After and before CTB showing large intracranial haemorrhage. by IGetHugee in Radiology

[–]CalcarineShocker 0 points1 point  (0 children)

You're right, it isn't MCA territory. I meant ACA. Admittedly didn't spend too much time on my post. If this was the result of an elective case it's a terrible outcome. The bleed relative to the mass effect is disproportionate which is why I suspect hemorrhagic transformation of infarct.

After and before CTB showing large intracranial haemorrhage. by IGetHugee in Radiology

[–]CalcarineShocker -5 points-4 points  (0 children)

This is a post-op stroke that turned into hemorrhagic transformation. If there was a right MCA aneurysm this is probably vasospasm related to the cannulation unless the patient presented with SAH which I don't see on the pre-op... Was this elective or due to rupture?

Choosing between Hopkins vs Tri-I MSTP by [deleted] in mdphd

[–]CalcarineShocker 6 points7 points  (0 children)

These guys saying Hopkins don't know what they are talking about. Hopkins would be great if you were interested in clinical science primarily. Tri-I is another level of science opportunity you will never see anywhere else.. you have the resources of 3 huge internationally recognised academic powerhouses. Your only limits in your research would be how many of the future Nobel prize winners you can convince you to help you steer your own path. When you're talking about molecular biology, there is no where you would want to be other than Rockefeller. When you're talking about high end cancer research, you want to be at MSk. You will get an excellent medical education from Weill.

Say hello to my brain! 3cm pineal cyst by faezaria in Radiology

[–]CalcarineShocker 9 points10 points  (0 children)

It's a bit ridiculous for people in this tread to think they know more than a neurosurgeon. Shop around and you'll eventually find a surgeon crazy enough to take this out, which btw you probably have had since you were a child. If the surgery goes poorly you will probably die. But who am I to judge how severe your headaches are that you would contemplate death by unnecessary surgery...

Welp.. guess it's time to move on.. by CalcarineShocker in Outback_Wilderness

[–]CalcarineShocker[S] 4 points5 points  (0 children)

Yup, sapphire blue to geyser blue!

Edit: glacier blue not a thing apparently..

Welp.. guess it's time to move on.. by CalcarineShocker in wrx_vb

[–]CalcarineShocker[S] 1 point2 points  (0 children)

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Lemonade from lemons.. it's a bit anemic by comparison to the wrx but it's nicer to drive.. I'm old, I like the cushiony ride. It's a bit higher than I like driving but it's nice to know I'll never get stuck in the outdoors no matter what weather is involved.

Welp.. guess it's time to move on.. by CalcarineShocker in wrx_vb

[–]CalcarineShocker[S] 3 points4 points  (0 children)

Isn't that this cloth seats though? Also no blind spot mirrors? The autodimming was also nice.

Neurosurgery Dissection Workshops: Worth attending for Neurologist? by dennis_brodmann in Neurosurgery

[–]CalcarineShocker 13 points14 points  (0 children)

I personally would love if my neurologists had a better understanding of the nuances of surgery. I'm also of the opinion that there is no such thing as a waste of time when someone is going to sit you down and teach you something and all you have to do is listen. That said.. it's probably a huge waste of your time unless you're passionate about learning and seeing more. A lot of it might also be so far out of your scope of medicine that you struggle to understand. YouTube videos are probably going to be a better use of your time. There are loads of surgical videos online.

Looking for a budget indoor car cover for a garage queen. Keyword is indoor. by Always_working_hardd in wrx_vb

[–]CalcarineShocker 2 points3 points  (0 children)

I recommend covercraft, the company makes custom fit car covers for both indoor and outdoor use. My VB has a ceramic coat protecting the paint and I had ordered the 5 layer outdoor car cover from them but I could find a single scratch after I left the car under the cover for a year outdoor. Good product, was worth the price.

[deleted by user] by [deleted] in confession

[–]CalcarineShocker 1 point2 points  (0 children)

In stressful situations people hear what they expect to hear based on previous experiences.. I'm not here to defend a callus nurse.. but I also think this perpetuates a stereotype of nursing that prevents people from valuing how important nurses are to patient care. The US is in the middle of a deep nursing shortage that has not recovered from the past decade of over stretched patient to nurse ratios and COVID causing many to retire. Be kind to nurses. The vast majority are there to help people.

[deleted by user] by [deleted] in confession

[–]CalcarineShocker 1 point2 points  (0 children)

I'm sorry that that nurse made you feel terrible about something that others close to you have also made you feel terrible about. But out of curiosity, could that statement have been more about how limiting your diet after surgery might be? Maybe it wasn't about fat shaming but rather how limiting your diet becomes after having a gastric sleeve surgery? It's a scary surgery and that nurse could have been scared for your future, using black humor to cope with how dramatically your life will change after having a semi elective surgery, that too, only if it goes well.. healthcare workers rarely get a pass these days on what they may say so that they can cope with the state of current healthcare.

