Neurosurgery Tales

Aureliana Toma

Deep conversations with neurosurgeons around the world. Each episode features world-renowned experts sharing groundbreaking insights, personal journeys, and the latest advancements in brain and spine care. Stay ahead in the field with cutting-edge minimally invasive techniques, neurosurgical innovations, and the human side of medicine. Discover the stories shaping the future of neurosurgery—one conversation at a time.

  1. Episode 25 - Subhashree Hari

    OCT 22

    Episode 25 - Subhashree Hari

    Fourth-year neurosurgery resident Dr. Subhashree Hari (P.D. Hinduja Hospital, Mumbai) joins Neurosurgery Tales to talk about what residency really looks like inside one of India’s busiest centers: high-volume clinics, learning under national leaders, the first mistake you never forget, and why communication can matter as much as the knife. Subtle cultural contrasts emerge naturally as we discuss training realities, resources, and mindset. In this episode The long path into Indian neurosurgery residency Mentorship under top surgeons: inspiration vs. expectation 80–100 patient clinics: speed, stamina, and what actually sticks The hardest non-surgical skill: clear, right-sized communication The “first mistake” and how to prioritize under pressure Case presentations and turning data into a story that lands What her program does well, and how residents fill the gaps Build up or break down first? A realistic view of resilience Failure, “mediocrity,” and keeping the patient first The 10-year vision: subspecialty, family, access, and teaching GuestDr. Subhashree Hari • 4th-Year Neurosurgery ResidentP.D. Hinduja National Hospital & MRC, Mumbai, India Chapters00:00 Intro01:00 When residency first felt real04:20 Training under India’s leading neurosurgeons06:00 High-volume clinics: sharper or just tired?08:00 The hardest non-surgical skill: communication14:15 The first mistake you never forget20:25 How to turn medical data into a compelling narrative24:45 What Indian programs do well (and where residents self-correct)29:30 Build up vs. break down33:45 Failure, mediocrity, and keeping outcomes first39:30 A 10-year vision: subspecialty, family, access, teaching45:15 Closing About the showNeurosurgery Tales shares modern, honest conversations with neurosurgeons and residents worldwide. Contact / CollabsPress, academic, and sponsorship: atoma@neurosurgerytales.com

    43 min
  2. Episode 24 - Juan Carlos Fernandez-Miranda

    OCT 8

    Episode 24 - Juan Carlos Fernandez-Miranda

    About Dr. Fernandez-MirandaProfessor of Neurosurgery at Stanford University; Surgical Director, Brain Tumor, Skull Base, and Pituitary Centers; internationally recognized for endoscopic skull base surgery, pituitary and cavernous sinus surgery, and white-matter–respecting approaches.In this episode, Professor Juan C. Fernandez-Miranda, MD (Stanford Neurosurgery) unpacks the decision to leave Spain for Albert Rhoton’s lab, what “complete resection” means when function is at risk, why restraint can be braver than reach, and the reconstruction choices that truly reduce CSF leaks. We also dig into training realities: endoscopic endonasal technique, cavernous sinus work, simulation that includes stress and chaos, and how to prepare teams for the complications that matter.Topics:• Spain → Rhoton: the leap that changed his career• The line he refuses to cross, even when he could “get it done”• Functional risk and defining “complete resection”• CSF-leak reduction: grafts, flaps, lumbar drains, and when to go free flap• Overused approaches in 2025 and where they still belong• Simulation that’s actually useful: bleeding, pressure, and team choreography• Habits outside medicine that sharpen intraoperative judgment• What to audit when technical perfection doesn’t help the patient• Training the next generation without shortcuts.Chapters00:00 Intro00:30 Spain → Rhoton: strategy vs leap of faith05:10 The surgical line he won’t cross07:20 What “complete resection” means when function is on the line10:50 Reconstruction to reduce CSF leaks (high-flow vs low-flow; flap strategy)15:05 Overused approaches and narrow indications (endonasal, transorbital)17:50 Simulation and realistic visualization (VR + cadaveric, carotid-injury drills)23:10 Concentration, meditation, and pre-op mental rehearsal26:15 When technical success ≠ patient benefit: indication, timing, expectations28:05 Teaching: wide base before tall tower; what he hopes fellows surpass him in29:35 What changed him most across a career — and what stayed the same PODCAST INFO: YouTube: https://www.youtube.com/@NeurosurgeryTalesPodcastSOCIAL: - TikTok: @neurosurgery.tale- Instagram: https://www.instagram.com/neurosurgery_tales/- Patreon: https://patreon.com/AurelianaToma

    29 min
  3. Episode 22 - Andrew Brunswick

    AUG 27

    Episode 22 - Andrew Brunswick

    A conversation with Dr. Andrew Brunswick, neurosurgeon at Kaiser Permanente, Columbia and NYU trained, as we explore the intersections of finance, surgery, and mindset.In this episode:• From Wall Street to neurosurgery – how his early detour shaped ambition and risk-taking• Why simulation training is essential for rare, high-stakes moments in the OR• The balance between data, protocol, and intuition in neurosurgery• Coping with complications and the hidden emotional toll of surgery• Parenting, identity, and building resilience outside the OR• Rethinking burnout and what needs to change in neurosurgical training• The future culture of neurosurgery and why balance matters for the next generationDr. Brunswick also shares how meditation, equanimity, and mindset training can transform the way surgeons practice, both technically and emotionally.PODCAST INFO: YouTube A conversation with Dr. Andrew Brunswick, neurosurgeon at Kaiser Permanente, Columbia and NYU trained, as we explore the intersections of finance, surgery, and mindset.In this episode:• From Wall Street to neurosurgery – how his early detour shaped ambition and risk-taking• Why simulation training is essential for rare, high-stakes moments in the OR• The balance between data, protocol, and intuition in neurosurgery• Coping with complications and the hidden emotional toll of surgery• Parenting, identity, and building resilience outside the OR• Rethinking burnout and what needs to change in neurosurgical training• The future culture of neurosurgery and why balance matters for the next generationDr. Brunswick also shares how meditation, equanimity, and mindset training can transform the way surgeons practice, both technically and emotionally.PODCAST INFO: YouTube https://www.youtube.com/@NeurosurgeryTalesPodcast SOCIAL: - TikTok: @neurosurgery.tale- Instagram: https://www.instagram.com/neurosurgery_tales/- Patreon: https://patreon.com/AurelianaToma

    40 min

Ratings & Reviews

5
out of 5
2 Ratings

About

Deep conversations with neurosurgeons around the world. Each episode features world-renowned experts sharing groundbreaking insights, personal journeys, and the latest advancements in brain and spine care. Stay ahead in the field with cutting-edge minimally invasive techniques, neurosurgical innovations, and the human side of medicine. Discover the stories shaping the future of neurosurgery—one conversation at a time.

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