Sarah Merrill, MD, MS
@SarahMerrillMD
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Neurosurgery resident @neurosurgery_IU | fetal surgery research | mom to awesome humans | occasional distance runner
Joined April 2019
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Husband: “I think I stepped on some glass. Can you do surgery on my foot?”
9yo daughter: “Ooh! I’ll scrub in!!”
..Runs out and comes back with unicorn “scrubs” (onesie) and dripping hands
..I’m so proud 😂❤️🧑🏼⚕️
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Pray for me - I’m going to do a neuro exam on a neurologist 😬🙏🏻😂
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Peak
#surgeonmom
life is when your daughter’s prom dress is coming apart at a tension point 10min before her date arrives, so you grab some 5-0 prolene from your room and throw in a few vertical mattress sutures.
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Tonight my daughter graduates from high school. Tomorrow I graduate from medical school.
#momsinmedicine
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I’m going to be a neurosurgeon!! A million thanks to all the mentors, friends, and family who have helped and supported me on this path. This mom of 9 is going to be a neurosurgeon!!! 🎉🎉
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Still thinking about that residency interview where they asked me what I like to do to relax and I said sometimes I like to get in bed and watch Netflix with potato chips. 🤷🏼♀️
#honesty
#Match2022
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Advice for premed moms and moms in med school, from an MS4 with 9 kids… a🧵
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Mom, MD and HS Class of ‘22 daughter, bonding in our polyester gowns 😄💁🏼♀️
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Had an *amazing* first day of
#neurosurgery
residency, 100% thanks to my awesome senior residents
@Neurosurgery_IU
who looked out for me and patiently taught me. This is a team I’m proud and grateful to be part of!
#thankyouseniors
#internlife
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Even with all that process improvement, your house will not stay clean, especially during busy phases like exam weeks, etc.
This is MY actual room while studying for the mcat. My toddlers thought the laundry was confetti. This is real life with kids sometimes and is not failure.
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Today I placed my first (non-cadaver) burr hole, got some good hands-on time during the case, and sutured the incision with great mentors giving me instruction and encouragement. So happy.
#neurosurgery
#bestfridayever
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Case went well. Trainee wrote a satisfactory op note.
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Finished my first month as nsgy intern on a high volume service. Saw >100 ED consults, helped patients, learned management principles, and took time to stay connected to family. Next stop ICU.
#thisisfine
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Tbh being a
#neurosurgery
intern and parent of teenagers at the same time has got to be the ultimate lesson in humility
#somuchpersonalgrowth
#hasthisevenbeendonebefore
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ERAS is in and I’m officially a candidate for
#Neurosurgery
#Match2022
!! I’m thrilled beyond words to be applying to my dream specialty! A huge thank you to all my mentors, especially
@BernardBendokMD
, everyone at Mayo AZ,
@DoctorQMd
,
@JamieVanGompel
and the Rochester faculty!
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Med students interested in
#neurosurgery
be sure to consider
@Neurosurgery_IU
for subi and application! I logged my 600th case before finishing second year, and have so much fun hanging out with my awesome coresidents!
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Finally, BE BRAVE.
Raising kids is scary and pursuing a medical career can be scary. Don’t be surprised when feelings of inadequacy, overwhelm, exhaustion, and doubt creep in. They will. Just push them out, put one foot in front of the other, and know that you CAN DO THIS! 👊🏻
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First year med student looking for
#neurosurgery
research projects
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3 cases with my chief, a bedside evd, and logging my 100th
#neurosurgery
case - perfect way to end 2022!
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Everyone’s getting excited to join our new family
@Neurosurgery_IU
in a few short weeks! (See second pic for a more accurate representation lol)
🌵🦂—>🚚🚚—>🌳🐿
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This
@BarrowNeuro
subi has been amazing so far - tumors, spine, and a huge cavmal… I even got to meet Dr Sonntag, who gave a mind-blowing grand rounds on the evolution of
#spine
in
#neurosurgery
! Thank you for a great week,
@mtlawton
!
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So excited to start my first
#neurosurgery
subi today - can’t wait to learn neurosurgical patient care from the amazing Rochester
@MayoNsgy
team! 👊🏻
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Simplify your home life as much as possible. Put grocery delivery on repeat. Use Amazon prime for household stuff to save yourself trips to the store. At one point I got 50 pairs of the same low-cut black socks so we wouldn’t have to match pairs. Think outside the household box.
