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Mel talks to the stars of Grey's Anatomy and Station 19 - Yahoo News
PALM BEACH GARDENS, Fla., Nov. 12, 2020 (GLOBE NEWSWIRE) -- Integrity Implants Inc., a privately held medical device company dedicated to delivering innovative solutions for spine surgery, today announced the publication of a series of articles in the International Journal of Spine Surgery (www.ijssurgery.com) that demonstrate fusion efficacy of the FlareHawk expandable interbody device without the use of costly processed biologics. Additionally, there were no observed reports of device subsidence. Moreover, the study set provides confirmation of the cages ability to conform to patients endplate geometry.
The October Special Issue features several studies on FlareHawk expandable cage technology, including:
The articles present favorable clinical outcomes, as well as a discussion of some of the unique design features of the multidirectional expandable FlareHawk device that may contribute to its clinical efficacy.
I.
The lumbar Interbody fusion study substantiating the safety and efficacy of the FlareHawk biplanar expandable cage is presented by principal investigator Dom Coric, M.D., of Carolina Neurosurgery & Spine Associates, Chief of Neurosurgery at Carolinas Medical Center and Spine Division Chief at Atrium Musculoskeletal Institute in Charlotte, North Carolina. The study followed strict inclusion criteria including the allowance of only allograft and/or autograft to facilitate fusion and its participants represented patients with noteworthy comorbidities, including high BMI, diabetes, and current/former smokers. Among subjects with radiographs at 12 3 months, nearly all (56 of 58 patients, or 96.6%, and 75 of 77 levels, or 97.4%) achieved fusion based on Bridwell-Lenke grading. Among 45 evaluable subjects, 71% (32 patients) achieved clinically significant improvements in VAS leg pain, and 76% (34 patients) achieved clinically significant improvements in VAS back pain. Additionally, there were no (0%) reported device-related adverse events (AEs). Common device-related AEs associated with interbody fusion devices include, but are not limited to, subsidence, displacement, and nerve injury. The incidence rate for non-device-related AEs was consistent with other PLIF/TLIF studies. There were no (0%) observations of cage subsidence (defined as an overlap between the vertebral endplates and the device exceeding 25% of the device height) and only one case (1.7%) of observed device migration (defined as displacement of the device relative to the position within intra-operative or immediate post-operative images). Analysis of that case reveals that the cage moved only slightly within the disc space and the patient went on to fuse.
Dr. Coric notes, This study adds to the evidence base supporting the safe and effective use of expandable interbody spacers in the treatment of lumbar spine diseases. The FlareHawk implants ability to expand in both cephalad-caudal and lateral-medial planes is especially advantageous for decreasing neural retraction while maximizing vertebral body endplate coverage and fusion area.
Raphael Roybal, M.D., M.B.A, co-author of the paper and Director of The Spine Institute at Chatham Orthopaedics in Savannah, Georgia, notes, Popular minimally invasive TLIF techniques, typically involving a unilateral approach to the disc space, may limit the amount of disc space preparation and/or bone graft delivery, thereby impeding fusion rates. Biplanar expandable spacers that support minimally invasive surgery, safer implantation, and optimal patient outcomes will be relevant in delivering value-based spine care. The FlareHawk device has transformed my practice by allowing me to transition cases to an outpatient setting that is better for my patients and staff.
Mark Grubb, M.D., co-author and minimally invasive spine surgeon at Northeast Ohio Spine Center in Akron, Ohio, adds, Most expandable spacers use complex articulation mechanisms to expand the implant profile in either in height or width, but typically do not achieve multidirectional expansion. Furthermore, these complex mechanisms can limit the space available for bone grafting. I appreciate that the FlareHawk cage features a small insertion profile and expands in footprint, height, and lordosis via an unobtrusive mechanism that allows me to deliver bone graft through the expanded cage and into the intervertebral body space. Additionally, the ability to treat my patients via a single-position, posterior surgery allows me to improve both the quality and efficiency of my practice.
II.
Similarly, the work from Boyle Cheng, Ph.D., Professor at Drexel University College of Medicine in Pennsylvania and Director of Research at the Allegheny Health Network (AHN) Neuroscience Institute, assesses the feasibility of a bidirectional expandable interbody cage to achieve interbody fusion and discusses two novel aspects of the FlareHawk device: (1) its multimaterial, open-architecture design that provides a combined spring effect for a modulus of elasticity similar to that of bone while maintaining sufficient support and stiffness from the titanium shim, and (2) implant geometry that allows for the naturally occurring deformation of the PEEK shell to conform to each patients endplate configuration.
