Word: neurosurgeons
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...There are clearly good reasons for this; medicine as a whole is getting better and we expect higher levels of knowledge in our docs. I certainly wouldn't want anyone but a neurosurgeon dissecting a tumor out of my brain, or anyone but smart oncologist coming up with the drug cocktail that might save my life from a cancer. It's usually not that hard, though. The great bulk of patient visits are for really simple things - questions that a reasonably bright resident would get right. Most pneumonias, for example, are pretty easy to treat; the internist should have...
Deep brain stimulation, or DBS, is a treatment given to Parkinson's patients who don't respond to medication. A neurosurgeon implants a set ofelectrodes deep into the victim's brain, where they give off little jolts of electricity to disrupt the involuntary tremors and other symptoms of the disease. But according to Martha Farah, a neuroscientist at the University of Pennsylvania, at least one patient routinely chooses which electrical contact to activate depending on how she wants to feel: calm for every day, more "revved up" for a party...
Sanjay Gupta is a neurosurgeon. Check out his podcast at cnn.com/health
...seen physiatrists and had physical therapy, epidural injections, nerve medications (gabapentin), pain medications (always a dangerous sign) and of course, anti-inflammatories. A couple of neurologists have seen her and given her oral steroids. A reliable neurosurgeon simply told her she was "not a good candidate" for the operations typically used for her problem. The other neurosurgeon recommended the big, dangerous operation but did say her chances of not getting better or even getting worse were at least as high as her chances of being cured by the surgery...
...Greg Foltz, a neurosurgeon at the Seattle Neuroscience Institute at Swedish Medical Center who studies incurable brain tumors, the mouse atlas functions as a springboard for better understanding how these difficult tumors develop and grow. "We need clues," he says. "When a patient comes in and has a tumor removed, we take that tumor and complete a genomic study, but all we have is a database of genes. The best analogy I can come up with is that this genomic data is like having just the names in a phone book; it's only a list. We want to know...