Bill Monacci, M.D. moved to Lancaster in 2005 to begin a new phase in his neurosurgical career. He and his wife Joi are now raising four daughters — Kelsey, Samantha, Tess and Erin — in Manheim Township. Joi is active in the girls’ schools and volunteers at Schreiber Pediatric Center. They all agree that Lancaster is a great place to call home, though it’s quite a bit different from their homes in the first part of the decade.
Until 2005, Dr. Monacci had a pivotal role in the care of soldiers wounded in Iraq. Before joining Lancaster NeuroScience and Spine Associates, Dr. Monacci held the rank of Colonel and served as Neurosurgery Consultant to the Army Surgeon General. He was then Chief of Cranial Base Surgery at Walter Reed Army Medical Center where he was involved with the deployment of doctors to the military hospital in Landstuhl, Germany. He also treated soldiers with critical head injuries from roadside bombs in Iraq.
Dr. Monacci knows firsthand one of the paradoxes of war — that combat provides medical teams with increased knowledge about blast injuries and how bruises to the brain affect the central nervous system. Shrapnel wounds often inflict vascular damage, referred to as pseudo-aneurysms, and the expanded incidence of treating them has advanced medical science.
Lessons learned on the battlefield are never far from his thoughts, and he enjoys the common ground he shares with Pennsylvania veterans who appreciate his experience. He feels very much at home in Lancaster, personally and professionally. “Effective treatment in my view is about restoration of function and quality of life, whether this requires a high technology solution involving surgery or simpler methods of treatment such as therapy,” he said. “We have at our disposal locally the latest in technical innovations to apply to our patients’ problems. The ability to treat serious spinal and cranial problems here in Central Pennsylvania is on par with any major medical center in the country.”
Effective treatment in my view is about restoration of function and quality of life, whether this requires a high technology solution involving surgery or simpler methods of treatment such as therapy… – William Monacci
He is gratified to be using his skill and experience performing a broad range of complex brain, spine and peripheral nerve surgeries at area hospitals. The story of one such surgery gives a sense of what a day in the life of a neurosurgeon involves.