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February 2003
Volume 1, Issue 1
MGH Neurosurgical Society Alumni News







Upcoming Events of Interest

Mark your calendars for the MGH alumni Reception at the AANS Meeting April 28th at 5:30 p.m.

Harvard Saturday Conferences continue the first Saturday of the month. Call 617-726-8581 for information or to be placed on the notification list.

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Neurosurgery Update MGH Neurosurgical Society Alumni HomePage

The clinical Neurosurgical Service at the Massachusetts General Hospital continues to grow. By January 2003 we should be running five operating rooms two days a week and four operating rooms three days a week and one or two rooms on Saturday. Even with these changes we will be utilizing far more than our allotted block time. With recent additions to the clinical staff, there is no shortage of procedures to perform. The new Director of the Operating Rooms, Dr. Richard Wiklund, has worked hard with members of the Neurosurgical Service to accommodate the increase in volume and the sometimes special needs of neurosurgery.

The Intensive Care Unit remains a vital part of our service. The ICU is now staffed 24 hours a day by an Intensive Care Unit Fellow or neurosurgical resident, and there is full coverage by attending staff. There is a full ICU fellowship available for two individuals. Dr. Walter Koroshetz of Neurology and Dr. Brooke Swearingen direct the unit. There are several ongoing clinical studies including the use of hypothermia in vasospasm, hypothermia in stroke, as well as several stroke protocols. The Neuro Intensive Care Unit nurses remain one of our strongest resources-many have worked in the ICU for years and continue to facilitate movement of patients through the ICU as well as delivering excellent care to the patients who are in the Intensive Care Unit.

Resident Program News
One of the biggest developments for our residency program is the change to an 88 hour work week for the

resident staff. There is a national mandate that this change be in effect by the summer of 2003, and the Neurosurgical Service is working hard to accommodate these changes. Our goal is to preserve the excellence in education and foster the progressive development of neurosurgical expertise. As in the past, residents will rotate through the various services, with graduated responsibilities both in and out of the operating room as the years of progress.

Dr. Paul Chapman, Director of the Residency Program, is working hard to incorporate the 88 hour work week in such a fashion as to minimally disrupt excellence in patient care and maximize resident experience both in and out of the operating room.

Currently finishing his residency is Dr. Jonathan Brisman, who plans to pursue an endovascular fellowship with Dr. Alex Berenstein in New York City. Dr. Ed Smith, current North Service attending, will further his interests in pediatric neurosurgery through a pediatric fellowship at Children's Hospital Medical Center, Boston.

One exciting development on the Neurosurgical Service was the recruitment over a year ago of a neurosurgeon to perform endovascular procedures. Dr. Johnny Pryor completed his neurosurgical training at Washington University at St. Louis and then undertook an endovascular fellowship with Dr. Alex Berenstein and remained on staff for five years. He was recruited to the MGH as part of the Neurosurgical Service to perform neurointerventional procedures. Dr. Pryor works in close collaboration with Dr. Jim Rabinov of
the Radiology Service to cover neuroendovascular procedures. Radiology and Neurosurgery work closely together, and are currently recruiting a third individual for endovascular management of neurologic disease.

Brain Tumor Center
The Brain Tumor Center at MGH comprises multiple physicians in a multi-disciplinary effort to combat tumors of the brain, spinal cord, and peripheral nerve. It is located in the Cox Building Room 315, where offices for physicians, nurse practitioners, neuro-oncology fellows, and clinical and research assistants can be found. Patient examining rooms and a conference room are also within this space. Dr. Robert Martuza has been the director of the Brain Tumor Center since 2000, taking the reins from Dr. Robert Ojemann.

The Staff
The neurosurgical staff in the BTC is composed of Dr. Fred Barker, Dr. Bob Carter, Dr. Paul Chapman, Dr. E.A. Chiocca, Dr. Rees Cosgrove, Dr. Emad Eskandar, Dr. Brooke Swearingen, and Dr. Robert Ojemann. The center's neuro-oncologists are Drs. Tracy Batchelor (the center's executive director), Dr.Allison O'Neill, Dr. John Henson, and Dr. Fred Hochberg. Radiation oncology expertise is provided by Dr. Jay Loeffler, Dr. Arnab Chakravarti, and Dr. Annie Chan. Neuropathologic expertise is available through Dr. Tessa Hedley-White, David Louis, and Matt Frosch. The BTC also offers social work and psychological expertise to our patients.

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Disclaimer About Medical Information: The information and reference materials contained herein is intended solely for the information of the reader. It should not be used for treatment purposes, but rather for discussion with the patient's own physician. All visitors to this and associated sites from the Neurosurgical Service at MGH agree to read and abide by the the complete terms of legal agreement found at the Neurosurgery "disclaimer & legal agreement." See also: the MGH Disclaimer, the MGH Privacy Policy, and the MGH Interactive Program Disclaimer - Copyright 2005. - Any questions or requests or feedback, please contact Chris Owen or email Alumni@Neurosurgery Neurosurgery@MGH IntraNet