Dr. Silbergeld is the Arthur A. Ward Jr. professor of neurological surgery and is based at the UW Medical Center. He is also an adjunct professor of…
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Patient Care Philosophy
The vast majority of patients I care for have brain tumors. Some have primary brain tumors (those that start in the brain) while some have metastatic tumors (those that have spread to the brain from other tumors in the body). I believe that caring for patients with tumors necessitates a frank but compassionate discussion about the therapeutic options and the risks, goals and logistics of each of these options. Patients need to be informed about their disease in order to make these tough decisions. A multidisciplinary neuro-oncology team reviews all of my patients. Each patient meets with all potential treatment providers, prior to choosing the treatment options they wish to pursue.
When neurosurgical intervention is the patient’s choice, the goals are to have the patient unharmed by the surgery, to obtain tissue diagnosis and to resect as much of the tumor as is safely possible. These are the goals; this is the order of the goals. I believe that all decisions should be patient-centered, focusing on each patient’s wishes and priorities. Listening to each patient and each patient’s family is a critical part of any decision making. Every patient I care for receives my personal attention and the absolute best care that I can provide.
Fly fishing, working out and spending time with my family.
Brain tumors; epilepsy surgery; functional brain mapping for language, movement and sensation; pituitary tumors, gamma knife radiosurgery.
Glioma invasion and motility; the use of high-intensity focused ultrasound to temporarily disrupt the blood-brain barrier to enable delivery of chemotherapeutic agents to brain tumors.
|Univ. of Cincinnati College of Medicine||Medical education||1984
|UW - Dept. of Neurology||Fellowship||
|UW - Dept. of Neurosurgery||Residency||
|UW - Dept. of Surgery||Fellowship||
|UW - Dept. of Surgery||Internship||
|American Board of Neurological Surgery||Neurological Surgery||1995