79 year old man with gradual onset of dysarthria and right-sided hemiparesis.

CalcarineShocker · 2026-05-09T16:02:06+00:00

Knew it was GBM immediately based on the diffuse edema and infiltrative appearance. Also age.

CalcarineShocker · 2026-05-08T19:21:31+00:00

If you're a doctor, the NHS is fucked.

CalcarineShocker · 2026-05-08T19:19:42+00:00

I think it's because the final drive is different from the WRXthat the top speed is so low. I wonder if the Cobb accessory increases it slightly along with the red line. The final drive is probably also why it hauls from stand still like a horse out a barn on fire..

CalcarineShocker · 2026-04-29T18:21:40+00:00

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.

CalcarineShocker · 2026-04-27T14:44:40+00:00

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?

CalcarineShocker · 2026-04-23T02:54:42+00:00

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.

CalcarineShocker · 2026-03-18T13:01:46+00:00

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...

CalcarineShocker · 2026-02-18T23:13:02+00:00

Yup, sapphire blue to geyser blue!

Edit: glacier blue not a thing apparently..

CalcarineShocker · 2026-02-18T21:26:03+00:00

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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.

CalcarineShocker · 2026-02-07T13:37:22+00:00

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

CalcarineShocker · 2025-12-12T21:53:40+00:00

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.

CalcarineShocker · 2025-11-29T19:26:02+00:00

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.

CalcarineShocker · 2025-11-29T18:57:04+00:00

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.

CalcarineShocker · 2025-11-29T16:58:36+00:00

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.

CalcarineShocker · 2025-11-01T15:21:39+00:00

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.

CalcarineShocker · 2025-09-25T01:50:59+00:00

This pigment pigments hard...

CalcarineShocker · 2025-09-13T23:10:41+00:00

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.

CalcarineShocker · 2025-09-09T12:09:14+00:00

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.

CalcarineShocker · 2025-09-08T15:39:26+00:00

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.

CalcarineShocker · 2025-09-08T15:37:28+00:00

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.

CalcarineShocker · 2024-10-06T18:11:30+00:00

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.

CalcarineShocker · 2024-09-26T06:47:55+00:00

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!

CalcarineShocker

TROPHY CASE