Dr. Chengs study hypothesizes that utilizing two components, each with the appropriate intrinsic material stiffness, provides both flexibility and stability resulting in a device with a composite construct stiffness more favorable to load transfer over a large contact area with the endplates. Reducing the construct stiffness is essential, not only to reduce the risk of subsidence but also to increase the load sharing and improve bone formation as a function of Wolffs Law. As such, the multimaterial construct, open architecture, and bi-directionally expanding design of the FlareHawk cage may contribute to the positive clinical outcomes observed.
Additionally, the shim-in-a-shell design conforms to patient-specific endplate anatomy. Measurement of the relative position of the tantalum markers revealed that 16 of the 18 devices showed coronal plane deformation of 1.82mm (18.55%) anteriorly and 1.41mm (15.49%) posteriorly. This measured deformation correlates well with values of endplate concavity reported in the literature (1.37 - 1.90mm), suggesting that the PEEK shell is conforming to the natural endplate anatomy. This material behavior, along with bidirectional expansion, serves to increase the surface area of the bone-implant interface and may better distribute the loads across the endplate.
Dr. Cheng notes, This represents yet another design aspect potentially contributing to the favorable fusion rates seen with the FlareHawk device. In the study, all 18 devices (100%) were determined to have fused based on demonstrated bone growth evidence (average volume of 586.42 mm3) and Bridwell-Lenke classification. An interbody device with this unique combination of compliant and rigid components has the potential to conform to the interbody space while maintaining sufficient stability to achieve fusion. This represents a significant advancement not just in expandable cage technology, but in the larger context of achieving successful lumbar interbody fusion. The cage appears to conform in shape obliquely, sagittally, and coronally, resulting in adaptive implant geometry that surgeons may desire. Additionally, the lack of endplate violation suggests that the FlareHawk cage is an atraumatic implant.
The FlareHawk spinal implant is the flagship product for Integrity Implants and represents the first of its kind in the expandable cage market. Much like coronary stents that offer patients a less-invasive alternative to open-heart procedures, the FlareHawk expandable cage features a PEEK shell that is inserted in a compressed form that can be effectively passed through small neural pathways and, once within the intervertebral disc space, expanded to a larger footprint and height. A titanium shim inserted within the PEEK shell produces the expansion and creates a solid-state construct that is resistant to collapse yet has shown the potential to conform to endplate anatomy to increase surface contact area and lower stresses. The Adaptive Geometry and advanced multimaterial composition embodied in the FlareHawk device respect patient anatomy both during insertion and for long-term stability. To date, approximately 8,500 FlareHawk cages have been implanted in more than 6,000 patients.
Chris Walsh, Integrity Implants CEO, shares, The data suggests that the FlareHawk cage changes the PLIF/TLIF algorithm, enabling a single-position, reproducible, facility-friendly interbody solution that can provide surgeons significant efficiencies and latitude for their practices. There may be profound medical and economic ramifications to study in the future. Before founding Integrity Implants, Wyatt Geist and I observed, as distributors, the power of the lateral approach to transform the modern spine practice through a less-invasive technique. What we are observing with the FlareHawk device, we believe, is even greater in scale. The simple design works in inpatient and outpatient facilities, as well as international markets. This supports our thesis that Adaptive Geometry the ability of an implant to change shape intraoperatively to respect the patients anatomy reconciles the desire for a minimally invasive approach that yields a maximum clinical result through a variety of surgical approaches to the spine, and in a variety of clinical settings. In addition to these papers, IJSS has published Dr. Lee Tans Clinical and Radiographic Outcomes After Minimally Invasive Transforaminal Lumbar Interbody Fusion Early Experience Using a Biplanar Expandable Cage for Lumbar Spondylolisthesis. We are excited about the promise of the FlareHawk expandable cage for MIS TLIF and will discuss those findings in a future release.
