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John (Jay) Cooke


No one knew exactly how long Jay Cooke, a 64-year-old futures market analyst from Center Moriches, had been living with an uninvited and unwelcome guest in the anterior communicating artery of his brain. When stroke specialist Candice Perkins, MD, diagnosed Mr. Cooke with an aneurysm the size of a BB pellet, it was an incidental finding discovered as she studied results from diagnostic tests performed when he presented as a stroke patient in May of 2006. While Dr. Perkins was able to treat Mr. Cooke's stroke symptoms, there was another issue at hand -- to prevent a future devastating event from the aneurysm. In Mr. Cooke's words:

"Dr. Perkins told me a cerebral interventionist would be coming to Stony Brook, and thought it was best to wait until he was on board," said Jay Cooke. "He arrived a few months later. It's easy to be an alarmist if you're having brain surgery, but from the minute I met Dr. Woo, he put me at ease. We talked about outcomes and risks. When I told him what I did for a living -- I was a futures market research analyst -- he said my experience with risk should put me in good stead with the operation. Laughing eliminated the anxiety. Even when I went into the operating room I felt very comfortable; I knew I was in good hands. My wife and I are very happy that everything worked out. And, I am still actively trading, except that I now work from home."

Dr. Woo determined that Mr. Cooke was a candidate for an aneurysm clipping and used a special new technology, a Leica high-definition recording system with IGC dye, to image the procedure.