Why I DIDN'T... Neurology

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Welcome to another episode of Why I Didn’t… the mostly useless series where I tell you why I did NOT pursue a specific specialty. In this episode, I cover neurology. Subscribe to the channel to participate in polls about which specialty I’ll cover next.
Neurologists are physicians who specialize in the non-surgical management of a variety of central and peripheral nervous system disorders. Neurologists manage everything from headaches and migraines to the most devastating and incurable diseases like amyotrophic lateral sclerosis, or ALS, and Huntington’s disease.
I got my BS in Neuroscience at UCLA and have always loved learning about the field. Neuroanatomy was one of my favorite courses in college. Most people don’t like memorizing the pathways, but I always found it interesting and highly relevant to how we all function. So, why didn’t I choose to specialize in neurology?
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TIMESTAMPS:
00:00 - Introduction
00:32 - What I Liked About Neurology
11:23 - What I Didn't Like About Neurology
18:49 - Should You Pursue Neurology?
LINKS FROM VIDEO:
So You Want to Be a NEUROLOGIST [Ep. 20]: • So You Want to Be a NE...
Day in the Life - UCSF Psychiatry Resident Physician [Ep. 4]: • Day in the Life - UCSF...
6 HIGHEST Paid Doctor Specialties: • 6 HIGHEST Paid Doctor ...
Top 10 Least Competitive Doctor Specialties (2022): • Top 10 Least Competiti...
Why I DIDN'T... Neurosurgery: • Why I DIDN'T... Neuros...
The Man Who Mistook His Wife for a Hat: geni.us/tC9VQ
Music Provided by KZbin Audio Library:
• Piano Trap Beethoven
• 12 Hours in Addis
• Boom Bap Flick
#doctorvlog #medstudent #neurology
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Disclaimer: Content of this video is my opinion and does not constitute medical advice. The content and associated links provide general information for general educational purposes only. Use of this information is strictly at your own risk. Kevin Jubbal, M.D. will not assume any liability for direct or indirect losses or damages that may result from the use of information contained in this video including but not limited to economic loss, injury, illness or death. May include affiliate links to Amazon. As an Amazon Associate, I may earn a commission on qualifying purchases made through them (at no extra cost to you).

[@kevinjubbalmd]

Even though it wasn’t for me, are you considering Neurology as a specialty? 🧠🥼 Tell me why in the comments below! 👇🏼

[@ardent2706]

Nephrology?

[@yazan5590]

kevin is getting huge. big props for progressing in the gym bro

[@0s0sXD]

Tonka Kevin

[@Nman92]

My man, gotta do one on hem/onc! Great outpatient lifestyle, killer compensation, and really rewarding work. Would love to hear your perspective

[@kevinjubbalmd]

Adding it to the list!

[@TtwoRsCII]

Wow-- as someone interested in neuro, this was very informative It's a gem of a specialty imo that is going to have a bigger role in the interdisciplinary field of neurointerventional radiology-- which is an intersection of neurology, radiology, and neurosurgery.

[@cameronrivera3521]

Story checks out. Complex anatomy, “nonspecific” in practice (see what I did there). Wish there was mention of epilepsy fellowship, or movement neurology - pre operative seizure localization & intraoperative LFP’s for DPS neurosurgery. Very cool sides of neurology, albeit not as mainstream.

[@drnickbella]

Agree 100% that clinical neurology is so different than classroom neurology. Don't let the neurophobia get to you! Join the neurology squad it's the best field :)

[@ksharma103]

Hey Dr Nick! Love your videos! :) Planning to apply for neurology this year, but I’m concerned about the work-life balance and intensity of the program. I know most residencies are inevitably challenging, but I keep getting informed about how it’s a choice one might regret since neuro residents face more burnout. I’m trying to be optimistic lol but would you have any advice on that front? Thank you!

[@drnickbella]

@@ksharma103 Hey! I think if neurology is a field that you are passionate about it will help with burnout. In all residencies it can be difficult to adjust and there will be times where it is difficult. However, for me, because I really enjoy neurology it keeps me from being burnt out due to my interest and desire to help patients with neurological disorders!

