theoretical concerns?
Covid risks (not just death) in kids seem clear
0
0
20
@1goodtern
No one knows but what about other viruses?
*1918 flu pandemic and Encephalitis lethargica
*Measles and SSPE
*VZV and shingles
*Polio and post polio paralysis
Also
*Covid19 and persistently elevated risks of stroke, heart attack
I hope I'm wrong, but I wouldn't bet on it
1
3
20
@eliowa
BINGO!
Wow, didn't even need to use the free square. To all those who said humanity would stop being awful in 2020-part 3...
But srsly, if you find yourself arguing w a chaplain you're probably very wrong
1
0
18
Have a happy, healthy, no-need-for-you-or-your-family-to-need-a-neurologist-in-2023 new year!
0
2
20
@jtrebach
Marijuana:
No clear overall incr risk of death
No clear overall incr risk of occupational injury
Higher risk of car accidents
Higher risk of peds overdose
Substantial limits to the data
1
2
19
Did you hear about the Speech Therapy
#SLP
goal to eliminate all choking in the hospital?
It was aspirational.
4
0
19
@KelseyObGyn
Then we report to duty, still symptomatic, but check in with the hospital administration first to ensure they know we're there and following the rules. We can pull down our masks to help them verify our identity.
1
0
19
@jtrebach
🎶"...and if you say it loud enough you'll always sound precocious, supercalifragilisticexpialidocizumab"🎶
0
0
19
@MeetJess
"Rock bottom" is the kind of thing said by a person who doesn't believe in America and the American spirit to keep digging, no matter how deep the hole or how close we're getting to the septic tank
0
3
18
@SabrinaSiddiqui
One day, someone somewhere will find a random video from that trip with a tiny little pump noise in the background. That person will either be very confused or will understand it's the sound of a breaking glass ceiling
3
1
26
Thank you
@alzassociation
for holding today's conference on
#dementia
and inviting me to speak
1
0
18
In young healthy people with "mild" Covid, memory and thinking problems lasted more than a year
Covid causes brain damage.
With mild infection in healthy participants who received a
#SARSCoV2
challenge there was evidence of persistent cognitive and memory changes at least one year after Covid, compared with uninfected controls
@ProfHampshire
@eClinicalMed
1
1K
2K
2
6
18
@Caulimovirus
I am an EPIC SuperUser, which means I know more ways that EPIC is awful than you do.
0
0
17
@KBrookeGolisch
"then let's focus on the overlap to make this rotation as useful for you as possible, and to increase the chances you call me for better consults in the future" :)
1
0
18
@bradlander
@ICCRonline
I can recommend an optometrist if you can't see the *positive* test
I can recommend a neurologist if you can't understand the test directions
And I can recommend not running for reelection if you don't care about the results of the test before going into a big crowd
0
1
17
@docalisaNY
Replay that but teacher prohibits kid1 from giving spare mask to kid2, who's been coughing all day. Kid2's parents don't send in masks therefore don't want him to wear one
True story
But also kid2's parents are MAGA, so teacher would have gotten 💩💩 for doing the right thing
🤦♂️
2
0
17
@DrJenGunter
@DGlaucomflecken
While you are teaching, I think some politicians/ policy makers, educators, and others could also use an education on anatomy...
0
0
16
I'd much rather be nerding out over brain research and learning how to be better at caring for brains & their attached people than yelling about politicians playing politics with people's health 🤦♂️
Timing of Anticoagulation Resumption and Risk of Ischemic and Hemorrhagic Complications in Patients With ICH and Mechanical Heart Valves | Neurology
1
18
58
0
2
15
@AshleyGWinter
Don't use vaginal estrogen this one time? 🙂
Also, I start the convo w family members' MDs with: "Just presume I have absolutely no clue what you're talking about, this is way outside my field" or "You teach me about this, I'll teach you about dementia, if you want"
0
0
16
@MeetJess
We should start naming waves after politicians who actively block public health measures: "Deaths due to Marco Rubio have peaked in the Northeast but are still climbing in the South and Midwest... Rubio is not as deadly as McConnell but more contagious... "
2
0
16
Scans or other biomarkers, no matter how shiny, are not diagnoses! They complement diagnoses and change pre-test probability.
Amyloid-PET–Positive Patient With bvFTD: Wrong Diagnosis, False Positive Scan, or Copathology? Read the case study:
#dementia
#neuroscience
1
18
53
0
4
15
Misleading!
No one has ever improved w lecan. There is marginally less decline compared to historical control (ADNI), which is *not* a valid comparator group
0
4
15
@Laura_J_Crisp
@NSchremmy
@SKronmal
@AmeetRKini
@DrLAOConnor
@kate94651
@DrJenGunter
@denehy1
@KeriCrewsonMD
@UHC
Don't hide anything from a librarian, they'll read you like a book
1
0
15
@AdamPodTho
Read Harriet Gets Carried Away. Great book (and incidentally the girl has 2 dads)
0
0
15
I love & miss football but not the NFL. The NFL's stance on brain injury and treatment of brain injury research(ers), plus the racism, misogyny / tolerance of domestic violence, and more = no Superbowl for me again this year.
