davetp's profile picture. Interventional Neurologist

David T. Parrella, MD

@davetp

Interventional Neurologist

Pinned

Mechanical Thrombectomy for stroke, aka “Stroke Surgery” is the greatest medical achievement of the past decade. #stroke @svinsociety @SNISinfo #nomercyonstroke @StrokeCliTrials @JPTsaiMD @BrentLFlusty @astupple


David T. Parrella, MD reposted

New paper out: “Prevalence of & Risk Factors for Depression, Anxiety & Burnout in U.S. Neurosurgery Residents.” The data are clear—mental health challenges in neurosurgery training are common and consequential. It’s time to treat resident wellness like we treat aneurysms and…

surgicalneurologyint.com

Prevalence of and risk factors for depression, anxiety, and burnout in U.S. neurosurgery residents...

Prevalence of and risk factors for depression, anxiety, and burnout in U.S. neurosurgery residents...


David T. Parrella, MD reposted

Innovative pain control after aSAH: Intra-MMA lidocaine (± dexamethasone) during embolization cut pain scores up to 75% and slashed opioid use—with no complications. Targeted dural therapy shows promise. #NeuroIR #subarachnoidhemorrhage #PainManagement #MMAembo

JNIS_BMJ's tweet image. Innovative pain control after aSAH: Intra-MMA lidocaine (± dexamethasone) during embolization cut pain scores up to 75% and slashed opioid use—with no complications. Targeted dural therapy shows promise. #NeuroIR #subarachnoidhemorrhage #PainManagement #MMAembo…

David T. Parrella, MD reposted

External Carotid Artery Angioplasty Based on Ultrahigh-Resolution Photon-Counting CTA jamanetwork.com/journals/jaman…

AshuPJadhav's tweet image. External Carotid Artery Angioplasty Based on Ultrahigh-Resolution Photon-Counting CTA jamanetwork.com/journals/jaman…

David T. Parrella, MD reposted

Exciting breakthrough in #Neurointervention! In rabbits, rosuvastatin boosted healing after flow diverter placement—better aneurysm closure, open side branches, and stronger vessel lining. A hint at smarter stent therapy ahead. @fdianamd #NeuroIntervention #flowdiversion

JNIS_BMJ's tweet image. Exciting breakthrough in #Neurointervention! In rabbits, rosuvastatin boosted healing after flow diverter placement—better aneurysm closure, open side branches, and stronger vessel lining. A hint at smarter stent therapy ahead. @fdianamd #NeuroIntervention #flowdiversion…

David T. Parrella, MD reposted

Is endovascular therapy the future of brain tumor treatment? Emerging research on Yttrium-90 endovascular radiosurgery hints at a way to target tumors from within—crossing the BBB and sparing healthy tissue. Early signs point to this being a game-changing therapy! #NeuroOncology

JNIS_BMJ's tweet image. Is endovascular therapy the future of brain tumor treatment? Emerging research on Yttrium-90 endovascular radiosurgery hints at a way to target tumors from within—crossing the BBB and sparing healthy tissue. Early signs point to this being a game-changing therapy! #NeuroOncology…

David T. Parrella, MD reposted

Come join Nevada's first BMT/cell therapy! We are already super successful. We need another doc. I can only last so long doing Q2week call! We are helping patients in great need. I have never asked for a retweet, but colleagues please retweet. tinyurl.com/4zew3wab

Papa_Heme's tweet image. Come join Nevada's first BMT/cell therapy!

We are already super successful.  We need another doc.

I can only last so long doing Q2week call!  We are helping patients in great need.

I have never asked for a retweet, but colleagues please retweet.

tinyurl.com/4zew3wab

David T. Parrella, MD reposted

A hunter at the helm. A fighter for public lands. We’re proud to see Ryan Callaghan leading the charge to protect the wild places we all call home. Thanks for everything, Cal — and congrats!

MeatEaterTV's tweet image. A hunter at the helm. A fighter for public lands.

We’re proud to see Ryan Callaghan leading the charge to protect the wild places we all call home.

Thanks for everything, Cal — and congrats!

David T. Parrella, MD reposted

Toronto Blue Jays pitcher Trey Yesavage from Pottstown, PA and Boyertown high school, as a rookie tonight, struck out 11 Dodgers. He is the first rookie in baseball in 76 years to have 10 or more strikeouts in the World Series.


