SNI Digital Podcast

SUMMARY: Dr. Raphael Tamargo reviews the treatment of Intracranial aneurysms by endovascular vs surgical approaches. After surveying the literature for the last 30 years he finds that endovascular approaches have a 20% retreatment rate in 10 years and more with extended time vs 3% with surgical clipping. The retreatment rates for endovascular approaches is astounding and changes the perspecti...

SUMMARY: The Neurosurgery Team at Memfys Hospital in Enugu, Nigeria presents. a challenging case of young boy who presented with signs of a posterior fossa tumor. After GTR the patient returned in 8 months with recurrent. symptoms and has a second removal of now a Medulloblastoma. The patient recovered and returned in 2 months with a Neurocytoma at the same site. In the interval between...

SUMMARY: Dr. Jay Wellons from Vanderbilt University Medical Center discusses his years of experience with Pediatric Posterior Fossa Tumors. He reviews their International Program in Teaching Neurosurgery. He discusses his experience using pre-op ventricular drainage as benefitting the patient clinically and reducing the need for shunting post op from 70% to 12%. His general principle is to do...

SUMMARY: This is the first South American Neurosurgery Grand Rounds with SNI Digital® organized by Andres Cervio, Head of Neurosurgery at FLENI in Buenos Aires. This is an Interactive discussion of many aspects of the Diagnosis and Surgical Management of Cervical Lamino-Foraminotomy for posterior lateral cervical spine disc or spur. Nancy Epstein was the invited speaker and commentator. Many tips...

SUMMARY: Over 30% of the operative cases the neurosurgeons from Memphys Hospital in Enugu, Nigeria performed are spine cases. Instrumentation is more commonly used than in the past. The neurosurgeons present two complex cases of spine surgery for intefnational discussion on management that are challenges everywhere. The first is a 78 year old patient who, 7 years previously, in another c...

SUMMARY: Dr. Allyene notes that 15% of stokes that occur in patients are Intra Cerebral Hemorrhage (ICH). ICH is a major health problem worldwide primarily caused by hypertension. Small series of patients with ICH, were reported in the literature but few large studies. Most advocated delayed surgery. There are guidelines from a 2022 American Heart Association study on the management of ICH wh...

SUMMARY: Dr. Ramsis Ghaly, who is board certified in neurosurgery, anesthesia, Critical Care and Pain medicine discusses his practical experience with the patients suffering from Addiction. Substance Abuse and Addiction involves 60% of the USA population and large numbers elsewhere from 12 years of age on. So, likely there is a high chance you are seeing these patients in your practice. How do you...

SUMMARY: Video Update and Upgrade Changes 11/17/24  Dr. Ausman gives an 12 minute introduction to the new upgrade for SNI Digital. How can you get the most out of this Video Journal. 11/17/24 

SUMMARY: Interview with Mitch Berger, MD Head of UCSF Brain Tumor Center; History of treatment in 50 years; Modern Treatment; Reasons to maximize resection, with low morbidity; Brain Mapping; New advances in aiding extra resection in tumor margin; Adapting technology to LMIC and Low Resource settings with new low cost technology; "Game Changing" precision molecular therapy emerging; How this...

SUMMARY: Round table discussion of the Crisis in Neurosurgery and Medicine with testimonials of neurosurgeons in academic and private group and solo Practice. Medicare in 1965>payments of patient costs to hospitals> government takeover of Medicine> Cost overruns, HMOs> Doctors become employees of hospitals>patients become numbers as doctors>Control by Biomedical Industry>...

SUMMARY: Dr. Nancy Epstein discusses the major mistake made in Cauda Equina Syndromes which is early diagnosis and treatment. It is a major cause of lawsuits in the USA. In other countries with limited understanding of the disease in the public and with non- neurosurgical medical personnel, this problem is a major cause of disability as they arrive too late for relief by neurosurgical management....

SUMMARY: Case examples are presented from Kenya and the USA on Conus and Cauda Equina Tumors. with Tips on Rapid Imaging Diagnosis, surgery ASAP, to aid in restoration of function. Discussion of the need to educate medial personnel and the public on diagnosis. Surgical advice is given. Pathology shown. Case one of many spinal cord tumors seen weekly with a large experience from Kenya with a Neurof...

