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Lost In The Monotony
Residency is a period of survival, even in the age of duty hour restrictions. It is a period of sometimes putting your head down and going one day to the next which, can often, run together. And...
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SSRIs Associated With Intracranial Hemorrhage
Recently I was talking about how skewed my views of some therapies are as a specialist; how, despite intellectually knowing the studies and the benefits certain drugs hold, I have a near visceral...
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Do Nothing
I’ve been reminded recently how much of medicine is watch and wait. I’ve been reminded of it in the context of being on call and cross cover. When I’m not on service but I’m taking overnight call I...
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Playing A Guitar During Brain Surgery
It is common practice in some techniques for putting in deep brain stimulator electrodes to keep patient’s awake to make sure the electrode is in the right place and giving good symptom relief....
View ArticleThe Risk of Exposure In Healthcare
Prions, the misformed proteins behind the various spongiform encephalopathies (including Mad Cow disease), are difficult things to sterilize for. They’re not “living” and so the typical techniques used...
View ArticleNeurosurgery Makes For Drama
I’m sure that homicide detectives watch Law & Order and cringe or that White House or congressional staff watch The West Wing and are put off. Same for some doctors and nurses and other health care...
View ArticleThe Falliability of Memory
I am fascinated by the faliability of memory. Especially episodic memory. You and I really don’t remember what we think we remember. It is rarely accurate and yet people are utterly convinced of that...
View ArticleNovel Treatments
The history and evolution of novel clinical research is interesting. The old ideal, “Don’t think; try is, perhaps rightly tempered by the new ideal of not just the informed and consented patient but...
View ArticleAwake Brain Surgery
Sometimes as a matter of a tumor’s (or other lesion’s) location within the brain it is helpful to have a patient awake for part (or all) of the actual removal of such. It aids staying away from...
View ArticlePsychofunctional Neurosurgery
http://pd.npr.org/anon.npr-mp3/npr/me/2013/12/20131209_me_05.mp3 The future of functional neurosurgery is going to be really interesting. This isn’t exactly next day stuff they’re discussing in this...
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