David T. Parrella, MD reposted

Binary sunset from Star Wars


David T. Parrella, MD reposted

A large study from 2019 (RCT) showed no increased risk for: Pneumonia Chronic kidney disease Diabetes Dementia Cardiovascular disease Cancer Hospitalizations All-cause mortality Fractures Gastric atrophy Chronic obstructive lung disease Let's take it down a notch with "Harms"

PPIs are one of most commonly (and often inappropriately) prescribed drug classes out there. This is a “Must Read” state-of-the-art review paper on PPIs, covering indications, harms & a guide for deprescribing 🆕 💊⚠️ 🔗 mdpi.com/1648-9144/61/9… H/T @drkeithsiau

Paul_Wischmeyer's tweet image. PPIs are one of most commonly (and often inappropriately) prescribed drug classes out there. This is a “Must Read” state-of-the-art review paper on PPIs, covering indications, harms & a guide for deprescribing 🆕 💊⚠️

🔗 mdpi.com/1648-9144/61/9…
H/T @drkeithsiau
Paul_Wischmeyer's tweet image. PPIs are one of most commonly (and often inappropriately) prescribed drug classes out there. This is a “Must Read” state-of-the-art review paper on PPIs, covering indications, harms & a guide for deprescribing 🆕 💊⚠️

🔗 mdpi.com/1648-9144/61/9…
H/T @drkeithsiau
Paul_Wischmeyer's tweet image. PPIs are one of most commonly (and often inappropriately) prescribed drug classes out there. This is a “Must Read” state-of-the-art review paper on PPIs, covering indications, harms & a guide for deprescribing 🆕 💊⚠️

🔗 mdpi.com/1648-9144/61/9…
H/T @drkeithsiau
Paul_Wischmeyer's tweet image. PPIs are one of most commonly (and often inappropriately) prescribed drug classes out there. This is a “Must Read” state-of-the-art review paper on PPIs, covering indications, harms & a guide for deprescribing 🆕 💊⚠️

🔗 mdpi.com/1648-9144/61/9…
H/T @drkeithsiau


David T. Parrella, MD reposted

Hank Aaron hits career home run number 715.

BBGreatMoments's tweet image. Hank Aaron hits career home run number 715.

David T. Parrella, MD reposted

Connor McDavid takes the ice at a beer league game in Newmarket, ON tonight 👀


David T. Parrella, MD reposted

No storm we can’t handle thanks to @NashSevereWx 👀 Watch our full schedule release » preds.club/25-26schedule


David T. Parrella, MD reposted

Every now and then, the good guys win. Thanks to thousands of voices, millions of acres of public land were erased from the chopping block. One battle down. More to come. For now, the land’s still ours. Breathe it in.

MeatEaterTV's tweet image. Every now and then, the good guys win.

Thanks to thousands of voices, millions of acres of public land were erased from the chopping block.

One battle down. More to come.

For now, the land’s still ours. Breathe it in.
MeatEaterTV's tweet image. Every now and then, the good guys win.

Thanks to thousands of voices, millions of acres of public land were erased from the chopping block.

One battle down. More to come.

For now, the land’s still ours. Breathe it in.

David T. Parrella, MD reposted

Cortical vein thrombosis is a very challenging diagnosis to make. Imaging findings = hyperdense cortical vein & cashew nut sign (juxta-cortical hemorrhage) on CT. MRI with SWI is the gold standard (below). Make sure to look carefully at all cuts including topmost! #stroke #CVT

ShadiYaghi2's tweet image. Cortical vein thrombosis is a very challenging diagnosis to make. Imaging findings = hyperdense cortical vein & cashew nut sign (juxta-cortical hemorrhage) on CT. MRI with SWI is the gold standard (below). Make sure to look carefully at all cuts including topmost! #stroke #CVT

David T. Parrella, MD reposted

The Senate wants to sell off OUR public lands—lands that belong to the American people. This isn’t a housing solution. It’s a land grab. And today, we’re standing united to stop it.


David T. Parrella, MD reposted

🚨GOOD NEWS-the public lands sales provision was struck down by the Senate parliamentarian. BAD NEWS-the threat is not completely dead yet. RMEF encourages everyone to keep reaching out to policymakers to keep land sales out of the reconciliation process➡️rmef.org/take-action/#/…


David T. Parrella, MD reposted

Just this.... a #tbt to #NashvilleJuly4 to brighten up your feed! 👏 🎆

visitmusiccity's tweet image. Just this.... a #tbt to #NashvilleJuly4 to brighten up your feed! 👏 🎆

David T. Parrella, MD reposted

Music City, we love ya! 🫶 🎶 📸: Nashville Downtown Partnership

visitmusiccity's tweet image. Music City, we love ya! 🫶 🎶

📸: Nashville Downtown Partnership

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