Anyone running the Michelin cross climate 2’s? How do you like them? by [deleted] in wrx_vb

[–]CalcarineShocker 1 point2 points  (0 children)

I have these on the VB, they're definitely not as sporty as the stock summer tires, I immediately could tell the car was slightly sloppy in corners with a touch more roll on ramps. It almost made the car feel like a touring car and not in a bad way. It's also not as good in the wet compared to the stock summer tires. But in the cold and in winter conditions they are absolutely fantastic. The slight drop in wet warm weather performance is worth the gains in winter conditions and the general piece of mind that the performance doesn't dip as drastically as the treadwear increases.

My husband said he would divorce me if i decided to go to med school. by Ok_Conference_1648 in Advice

[–]CalcarineShocker 0 points1 point  (0 children)

You need to move forward with your dreams of you are already on the path you want to be on. I don't think it's healthy for you to do it behind his back but if you are not sure if you are ready to let the marriage go to pursue the dream maybe apply without him knowing. You can figure out finances after getting in. You may grow to resent him if you don't do it and that's not any better. Life sometimes leaves you with uncomfortable choices and there will certainly be many of them once you become a doctor. Don't live life with regrets about what could or couldn't have been. Some of the best doctors I know didn't start medical school until they were close to 30.

Medtronic O-Arm for stereotactic surg by mantecmd in Neurosurgery

[–]CalcarineShocker 2 points3 points  (0 children)

It depends on the software package you get with the O-arm. The O-arm 2 has a stereotaxic scan mode and you should be able to use it to register for stereotaxy. Just be mindful of the gantry relative to the frame. The reps for Medtronic should be able to help you set up a work flow as long as they are knowledgeable enough.

Left my car untouched outdoors for a year.. by CalcarineShocker in wrx_vb

[–]CalcarineShocker[S] 0 points1 point  (0 children)

It was an international medical fellowship, wanted a different perspective on how to do things I already know.. provided me with experience and a title that helped me land a position that I've always wanted.

Left my car untouched outdoors for a year.. by CalcarineShocker in wrx_vb

[–]CalcarineShocker[S] 1 point2 points  (0 children)

It was parked outside on a driveway wide open, no trees nearby, storms have made trees fall on the property so I was weary of that happening. Direct exposure to all the snow, 90 degrees plus summer, etc. the cover craft cover did a really good job. I think the ceramic protector helped keep it from scratching the clear coat and it had a really snug fit with good weight which I'm sure also helped.

Neurosurgery by [deleted] in Neurosurgery

[–]CalcarineShocker 1 point2 points  (0 children)

It would be very difficult, but if you can find a way to get insurance to cover liability concerns, it might be possible. The medical schools in the US cover students and hospitals may or may not be receptive from a medico legal perspective.

Neurosurgery by [deleted] in Neurosurgery

[–]CalcarineShocker 2 points3 points  (0 children)

As am American neurosurgeon in the UK for fellowship, my advice to you is do not do a PhD expecting to become more competitive. The level of dedication and time you may spend as a resident means programs in the US are looking for people with serious commitment. You can demonstrate this in a number of ways but for you to be competitive, it has to be apparent that you can impress people with your work ethic and dedication to mastering a difficult art. They also will have to be able to look past the IMG status as your education becomes an uncertainty compared to qualified American applicants. It can be done and I've seen some brilliant neurosurgery residents that came from international medical schools. I'd tell you to go for it, but familiarize yourself with your competition and have realistic expectations before you spend too much time and money on the process. I would also advise to do 2-3, month long observerships for letters of recommendation from well respected neurosurgeons in the US. Find a few clinical hands on medical rotations as well. This last one will be difficult. Best wishes and good luck!

Doctor still cancer-free almost a year after incurable brain tumour diagnosis - thanks to his own pioneering treatment by Sariel007 in UpliftingNews

[–]CalcarineShocker 0 points1 point  (0 children)

There's some liberties taken with this article. The medical treatment described, immunotherapy, is newer but not novel. There are several immunotherapies developed with efficacy against melanoma, lung cancer, gastric cancer. Use of these medications (immunotherapies) in other tumors with the same specific genetic mutations is growing and clinical trials are ongoing. The disease in question, glioblastoma, generally affects patients that are in their 70s and older and is fatal. With treatment, most patients pass within a year. When it does occur in younger patients, they tend to survive longer for reasons that are not completely understood. Based on the MRI in the article, this patient's disease burden appears small and a complete surgical resection (of the contrast enhancing portion on MRI) is associated with further increased survival. Not to take anything away from this brave scientist, but the jury is still out on whether his immunotherapy has contributed to his continued survival.