Dayton Business Journal’s Post

👨🏻⚕️In neurosurgery, one of the most vital yet often overlooked elements is empathy. While not formally taught in medical school or during residency, empathy plays a critical role in patient care and recovery. It builds trust between the doctor and the patient, which is essential for successful outcomes, especially in complex surgeries like tumor removal or epilepsy treatments where neurological deficits may occur post-operatively. This trust leads to better communication and more informed decision-making, helping patients and their families feel more involved in the process.🚀 Empathy also extends to team dynamics. Understanding the challenges faced by each team member fosters a more cohesive and collaborative environment in the operating room. This ultimately results in better patient care, as a well-functioning team is essential for smooth surgical procedures and optimal recovery.🏥 Incorporating empathy into neurosurgical practice is a simple yet powerful way to enhance both patient outcomes and team performance.✨ [Empathy in neurosurgery, patient care, informed decision-making, trust, post-operative recovery, surgery teamwork, team cohesion, doctor-patient trust, collaborative surgery, better patient outcomes.] #EmpathyInMedicine, #PatientCare, #NeurosurgeryLife, #InformedDecisions, #DoctorPatientTrust, #PostSurgeryRecovery, #SurgicalTeamwork, #TeamCohesion, #BetterOutcomes, #HealthcareEmpathy

👨🏻⚕️In neurosurgery, one of the most vital yet often overlooked elements is empathy. While not formally taught in medical school or during residency, empathy plays a critical role in patient care and recovery. It builds trust between the doctor and the patient, which is essential for successful outcomes, especially in complex surgeries like tumor removal or epilepsy treatments where neurological deficits may occur post-operatively. This trust leads to better communication and more informed decision-making, helping patients and their families feel more involved in the process.🚀 Empathy also extends to team dynamics. Understanding the challenges faced by each team member fosters a more cohesive and collaborative environment in the operating room. This ultimately results in better patient care, as a well-functioning team is essential for smooth surgical procedures and optimal recovery.🏥 Incorporating empathy into neurosurgical practice is a simple yet powerful way to enhance both patient outcomes and team performance.✨ [Empathy in neurosurgery, patient care, informed decision-making, trust, post-operative recovery, surgery teamwork, team cohesion, doctor-patient trust, collaborative surgery, better patient outcomes.] #EmpathyInMedicine, #PatientCare, #NeurosurgeryLife, #InformedDecisions, #DoctorPatientTrust, #PostSurgeryRecovery, #SurgicalTeamwork, #TeamCohesion, #BetterOutcomes, #HealthcareEmpathy

In the upcoming June 2024 Issue of Operative Neurosurgery: We meticulously describe our operative technical nuances and outcomes using a methodological, two-stage temporalis dissection in Cranioplasty. Cranioplasty remains a low-risk, straightforward neurosurgical procedure, but with relatively high rates of postoperative complications (cited 8-30%). Safe and efficient management of the temporalis muscle is key. Ralph Rahme, M.D., F.A.C.S. Aaron Miller Daniel Ward Griepp, DO Vincy Mathew SBH Neurosurgery

🔍 New Publication Alert! 🔍 We are excited to share that our study protocol has been published in Neurosurgery Practice: "Study Protocol for a Randomized Controlled Clinical Trial on the Outcome of Surgical Versus Primary Nonsurgical Treatment of Traumatic Thoracolumbar Spine Burst Fractures in Patients Without Neurological Symptoms." The study is led by Prof Christoph E. Albers at Inselspital Bern. https://lnkd.in/e8g7w3bZ This study represents a crucial step in understanding the optimal treatment strategies for thoracolumbar burst fractures. Through our multicenter randomized controlled trial, we are comparing operative treatment with 360° stabilization versus conservative management. We are actively enrolling patients and anticipate sharing preliminary results in the near future. We extend our deepest thanks to all collaborating centers (Ostschweizer Wirbelsäulenzentrum St. Gallen: Martin N Stienen and Universitätsspital Zürich: Valentin Neuhaus) for their invaluable support and contributions to this study. Stay tuned for more updates as the study advances. https://lnkd.in/ejCJRD67 #SpineSurgery #MedicalResearch #ClinicalTrials #BurstFractures #Orthopaedicsurgery #Neurosurgery

