Brain Surgery Patient Is “Beyond Grateful” to Her Team
Rita Rigano has high praise for the care she received at Mount Sinai after a disconcerting diagnosis.
In June 2020, Rita’s physician thought she might be suffering from an ocular migraine, and recommended that she undergo an MRI of her brain. No eye problem was discovered, but the MRI revealed something else: a brain aneurysm arising from her right internal carotid artery.
Rita consulted two specialists regarding next steps. The first surgeon she saw recommended surgery as soon as possible, certainly within six months. He said the aneurysm was just large enough to require surgery. The second surgeon said it was not quite large enough to require surgery and advised her to have another MRI in six months. Rita was disconcerted to get two polar opposite and firm opinions and sought out one more specialist. She was referred to the Neurosurgery Department at The Mount Sinai Hospital and consulted with Reade De Leacy, MD, Co-director of the Neuroendovascular Fellowship and Director of Neurointerventional Spine Services at the Cerebrovascular Center, Mount Sinai.
Dr. De Leacy recommended an initial diagnostic angiogram and then review of Rita’s case in the cerebrovascular multidisciplinary team meeting to determine the most appropriate and safe course of action. Rita liked that he didn’t rush into surgery as an option, but also didn’t rule it out. She went to the Stavros Niarchos Stroke Center at Mount Sinai Queens for her diagnostic angiogram. Her case and imaging was subsequently reviewed by the cerebrovascular team, and the recommendation of the cerebrovascular group was to treat her aneurysm with a procedure called stent-assisted coiling. Also known as endovascular embolization, the procedure blocks blood flow into a brain aneurysm to prevent it from rupturing. Her procedure took place at The Mount Sinai Hospital in late August.
Rita wrote a note thanking her caregivers at The Mount Sinai Hospital and Mount Sinai Queens. She mentioned first names of more than a dozen staff members, including her intake nurses; ICU nurses; office and food service staff; and physicians Cappi Lay, MD, Co-Director of the Neurosciences Intensive Care Unit, and Raghav Bansal, MD. “Every single person that I dealt with—from scheduling, to COVID-19 testers, to food service—was professional, patient, and caring,” she wrote. “I am beyond grateful. Thank you for building an organization that clearly supports and rewards this kind of excellence in patient care.”
She had special words of praise for Dr. De Leacy:
“Dr. De Leacy is an amazing physician. He explained everything to me, answered questions patiently, and never made me feel rushed. He was looking to find the right treatment for my situation. He is skilled at this procedure, and seems to be held in high esteem by his colleagues. I always felt that I was in very good hands. Can you really say that having brain surgery was a terrific experience? Sounds strange, but it’s true!”