My Immersion Experience in NYC
Hello Everyone! Welcome to what I feel will be the experience of a lifetime. I have never been in an operating room or procedure room without being the person to be poked and prodded. I am looking forward to every minute that I am able to spend in the hospital (watching and not being the patient). The trip to Weill was nice. The luxury coach was nicer than I expected. Our driver was really cool which made for a better trip, at least in my estimation. Well, enough with the pleasantries, its time for the meat of this communication.
My clinical mentor for the summer is Dr Howard. A. Riina, Associate Professor of Neurological Surgery. On Monday, we had our first meeting and I immediately began refreshing myself on vasculature of the head and neck. There are so many blood vessels and nerves that feed the head and neck. I was given a few pneumonic devices to aid me in remembering the vasculature, however, I will not elaborate at this point. You must inquire in person and I will try to recall.
Over the past week, I have seen many interesting cases. All have been aneurysms but many different types and the approaches taken to correct the problems have been quite different also. Methods used to treat the aneurysms have ranged from Vascular Neurosurgery to using Interventional Radiology. Presently, I have seen 3 craniotomies, one of approach of vascular neurosurgery and 6 interventional cases. On my next blog, I will try to give pictures but I have to wait on my physician for these.
Craniotomies are one of the most invasive techniques and therefore have the longest recovery time. In performing this procedure, the physician cracks the patient's skull and carefully dissects down to the area of the aneurysm, making sure to avoid blood vessels, and finally "clipping" the aneurysm. Clipping emerged has emerged over the last 20 years as being one of the best ways to isolate the aneurysm from impacting the rest of the body. The equipment used for “Clipping” are you guessed it, “clips.” They range from as little as 3 mM. They have both temporary and permanent. The permanent clips are never removed from the patient’s head. I will details “clips” more in depth later.
For Interventional Radiology, the physician places a catheter in the femoral artery and navigates through the vasculature to the level of the aneurysm in the brain. Initially, learning that this could be done to fix disorders in the heart, I was amazed. Now that I know the utility of this in neurosurgery, I am absolutely flabbergasted. With that being said, I am obviously speechless so stay tuned for my next blog.
Julius Korley
Hello Everyone! Welcome to what I feel will be the experience of a lifetime. I have never been in an operating room or procedure room without being the person to be poked and prodded. I am looking forward to every minute that I am able to spend in the hospital (watching and not being the patient). The trip to Weill was nice. The luxury coach was nicer than I expected. Our driver was really cool which made for a better trip, at least in my estimation. Well, enough with the pleasantries, its time for the meat of this communication.
My clinical mentor for the summer is Dr Howard. A. Riina, Associate Professor of Neurological Surgery. On Monday, we had our first meeting and I immediately began refreshing myself on vasculature of the head and neck. There are so many blood vessels and nerves that feed the head and neck. I was given a few pneumonic devices to aid me in remembering the vasculature, however, I will not elaborate at this point. You must inquire in person and I will try to recall.
Over the past week, I have seen many interesting cases. All have been aneurysms but many different types and the approaches taken to correct the problems have been quite different also. Methods used to treat the aneurysms have ranged from Vascular Neurosurgery to using Interventional Radiology. Presently, I have seen 3 craniotomies, one of approach of vascular neurosurgery and 6 interventional cases. On my next blog, I will try to give pictures but I have to wait on my physician for these.
Craniotomies are one of the most invasive techniques and therefore have the longest recovery time. In performing this procedure, the physician cracks the patient's skull and carefully dissects down to the area of the aneurysm, making sure to avoid blood vessels, and finally "clipping" the aneurysm. Clipping emerged has emerged over the last 20 years as being one of the best ways to isolate the aneurysm from impacting the rest of the body. The equipment used for “Clipping” are you guessed it, “clips.” They range from as little as 3 mM. They have both temporary and permanent. The permanent clips are never removed from the patient’s head. I will details “clips” more in depth later.
For Interventional Radiology, the physician places a catheter in the femoral artery and navigates through the vasculature to the level of the aneurysm in the brain. Initially, learning that this could be done to fix disorders in the heart, I was amazed. Now that I know the utility of this in neurosurgery, I am absolutely flabbergasted. With that being said, I am obviously speechless so stay tuned for my next blog.
Julius Korley
posted by Julius Korley at 1:39 PM
0 Comments:
Post a Comment
<< Home