Brillant Jotter Syndrome

  

 This is another medical student health release. We are writing to inform the general public of new research opportunities into a recently discovered pathology.

The neurology unit of the medicine department has many high-ranking academics among its staff. They also do not suffer a shortage of young, promising professionals. In the sun-setting days of my Medicine 1 posting, a neurologist stumbled upon an interesting new condition that affects many medical students among our number. This condition is known as the Brilliant Jotter Syndrome. The Brilliant Jotter Syndrome is a prominent disease that can be a risk factor for both hyperstuffism and hypostuffism. It has become more widespread in recent years with recent sets. It is more common in females due to certain factors including but not limited to their propensity to pay more sincere attention during lectures and classes.

The pathogenesis of BJS is aptly captured in defining it as an aberration of normal brain function due to extremely large amounts of input information or serious showmanship. In the first pathway, the medical student is overwhelmed due to the inundation of the auditory and visual input pathways. Once the brain enters the state termed "dazed" (coined by Dr. Eguzozie of the endocrinology medicine unit), they determine for subsequent days to never miss out on stuff like they surely would have done. They show up next time with a jotter, the chief pathogenic agent. The jotter binds selectively to all information that the student pens down. The pathophysiology is such that the earlier stages of the condition are much milder and beneficial. The disease state starts when the jotter's receptors are more highly preferred than the brain's receptors. Hence, all the information ends up bound to the jotter while the brain suffers a paucity of stuffy food. The other mechanism is simply one where the jotter is an outward show of high seriousness inappropriate to actual internal seriousness levels. Hence, the brain is not competing at all for the information that gets bound to the jotter.

Important clinical features include the apparent eustuffism triad. The triad includes stuff levels appearing to be at optimal levels until deeper percussion, triggering of Check sign on deep percussion (The Check sign is the proclamation of "let me check my jotter, I wrote it" or "ah, and I wrote it oooo, let me quickly check") and the ability to; upon checking the jotter, move stuff that is not well domiciled in the brain. Other symptoms include sadness upon removal of the jotter, extreme attachment to the jotter, cognitive disturbances, glassy stares, and inability to concentrate effectively upon jotter inhibition. Some other clinical signs include the jotting reflex, where the automatic response to stuff being moved is flexion or extension to the location of the jotter to remove it and engage its receptors, and a tendency toward quick forgetfulness of stuff due to high levels of dependence on jotter memory. 

The management of this condition is vague. So far, BJS shows no sign of possible withdrawal symptoms if management is attempted by sudden, total removal of the jotter. That being said, this is a recently discovered pathology and there is little to no research on how to treat or manage it. A hero currently fighting the condition has proven that a way to mitigate the disease progression and its toll on the brain is active review and recall of the contents of the jotter. This method is aided by routine percussion on ward rounds. As earlier mentioned, BJS is a syndrome, a constellation of conditions involving futile jotting (so named due to the inclination of many patients to never read the jottings), jotter obesity, lack of resonance on percussion, emaciation of reading time and poor environmental awareness during episodes. Episodes are always unfailingly triggered by the movement of stuff provided that the stuff is not already known to the patient. This particular caveat to the triggering of episodes means that there is very often redundancy of substrate at the jotter receptor. The condition is also known as the Makanjuola medical student's behavioral encephalopathy after the foremost neurologist who discovered it, Dr. Akintomiwa Makanjuola. 

This article is to raise awareness of this condition that is plaguing medical students everywhere. The goal is to raise funds for research into Brilliant Jotter Syndrome to find possible means of helping those who suffer from the condition. The hope is that a cure is not impossible and that prevention is not far-fetched.

Salami Wisdom

Olajide Olamide