Dr. Anderson's Neurosurgery Insights

Aug 7, 2024

Lecture Notes: Dr. Brian Anderson - Neurosurgeon at Central Valley Medical Center

Introduction

  • Dr. Brian Anderson, neurosurgeon.
  • Practicing at Central Valley Medical Center, Nephi, Utah (smaller community hospital).
  • Started cases here about a year ago.

Daily Routine

  • Four surgeries scheduled for the day.
  • Importance of teamwork on surgery days (staff, device reps, etc.).
  • Preparing for surgeries by changing into scrubs and visiting pre-op area.

Patient Interaction

  • Engaging with patients in pre-op to address concerns.
  • Discussing specifics of the first case with the patient.

Surgical Procedure Overview

First Case: Spinal Cord Stimulator Revision

  • Neuromodulation: Implanting small computers in the central nervous system to manage pain.
  • Patient experienced over 90% pain relief from previous system.
  • Issue: One electrode migrated, requiring repositioning.

Surgical Team Roles

  • Anesthesia Team: Keeps the patient asleep, comfortable, and monitors vital signs.
  • Assistant (Josh): Nurse practitioner assisting Dr. Anderson.
  • Radiology Tech: Manages fluoroscopy machines for imaging.
  • Circulator: Ensures smooth operation, retrieving necessary instruments and supplies.
  • Scrub Team: Anticipates needs of the surgeon, providing instruments.
  • Device Rep: Supports implantation of devices in patients.

Operating Room Dynamics

  • Operating room (OR) operates like a choreographed dance, with everyone playing their role.
  • Importance of routine and comfort in the OR for optimal performance.

Case Outcome

  • Successfully completed the first case with some unexpected hardware replacements.
  • Post-operative diagnostics revealed one electrode had an impedance issue, but it was not the migrated lead.
  • Dr. Anderson emphasizes the importance of communication with patients' families after surgery.

Community and Hospital Impact

  • Enjoys working in a smaller hospital and being part of the community.
  • Discussion with Randy (administrator) about keeping healthcare local and adapting to changing healthcare environments.