Published in Neurosurgery, the Mount Sinai Cerebrovascular Center studied anesthesia modalities used for endovascular thrombectomy (EVT) in distal and medium vessel occlusions, comparing conscious sedation (CS) with general anesthesia (GA) for distal vessel thrombectomy. The research aimed to uncover which method provides better outcomes for patients suffering from acute ischemic stroke.  Led by Drs. Christopher Kellner, Reade DeLeacy, Johanna Fifi, J Mocco, and Shahram Majidi, Amol Mehta, and Daryl Goldman, and researcher Preethi Reddi, key findings include:     •    CS was associated with higher odds of early neurological improvement.     •    CS led to higher rates of successful reperfusion complared to GA     •    CS showed a trend toward lower mortality rates (although not statistically significant)     •    Both CS and GA were found to be safe and feasible with no significant differences in 90-day outcomes, intracerebral or subarachnoid hemorrhages, and first-pass effect Conclusion: CS during EVT for distal and medium vessel occlusions is safe and may lead to better immediate outcomes, offering potential benefits for early neurological outcomes and successful recanalization. 🧠✨ Check out the full study in Neurosurgery: https://bit.ly/4bujxAl

#Doctor Specialties with the Most #Power: Orthopedics, Cardiology, Oncology. Learn #Why. Certain Doctor Specialties Have Great Power within Hospital Systems Because They Generate #HighMargin Patient Volume. Those Specialties Are: Orthopedics, Neurosurgery Spine, Cardiology and Oncology. Knee and Hip Surgeries, Spine Surgeries, Cath Lab Procedures, Nuclear Stress Tests and Inpatient Chemo for Commercially Insured Patients Drive ALMOST ALL #Hospital Margins. #PrimaryCare-Driven Value-Based Care is a #Betrayal of These Specialties Because the Greater Use of Primary Care #Decreases Patient Volume Due to: 1) Greater Use of Physical Therapy 2) Decreased Complex Imaging 3) Decreased ER Visits 4) Increased Cancer Screening with More Early Stage Cancer that Does Not Require Chemo Most Hospital Systems Are #Unwilling to Betray the High Margin Specialties That Got Them to Where They Are Today... and So Value-Based Care Remains an Enigma. Sources at AHealthcareZ YouTube Channel.

This is highly unfortunate, but absolutely true. Of course, this outcome is a product of a Medicare payment system which subsidizes physician office payments through high testing and facility based reimbursements for surgeries, treatments and procedures. “We the people” helped build this model and we all have accountability to help change it. Also robust and well executed value-based care programs decrease hospital inpatient admissions. This too is a major source of revenue in our healthcare systems. The challenge is: 1. Coming up with a rebalanced system that financially emphasizes proactivity and keeping a population well rather than reactivity, treating them when they get sick. 2. Transitioning our current system over to this rebalanced system with minimal financial disruption to the networks, hospitals, and clinicians who have been paramount to healthcare thus far.

Check out our newest article on perioperative quality indicators showing that a reduced LOS in neurosurgery is safe also in Austria

We're proud to share that Stanley Hoang, MD, a neurosurgeon at Ochsner LSU Health, has made history by performing the hospital's first awake spine surgery. In a departure from traditional methods involving general anesthesia, this innovative procedure used local anesthetic to numb the spinal cord nerves, allowing the patient to communicate with the medical team throughout the operation. The patient, who had been suffering from back pain since a 1997 offshore drilling rig accident, was referred to Dr. Hoang. After understanding the patient's hesitation toward general anesthesia, Dr. Hoang and his team explored alternative options, leading to this groundbreaking approach. Dr. Hoang's pioneering work in minimally invasive discectomy, a surgery to remove the damaged part of a disk in the spine that has its soft center pushing out through the tough outer lining from the patient's spine that was causing the pain, combined with the expertise of Ochsner LSU Health anesthesiologists, led to a successful surgery and a reduced recovery time for the patient. "Awake spine surgery is good for people with issues that preclude having general anesthesia," said Dr. Hoang. "People with severe chronic obstructive pulmonary disease or severe cardiac failure cannot tolerate having general anesthesia. This would be a great option for them." Today, Dr. Hoang's patient is experiencing life free from the pain caused by his disc issue, marking a significant milestone in his journey and the field of neuroscience. Read more: https://lnkd.in/gG3AhF3S Learn more about Dr. Hoang: https://lnkd.in/gej_6NEQ #neuroscience #innovation #OchsnerInnovates #InnovatingHealthcare

Eric Bricker, MD we need to separate primary care completely from this aspect of the system! The way to separate is removing primary care from the insurance-based US healthcare system by creating a new, transformational payment for it. Ensure #neighborhoodprimarycare as a #civicduty FREE at level of service to ALL. Primary care should not be connected to these aspects of the current US healthcare system. It is a toxic relationship! Time to break up! We can take the opportunity in this change to implement high-quality primary care. High-quality primary care is the care provided by interprofessional primary care teams reflective of the neighborhood served and equipped/staffed to provide whole person care.