SUMMARY: Dr. Roman Bosnjak, a world recognized expert in Neuroendoscopy describes his approach to the endonasal endoscopic removal of a cavernous sinus tumor in the lateral cavernous sinus with proximal dural ring resection and ICA medialization. He shows his steps to removal of this tumor with closed caption comments on the case. (7 minutes). (JIA)

SUMMARY: Dr. Fabien Deurelle, a researcher from France, is interviewed about his SNI paper and research, bringing attention to the  dangers of Microwave Radiation (MWR) used in cell phones, WiFi, MWR Towers, Microwave ovens other areas  of life experienced world wide. MWR technology was introduced 100 years ago. Research was done in Russia in the 1950's showing that it can damage the CNS...

SUMMARY: Dr. Nancy Epstein adds a 15th lecture to her Spine Series Controversies talks. This is in two parts; Avoiding Malpractice Claims: Cervical Spine Surgery. followed in a second program on Lumbar Spine Malpractice cases. These talks are limited to case presentations involving real cases with extremely bad complications leading to malpractice suits. All six cases were settled out of court.&nb...

SUMMARY: Dr. Nancy Epstein presents actual cases of malpractice surgical errors and discussed how to avoid these mistakes. Cases Include Minimally Invasive Surgery- Arachnoiditis; Failure to diagnose and treat Cauda Equina Syndrome; Failure to remove Abscess in timely fashion with complications; Unnecessary TLIF with. complications. Dr. Epstein provides tips and experience to avoid these comp...

SUMMARY: #2 in  Healthcare in Crisis Series -USA. Drs. Nussbaum and Ausman discuss the failure of physician reimbursement under the USA Socialized Healthcare System.  The Central Control of the Healthcare Market has distorted the reimbursement of physicians unrelated to their ability, has forced physicians into employment models which are also restrictive , and unattractive to high...

SUMMARY: SNI Digital interviews Dr. Russell Blaylock about the Governor Newsom's Health Emergency over the threat of Bird Flu to the states population. Bird Flu is an Influenza RNA virus, endemic in wild bird populations. It comes in Low and High pathogenic strains for birds. Humans become infected after close contact with feces of birds, found on farms. Its transmission i...

SUMMARY: Dr. Russell Blaylock continues his Healthy Longevity and Blaylock Reports series with an analysis of the Mpox also known as Monkey Pox infection that started in the Democratic Republic of the Congo in SubSaharan Africa. "Because the name (Monkey Pox) reinforced racism and stigma about African countries being the source of the Disease"- (Similar to The China Virus for Covid 19),....

SUMMARY: Dr. Russell Blaylock reports his perspective on the harmful uses of Microwave Radiation in cellphones, and other microwave applications causing molecular damage to DNA and other cellular molecules. Major damage is to CNS, but also ovaries and testes and other organs. Was found to be used against US Embassy personnel in the 1950s with CNS effects that were disabling. (Havana Synd...

SUMMARY: Dr. Samuel Elbabba, explains the development of Fetal Neurosurgery for the repair of Myelomeningocoele. In the past, myelomeningocoeles were seen and repaired after birth and were associated with hydrocephalus, spinal cord neurological impairments, and multiple shunting procedures, and other system deficits with prolonged morbidity. With dietary Folate supplementation in nutritionally def...

Summary:  ICH : Are we operating too late? Should all the clot be removed immediately? New simple approaches from China. Quick evaluation and treatment.  Traumatic Brain Injury : What do we do? Does it matter? The outstanding success in Iraq. What can we learn? Case examples, Q&A. (Case based discussions; 60 min.; 5/5 ranking) Podcast 

SUMMARY: Dr. Salamon presents another basic neuroradiology lecture on the Anatomy and Pathology of the Cerebral Venous system. In this lecture, the value of Closed Captions (CC) can be seen in the English translations along with the video. The AI translations really make this lecture more valuable as the viewer does not miss the many key observations Dr. Salamon makes. Very informat...

Dr. Ausman provides a 10 minute introduction to the 2024 updated SNI Digital website version 3.0 and how you can get most out of the more than 30 new features on the website with multiple methods of learning from Video with Closed Captions, , Audio for multi tankers, to Print outs in 10 languages. From sound bites, to Interviews with leaders in multiple areas of interest, lectures from world wide...

Dr. Ausman provides a 10 minute introduction to the 2024 updated SNI Digital website version 3.0 and how you can get most out of the more than 30 new features on the website with multiple methods of learning from Video with Closed Captions, , Audio for multi tankers, to Print outs in 10 languages. From sound bites, to Interviews with leaders in multiple areas of interest, lectures from world wide...