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Such a nice piece by the great team at
@azfamily
Channel 3/CBS here in Phoenix - I loved doing this brief interview with them!
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One more graduation post to say a huge THANK YOU to everyone at
@MayoClinicSOM
- Dr Meyer,
@ShahGeriatrics
@michelehalyard
, the amazing admin staff, and all the faculty for an excellent med school experience that allowed us to thrive through 4 great years!
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You have to be able to tolerate imperfection in yourself, your partner, your kids, and your school. Focus only on working hard at the thing in front of you and expressing love and appreciation to the people supporting you. No, they do not really understand and that is okay.
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Hey
#Match2022
candidates - here’s why you’re all rockstars… a🧵
1. We did our first clinical rotations during the craziness and uncertainty of the initial covid wave
2. Our Step 1 exams were on and off like a toddler with a light switch
….
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Moms in Medicine, KEEP GOING. Even when everything is horrible. Don’t listen to the doubts in your head (or from others). One foot in front of the other. From this neurosurgery intern and mom of 9 - You can do this! 👊🏻❤️🙌🏻
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Surround yourself with cheerleaders - and these do NOT need to be other moms! I was blessed beyond belief to find amazing friends who have pulled me up during those inevitable low points. Load your boat with good people!
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On Friday I scrubbed a foramen magnum meningioma case with
@BernardBendokMD
and today I scrubbed a chiari decompression with
@DoctorQMd
and I’m pretty sure life doesn’t get any better than this for a student who loves
#neurosurgery
! So grateful to
@MayoClinicSOM
&
@MayoNsgy
🧠🏆
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Benefits of being a neurosurgery resident/parent: so much Crazy Hat Day material in-house 🧠🎩👌🏼
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I call this one ‘Happy Intern at Midnight’ - heading out after scrubbing two cases with awesome seniors who taught me new skills in the OR.
@Neurosurgery_IU
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Amazing time at
@Neurosurgery_IU
resident/fellow graduation dinner last night! Got to meet some outstanding faculty and senior residents. My two co-interns are 💯 fantastic humans and I’m so grateful I get to spend the next 7 years with them!
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PSA: if you order chia seeds to start overnight oats or some other improbable health goal and your kid spills them all over the bathroom counter, go ahead and check that sink drain within the first 48-72 hours 🪴
#whywecanthavehealthythings
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Today is the first day I’ve wished that I was done with med school and starting
#neurosurgery
internship TODAY (tomorrow would also do - it’s important to be flexible 😂). So excited and grateful to be part of the
#match2022
process and hopefully joining this great field! 🧠
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If you’re SURE you want to do this, and spouse/partner/kids/etc are on board, don’t take anyone else’s opinion to heart. This applies to specialty choice as well. Peoples’ opinions stem from their own life experiences which prob don’t apply to you.
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As I finish my first subi I’m trying to process all the expected and unexpected things I learned, amazing people I met, and the countless ways I want to improve moving forward. Thank you
@MayoNsgy
for a transformative experience! On to round two with
@BernardBendokMD
and MayoAZ!
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When asked what makes a good
#neurosurgery
resident,
@drdavidlanger
shares, “Be humble. Be willing to say ‘I don’t know.’ Be willing to ask for help and to admit when you’ve made a mistake.” Thank you Dr Langer for taking time to share your wisdom with us tonight!
@MayoClinicSOM
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Ordering legit loupes has got to be one of the highlights of intern year! (I ended up with the tortoiseshell, no surprise here 😂)
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Sooo excited my 5k raffle prize came in the mail!! Thank you thank you to
@BrainSpineGroup
(esp
@RyanERad
!) and to
@mtlawton
for this amazing text! ❤️🙏🏻
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Amazing Circle of Willis discussion with Dr
@PerisCelda
! Learning skull base anatomy and approaches from a brilliant Rhoton fellow is officially the best way to spend a Thursday night! Thank you Dr Peris Celda and Dr
@BernardBendokMD
!
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#Neurosurgery
mtgs can be intimidating for med students - gods and goddesses of nsg walk the halls and present impressive research.
@CNS_Update
went out of their way to be inclusive of med students with special networking sessions - def encourage all students to attend next year!
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Learned a lot at the
@SNS_Neurosurg
intern boot camp today - Thank you to everyone who worked to make today engaging and educational!
