CAS That this practicing is done on humans, however, creates a central tension in medicine: “You can’t train novices without compromising patient care” (30). Complications is a 2002 National Book Award Finalist for Nonfiction. doi:10.1159/000156712, PubMed Gamma Knife radiosurgery is a type of radiation therapy used to treat tumors, vascular malformations and other abnormalities in the brain.Gamma Knife radiosurgery, like other forms of stereotactic radiosurgery (SRS), is not surgery in the traditional sense because there is no incision.Instead, Gamma Knife radiosurgery uses specialized equipment to focus about 200 tiny beams of radiation on a tumor or other target with submillimeter a… This is the net price. To search one or more specific libraries: Check the boxes beside the libraries you want to search. When you are in the operating room for the first time and see the surgeon press his scalpel to someone's body, you either shudder in horror or gape in awe. Facial nerve preservation after vestibular schwannoma Gamma Knife radiosurgery. Conclusions: You will need to repeat these steps for each new search. He didn't, but still he cut. Part of Springer Nature. upon undergo a greater risk for harm than the rest. p. 3. doi:10.1227/01.NEU.0000215947.35646.DD, Iwai Y, Yamanaka K, Shiotani M, Uyama T (2003) Radiosurgery for acoustic neuromas: results of low-dose treatment. From your search results, use the Narrow Search options on the left-hand side of the screen. Epub 2007 Oct 24. "Complications: A Surgeon's Notes on an Imperfect Science" is a book about the experience of becoming a surgeon. doi:10.1097/00006123-200112000-00003, Pollock BE, Driscoll CLW, Foote RL, Link MJ, Gorman DA, Bauch CD, Mandrekar JN, Krecke KN, Johnson CH (2006) Patient outcomes after vestibular schwannoma management. line, as it seems, is an 8 inches long line going into the patient’s chest into Methods: Results: (2002). Education of a Knife The Computer and the Hernia Factory When Doctors Make Mistakes Nine Thousand Surgeons When Good Doctors Go Bad Pt. Acta Neurochir (Wien) 143(7):689–695. In a way, the first patients needing Neurosurgery 53(2):282–288. Neurosurgery 59:77–85. (Abstract), Delsanti C, Roche PH, Thomassin JM, Régis J (2008) Morphological changes of vestibular schwannomas after radiosurgical treatment: pitfalls and diagnosis of failure. The author, a surgical resident, uses research, personal experience, and case studies to discuss the various challenges of the field including the fallibility of doctors, medical mysteries, and what to do in the face of uncertainty. 2002, Complications : a surgeon's notes on an imperfect science / Atul Gawande Metropolitan Books, Picador New York. In traditional neurosurgery, there are potential complications associated with anesthesia, bleeding and infection. Epub 2015 Mar 25. knowledge. Clifford W, Sharpe H, Khu KJ, Cusimano M, Knifed E, Bernstein M. J Neurooncol. J Neurosurg 109:811–816. up having to sacrifice his only daughter. To search other Nova Scotia public libraries, except Halifax Public Libraries, start by performing a search in this catalogue. doi: 10.1016/j.ijrobp.2011.02.056. procedure didn’t go all too well, and the chief resident ended up taking over. Whether it is the experienced surgeon teaching the new resident the steps to a A stitch of time : the year a brain injury changed my language and life / Lauren Marks. 15 tumours became smaller, seven remained unchanged and two enlarged. Quality of life after gamma knife radiosurgery for benign lesions: a prospective study. Get the latest public health information from CDC: https://www.coronavirus.gov. Google Scholar, Betka J, Zverina E, Chovanec M, Skrivan J, Kluh J, Kraus J (2007) Differences in microsurgical treatment of small (grade 1,2) and large (grade 3,4) vestibular schwannomas. © 2020 Springer Nature Switzerland AG. Includes bibliographical references (p. 253-264) and index. It wasn't the blood and guts that enthralled me. He uses the example of his "first real procedure," putting a central line, an intravenous line that would go into the main blood vessel of the heart, in a patient. 2007 Oct;68(4):400-6; discussion 406. doi: 10.1016/j.surneu.2006.11.051. Acta Neurochirurgica The results and risks of repeat treatment of patients with a vestibular schwannoma were reviewed to assess its efficacy and safety. Neurosurgery 60(ONS Suppl 1):ONS–75–ONS-82, Kondziolka D, Lunsford LD, McLaughlin MR, Flickinger J (1998) Long-term outcomes after radiosurgery for acoustic neuromas. This percentage is higher than in most other series and may reflect their unwillingness to follow tumors that have only transiently expanded but are not really growing. Part I Fallibility. doi:10.1159/000056407, Landy HJ, Markoe AM, Wu X, Patchen SJ, Reis IM, Takita C, Abdel-Wahab MM, Wen BC, Wolfson AH, Huang DT (2004) Safety and efficacy of tiered limited-dose gamma knife stereotactic radiosurgery for unilateral acoustic neuroma. "Sometimes in medicine the only way to know what is truly going on in a patient is to operate, to look inside with one's own eyes. The surgeon drew a six-inch dotted line across the patient's abdomen and then, to my surprise, had the nurse hand me the knife.
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