I focus on patients' outcomes while carefully weighing risks and benefits. I achieve this by careful patient selection with consideration to timing and extent of a proposed surgical intervention. Not only have I developed these skills through rigorous training in medical school residency and fellowship, but also from my underpinning as an engineer and innate mechanical ability. I have cultivated my skills during my 25 years of practice in Philadelphia. There I have served as Chief of Neurosurgery at Hahnemann University Hospital and Professor of Neurosurgery at Drexel and Biomedical Engineering at Rowan University. These experiences combined have provided me robust exposure of injury, illness, as well as the latest innovations and surgical solutions to repair and restore patients quality of life with an awareness of limitations of surgery.
It is not only what I recommend to my patients, but how I explain the nature of their problem and potential solutions. I try to describe the nature of the patient's problem with honesty, respect, and understanding. This includes how much we as clinicians do not know or predict. I discuss surgical solutions with clear and concise language. I also demonstrate the proper degree of humility in managing expectations. I am careful to underscore that I cannot guarantee an outcome, only that I will work as hard as I can to accurately diagnose their medical condition with expertise and offer realistic treatment. Oftentimes the decision not to operate is the more crucial decision and the best course of action.
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