@CarolynQuinsey
@MartinaStippler
@rbarnettmd
et al 🙏🏻🏆
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Beautifully detailed 7T visualization of cerebral vasculature! 🏆
Ok, people wanted more brain candy so here are better views of
#7T
CE-MRV at 300 micron isotropic resolution.
#MayoClinicFlorida
@SiemensHealth
#Terra
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Happy Match Month! So excited to see where everyone goes!! Good luck all my
#match2022
peeps 🍀
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Sometimes when you’re a hopeless
#neuronerd
you ask for loupes for your birthday (with a side of whipped cream and hot fudge)
#notgettinganyyounger
#startnow
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The brain gets a lot of the glory (understandably) but the spine is beautiful, too. 😍
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@WINSneurosurge1
Just a
#Neurosurgery
intern here, but I’ll kick us off with one of my favorite family pics! 😄 I’m grateful to be part of this field, which has and welcomes all types/sizes of families. Building a career I love and can share with my family is priceless!
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First, I had my kids before med school so this won’t include pregnancy timing/advice.. but having kids during med school/training is done all the time, and there are many resources out there for tips, advice, support, etc… I just happened to split my journey into stages.
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After two years of nsg residency, asked the kids: if we could go *anywhere* for spring break, where would you want to go?
Rachel 19: New Zealand
Andrew 17: Mexico
William 16: a trampoline park
Joseph 14: Chicago
Emma 13: Arizona
John 11: the grocery store
James 10: the arcade
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Enjoying the last week before internship with the man who makes it all possible
#hubbyofthecentury
#alsojetskis
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Med students and even
#neurosurgery
interns - get this book and read it cover to cover! So helpful. Practical plan outlines for ED consults, key guidelines/classification systems, even “walking thoughts” to keep in mind as you’re on your way to the consult. Get it and read it!
Couldn’t resist picking up one of the first ever copies of this gem and now I’m having trouble putting it down!Cases are engaging with a sweet spot level of detail. Great work
@DrRishengXu
@JordinaRT_md
@LaPetitePedicle
and
@HopkinsNsurg
resident team 🧠
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Applying to away rotations has me feeling amazed and grateful that soon I’ll be able to spend a few months doing what I’ve been dreaming of throughout med school - focusing solely on
#neurosurgery
and learning to care for neurosurgical patients. Now back to greenberg.. 😁❤️🧠
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Went in early this morning and scrubbed a GBM resection and there was nowhere else I’d rather be. Kinda sad sub-i season is ending soon, but also looking forward to residency and full-time focus on
#neurosurgery
!
#subilife
#best4months
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Just heard my 8yo say “caffeine pwevents adenosine from binding to our weceptors so it can’t weduce our bwain activity” so yeah my kids are turning out super normal and med school hasn’t made them weird at all
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Great day so far at
#CNS2021
- excited to hear
@BobCarterMD
speak and see friends at the opening reception and
@WINSneurosurge1
celebration!!
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Ordered medical school grad announcements today after spending the day cleaning out my boys’ room to get ready for the move (I found out where all the chips have been going) and it felt like a perfect microcosm of my very full life and I was happy and grateful and tired 😄❤️🙏🏻
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Couldn’t ask for a better group to spend the weekend with.
#neurosurgery
#workhardplayhard
@MichaelABamim
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Best wishes to everyone opening their envelopes tomorrow!
#Match2023
is a roller coaster - try to enjoy the ride. For those matching into
#neurosurgery
we are so excited to welcome you! 🎉🎉🎉
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Just found out one of my
#neurosurgery
lady heroes
@babybrainmd
Dr Renee Reynolds is on
#medtwitter
and you should definitely follow her if you:
A - like neurosurgery and/or
B - like awesome, inspiring people
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Studying with kids:
Probably don’t do this 😂 unless you have those calm, angelic kids who do things like sit quietly and color (0/9 for me). For deep study, leave and go somewhere you can focus. Save the lighter work for at home.
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Medical student registration at professional society conferences should be FREE (
@CNS_Update
already does this - thank you!)
Asking a medical student to pay $500 bucks to register for a conference they’re presenting research at…seems awful. This doesn’t even include travel, stay, etc.
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One of the most rewarding things about being a
#nontrad
med student is using life experiences to connect with and comfort patients. For me this is a daily occurrence on my current OB rotation. Although
#neurosurgery
is my true love, I aways love supporting other women! 👩🏼⚕️👩🏽⚕️
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Flashback to when we were the only married undergrads at Dartmouth and they put us on the graduation cover with our happy chubby baby.
