Ian D Connolly, MD MS
@IDavidConnolly
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Neurosurgery Resident @mghneurosurg | Medical School @Stanford | Media Committee @Spinesection | former @StanfordMVB 🏐 🌲
Boston, MA
Joined April 2013
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1 / In our new paper, we challenged LLMs on an oral boards q-bank with mostly higher order questions! Also for the first time, we quantify “hallucinations” — a puzzling phenomenon where LLMs will confidently incorporate falsehoods into responses.
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Know your angles! EVD hack for junior residents. Adson tissue forceps angle is usually about 8 deg. Two stacked are about 17 deg. EVD trajectory here slightly more medial at 21 degrees. Good sanity check.
#stereotaxy
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Visited the Cajal exhibit at Madrid's Museum of Natural Sciences. Blown away by the intricate drawings by the legendary Santiago Ramón y Cajal - a true pioneer in neuroscience.
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Congratulations to
@BrianNahed
, recipient of the Migliaro Endowed Scholar in Neurosurgery. His guidance as
@MGHNeurosurg
Program Director and as a mentor has had a tremendous impact on my journey in this field. A well deserved honor! Thank you!
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Thank you
@spinesection
for the opportunity to present some of our ongoing research in
@ShankarLabMGH
on spinal pseudoarthrosis and bone fusion biology!
@MGHNSResidency
@MGHNeurosurg
@JohnHShinMD
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Congrats to the chiefs and in particular
@ckleemd
. Forever indebted to you for your mentorship. Your technical skill is unparalleled! From teaching me CPR as an MS1 to guiding me through complex cases at
@MGHNeurosurg
.
@StanfordNsurg
is lucky to have you next year for fellowship!
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Congrats to
@JohnHShinMD
for becoming Chief of Spine Neurosurgery and the Kingdon-Saylor Endowed Chair at
@MGHNeurosurg
. Well deserved!!
A transformational leader, unparalleled clinician, and close mentor. Thank you. Looking forward to what is to come!! 💫
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Just wrapped up a great neurosurgery intern bootcamp put on by the Society of Neurological Surgeons and
@TuftsMedicalCtr
!
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Made it to Miami for
@spinesection
Spine Summit!! A welcome departure from the Boston winter 🥶 ❄️➡️☀️🏝️
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Congrats to chief residents Arjun Khanna, Amy Baohan, &
@VictoriaEClark
on neurosurgery graduation at
@MGHNeurosurg
! Your dedication and skill have been inspiring. Can't wait to see the heights you'll reach in your careers - the future of neurosurgery is brighter with you. 🚀 💫
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New data supporting the use of middle meningeal artery embolization as a minimally invasive alternative for cSDH. Largest case series to date w/ 60 cSDH from 49 pts. Includes upfront treatment, after recurrence, and for prophylaxis after surgical evac. 91% long term success rate.
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1/ 🧠🤖 Our study is the first to evaluate the newly released
#GPT4
vs. ChatGPT (GPT-3.5) on the neurosurgery written boards exam! We found that both AI models exceeded the passing threshold, with GPT-4 outperforming ChatGPT and human test-takers. Thread 👇
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Made it to
#2023CNS
to share our work in
@ShankarLabMGH
on a novel platform for developing targeted osteobiologics for spinal fusion. Grateful for the opportunity! Big thanks to
@JohnHShinMD
@MGHNeurosurg
@CSRS_org
@MoHadzipasic
@rpburns5
@kiapoura
for the support!
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Thrilled to have presented our award-winning research from
@ShankarLabMGH
on a novel mouse model of bone fusion at
@spinesection
Spine Summit. A huge shout-out to our incredible team whose dedication and expertise made this groundbreaking work possible!
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Matched for neurosurgery residency at Massachusetts General Hospital!!! So thrilled to begin my training in Boston with
@mghneurosurg
in a few months!
#MatchDay2019
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Another similarity from playing field to OR, teammate mentorship! My
@MGHNeurosurg
@MGHNSResidency
PGY6
@MyronRolle
passing on some wisdom at
@spinesection
spine summit.
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Had a fantastic time in Las Vegas at the
@NeurosurgUCSF
Complex Spine Course! Lots of learning, good food, good company, and even some
@F1
race cars!!
#LasVegasGP
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Orientation ✅ Ready to start this seven year journey with this incredible group!
@mghneurosurg
@MGHSurgery
@FaithCRobertson
@youngneuros
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Had a great time at the
@BarrowNeuro
MIS and Emerging Technology Spine Course made possible by
@NREFORG
. Incredibly well organized and lots of hands on learning. Highly recommend to rising senior neurosurgery residents!