[@acd1168]

You broke this DOWN! Bravo and thank you

[@shush4180]

Super high quality and very informative. I'm 16 years old and am positive that I want to be a surgeon later in life and also that I can achieve it. Your videos really helped me satisfy my desperate need for medical content haha

[@kevinjubbalmd]

You got this!

[@ytsamurai1962]

I worked in inpatient IM before I got into med school. Our physicians' interactions with Neurology consisted mostly of consulting them for patients with strokes and seizures. It didn't seem very interesting to me. But I guess I will see during third year rotations.

[@samfick4897]

Great video Dr. Jubbal. This isn’t related to Neurology, but could you make a video on learning and studying math? I think a lot of people struggle with it, myself being one of them. Would love to hear your take and or ways to improve in that field. Thanks.

[@kevinjubbalmd]

Practice questions very useful here! We have a video on MSI covering study strategies for different subjects. Math, physics, chemistry would all fall under a similar category

[@mahdisaloum5641]

Please do a video about obgyn

[@RAMONA3118]

Neurology is becoming more competitive each year. It has a great future. However, neurology residency is dam hard!

[@adithbondugula9559]

Can you do a why I didn’t for pulmonary and criticial care?

[@kevinjubbalmd]

Added to the list! This one is popular it seems

[@vans4lyf2013]

I'm drawn to neurology because the sherlock holmes detective style diagnostic puzzle solving aspect is my favourite part of medicine. But the residency seems exploitative and doesn't even properly train you to be an outpatient neurologist which is what most neurologists will be doing, also the compensation is relatively trash considering how hard they work, whereas although psych earns ever so slightly less on average they work much less, also the outcomes aren't that great. It's a shame, seems like it has the potential to be a great specialty but not currently.

[@mustang8206]

Neurologists can make 400k+ if you're doing private practice in a less populated city

[@Alex-op4ty]

Just chiming in with my biased opinion: outside of surgery and ID, we don't really "fix" much in medicine. That said, neuro now has good treatments and secondary prevention options for pretty much most conditions outside of dementia, ALS, and prion diseases. MS, headache, parkinson's, etc. have become much more manageable now in addition to stroke. You're also a specialist but I'd say you still need to know a good deal of general medicine including IM, immunology, radiology, psychiatry, and surgery on a peripheral basis. You said that fellowships increase pay but that generally isn't true outside of neuro-IR (very difficult to get through neurology as opposed to NSGY or rads) or neurocritical care. Maybe epilepsy if you read a lot of EEGs. Fellowships are more for adding variety to your practice and the types of patients you see. In rare instances fellowship will actually decrease your pay (see dementia/behavioral neurology).

[@negar3635]

Such a high quality video🔥

[@negar3635]

Yet I had decided to go through neurology residency and I’m not sure anymore🫠 not having patience and not liking vague issues and also not eager to communicate with nonverbal or ill patients 🤦🏼‍♀️ I don’t like surgery fields neither 😂 should I leave medicine in this point or is there any option yet?😂

[@deveshijyothi4720]

Hi man , your videos are so cool. I am 15 and i want to be a surgeon. I am really interested about heart . But my parents say it needs to be flexible. You need to have some time for your self. So what do you suggest should I do CTS or heart surgery

[@user-on2wp8on8j]

Can you do some episodes on vascular surgery? It’s the only specialty that you’ve never made a video on!

[@kevinjubbalmd]

Yes

[@cailean3699]

Can you do ENT next?

[@yohanv1146]

Do respiratory next please!

[@kevinjubbalmd]

Adding pulm to the list!

[@user-hb4gz1xd5m]

Can you do Oral Surgery. I know some MDs that go into that

[@arminpoorfard306]

One question. On the list of average annual compensation how come Endocrinology(subspecialty) makes less than internal medicine(specialty)?

[@kevinjubbalmd]

Not all fellowships guarantee higher income. Also there is variation year to year and by data source

[@richardkoe6166]

Ophtho next please!

[@kevinjubbalmd]

Added to the list!

[@DrNeuro17]

As a Neuro resident… Neuro attendees make a lot of money 😅 everyone i have met makes over 400 k… that “mean” is downplaying how much we make and I’m all for this little secret 😂

[@jalaluddinnasim]

Is there any intervention on neurology?

[@soyamachukwuezugo366]

Wait… could you pls let me know if neurologist really have to touch ppl’s feet in the way he described???