#waybackwednesday
#ivyleaguebabies
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@OGdukeneurosurg
I woke up and remembered that I matched into neurosurgery. Dream life today 😊😊😊
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Came home from a day on subi to find these, sent from my hubby - the same man I ditched with all the children for a month for this rotation. 😂❤️
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Amazing resource for students interested in
#neurosurgery
NEXUS is proud to have the largest comprehensive online library of neurological cases. Nexus is accessible for free and has the potential to significantly improve trainee preparation, knowledge, and surgical skills.
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Taking Step 1 tomorrow.. praying for lots of neuro questions and not so much micro. Should work out fine. 😄🙏🏼
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Inaugural Mayo AZ match day! Congrats to this group of amazing future physicians!! 🎉🎉🎉
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So proud of my husband for publishing his memoir! He has had an extraordinary life to this point (from living in state custody as a child to becoming a rocket scientist) - it’s a great read and is available now if you want to check it out!
#proudwife
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Hearing my kid say, “Bye mom, have a good day at med school!” is a privilege I didn’t think I’d have. Very grateful for all parts of my life. ❤️🙏🏻
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Very inspiring grand rounds this morning on Women in Global Neurosurgery! Women of all ages and backgrounds pushing forward the field of
#neurosurgery
and the community we all need. Thank you all! 🧠👩🏽⚕️
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Day in the life of an MS3/mom:
- Took IM shelf
- berated myself in abject regret and vowed to study more next block - for real this time 😂
- found the last kids bike in Arizona
- got a cake, wrapped presents, put on a birthday party for this 10yo tween
- research maybe? 😄
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I LOVE neurosurgery, but I’m always gonna have a crush on sleep. 😴😄
I LOVE love Obgyn, but I’m always gonna have a crush on peds 😭
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Thank you Dr Q
@DoctorQMd
for taking time to meet with the Mayo AZ
#missionbrain
chapter!
@Rohin_Singh1
@nm_delapena
@_DestinyGreen
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So grateful to be learning from these strong, inspiring neurosurgeons! We’re lucky to have such a fantastic group here
@Neurosurgery_IU
#womeninneurosurgery
#WomenInMedicine
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@DGlaucomflecken
I think my friend spoke for parents everywhere when he said to his kid: “I don’t know if you’re going back to school or not but you can’t stay here”
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@Clementine_UTSW
If you can’t afford more help, change your home processes. Stop folding laundry - for little kids, lay shirts and pants/shorts flat in drawers and stack. Older kids can hang up their shirts. Buy only 1-2 kinds of solid color socks so they all match. Grocery delivery on repeat.
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When you run out of trick or treating bags but your mom goes to a lot of
#neurosurgery
meetings.. 🎃🧠
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Calling all
#medstudents
and
#neurosurgery
residents - please join this week’s Circle of Willis where I will be co-hosting part of the hour to interview Dr Tjoumakaris about her journey in neurosurgery!
#womeninneurosurgery
#wins
#ILookLikeASurgeon
Future Neurosurgeons: The future of Neurosurgery is diverse, innovative and dynamic. Join us for episode 12 of Circle of Willis with our special guest Professor Stavropoula Tjoumakaris this Thursday 6PM PT to see how you will be a part of it!
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Had the amazing opportunity to meet Dr
@EladLevyMD
, Dr
@RussellLonser
and Dr Jack Knightly all in one place tonight, and I’m blown away by the brilliance and dedication of the leaders in
#neurosurgery
. I love this specialty! 🧠🏆❤️
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Impromptu
#exoscope
training session with
@synaptive
at
#2019CNS
- such amazing functionality and image quality. (Can I get a student discount on one of these? 😄)
#dreams
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Last hospital shift until residency! 👊🏻
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Midline posterior thoracic dehiscence successfully repaired with the assistance of (pgy -14) colleague. Family of the patient happy with outcome.
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Beautiful illustration of axonal connectivity. How can you not *love* the brain? 🧠
Brief anatomic-functional review of main white-matter tracts! Open Thread.
Covering corticospinal, ventral and dorsal associative streams, frontal aslant, and cingulum.
#neurorad
#FOAMrad
#neurosurg
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200 Uworld questions the night before the shelf
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