About FlareHawk Expandable Lumbar Interbody Fusion System
The FlareHawk Interbody Fusion System is indicated for spinal intervertebral body fusion with autogenous bone graft and/or allogeneic bone graft composed of cancellous and/or corticocancellous bone in skeletally mature individuals with degenerative disc disease (DDD) at one or two contiguous levels from L2 to S1, following discectomy. DDD is defined as discogenic back pain with degeneration of the disc confirmed by history and radiographic studies. These patients should have at least six (6) months of non-operative treatment. Additionally, these patients may have up to Grade 1 spondylolisthesis or retrolisthesis at the involved level(s). FlareHawk system spacers are intended to be used with supplemental fixation instrumentation, which has been cleared for use in the lumbar spine.
About Integrity Implants Inc.
Integrity Implants, founded in 2016 by seasoned business partners and spine leaders Chris Walsh and Wyatt Geist, is a privately held medical device company headquartered in Palm Beach Gardens, Florida. The Company is dedicated to delivering innovative spine products and solutions to surgeons and their patients around the globe. Its proprietary Adaptive Geometry technology fundamentally respects a patients neural, vascular, bony, and soft tissue anatomy, both during and after implantation.
For more information, please visit the Companys website at http://www.integrityimplants.com.
Media Contact:
Mark Richards512-913-9572mrichards@integrityimplants.com
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Clinical Evidence Shows that the FlareHawk Multiplanar Expandable Cage Delivers Favorable Fusion and Patient Outcomes Demonstrating Conformity to...
With the colder weather slowly pushing us inside for the winter, chances are youre looking for new ways to stay entertained. One hobby that will never go out of style is collecting and playing vinyl records. Studio Anatomy, a recording studio and event space in downtown Traverse City opened a record shop called Eugenes Record Co-Op. Its a consignment shop where people can buy and sell records, turntables, and accessories.
Brian Chamberlain the owner of both Eugenes and Studio Anatomy says, records are definitely the comeback. I think a lot of younger people are interested in something thats tangible.
Eugenes is located within Studio Anatomy, a recording space for some of Northern Michigans talented artists and performers. Anyone and everyone is welcome to use the recording studio for a reasonable fee.
For more information on Eugenes Record Co-Op, click here.
For more information on Studio Anatomy, click here.
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Collecting Vinyl Records: A Hobby that Will Never Go Out of Style - 9 & 10 News - 9&10 News
This article was originally published here
Catheter Cardiovasc Interv. 2020 Nov 11. doi: 10.1002/ccd.29368. Online ahead of print.
ABSTRACT
INTRODUCTION: The effects of coronary anatomy, lesion complexity, and comorbidities on outcomes of elective percutaneous coronary intervention (PCI) in high-risk patients with left main (LM) and/or multivessel coronary artery disease (CAD) are not well studied, as these patients are typically underrepresented in the clinical trials.
METHODS: This cohort study involved 33,568 consecutive elective PCI cases, excluding patients with prior coronary artery bypass graft, acute coronary syndrome within 24 hr of index PCI, or shock. All data were obtained from the New York States PCI Reporting System from the calendar year 2015. In-hospital mortality was the primary outcome of study. Logistic regression models were built to calculate odds ratios (OR) with 95% confidence intervals (CI) for in-hospital mortality after adjustment for coronary anatomy and significant clinical comorbidities.
RESULTS: In this cohort of elective PCI cases all cause in-hospital mortality was low (0.3%), with a clear mortality gradient according to the extent of CAD: 0.1% in 1 vessel disease, 0.4% in 2 vessel, 0.5% in 3 vessel disease, and 3.2% in patients with LM CAD (p < .001). Mortality was also significantly increased in patients with multiple comorbidities: 0.1% in patients with 1 comorbidity, 0.7% with 2, 2.5% with 3, and 7.4% with 4 or more studied comorbidities (p < .0001). When adjusted for coronary anatomy and lesion complexity, having any 4 or more comorbidities was associated with significantly increased odds of dying after elective PCI (OR 25.9, 95% CI 8.152-82.063, p < .0001). Furthermore, when compared to patients with 3-vessel CAD, and accounted for comorbidities, the patients with LM disease still had significantly increased (OR 5.254, 95% CI 3.104-8.891, p < .0001) odds of dying after elective PCI.