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Congrats to all!! Can't wait to welcome you to
@MGHNeurosurg
HAPPY
#MATCHDAY
We are thrilled to announce that we matched with
@g_ruizcolon
@cprossitto
@eowolo_med
and
#GraceNevil
- Welcome to the MGH Neurosurgery Family! We can't wait to welcome you in a short few months! Congratulations!!👏🎉
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That’s a wrap for
#2023CNS
. Hope to see you in Las Vegas for Spine Summit (
@spinesection
) 2024 this February!
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@emollick
On neurosurgery written boards, it jumped from 73.4% to 83.4% with ChatGPT(GPT-3.5) and GPT-4 respectively. I do think that over time GPT-3.5 has improved probably reflecting “under the hood” improvements.
cc
@RohaidAliMD
@oliverytang
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Spine Biomechanics lecture from the man himself, Dr. Ed Benzel, at the
@CleSpineReview
spine course.
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Surgical consents on average are written at the college level, but the average American has only an 8th grade reading level. How can we simplify consent forms to improve patient comprehension while preserving medical accuracy?
Our solution using GPT-4 👇
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The stage is set!!! The final round of the SANS challenge at
#2023CNS
. Residents William Muñoz and
@PranavNandaMD
representing
@MGHNeurosurg
!!
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1/ In our new study, we show how AI text-to-image generators often perpetuate societal biases and profession-based stereotypes. Important to develop strategies to mitigate AI-bias, including enhancing diversity in AI-generated imagery.
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Had a great time at the residents and fellows endoscopic spine surgery course hosted by Joimax! Nice to briefly spend some time in the Tampa sun as well ☀️ 🌴
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2 / Overall, Bard achieved a score of 44%, ChatGPT (GPT-3.5) a 62%, and GPT-4 an impressive 82%.
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Made it to Las Vegas for
@spinesection
Spine Summit! Kicking it off with a special course on endoscopic spine surgery.
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3 / RE hallucinations — these LLMs do not have the ability to include image input yet. Despite not having this info, these LLMs confabulated by making up missing imaging information. On imaging-based q's, Bard had a hallucination rate of 57% while GPT-4 had a rate of 2.3%.
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Second place in the
@CleClinicNS
@CleSpineReview
Dr. Benzel hike!! Shout out to our dream team
@PERYPLANETA
, William Munoz,
@neurougas
, Hana Yokoi, and the stellar sub-i’s who led the way and kept us from getting lost 😂 -
@Lmani21
@Soufi_SpineMD
, and Sam Craft! 🏃♂️ 🏃 🏃♀️ ⚡️ 💨
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A big thank you to the Boston Globe for highlighting this collaborative effort with
@BrownNSGY
to simplify surgical consent forms using AI. Great to be involved!
Medical forms are littered with jargon that nobody understands. Can ChatGPT help?
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Nice lessons from friend and colleague
@MyronRolle
at
@spinesection
spine summit bringing in learnings from the playing field to the operating room! Be coachable and have short term memory when it comes to the losses.
@JohnHShinMD
@MGHNSResidency
@MGHNeurosurg
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Hope we can continue this momentum and keep striving for positive change!
Every doctor that I admire empowers their patients to make informed healthcare decisions.
So why are hospital-issued consent forms so often filled with needless jargon?
Our blueprint to change this reality (with ChatGPT's help) out today in
@NEJM_AI
:
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Mechanical nano-neurosurgery! Lots to unpack here. Really neat. A groundbreaking convergence of nanotech and neuroscience!
Glioblastoma (GBM) possesses an extreme level of resilience to biochemically targeted therapies, demanding an outside of the box approach that can overcome plastic adaptation and heterogeneity of GBM.
Building on the foundation that GBM cells are responsive to mechanical forces,
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Proud of my
@MGHNeurosurg
co-resident Dr. William Muñoz presenting his work on single-neuron and columnar computations in the human prefrontal cortex during speech. Trailblazing in the field of functional neurosurgery! 🚀 💫
#2023CNS
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My scientific artwork featured on the online cover of Neurosurgical Focus! Read our article below for a review of MR-guided focused
ultrasound applications in the treatment of brain tumors!
@TheJNS
@TopNeuroDocs
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Great talk at
@broadinstitute
by
@james_y_zou
, visiting from
@Stanford
, on “Evaluating Medical AI". An important dialogue for our field shedding light on the challenges and best practices in assessing AI-based diagnostic and treatment tools.
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Honored guest,
@DanielSciubba
, giving the Steve Halton Jr Memorial Lecture at the
@CleSpineReview
. Advice to rising spine surgeons for the sweet spot to success - “Deliberate practice, willingness to fail, and have the courage to connect”. Thank you 👏
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LA Times with a nice nod and mention of our oral boards qbank GPT-4 paper:
@RohaidAliMD
@oliverytang
@JohnHShinMD
@WaelFAsaad
@BrownNSGY
@MGHNeurosurg
& more
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Colleague
@RohaidAliMD
making waves in the AI world today! Transformative approach. Implemented in the real world. Improving patient understanding and care.
