Future of Neurology

shay UNKNOWN at pdms03.ksc.nasa.gov
Fri May 19 14:33:36 EST 1995

Who are you trying to convince, us or you?

In article <c596481.1.2FBAB149 at mizzou1.missouri.edu>, 
c596481 at mizzou1.missouri.edu says...
>   I am a 4-year medical student with plans to enter 
the specialty of 
>Neurology.  I have a BS in the Neurosciences from 
TCU, Ft Worth and have much 
>research experience, both basic and clinical.  It is 
my opinion that the 
>future of Neurology is very bright.  All medical 
specialties will suffer 
>somewhat in the near future with the changes in 
medicine at hand.  However, 
>neurology is unique that the neurosciences are 
exploding.  This trend began in 
>the early eighties.  We will have, in the next 2 to 3 
years, new therapeutic 
>modalities that neurologist 20 or 30 years ago could 
only dream of.  Our 
>knowledge and treatment of stroke will soon be 
revolutionized with new 
>thromobolytic drugs and other drugs designed to 
prevent many of the secondary 
>injury processes that occur following an ischemic 
event (steriods, ionic 
>channel blockers, excitatory amino acid channel 
blockers, vasodialators, etc). 
>Our knowledge of neurogenetics is mushrooming with 
the promise of genetic 
>testing for inborn errors of metabolism and 
subsequent treatment.  Movement 
>disorders will soon be treated with a combination of 
>neurosurgical procedures and new drugs.  We are now 
able to transplant 
>autologous fetal neural tissue into Parkisons 
patients with decent results.  
>Psychiatry and neurology, because of basic 
neuroresearch, now realize the 
>opportunity to understand many mental disease in 
terms of organic brain 
>disease with defects in receptor number and function, 
neurotransmitter levels, 
>and autoregulatory mechanisms of the brain.   
>   Much remains to be done and understood.  
Alzheimer's disease is increasing 
>in frequency as the population gets older.  There is 
still a poor 
>understanding of MS and how to treat it, but 
immunotherapy holds promise.  
>Infectious disease of the PNS and CNS will continue 
to deserve attention, 
>especially as new viruses are discovered and known 
pathogens become resistent 
>to antibiotics.  The treatment of neurotrauma is 
still archaic.  Our 
>understanding of shizophrenia is still very poor.  
How do we treat 
>Huntington's disease or ALS?  The sky is the limit 
for neurology.   I cannnot 
>think of a more exciting field to go into.  The 
opportunities for research, 
>academics, and practice are great and rewarding.  
This is without doubt the 
>decade of the brain. 

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