CONCLUSIONS: In patients undergoing elective PCI, multivessel CAD and particularly LM disease are associated with significantly increased all-cause mortality. Furthermore, when adjusted for the extent of CAD and lesion complexity, comorbidity burden remains an important predictor of mortality.
PMID:33174681 | DOI:10.1002/ccd.29368
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Coronary anatomy and comorbidities impact on elective PCI outcomes in left main and multivessel coronary artery disease - DocWire News
"Grey's Anatomy" is back for Season 17 after more than 15 years on air. During that decade and a half, the series has weathered all kinds of challenges, including real-life drama that resulted in some of its cast members leaving the show. Access Hollywood looks back on some of the most dramatic behind-the-scenes moments in "Grey's" history.
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'Grey's Anatomy': The Most Dramatic Behind-The-Scenes Moments - Yahoo Entertainment
Grey's Anatomy star Kim Raver has revealed more details about how her character Teddy Altman will handle testing times during season 17.
The long-running medical drama begins its new season in the US tonight (November 12) and it opens with Teddy and her fianc Owen Hunt (Kevin McKidd) in a bad place, after season 16 ended with Owen finding out that Teddy had cheated on him with Thomas Koracick (Greg Germann).
Not only do the couple have their serious relationship troubles to contend with, but season 17 also incorporates the real world issue of COVID-19 into the storylines, as the staff of Grey Sloan Memorial Hospital treat sick patients.
Related: Grey's stars drop hints about season 17 romance
Raver has told Entertainment Weekly that things won't be easy for Teddy and Owen in the new season, saying that the show has done an excellent job of showing how "messy" and real the characters can be.
"We didn't mean to end right on Teddy just doing the worst thing possible," she said of the season 16 finale. "I think it's interesting that it's a woman going through this because there seems to be more forgiveness when it's a man. I know that the fans are very upset and I'm upset with Teddy.
"It's so true to Grey's Anatomy that people are messy. Everyone is so messy. And I think that that is really the beautiful thing of the show is that they have their shining moments and then they have their very ugly human moments."
Of course, Teddy and Owen also have to deal with what COVID-19 is throwing at them, but Raver explained that Teddy and Owen are actually "kind of prepared for this because of their army training", as both have served in the military.
Related: Ex-Grey's Anatomy star Jessica Capshaw says people don't realise she's left
"You have to put everything on hold during this pandemic and just get everyone kind of to safety, so to speak. So I think that that's exactly the path that we're following," she said.
"They have their huge, gaping wounds that Teddy caused. Then we have this pandemic and how are they facing it? And I think that that's also what's interesting about healthcare workers is that they put others first."
Raver added that the storyline between Teddy, Owen and Koracick is "amazing", saying that the trio will have to keep their priorities straight during extremely challenging times.
Grey's Anatomy returns on ABC in the US tonight (November 12). It will airs on Sky Witness in the UK with selected episodes also available on NOW TV.
Digital Spy has launched its first-ever digital magazine with exclusive features, interviews, and videos. Access the latest edition with a 1-month free trial, only on Apple News+.
Interested in Digital Spy's weekly newsletter? Sign up to get it sent straight to your inbox - and don't forget to join our Watch This Facebook Group for daily TV recommendations and discussions with other readers.
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Grey's Anatomy star discusses how Teddy and Owen are coping in season 17 - digitalspy.com
Jaina Lee Ortiz has promised "dramatic" answers in the season four premiere of Station 19.
The Grey's Anatomy spin-off returns tomorrow (November 12), ahead of which the Andy Herrera actress told TV Line that something big is coming after that dramatic season three finale, which revealed Andy's mum Elena wasn't dead after all.
"Everyone wants answers," she teased. "You'll definitely get them in the premiere, I guarantee you.
Related: Station 19 boss gives first hints about season 4
"They may not be what you expect, but it'll definitely be something huge and dramatic and, obviously, very traumatic because [Elena being alive is] not the only... elephant in the room. COVID-19 is a huge part of the storyline."
Meanwhile, the new episodes will feature Robert Sullivan (Andy's husband) once again battling the challenges of his drug addiction, with actor Boris Kodjoe pledging that the couple are "not willing to walk away, no matter what's going on".
Kodjoe also went on to discuss the idea that Robert might actually be a 'father figure' replacement for Andy's late dad.
