Chief Concern Series: The Trouble with Tremors

We kick off Chief Concerns 2.0 by moving from initial diagnosis to practical management for common neurology problems.We would love to hear from our community to shape what comes next. What are the questions you have? Write in and let us know or leave a voicemail for us on Speakpipe!We also give some updates on other projects we are working on (both neurology related and otherwise)!Neuropraxis PodcastNeurohumanities Network websiteNeurohumanities Network YouTube channelBrothers Reading BooksSend a textSupport the show Check out our website at www.theneurotransmitters.com to sign up for emails, classes, and quizzes! Would you like to be a guest or suggest a topic? Email us at [email protected] Follow our podcast channel on 𝕏 @neuro_podcast for future news! Find me on 𝕏 @DrKentris The views expressed do not necessarily represent those of any associated organizations. The information in this podcast is for educational and informational purposes only and does not represent specific medical/health advice. Please consult with an appropriate health care professional for any medical/health advice.

Dr. Anand Bery joins us today to talk about how to approach dizziness without making your head spin!We share a step-by-step way to approach dizziness without getting lost in vague symptoms, moving from red flags to timing, triggers, and targeted bedside exams. When should use the HINTS exam, Dix-Hallpike, and practical tips help to help you identify strokes vs causes of peripheral causes of vertigo, and improve care.You can find futher resources for dizziness below:We have some further resources recommended by Dr. Bery to further your dizziness knowledge!Dr. Peter Johns' YouTube channel (Ottawa, Canada) - I recommend novices start with "Popular Videos"I recommend Dr. Dan Gold's entire collectionthe "Test Your Knowledge" videos (like the one linked here) are particularly helpful for getting comfortable interpreting HINTS. Putting the following term in the search bar brings a wealth of videos -- creator_t:"gold" hintsNeurology Exam Prep Podcast EpisodesAcute VestibulopathyEpisodic VertigoSend a textSupport the show Check out our website at www.theneurotransmitters.com to sign up for emails, classes, and quizzes! Would you like to be a guest or suggest a topic? Email us at [email protected] Follow our podcast channel on 𝕏 @neuro_podcast for future news! Find me on 𝕏 @DrKentris The views expressed do not necessarily represent those of any associated organizations. The information in this podcast is for educational and informational purposes only and does not represent specific medical/health advice. Please consult with an appropriate health care professional for any medical/health advice.

We walk through a practical approach to evaluating cognitive change with Dr. Seth Gale, from fast domain-based questions and high-yield screening to when, and how, to utilized imaging and biomarkers meaningfully. We also cover reversible factors, older medications used in dementia management, lifestyle changes that can benefit, and how new Alzheimer’s treatments shift urgency in making a definitive diagnosis.Send a textSupport the show Check out our website at www.theneurotransmitters.com to sign up for emails, classes, and quizzes! Would you like to be a guest or suggest a topic? Email us at [email protected] Follow our podcast channel on 𝕏 @neuro_podcast for future news! Find me on 𝕏 @DrKentris The views expressed do not necessarily represent those of any associated organizations. The information in this podcast is for educational and informational purposes only and does not represent specific medical/health advice. Please consult with an appropriate health care professional for any medical/health advice.

Ashley Paul, MD joins us to learn more about diagnosing and treating tremors. She shares point to look for in a high‑yield history, physical exam findings, and how to think about medical management among much more.Please check out more of Dr. Paul's work here: “Parkinson’s Foundation Fundamentals of Parkinson’s Disease” CME video. Send a textSupport the show Check out our website at www.theneurotransmitters.com to sign up for emails, classes, and quizzes! Would you like to be a guest or suggest a topic? Email us at [email protected] Follow our podcast channel on 𝕏 @neuro_podcast for future news! Find me on 𝕏 @DrKentris The views expressed do not necessarily represent those of any associated organizations. The information in this podcast is for educational and informational purposes only and does not represent specific medical/health advice. Please consult with an appropriate health care professional for any medical/health advice.

