Yr k. Shahinian, md, the director, is a trained plastic and reconstructive surgeon with fellowships in skull base surgery and in craniofacial surgery. Some criticism has been leveled against this doctor because he is not a trained neurosurgeon. Before choosing this treatment, much investigation should be done checking references and data. buy cialis over the counter There has been conversation on the ana listserv that did not instill confidence. Note that the institute claims to have articles that have undergone peer review. Between 1998 and april 2004 they claim to have operated about 600 acoustic neuromas. Short term and long term outcomes typically a patient will remain in the hospital for under a week. After discharge, a typical convalesence time is 5 to 6 weeks. In most cases normal activity can then resume. Outcomes for an surgery, both short- and long-term, depend critically on the experience of the surgical team, the size and position of the tumor, the state of health of the patient. They span the whole gamut from nothing (no harm done) to severe incapacity and even death. Typical follow up after surgery is one week afterwards, to remove the staples. Follow up mris.