[@mustang8206]

​@@soyamachukwuezugo366well you do have gloves on

[@ellen4331]

PLEASE PLEASE PLEASE DO why i didn’t.. OPTHALOMOLOGY, i was considering being an optometrist and then later become an opthomologist so i’d like to hear the pros and cons

[@j.p.7298]

Can you do "Why I didn't - Pulmonology"?

[@kevinjubbalmd]

Added to the list!

[@westfield90]

I would go for Cardiology because out of most specialties that seems to be the field where the greatest leaps have been made with clinical improvements. With continually improving stents, valve replacements it seems the most satisfying to get positive outcomes as opposed to oncology where it must be so depressing.

[@HaemDream]

Surely oncology is going to see more advancements in the coming years than cardiology?

[@VM-wt3ti]

Cards pays the best

[@westfield90]

@@HaemDream sorry to sound pessimistic but cancer is too big a nut to crack and as famed oncology and author Siddartha Mukerjee stated we barely have identified a tiny portion of pathways and thus our knowledge is very limited and will continue to be for a long time. Only things that might make a difference is early screening. Even today the sobering news is most some of the highly touted game changers such as gene editing, stem cells, checkpoint inhibitors, immunotherapy have not panned out or have very narrow scope as to the type of cancer. We still go back to 80 year old chemo and radiation for most cancers. Finally a lot of the newer meds at best offer a few months of life for hundreds of thousands of dollars in cost. I actually follow 5 young people on KZbin with cancer and they have all been through a lot of therapies and drugs and even clinical trials and one has passed away and the other 4 are rapidly declining.

[@dominichernandez2403]

alot of opportunities for cardiologists great field overall

[@VM-wt3ti]

You look a lot like Raif Derazzi you should have him on your channel

[@dawsn6]

My wife has epilepsy and I’m looking into neurology as a new career path

[@yehhshhs]

So what specialty did you choose then?

[@gustavobarros1479]

You should do one for Urology

[@kevinjubbalmd]

Coming soon!

[@astridlangoe7333]

do pediatrics!!!!!!

[@bariscancakir]

Do psych next

[@chewacco]

Hey, In 5:58, neuro icu is the same as neurocritical care fyi

[@mustang8206]

Yep

[@benevolentkijah2522]

I’m doing my undergrad in BIO with the goal of becoming a neurosurgery PA. It’s so hard to find informative videos on them. Is it uncommon for neurosurgeons to use PAs?

[@mustang8206]

My neurosurgeon had a mid level that handled clinic work but this was a big academic hospital so he had residents to first assist

[@patrickchileshe4130]

I love the summary but just curious why are you wearing two wrist watches🧐🧐🧐🧐?

[@DennisBolanos]

Dr. Jubbal-what is your opinion of chiropractic neurologists? 🛡🔰⚕

[@AbdurahmanAlomrani]

That thumbnail is crazy

[@shaizamaryam8353]

Can you do "Why I didn't...psychiatry?"

[@HouseMD519]

Infectious disease :D

[@efrensilva8481]

I work with neurologists… accurate

[@PewPewFig]

Stroke team?... PAUSE

[@smjobair1572]

Why I didn't comment...

[@VM-wt3ti]

I heard job prospects are very poor

[@ytsamurai1962]

I've heard the opposite. There is a shortage of neurologists.

[@RAMONA3118]

Indeed it is the opposite. There is a shortage of neurologists everywhere.

[@primomezzo]

Whoa did you just say that neurology is a "harder science" than psychiatry/psychology?

[@adaezenjoku7527]

“Hard science” not in difficulty but more so in how tangible it is to define disorders and determining their treatments

[@vans4lyf2013]

lol of course it is, there are objective biomarkers behind almost all neurological diseases, whereas psych diseases are diagnosed by clinical history alone because there are no objective biomarkers. That's why neurology is seen as a harder science because it's more objective and grounded in biology.

[@kevinjubbalmd]

Harder as in more concrete and tangible

[@pregerzoreo4886]

This isnt true at all you can use inflammatory markers to identify many psychiatric disorders ​@@adaezenjoku7527

[@mustang8206]

Hard science means one that is done with more math and measurable objective measurements Soft sciences are done with more intuition and creative thinking like psychiatry or political science