Doctor insights on:
Is It Possible To Be A Brain Surgeon And A Heart Surgeon
A neurosurgeon is a specialist in the evaluation and treatment of disorders of the nervous system. This includes brain, spine, and peripheral nerve problems. The most common surgeries done are for back/neck problems, head injuries, brain tumors, aneurysms, and strokes. Training for neurosurgery is usually 6-8 years of residency training after medical school. There ...Read more
80yr.Has a cerebrovascular event in the early perioperative stage of an open heart surgery operation. Abort operation or go on ? The surgeon choose not to abort the operation to assess for the severity of injuries to the brain. The outcome of the operatio
I : I do not believe any physician reviewing this comment will be able to appreciate the condition of this patient going into surgery to assess the risk factors, rationale and options for treatment. I doubt that the surgeon would have known the patient was having a stroke during the cardiac procedure. It is not the usual practice of monitoring brain activity during cardiopulmonary bypass. Clearly there was significant cardiac problems, if indeed this patient required two valve repair/replacement, coronary artery bypass grafting and thromboendarterectomy. The fact that the patient suffered multiorgan system failure (as you suggest with the comment that there was "sustained irreversible vital organs damage"), suggests that the pump time was perhaps longer than usual, but understanding also that the organs of an 80 year old patient are fragile to start with. The finding of bilateral strokes on post-op day 3 would be consistent with events that occurred during or shortly after surgery, but likely not known during surgery. So unless there were other indications for the surgeon to abort, then continuing with the operation was understandable. I suggest you make an appointment with the surgeon to discuss your concerns and questions personally, to iron out any confusion or misunderstandings that exist and to bring closure to this case. ...Read moreSee 1 more doctor answer
For which problem?: One way of tackling this - look at the brain condition you want treatment for. Given the sub-specialty interests of some surgeons, you may be able to create a list for yourself. This may read something like "best surgeon for brain tumors - mitch berger" "best surgeon for brain avms - robert spetzler" "best surgeon for moyamoya - gary steinberg" etc. ...Read moreSee 1 more doctor answer
Unknown: Trepanning or making a burr hole, is a surgical intervention in which a hole is drilled or scraped into the human skull, exposing the the brain to treat health problems. Evidence of trepanation has been found in prehistoric human remains. Trepanning was completed in the 1880's but, it was harvey cushing who made neurosurgery a specialty, and trained a whole generation of leaders in the field. ...Read more
Depends: This will depend on where the surgeon is in his/her training. As residents, there is an 80-hour work week limit imposed. Speaking personally as a private attending, where there is some control of the types of cases being done, i perform between 200-300 cases a year. Figure 20 cases a month, running 1-2 hours for simple cases and much longer for more complicated cases. Perhaps 12-20 hours per week. ...Read more
NO: Outside of tv, there is no "do it all" doctor. Aside from the true emergency in a small town when emergency decompression for head bleed may require craniotomy, no modern day general surgeon is trained nor in most cases wants to take on the liability of brain surgery. ...Read moreSee 2 more doctor answers
Make an appointment: But, it's best to start with your regular doctor. If a referral to a specialist is needed your doctor will help with that. ...Read more
Yes: A heart transplant surgeon has to be a heart surgeon before doing heart, heart lung and lung transplants. To be a heart surgeon you train 2 or 3 years after being a general surgeon to become a thoracic surgeon. A heart surgeon has to maintain unos criteria to do transplants. (united organ sharing organization) need to be at a transplant center. ...Read more
Cardiac surgeon: You first need a steady brain to be able to learn what you need to learn. The physical dexterity needs lots of practice and repetition like training for a sport. ...Read more
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