Related: Grey's Anatomy and Station 19 teaser for new seasons pays emotional tribute to essential workers
"From a psychological standpoint, that's very interesting, because I guess that happens a lot," he continued. "You're yearning for your father's love and by getting hitched really quickly to someone like Sullivan, you can sort of manage that better.
"We just have to figure out what that love is between them and why it's so strong and if it's real. I think they'll be facing a lot of challenges to find out if it's real."
Grey's Anatomy and Station 19 air on ABC in the US. They air on Sky Witness in the UK with selected episodes also available on NOW TV.
Digital Spy has launched its first-ever digital magazine with exclusive features, interviews, and videos. Access the latest edition with a 1-month free trial, only on Apple News+.
Interested in Digital Spy's weekly newsletter? Sign up to get it sent straight to your inbox and don't forget to join our Watch This Facebook Group for daily TV recommendations and discussions with other readers.
This content is created and maintained by a third party, and imported onto this page to help users provide their email addresses. You may be able to find more information about this and similar content at piano.io
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Station 19 season 4 will be "huge and dramatic" - Digital Spy
Greys Anatomy alum Katherine Heigl was at the height of her career in 2007. Her performance as Izzie Stevens won her an Emmy award for best-supporting actress in a drama. She was also transitioning to the big screen as a romantic comedy lead. That year she starred in Judd Apatows Knocked Up alongside Seth Rogen. But after the films release, Heigl trashed the movie and essentially tanked her career overnight. Did she ever reach out to Apatow or Rogen and apologize?
In Vanity Fairs January 2008 cover story, Heigl infamously described Knocked Up as a little sexist. Heigl claimed that the film painted the women as shrews, as humorless and uptight. At the same time, she said the film painted the men as lovable, goofy, fun-loving guys.
It exaggerated the characters, and I had a hard time with it, on some days, Heigl explained. Im playing such a b**ch; why is she being such a killjoy? Why is this how youre portraying women? Ninety-eight percent of the time it was an amazing experience, but it was hard for me to love the movie.
In response, Apatow said that making the movie was like when you get drunk and spurt out your deepest feelings. But then the next day, you have drunk remorse about what you said. The director says that everyone in the cast felt very proud and a little embarrassed about what they revealed about themselves.
Apatow pointed out that the movie was never meant to be romantic. Instead, it was meant to be honest. He also noted that Heigl could not have been better because she went there.
The Vanity Fair article wasnt the only time shes slammed a project that she was a part of. When she was still on Greys Anatomy in 2008, she withdrew herself from Emmy contention and blamed the shows writers for giving her poor material.
According to The New York Times, Heigl said she didnt feel that she was given material that season that would warrant an Emmy nomination. In an effort to maintain the integrity of the academy organization, she says she withdrew her name from contention. A year and a half later, Greys Anatomy released Heigl from her contract early.
Shonda Rhimes later implied that Heigl was difficult to work with. When promoting the show Scandal, Rhymes said that she didnt put up with bullsh*t or nasty people because she doesnt have time for it.
There are no Heigls in this situation, Rhymes said of the Scandal cast.
RELATED: Greys Anatomy: Why the Cast and Crew Didnt Think Theyd Make It Past Season 1
In 2014 not long after Rhimes comments Heigl landed the lead role in the NBC drama State of Affairs. During the networks Television Critics Association summer press tour presentation, a reporter asked if it was true that she was difficult to work with.
According to People magazine, Heigl was a bit flustered when she heard the question. She said that she certainly didnt see herself as being difficult. She added that she would never intend to be difficult.
I think its important to everybody to conduct themselves professionally and respectfully and kindly, so if Ive ever disappointed somebody, it was never intentional, Heigl said.
In 2009, Apatow and Rogen sat down for a joint interview on The Howard Stern Show. They addressed Heigls comments about Knocked Up, and Apatow admitted they confused him.
We never had a fight, Apatow insisted. Seth always says it doesnt make any sense because she improvised half her s**t.
The director also revealed that Heigl has never reached out to apologize to him or Rogen. He said he expected her to call at some point and say, Sorry, I was tired. However, he says the call never came. Rogen went further and called Heigl a hypocrite, and pointed to her follow-up film The Ugly Truth.
Years later, Rogen said that he thoroughly enjoyed working with Heigl. He says when they were making the movie he thought he would make a dozen movies with her. Rogen was sad that she felt the movie hurt her career, and he wishes it hadnt happened.
