Jeffrey Raskin, MS MD FAANS FAAP

Sometimes we use different devices for management strategies that overlap in their side effects. This is what we found using a bladder stimulator and Baclofen pump simultaneously. Something to think about for providers when combining electrical and pharmacological neuromodulation techniques.

Intrathecal baclofen obviating the need for bladder stimulator use in a patient with secondary dystonia: illustrative case BACKGROUND Children with cerebral palsy often have neurogenic bladders. Bladder function is further affected by complex medical management and multifactorial disease processes, leading to worsened function and poorer quality of life. Intrathecal baclofen (ITB) therapy has been used to treat hyperton...

WHY PIMPING WORKS

Abraham Flexner describes it upon a 1916 visit to Johns Hopkins, “Rounded with Osler today. Riddles house officers with questions. Like a Gatling gun. Welch says medical students call it ‘pimping.’ Delightful”.

I’ve been writing this manuscript for about a decade, rejected over and over, and thanks to Med Jimenez and Pranish Kantak it’s finally published.

Medical training is transformative, and should be. The pedagogical methodology called “pimping” is extremely effective at helping learners consolidate long-term memories. But how does this work?

We explore the neuroscience behind this memory consolidation. It’s free online, have a read!

Also, I am not a psycho. There’s a humane way to engage in “pimping.” Humiliation is always unacceptable. But stimulating emotion during learning works. 😜

Why Pimping Works: The Neurophysiology of Emotional Memories A time-honored medical ritual that combines emotion and cognition into a seamless consolidation of lucid memories is a feared teaching method in medical education. The resulting neurophysiology is explained from a neurosurgeon’s perspective - equal parts guilt and dread as a prescription for an im...