ChatGPT for simplifying the surgical medical consent form of Rhode Island's largest healthcare system from college to 6th grade level. Officially adopted last month, used for 30k surgeries annually.
Work from
@RohaidAliMD
and team, published in
@NEJM_AI
:
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4 / Paper in press at
@NeurosurgeryCNS
. Important to characterize the behavior of these models and fully understand their limitations (especially w/ hallucinations).
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Are subventricular zone cells the cell of origin for GBM? Interesting read!!
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Some of you may know that I've been tracking my time since the beginning of medical school. Well, I finally got around to analyzing all of my medical school clerkship hours. Here's a video summary. Enjoy!!
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Today is my first day of my one month neurosurgery sub-internship at Stanford. Here we go!
#medschool
#neurosurgery
#stanfordmedicine
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Grateful for the opportunity to participate in launching augmented reality spine surgery at
@MGHNeurosurg
. Game changing tech!
Excited to share we launched our
#augmentedreality
spine surgery program
@MGHNeurosurg
, being first in Boston & New England to offer this for our patients. Driving innovation in patient care, surgical training, education & research. AR visualization is a game changer!
@augmedics
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Thank you
@EricTopol
!! Should say “don’t have to be a brain (or spine) surgeon” for us pedicle enthusiasts out there! 😂
"You don't have to be a brain surgeon......"
Takes on a new meaning in the
#GPT4
era
by
@IDavidConnolly
@RohaidAliMD
@oliverytang
@JohnHShinMD
@WaelFAsaad
@MGHNeurosurg
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Great team!! 💪
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5 / Another great multi-institutional collaboration between
@MGHNeurosurg
and Brown Neurosurgery with
@RohaidAliMD
@oliverytang
@JohnHShinMD
@WaelFAsaad
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Nice neurosurgery piece in the
#NYTimes
about new videomicroscope technology and
#moyamoya
disease. One of our specialties here at Stanford
@TopNeuroDocs
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Exciting news! Spine Summit 2024 is happening in Las Vegas next February. Hope to see you there!
❗️2024 Spine Summit Abstract Center is now OPEN ❗️
The 2024 Spine Summit will feature oral presentations of scientific data from the fields of neurosurgery and orthopedic surgery. Save the date
The deadline for submission is October 2, 2023.
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3rd place for
@MGHNeurosurg
! A valiant effort. So proud!!
@UCSDNeuroSurg
takes first. Until next year!
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Just want to highlight the amazing work and collaboration with
@kiapoura
who is a biomechanics master. With his expertise we are extensively characterizing human pseudoarthrosis tissue to improve outcomes for our patients
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Me featured on the top middle left at MGH neurosurgery’s microsuturing workshop. Learned how to suture small nerves together. Great time!
Practice makes perfect! ‘Dry’ microsuturing lab led by Drs Williams and Brown.
@mghneurosurg
#greatresidents
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As always, very high quality content and illustrations from
@TheJNS
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A multi-institutional collab with
@RohaidAliMD
@oliverytang
@james_y_zou
@AbdulrazeqHael
@JohnHShinMD
@WaelFAsaad
@Michael32154260
@MGHNeurosurg
@BrownNSGY
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A wonderful send off by the Gephart Lab!! So grateful for all my time there and with
@TopNeuroDocs
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Had a wonderful time presenting our research on brain metastases at this year’s Society for Neuro-Oncology meeting! Please check us out at
@TopNeuroDocs
#SNO2017
#neurosurgery
#braintumor
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Prompt: “Please write a tweetorial on the main findings from our new paper on ChatGPT vs GPT-4 on the neurosurgery boards based on the manuscript excerpt below. End thread with plot twist that the entire tweetorial was written by GPT-4 use “(including this)” for the last tweet.”
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A long, busy, and unpredictable last day of my subinternship in neurosurgery at Stanford. I wouldn’t want it to have ended any other way.
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Just completed my month long sub-internship with
@mghneurosurg
. An incredible learning experience that I will never forget!
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8/ 🌀 Plot twist: this entire tweetorial was written by GPT-4 (including this)! The impressive performance of AI models like GPT-4 on specialized exams underscores the importance of understanding their potential in medicine while ensuring thorough validation.
#AI
#Neurosurgery
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Submitted my application for neurosurgical residency. Here we go!
