As a Certified Anesthesiologist Assistant, I've been part of the anesthesia care team for thousands of surgeries. I've watched patients go under and come back. Most of the time, it's routine. But sometimes, a patient's brain doesn't bounce back the way it should.
Confusion that lasts days. Memory gaps that stretch into weeks. Personality changes that families notice before the patient does. The medical system calls it 'postoperative cognitive dysfunction' or 'delirium' — and most of the time, it's treated as an unavoidable consequence of aging or surgery.
"I didn't believe it was unavoidable. I believed it was predictable — and preventable — if we measured the right things before surgery, not after."
So I built the Neurologic Stress & Recovery Index.
The NSRI is a pre-surgical assessment that quantifies the brain's capacity to absorb and recover from neurologic stressors — measuring reserve and recovery dynamics before injury occurs. It identifies the modifiable factors that standard preoperative screening misses: cardiometabolic health, medication burden, sleep architecture, lifestyle factors, and brain/social health.
This isn't anti-medicine. It's more complete medicine. It's not anti-anesthesia. It's pro-brain-protection. And it's built by someone who knows what happens in the operating room — because I've been there.