Professor at Virginia Tech School of Neuroscience / Virginia Tech Carilion School of Medicine and Program Director for the Division of Neurosurgery at Virginia Tech Carilion Clinic.
Why I love to teach
I recently retired as the Chief of Neurosurgery at Virginia Tech Carilion School of Medicine. I trained in neurosurgery at Walter Reed Army Medical Center and have received multiple awards, performing over 13,000 major neurosurgical procedures during the course of my career. Today I keep myself busy teaching neuroscience, writing novels, and learning to play the bagpipes.
Guides with Gary
Latest articles with Gary
Managing cauda equina syndrome
In this Medmastery lesson, from our Neurology Masterclass: Managing Emergencies course, we review the detailed management of cauda equina syndrome so you can confidently manage it.
Managing spinal cord injury
In this video, we look at the factors that lead to worsening neurological deficits, what to do when your patient responds poorly to fluid resuscitation, and commonly used medications that can actually make the situation worse.
Identifying and managing meningitis
In this video, we'll look at the important symptoms that scream bacterial meningitis, how to initiate treatment, and when to avoid a lumbar puncture at all costs.
Managing status epilepticus
In this video, we go through the step-by-step process for treating status epilepticus, where the process can go horribly wrong, and what to do if the patient remains unresponsive.
Treating aneurysmal hemorrhage
In this video, we take an in-depth approach to the initial management of aneurysmal hemorrhage, controversial medications sometimes used in the process, and what to do if your patient deteriorates further.
Managing hemorrhagic strokes
In this video, we look at the process to follow when managing a hemorrhagic stroke and what affects prognosis in these patients.
Recognizing hemorrhagic strokes
In this video, we look at the process to use when trying to distinguish between ischemic vs hemorrhagic stroke, risk factors for each, and why surgery is often not indicated in hemorrhagic stroke.
Managing the ischemic stroke patient
In this video, we look at the complicated care of cerebral ischemia, the initial steps that should be followed to manage a stroke patient, and how to make sure you're not actually dealing with another pathology altogether.
Preventing burnout in healthcare: taking sanity breaks
In this video, you'll learn strategies that can help you to incorporate breaks into your routine and take some time to detach from the medical world and all of its accompanying worries and stressors.
Realistic optimism: a key to burnout prevention
In this video, you'll learn to recognize the tendency to frame experiences from a pessimistic perspective and, instead, develop an optimistic (yet realistic) approach to your environment.