Dr. Marcus Pinto joins us to break down how to evaluate new numbness, tingling, and foot pain with simple bedside tests that separate true neuropathy from common mimics. Practical steps, key red flags, and a high-yield lab strategy give primary care and non-neuro clinicians a clear path forward.• distinguishing positive vs negative symptoms• using location and constancy to sort causes• recognizing stocking–glove vs focal patterns• bedside “eyes closed” test for persistence• neuropathic pain descriptors vs mechanical pain• autonomic clues: gastroparesis and orthostatic hypotension• gait, heel–toe walking, and reflex triage• light touch, pinprick, temperature, and vibration methods• when vibration beats proprioception• ulcers as a marker of severity and healing issues• chronicity clues: atrophy, high arches, hammered toes• targeted labs: CBC, CMP, HbA1c, lipids, B12, B1, B6, copper, zinc• when to order EMG and what to avoid• metabolic health and neuropathy progressionFind our work at theneurotransmitters.com and on X at neuro_podcastSend a textSupport the show Check out our website at www.theneurotransmitters.com to sign up for emails, classes, and quizzes! Would you like to be a guest or suggest a topic? Email us at [email protected] Follow our podcast channel on 𝕏 @neuro_podcast for future news! Find me on 𝕏 @DrKentris The views expressed do not necessarily represent those of any associated organizations. The information in this podcast is for educational and informational purposes only and does not represent specific medical/health advice. Please consult with an appropriate health care professional for any medical/health advice.

Develop a clear approach to undifferentiated gait problems, from first hallway impressions to exam maneuvers that actually change decisions. Dr. Maebe O’Hare joins us to separate neuropathy, radiculopathy, and orthopedic causes, and to show where EMG, imaging, PT, and devices fit into the management of gait disorders.• Watching the walk for rhythm, cadence, symmetry, stance and swing• Using video to isolate limb and phase changes• History clues that localize head versus legs• Distinguishing neuropathic pain from radicular patterns• Non-neurologic causes including osteoarthritis and deconditioning• Sensory testing that matters for gait, including proprioception• Romberg done right and when to stress it• When EMG clarifies neuropathy versus nerve root disease• Imaging for neurogenic claudication and focal deficits• PT as diagnostic and therapeutic partner• Choosing assistive devices and AFOs to reduce falls• Setting expectations for neuropathic pain medsFind all of our prior podcasts on your favorite podcast app, and you can always check out our website at theneurotransmitters.comSend a textSupport the show Check out our website at www.theneurotransmitters.com to sign up for emails, classes, and quizzes! Would you like to be a guest or suggest a topic? Email us at [email protected] Follow our podcast channel on 𝕏 @neuro_podcast for future news! Find me on 𝕏 @DrKentris The views expressed do not necessarily represent those of any associated organizations. The information in this podcast is for educational and informational purposes only and does not represent specific medical/health advice. Please consult with an appropriate health care professional for any medical/health advice.

We map a practical path from “is this dangerous?” to “what actually helps." We also talk about some specific headache types such as:  IIH, medication overuse, trigeminal neuralgia as well as the rise of CGRP therapies.• separating primary from secondary headache with SNOOP4• recognizing thunderclap, GCA, IIH, and low-pressure patterns• uncovering hidden chronic headache burden and medication overuse• exam essentials including fundoscopy and neck palpation• trigeminal neuralgia in MS and targeted MRI protocols• rescue strategy with effective OTC dosing and triptan timing• antiemetic choices matched to daily function• preventives matched to sleep, anxiety, weight, and goals• carbamazepine and oxcarbazepine for trigeminal neuralgia• role of acetazolamide and topiramate in pressure states• CGRP therapies, access hurdles, and practical selection• empowering patients with education, logs, and portable plansSend a textSupport the show Check out our website at www.theneurotransmitters.com to sign up for emails, classes, and quizzes! Would you like to be a guest or suggest a topic? Email us at [email protected] Follow our podcast channel on 𝕏 @neuro_podcast for future news! Find me on 𝕏 @DrKentris The views expressed do not necessarily represent those of any associated organizations. The information in this podcast is for educational and informational purposes only and does not represent specific medical/health advice. Please consult with an appropriate health care professional for any medical/health advice.

