I am a Neuroendovascular Surgeon at a high-volume stroke center. For over 10 years, I’ve spent my days treating and coiling aneurysms, and I’m very interested in how patients live with them.

Hi everyone,

I’ve been a "lurker" on this sub for a while. As a Neuroendovascular surgeon, I take pride in making sure my patients have a clear understanding of what they are dealing with.

I am very bothered by two common situations that occur in our healthcare system, because of the anxiety I see people experience. (1) Being told by an ER doc or a PCP about an incidental finding of a brain aneurysm with no clear explanation and specialist consultation that is weeks or months in the future. (2) Seeing a specialist but leaving without having questions answered clearly.

I see a lot of anxiety on this thread and I’d like to help when I can.

I’m here to answer any general questions you have about:

The Jargon: What do those words in your MRA/CTA report actually mean to a surgeon? (Bilobed, Bifurcation, irregular morphology, etc.)

The Logic: How do we actually decide between "Watch and Wait" vs. "Let’s treat this"? (PHASES vs. UIATS scores).

The Hardware: What is the difference between coiling, stent-assisted coiling, and flow diversion?

Disclaimer: I am a doctor, but I am not your doctor. I cannot give specific medical advice for your individual case or tell you whether you should or shouldn't have surgery. This is for general educational and counseling purposes only!

I’m currently on a short break, so I have some time to give back to this community.

Ask me anything!