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      <h1 class="highwire-cite-title" id="page-title">How the Lives of Neuroradiologists and Neurosurgeons Have Been Changed by COVID-19</h1>  
    	<div class="highwire-cite-authors"><span  class="highwire-citation-authors"><span class="highwire-citation-author first" data-delta="0">M.I. Vargas</span> and <span class="highwire-citation-author" data-delta="1">T.R. Meling</span></span></div>
  
    	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-journal highwire-cite-metadata">American Journal of Neuroradiology </span><span  class="highwire-cite-metadata-date highwire-cite-metadata">June 2020,  </span><span  class="highwire-cite-metadata-volume highwire-cite-metadata">41 </span><span  class="highwire-cite-metadata-issue highwire-cite-metadata">(6) </span><span  class="highwire-cite-metadata-pages highwire-cite-metadata">E35; </span><span  class="highwire-cite-metadata-doi highwire-cite-metadata">DOI: https://doi.org/10.3174/ajnr.A6562 </span></div>
  
  
  
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<div id="hw-article-author-popups-top-node-75804--61272321482" style="display: none;"><div class="author-tooltip-0"><div class="author-tooltip-name">M.I. Vargas </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>a</span>Division of Neuroradiology</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=M.I.%2BVargas%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Vargas%20M&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AM.I.%2BVargas%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="https://orcid.org/0000-0002-6571-5336" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for M.I. Vargas</a></li></ul></div><div class="author-tooltip-1"><div class="author-tooltip-name">T.R. Meling </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>b</span>Division of NeurosurgeryGeneva University Hospital and Faculty of MedicineGeneva, Switzerland</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=T.R.%2BMeling%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Meling%20T&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AT.R.%2BMeling%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="https://orcid.org/0000-0001-6595-0873" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for T.R. Meling</a></li></ul></div></div></div>  </div>

  
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In the United States, the mythical McCormick Place, associated with teaching, meeting, and friendship and where the biggest radiology congress in the world has taken place for many years, was turned into a hospital.</p><p id="p-3">Hospitals all over Europe drastically modified their activities. However, leaders of clinical services reacted differently; some, more distant from “the floor,” tended to be “behind the curve” as the pandemic quickly evolved and issued orders disconnected from the real situation and, depending on the material capacities, quite similar to what played out at national levels. On the other hand, professional societies like the European Association for Neurosurgical Societies (EANS) provided direction on how to triage nonemergent neurosurgical procedures,<sup><a id="xref-ref-1-1" class="xref-bibr" href="#ref-1">1</a></sup> and the EANS President created a dedicated Web page to provide a discussion forum for European neurosurgeons where they could share their experiences about the impact of this on our professional lives, our hospitals, and our work and how we are coping with it.<sup><a id="xref-ref-2-1" class="xref-bibr" href="#ref-2">2</a></sup></p><p id="p-4">At our hospital, Geneva University Hospital and Faculty of Medicine in Switzerland, the neuroradiology and neurosurgery services were instructed to only attend to emergencies and patients in oncology. In everyday practice, patients were separated into those with the disease and those without or who were asymptomatic. In certain larger hospitals, the infrastructure permitted dedication of CT or MR imaging machines to patients positive for coronavirus disease 2019 (COVID-19). Given the strict constraints of resources, the neurosurgeons faced a drastic decrease in operations that could be performed, and residents were reassigned to newly established COVID wards. All multidisciplinary conferences were cancelled, except for oncology boards. In the administrative part, teleworking had to be organized. It was recommended that all hospital staff wear masks and use only dedicated hospital clothes, including shoes, as well as practice social distancing and hand washing.</p><p id="p-5">The university was closed; the researchers and students were sent home, and the courses were taught with the help of distance-learning applications. The private lives of doctors and paramedical staff were also disrupted. Many feared that their professional activities were putting their own families at risk, and some colleagues took extreme precautions to avoid contamination. For many colleagues, childcare had to be reorganized because all schools and daycare centers were closed and grandparents were instructed to self-isolate.</p><p id="p-6">Finally, our thoughts are with those colleagues who are absorbing the biggest burden at any moment and colleagues who have perished in this COVID-19 epidemic.</p><div class="license" id="license-1"><p id="p-1">Indicates open access to non-subscribers at <a href="http://www.ajnr.org" rel="license">www.ajnr.org</a></p></div><div class="section ref-list" id="ref-list-1"><h2 class="">References</h2><ol class="cit-list ref-use-labels"><li><span class="ref-label">1.</span><a class="rev-xref-ref" href="#xref-ref-1-1" title="View reference 1. in text" id="ref-1">↵</a><div class="cit ref-cit ref-web" id="cit-41.6.E35.1"><div class="cit-metadata"><cite><span class="cit-article-title">EANS advice: triaging non-emergent neurosurgical procedures during the COVID-19 outbreak</span>. <a href="https://cdn.ymaws.com/www.eans.org/resource/resmgr/documents/corona/eans_advice2020_corona.pdf">https://cdn.ymaws.com/www.eans.org/resource/resmgr/documents/corona/eans_advice2020_corona.pdf</a></cite></div><div class="cit-extra"></div></div></li><li><span class="ref-label">2.</span><a class="rev-xref-ref" href="#xref-ref-2-1" title="View reference 2. in text" id="ref-2">↵</a><div class="cit ref-cit ref-web" id="cit-41.6.E35.2"><div class="cit-metadata"><cite><span class="cit-auth cit-collab">European Association of Neurosurgical Societies</span>. <span class="cit-article-title">COVID-19 in Neurosurgery, News, Guidelines and Discussion Forum</span>.<a href="https://www.eans.org/page/covid-19">https://www.eans.org/page/covid-19</a></cite></div><div class="cit-extra"></div></div></li></ol></div><ul class="copyright-statement"><li class="fn" id="copyright-statement-1">© 2020 by American Journal of Neuroradiology</li></ul><span class="highwire-journal-article-marker-end"></span></div><span class="related-urls"></span></div></div>  </div>

  
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        	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-volume highwire-cite-metadata">Vol. 41</span>, <span  class="highwire-cite-metadata-issue highwire-cite-metadata">Issue 6 </span><div  class="highwire-cite-metadata-pubdate highwire-cite-metadata">1 Jun 2020 </div></div>
      
      
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