1
0
14
@TheRealRhllor
In her current state, she would apparently be able to work well enough in the HR Dept
0
0
13
@MrsPA_C
Honey, did you pick up the kids?
Yes. Please correlate clinically.
Did you shut off the oven?
Yes, but the differential includes no. Please correlate clinically.
What are we having for dinner?
A round flat pizza-like object in a box labeled pizza. Please correlate clinically.
3
1
13
@RyanBPetersonMD
@DrLongissimus
@JudyGadde
@BrentWeinberg
@RVUhound
@TheASNR
@chrisho_md
@ER_Rad_Hanna
@nakoontz
@ASER_ERad
@CynXinWu
@HenryZhanMD
He ran into my screwdriver. He ran into my screwdriver 6 times.
2
0
14
NEW: CDC recommends leaning over the edge of subway platforms in order to improve sensitivity to detect oncoming trains
0
1
13
@otrowers_md
* "I don't know" ≠ an admission of failure or weakness
* Experiment w different styles while managing your team
* Tell Imposter Complex you're a busy attending so it can schedule a visit once every 6-9 months, or less, otherwise you'll have to terminate the relationship
1
0
12
@MeetJess
I can recommend an optometrist if he can't see the *positive* test
I can recommend a neurologist if he can't understand the test directions
And I can recommend not running for reelection if he didn't care about the results of the test before going into a big crowd
0
2
10
The goal is police discriminating against people by how sick they look? Yeah, this will end well
0
1
13
"The [biomarker only] guidelines were the only guidelines that did not significantly predict future cognitive decline" or dementia
➡️ Biomarkers are great but:
Not perfect
Not a diagnosis
Not to be used in isolation, no matter what folks w conflicts of interest say
🚨The Great Debate in Diagnosing Alzheimer Disease: More Than Just a β Test🚨in my accompanying Editorial
@GreenJournal
as supported by the excellent & necessary collaborative study led by
@erzimmer
@zimmerneurolab
et al!
Special thx to Melissa Paretsky!
2
13
32
1
4
13
@nickmmark
Guy # 1 entire resume: I successfully intubated a rhino.
Guy # 2 entire resume: I successfully extubated a rhino.
0
1
13
If only a brain expert knew about the cognitive and other neurological effects of Covid 🤷♂️
I'm sure someone else on this platform could teach him about the cardiac, autonomic, and immune effects of Covid as well.
What's up with undergrads missing class constantly due to sickness? I've heard this is a thing at multiple institutions. My class has been repeatedly decimated.
907
80
425
0
2
13
@macNeuro
1) what do you mean by memory?
2) when did it start?
<Turns toward collateral informant>
3) what do you think?
The rest of the visit is an hr long, incl specific qs on memory, attention, language, spatial awareness, mood, behavior, sleep, sensation, motor, gait, SocHx, FamHx...
2
2
13
Reminder:
Dementia is a category
Alzheimer disease (AD) is a pathology
AD causes many clinical syndromes, most commonly amnestic (memory) but also predominantly language, visuospatial, behavior, executive, or corticobasal syndromes
⬇️ Criteria for behavior variant AD
"The Behavioral Variant of Alzheimer Disease (AD) is clinically most similar to the Behavioral Variant of Frontotemporal Dementia, while it shares most pathophysiological features with the typical AD. We propose research criteria for bvAD."
0
20
50
0
2
13
Your annual reminder that the
#NFL
downplays, hides, and otherwise covers up
#concussion
research
Just the first few links:
1
2
13
@nickmmark
Vascular dementia = stepwise decline? No!
That was a misconception that got codified into a definition. Since redefined, but damage was done. The majority of vascular dementia has slowly progressive decline in cognition. >1/2 of all patients were misclassified
1
2
12
'Extremely controversial for 2 reasons
1) patients may be diagnosed with Alzheimer even though they have no symptoms and may never develop them
2) the majority of the panel received $ from the Alz Association or the drug industry, which stand to benefit from the guidance'
@LonSchneiderMD
@nvillain_alz
@MadhavThambiset
@KasperKepp
@PhilAlz
@ProfRobHoward
@Gill_Livingston
@DrTFromKC
@VincentPlanche
@seb_walsh
@ajlees
@ignaciomastro
@StefanoSensi14
@jfballenger
@MemoryDoc
@jasonkarlawish
@dr_shibley
@JamesRuFletcher
@mathieubourdenx
@AdamMBrickman
@ManlyEpic
@SFAckley
@FortuneMagazine
@TIME
@ErinMPrater
@TimeMagazineRS
@FT
@hannahkuchler
@CTADconference
Surprise surprise!
@NIH
seems to have left
@alzassociation
holding the baby while draining out the bathwater!
"NIH Steps Away From Sponsoring Alzheimer’s Disease Diagnostic Standards" via
@howard_gleckman
2
3
12
2
1
12