I realize today it was the desire for challenge that initially guided my interest into neurosurgery. The further I immerse myself into neurosurgery, the more I have gravitated toward cerebrovascular and skull base pathology. Successful treatment requires a thorough understanding of the complex pathophysiology involving the cerebrovascular nervous system in combination with meticulous mechanical ability. Today, evolving endovascular and endoscopic techniques are revolutionizing the management of neurosurgical patients. However, it is critical that modern dual-trained cerebrovascular surgeons maintain fundamental proven surgical abilities. With that being said, it is my intention to pursue an open cerebrovascular and skull base neurosurgery fellowship.
Throughout my life and my early medical career, I have relied on innate tenacity to recognize challenges to pursue as opportunities. Whether walking on to the University of Texasfootball team or achieving high academic standing in medical school, I attribute any success to an intrinsic fortitude that drove me to achieve a distant goal.In addition, growing up in a small town west of Houston, I have always appreciated the integrity, hospitality and commitment to communitythat is abundant in rural towns. The inherent rural values of honesty and accountability have instilled in me a natural sense of responsibility to others, often compelling me to assume leadership positions. Ultimately, that combination of diligence and leadership translates into an unyieldingcommitment when treating patients; bothbeing essentialin the management of cerebrovascular patientswhooftenare facing grim outcomes.
Mastery of cerebrovascular surgery, neuroendovascular techniques, and both open and endoscopic skull base surgeryrequires a lifelong commitmentthat I aim to further enrich with a fellowship.Currently, I am completing my first year of a two-year enfolded neuroendovascular fellowship, having participatedto date in over 550 diagnostic or interventional neuroendovascular procedures.Additionally, I pursued academic clinical projects developed from our subarachnoid hemorrhage database. Specifically, I investigated the value our protocol of performing Day 7 vasospasm surveillance angiography had on predicting clinical course and outcomes in aneurysmal SAH patients. The rapid onset with which cerebrovascular disease afflicts patients often necessitates urgent treatment. Hence, cerebrovascular surgeons often have unpredictable schedules. By engaging in a busy clinical fellowship while simultaneously maintaining a commitment to academic projectsover the past year has taught me that efficient time management is vital to productivity.
Overall, a fellowship offers me additional expertguidance to synergistically integrate with my current skills, allowing me to hone my own approach and philosophy in caring for patients with cerebrovascular disease. Reevaluating my conventional experiences through novel perspectives facilitates innovative thoughtwhich I hope will enrich my current research or ignite original interests.I affirm that I possess the necessary skills required to train in your fellowship and eagerly anticipate contributing those to your program. Specifically, my diligence, proven credibility, and deft response to challenges provide me the confidence and lifelong passion required to further advance in the field of cerebrovascular neurosurgery.