Imagine a balloon stretched to the utmost and ready to burst. Brain blood vessels develop these little balloons called aneurysms. Unfortunately many of these do rupture and the result is a very sick patient. Coma and death may follow. Surgery of intracranial aneurysms is very delicate. If the aneurysm ruptures intra-operatively, death from the ensuing hemorrhage is possible. It’s technically demanding because there can be no error. This is “really brain surgery.” The anatomy is familiar but disorienting. The surgery is done upside down and sideways. The images demonstrate the exposure of the brain, blood vessels, nerves, and aneurysms. I thought I could run the operative video, but no. To the uninitiated, this was a particular technical challenge because of the presence of two aneurysms positioned on right and left brain vessels.
Soho on Spring Street just above Canal Street. It’s soon to be Halloween. There is a group that arrives early each year to begin preparations. I have been to a handful of parades and they have been prepping each time. They start off by body painting a base color. As in, get half naked on the street in front of a bunch of paparazzi. There is quite a crowd that gathers. Later on in the actual parade they go by so quickly most of the crowd probably doesn’t realize that it’s just body paint. But this is an advantage of being in the staging area. Oh, and there are a lot of other interesting characters as well. Did I mention they estimate about a million people are there. Really.