In 2016, Katherine Heigl revealed that she had to go to therapy to deal with the stress from the fallout of the interview. She says she wishes she hadnt made the comments. Heigl also responded to Rogen and said that he handled things beautifully. She added that she felt nothing but love and respect for him.
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'Grey's Anatomy': Did Katherine Heigl Ever Reach Out to Judd Apatow or Seth Rogen After Trashing 'Knocked Up'? - Showbiz Cheat Sheet
Welcome back to the Anatomy of a Goal, where each week we dissect one goal (or near goal) from the Columbus Crews previous match.
For match 23, the final match of the 2020 MLS regular season, we take a look at Lucas Zelarayans 28th minute goal that gave the Crew a 1-0 lead as part of their 2-1 win against Atlanta United on Decision Day.
Heres a look at the goal from Columbuss No. 10.
The Black & Gold followed up last Sundays gritty win against the Philadelphia Union with a disappointing loss at 10-man Orlando City on Wednesday. Entering their Decision Day match against Atlanta, the Crew needed a win to guarantee a home playoff game.
Sundays match started off brightly before Columbus started to cede possession to the Five Stripes. The half hit its nadir when Eloy Room took down Jon Gallagher in the penalty box for a United penalty. Fortunately, referee Ismail Elfath jogged over to the VAR monitor and overturned his own penalty call, bailing out the Black & Gold.
Zelarayans opening goal, one of the most comprehensive team goals by the Crew this season, comes on the heels of the overturned penalty. This 23-pass goal begins with Room playing the ball to Josh Williams.
Williams turns up the field and quickly finds Artur.
Artur drops the ball right back to Williams as Atlanta brings pressure. Milton Valenzuela makes a run up the left side of the field forcing Jurgen Damm to decide between pressuring Williams and marking the Columbus left back.
Damm checks to Valenzuela, giving Williams additional time to survey his options.
Williams decides to reset and drops the ball all the way to Room.
Room switches the point of attack to the right side of the field with a pass out to Jonathan Mensah.
Marcelino Moreno cuts toward Mensah to provide pressure. Artur sees this move and opens himself up to a pass around Moreno. Ezequiel Barco has dropped toward the midfield, opening space for Arturs run.
Mensah spots Arturs move and plays a quick pass around Moreno toward his teammate. Jef Larentowicz sprints toward the Black & Golds midfielder in an attempt to quickly win the ball off of him.
Larentowiczs defensive move frees up Zelarayan who drifts toward Artur. Artur keeps his head on a swivel and is able to see both Larentowiczs impending pressure and Zelarayan stepping into the space vacated by Atlantas captain. Artur lets the ball roll in front of him and hits a perfect first touch pass toward his No. 10.
Zelarayan takes a touch toward midfield and has four options. He can play a pass up the sideline to Derrick Etienne, play a pass forward to Pedro Santos, attempt to beat Emerson Hyndman off the dribble or hit a square pass to Darlington Nagbe who is running forward just behind Zelarayan.
The Crews No. 10 takes a touch and quickly plays a pass over to Nagbe.
Nagbe carries the ball into the Five Stripes territory as Hyndman brings pressure.
Nagbe spots Valenzuela and plays a ball out to the young Argentine on the left sideline.
Valenzuela takes one touch and plays a pass up the sideline into the path of Santos.
Santos picks the ball up under pressure from Damm and Franco Escobar. The Columbus winger must now decide whether to continue to carry the ball toward the corner or to somehow play a quick pass to Valenzuela, who has continued his run toward the goal.
Santos chooses the more difficult option and back-heels a pass back into the path of Valenzuela.
The back-heel beats both Escobar and Damm as it heads toward the Black & Golds left back.
Valenzuela uses his fist touch to keep the ball away from Hyndman and plays a quick drop to Nagbe.
Nagbe gathers the ball and hits a long pass on the ground back to Artur.
Artur surveys his options but does not find anything promising toward the Atlanta goal. He turns the ball back toward midfield.
The Brazilian midfielder plays a safe drop back to his captain.
Mensah takes one touch to collect the ball and plays a quick pass up the sideline to Harrison Afful.
Barco blocks Affuls pass forward until Artur is able to move into an open space for a quick, safe pass.
