§1 My Cons
(1) Poor communication skills because
- I can’t join in conversation, and just stay behind listening it.
What I need to do as countermeasures are
- Keep my promises, treat anyone kindly, earn their trust.
- Give good presentations to colleagues about cases.
(1) Medical Diary
<1>
Speak clearly
“Clearly” means
Routine
Principle textbook
Suture practice
<2> TAE for meningioma
[1] device
6Fr Fubuki guiding sheath
Guidepost
Defrictor*
Chikai 10
NBCA 1:5 (16%)
*; the tip marker is difficult to see. Is it far or near from micro wire?
[2] procedure
(1) Under local anesthesia
(2) warm the mix with a hair dryer in 2 min
(3) simple push
(4) plug and push
Pose in 15 sec
(5) remove the micro catheter slowly
[3] Case
(1) Falcine meningioma
<4> Irritation
[1] When
A nurse said just before surgery that your hair got thinner.
A radiographer didn’t understand what a surgeon said.
[2] Solutios
Control your temper.
<5> Endoscopic Endonasal Approach
<6> Clipping
- Surgical skills of dissecting the arachnoid membrane
- Conference presentation
Neuroendovascular therapy
<1>Unruptured cerebral aneurysm
[1]Flow diverter
(1)Incorporated branch
Ic-oph aneurysm. Coil+FD.
Ic-acho aneurysm. Coil+FD. Deploy coils without the loop covering orfice of the artery using a balloon. Do not move the deployed coils when advancing the FD catheter.
(2)Recurrence
Wait and see if not grow in at least 5 years. If grow, add FD, but it is often ineffective. When you think recurrence is likely, double FD at first session is a choice.
WILLPOWER MELTDOWN SOMETIMES 