Louisville Medicine Volume 64, Issue 2 | Page 36

DR. WHO? revolutionized the way we see sick patients, the way we’re able to pinpoint and monitor small areas of the brain. Everything’s a little easier now in terms of technique.” While completing his residency, Dr. Guarnaschelli met his wifeto-be, Marty, who was a neurosurgical nurse at the center. They were friends for almost five years before they started dating, and were married at the Wayfarers Chapel in Los Angeles. “You know the Little Chapel in Vegas?” Dr. Guarnaschelli laughed, “It was the same type of deal.” Today, John and Marty Guarnaschelli have three children: Jessica, Dominic and Natalie, and three grandchildren. While at the USC Medical Center, Dr. Guarnaschelli became acquainted with his second mentor, Dr. Theodore Kurze, considered by many to be the father of microsurgery. “Thanks in part to Dr. Kurze, that medical center had some of the first microsurgical labs and care units.” It was through Dr. Kurze that Dr. Guarnaschelli was recommended for an international surgical fellowship in Zurich, Switzerland, under the training of Dr. Mahmut Gazi Yasargil, a renowned neurosurgeon and microvascular surgery pioneer. “Dr. Yasargil spoke six languages, but everyone in Zurich spoke many. They were shocked that an American physician wasn’t multi-lingual. People selling peanuts on the street were multi-lingual,” he said. The Guarnaschelli’s lived in the dairy community, Horgen, on the third floor of a restaurant for the year they spent in Zurich. “That year gave me a chance to step back and ask if I really wanted to get into a field like that. My initial plan was to come back to Los Angeles following our time in Zurich but we decided instead to move to Louisville.” Dr. Guarnaschelli began his Louisville practice in 1974 and was a founding partner of the Neurosurgical Group of Greater Louisville and Southern Indiana. In that time, he’s also served as a faculty member at the UofL School of Medicine for 35 years and as trustee for Jewish Healthcare. “I practiced general neurosurgery with a focus on skull based tumors and vascular disease for my first 35 years of practice. The last five years I basically did benign tumors and degenerative disc disease,” he said. Dr. Guarnaschelli recalled his last and perhaps most important mentor, Dr. Andy Dzenitis, with whom he shared his practice for 20 years. “Dr. Dzenitis was six or seven years older and taught me the practical ways of taking care of sick patients,” he said. “Mentors are so important for a surgical career and I had the good fortune of having four great mentors.” Shortly after he arrived back in Louisville, Dr. Guarnaschelli took over a responsibility that he thought would last just six months 34 LOUISVILLE MEDICINE and instead turned out to be nearly 20 years, serving as the only neurosurgeon for the Louisville Veteran Affairs Medical Center until the early 90s. “I lived just down the street, so it was no problem for me to run over there and see patients. If there were complex issues, I’d take them to one of my other offices. And I had some associates who helped out. But I enjoyed it! The VA patients are terrific.” Dr. Guarnaschelli is, himself, a captain in the Army from 10 years spent in the Army Reserves. “When a patient and their family comes to see you, a neurosurgeon, it might be the most important day of their life. It’s really an honor to be asked to do that, to be a neurosurgeon. It’s a big deal. All of a sudden, you set up a relationship with a person that will last for years.” Today, Dr. Guarnaschelli is retired but serves as a neurological consultant for Norton Healthcare. Dr. Guarnaschelli took the skills he’d learned from mentors throughout the world and applied them to his own life, using those abilities to save his patients and contribute to the Louisville medical community we know today. Aaron Burch is the communications specialist for the Greater Louisville Medical Society. Dr. John Guarnaschelli with his grandchildren: Sylvie, Ruby and Alice.