We launch a new mini-series with Dr. Galina Gheihman that turns common neurological complaints into clear, usable frameworks for non-neurologists and neurologists alike. We talk about neurophobia, access gaps, and set the stage for earlier clinical action starting with a solid history, focused exams, and smart safety netting.• why most neuro complaints start outside neurology• neurophobia as a root-cause problem in teaching• history-first and hypothesis-driven exam over reflexive testing• common chief complaints we will cover in depth• red flags that should speed care and green flags that buy time• acting early while waiting months for specialist visits• preventing incidental imaging from derailing diagnosis• structured two-part episodes on diagnosis and treatment• learning from diverse experts to refine approaches• how to share cases and what to includeFeel free to leave us five stars wherever you're listening to this podcastYou can follow us @neuro_podcast, and you can also find our past work at theneurotransmitters.comYou can either send those in through the fan mail button in the show notes, or you can email us at contact at the neurotransmitters.comAgain, remember keep all your questions anonymized without any identifiers in themSend a textSupport the show Check out our website at www.theneurotransmitters.com to sign up for emails, classes, and quizzes! Would you like to be a guest or suggest a topic? Email us at [email protected] Follow our podcast channel on 𝕏 @neuro_podcast for future news! Find me on 𝕏 @DrKentris The views expressed do not necessarily represent those of any associated organizations. The information in this podcast is for educational and informational purposes only and does not represent specific medical/health advice. Please consult with an appropriate health care professional for any medical/health advice.

Dr. Aimee Nefcy shares how myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) affected her career as an emergency physician and how validation, pacing, and targeted sleep therapy changed her trajectory. We explore misdiagnosis, harmful advice, and practical steps that may help.• Post-exertional malaise (PEM) as the defining feature of ME/CFS• Dysautonomia management with salt, fluids, compression, fludrocortisone• Why GET and simplistic “just exercise” advice can harm• Wearables as trend tools alongside formal testing• Incremental gains with low‑dose trials and supplements• Validation over dismissal in clinical encounters• Potential overlaps between Long COVID with POTS, hypermobility, MCAS• Using IOM 2015 criteria and Bateman Horne clinic resources• Pacing strategies for physical and cognitive loadPlease go ahead and share this episode with someone you think might benefit from itSend a textSupport the show Check out our website at www.theneurotransmitters.com to sign up for emails, classes, and quizzes! Would you like to be a guest or suggest a topic? Email us at [email protected] Follow our podcast channel on 𝕏 @neuro_podcast for future news! Find me on 𝕏 @DrKentris The views expressed do not necessarily represent those of any associated organizations. The information in this podcast is for educational and informational purposes only and does not represent specific medical/health advice. Please consult with an appropriate health care professional for any medical/health advice.

Dr. Johanna Seiden joins us to talk about a challenging topic, cryptogenic stroke. What do you do when you need to look beyond the obvious causes? Dr. Seiden gives some useful recommendations and idea for further investigation in some of the toughest stroke cases.Find her online at @JohannaSeidenMDSend a textSupport the show Check out our website at www.theneurotransmitters.com to sign up for emails, classes, and quizzes! Would you like to be a guest or suggest a topic? Email us at [email protected] Follow our podcast channel on 𝕏 @neuro_podcast for future news! Find me on 𝕏 @DrKentris The views expressed do not necessarily represent those of any associated organizations. The information in this podcast is for educational and informational purposes only and does not represent specific medical/health advice. Please consult with an appropriate health care professional for any medical/health advice.