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Richard in the Nutcracker Suite by Paul Heckbert

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About This Gigapan

Taken by
Paul Heckbert Paul Heckbert
Explore score
Print Pricing
$6.00 to $841.00
3.94 Gigapixels
Date added
Jun 22, 2012
Date taken
Jun 20, 2012

Dr. Mark Richardson prepares to perform a right temporal craniotomy and amygdalohippocampectomy (removal of the mesial temporal lobe structures, the amygdala and hippocampus) for Richard Palmer, who had a low grade brain tumor removed from his temporal lobe in 198(6?) and has had medically refractory epilepsy since that time. The goal of the operation is to remove the dysfunctional areas of the brain causing Rick's seizures.

At image center, in the far corner of the room, watching a monitor, is Scott, a neurophysiologist performing neuromonitoring.
In the dark blue scrub cap (brightly lit, looking down on Rick, floating like an apparition) is Mark Richardson, MD.
The scrub nurse, just to the right of Rick's shoulder, is Gwen.

Dr. Richardson has shaved the hair on the right side of Rick's head (in the area where Rick had brain surgery in the 80s) and has marked the curve along which he will cut the scalp (purple line visible near top), and has injected the area with local anesthetic. After this picture was taken, Dr. Richardson cut the scalp, pulled it back, and sawed through the skull. Rick's head is clamped in place so that it will not move during surgery. Rick is under general anesthesia at this point.

The operation was done at UPMC Presbyterian Hospital, Pittsburgh, Pennsylvania.

Rick asked me, Paul, his friend and colleague, to photograph this operation, and we proceeded with Dr. Richardson's approval.

Gigapan Comments (1)

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  1. Ed Palmer

    Ed Palmer (July 02, 2012, 11:05AM )

    Paul, thanks for taking these pictures of my brother. Now, if Dr. Richardson could have done something about all those other dysfuntional parts of his brain......! Speedy recovery, bro!

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Stitcher Notes


GigaPan Stitch.Efx version 2.0.0500 (Macintosh)
Panorama size: 3944 megapixels (101500 x 38860 pixels)
Input images: 405 (27 columns by 15 rows)
Field of view: 174.9 degrees wide by 66.9 degrees high (top=21.4, bottom=-45.5)
Vignette correction on: c1=-0.00389 c2=-0.0026
All default settings
Original image properties:
Camera make: Canon
Camera model: Canon EOS REBEL T2i
Image size: 5184x3456 (17.9 megapixels)
Capture time: 2012-06-20 15:56:53 - 2012-06-20 16:16:38
Aperture: f/32
Exposure time: 0.3
ISO: 400
Focal length (35mm equiv.): 157.3 mm
White balance: Fixed
Exposure mode: Manual
Horizontal overlap: 19.3 to 77.4 percent
Vertical overlap: 19.2 to 30.7 percent
Computer stats: 12288 MB RAM, 8 CPUs
Total time 1:53:49 (17 seconds per picture)
Alignment: 53:02, Projection: 7:58, Blending: 52:50
(Preview finished in 1:09:00)
Color Adjustments:
gamma: 0.83

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