This guy has been with me from the very first aneurysm rupture and if he says it is time to consider surgery it must be. We have tried physio, hydro and about every other non-invasive method.

He's pretty good. When I got back from my craniotomy with an STA to SCA bypass with a flow reversal I was going over the operation and I said "I didn't know you could do that." Without missing a beat he said, "well, obviously they can. You just have to do a lot of them."

When I go in for an angio and they start to move the screens into place I tell them I don't want to see any Facebook, e-mail, web surfing. When they are ready I remind the team ," Now at no time during the procedure are you allowed to look at a screen and say, "Holy Crap"