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Intriguing work by Rajesh Jain,
@spriggsMD
, and co-authors from
@MGHCancerCenter
. Losartan may improve chemotherapy delivery for ovarian ca via angiotensin pathway and reduced ECM formation / fibrosis. Losartan pts lived an average of 30 mo. longer vs other HTN drugs.
A safe and inexpensive hypertension drug may improve the effectiveness of chemotherapy agents used to treat ovarian cancer
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Was able to assist with a decompressive craniectomy today. Afterwards, came across this recent study which shows that non-watertight duraplasty (which we did) is slightly faster, cheaper, and not associated with poorer outcomes than watertight duraplasty.
#neurotrauma
#OnlineFirst
: Randomized controlled study comparing 2 surgical techniques for decompressive craniectomy: with watertight duraplasty and without watertight duraplasty
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An absolute masterclass in economy of movement courtesy of the
@MercedesAMGF1
pit crew
#USGP
#F1
#COTA
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Just wrapped up my last neurosurgery sub-internship. An insightful and educational month. Thankful for the opportunity to rotate with
@BWHNeurosurgery
!
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Tail vein injection of cancer promoting genes led to apoptosis and development of HCC whereas electroporation lead to necroptosis, a form of cell death associated w/ inflammation and immune cells, and development of ICC in mice.
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@HaydenGephartMD
@ARodrigues121
@MGHNeurosurg
@StanfordNsurg
@BobCarterMD
Great news!!! Really looking forward to working with
@ARodrigues121
closely as a PGY6 and 7 🚀
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A soft robotic catheter with omnidirectional steering via magnetic actuation from ferrous microparticles incorporated throughout the catheter. A glimpse of the future of endovascular neurosurgery!
#softrobotics
#endovascular
#neurosurgery
#aneurysm
0
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@StanfordNsurg
@VeraPadlanOng
@JamasbSayadi
Congrats
@JamasbSayadi
! Well deserved. Stanford luck to have you!!
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Just finished two weeks of clinics at the new Stanford Neuroscience Health Center as part of my neurology clerkship. Very impressed at all the thought put into the design and layout! Can’t wait to see the new Stanford Hospital.
#patientcentereddesign
@StanfordMed
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@juliabduvall
@NeurosurgeryCNS
@harvardmed
@CNS_Update
@ElieMassaadMD
@LaylaSiraj
@kiapoura
@AElsamadicyMD
@Twilli7
@ShankarLabMGH
@MitchFourmanMD
@JohnHShinMD
Congrats!!! Well done👏
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A recent
#BrainTumor
#LabCrawl
with our lab featuring tours and interactive stations for guests and former patients!
At a recent
#BrainTumor
#LabCrawl
, our scientists guided guests through interactive stations, showing how research is conducted in our labs to better understand brain tumors. Thank you Dr. Melanie Hayden-Gephart and Dr. Gordon Li for the tour!
#ResearchMatters
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7/ Multi-institutional collab with
@RohaidAliMD
@oliverytang
@AbdulrazeqHael
@james_y_zou
@Twilli7
@WaelFAsaad
@JohnHShinMD
@Michael32154260
@BrownNSGY
@MGHNeurosurg
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Interesting concept for neurapheresis using a novel CSF filtration system to remove blood products in pts with SAH
Prospective Trial of Cerebrospinal Fluid Filtration After Aneurysmal Subarachnoid Hemorrhage via Lumbar Catheter (PILLAR)
#stroke
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Wonderful time today as a guest of
@NEJM
. A lot of interesting discussions. So much work goes on behind the scenes! Amazed by the quality and impact of the papers published by this historic and prestigious journal.
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My neurosurgery sub-i’s at Cornell,
@TopNeuroDocs
,
@mghneurosurg
, and
@BWHNeurosurgery
were all incredible experiences! Each had distinct monthly profiles based on call schedules, hospital sites, and a number of other factors. (shown here in no particular order)
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Immunotherapy offers a promising bet against brain cancer
0
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Accepting sponsors to send a team from
@mghneurosurg
to next year’s neurosurgery volleyball tournament!! Any takers?
@StanfordMVB
?
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Enjoyed my month in NYC with Cornell Neurosurgery. One more sub-internship left!
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Saw the early prototyping stages of this device during my time with
@SUBiodesign
. Paper prototypes, toys, and one heavily used 3D printer! Big congrats to the
@PrescientSurg
team!
CleanCision System FDA Cleared to Retract and Protect Abdominal Surgical Wounds
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@ohgr8itsgarrett
@StanfordMVB
Hahaha better than what I said. “Nice to see you”. I wonder what
@chandlerkaaa
said...🤔
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Application of Cell-free DNA Analysis to Cancer Treatment | NEJM
0
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Our paper finally out! Single-Cell RNAseq of glioblastoma. Hope we can find a cure for this devastating brain tumor.
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