Artur carries the ball out of danger before dropping it all the way back to Mensah.
Moreno cuts toward Mensah while Gallagher blocks a pass toward Williams. Artur shuffles into the space between the two Atlanta defenders and opens himself up to a simple pass from Mensah.
Artur turns toward the midfield under consistent pressure from Moreno. Williams steps forward and his teammate hits a square pass his way.
Williams easily picks up the ball and lets a heavy touch send it forward. The Columbus center back does something here that hes done multiple times this season with the defense compacted centrally or shifted to the right side, he carries the ball until the opposing defense provides pressure. By doing this, Williams both moves the ball forward and forces a Five Stripes defender to put pressure on him instead of one of the Black & Gold attackers.
This simple act of carrying the ball forward is what sets Williams apart from his center back teammates. While Mensah might be the better passer or on-ball defender, Williams confidence in carrying the ball forward has been immensely valuable to the Crew and has been a feature of these breakdowns multiple times this season.
Hyndman steps up to defend leaving Williams with four options. The defender can play a pass forward to Gyasi Zardes, attempt to beat Hyndman off the dribble, play a pass up the sideline to Santos or a drop pass to Artur.
Williams opts for the safe pass up the left flank to Santos.
Escobar steps out to cover Santos, leaving the winger with three options. He can play a pass up the sideline to Valenzuela, hit a pass over Escobar to Zardes or attempt to beat Escobar off the dribble.
Santos lobs a pass over Escobar toward Zardes.
Zardes bodies up Miles Robinson and deftly settles the ball into the path of Valenzuela who has made a run behind Damm.
Valenzuela picks up the ball and carries it toward Fernando Meza. This forces Meza to stop for a moment, allowing Zelarayan to drift free toward the middle of the goal box.
Valenzuela spots Zelarayan and hits a quick pass to the No. 10.
Zelarayan reaches out for the ball and uses his first touch to set off a move between Meza and George Bello toward the Atlanta goal.
Zelarayans touch slips him between the two defenders setting him loose on Brad Guzan.
With only Guzan left to beat, Zelarayan only has to decide where to place his shot.
Guzan goes to ground and Zelarayan chips the ball over the Five Stripes keeper . . .
. . . and into the back of the net!
Findings:
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Anatomy of a Goal: Zelarayan and the Crew slice through Atlanta with 23 passes - Massive Report
John Gosling, MD, professor emeritus ofanatomy, textbook author and authority on neuro-urology, died July 17 in Manchester, England. He was 81.
Goslings work focused on nerve cells in the sexual organs and lower urinary tract. He co-authoredHuman Anatomy: Color Atlas and Text, an award-winning book now it its sixth edition. He also contributed to dozens of other books and co-authored more than 100 papers.
John Gosling was instrumental in the creation of Stanford Medicines clinical anatomy division, saidLloyd Minor, MD, dean of theSchool of Medicine. He forever changed medicine through his research to understand urinary anatomy and touched countless lives through his excellence as a teacher and clinician.
According to his longtime friendIan Whitmore, MD, professor of anatomy at the School of Medicine, Gosling was typically English in that he would never sell himself. I think he deserved to be a Nobel winner for his research into genitourinary anatomy.
Born May 19, 1939, Gosling earned a medical degree from Manchester University in 1967. He began teaching anatomy there as a student and later became a professor at the university. His career took him around the world. In England, Southern California, Hong Kong and the Middle East he taught pharmacology and anatomy and oversaw anatomy courses.
He first arrived at the Stanford University School of Medicine as a visiting professor in 1975. He returned as a visiting professor six more times until 1991, when he joined the faculty as a full professor. In 2019, he retired and moved back to England, where he lived close to family members.
He won the Kaiser Award for Excellence in Preclinical Teaching three times: in 1989, 1996 and 2000.
He put a great deal of effort into maintaining the quality of the anatomy division, Whitmore said. He was really dedicated to its teaching.
Gosling was also an avid rock climber: During his visiting professor stints in California, he made time to climb its mountains, Whitmore said. In his later years, Gosling limited his sport to climbing gyms.
Gosling is survived by two daughters and seven grandchildren, all in the U.K.
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John Gosling, anatomy researcher and teacher, dies at 81 - Stanford Medical Center Report