Trauma/Critical Care, Bariatric, Gen Surg, Military(ret) Liberal, Heterodox, Dad to twin terrors! No patience for right-wing fascists OR left-wing totalitarians
Los Angeles, CA
Joined December 2011
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To the twitter-atricians who criticize those treating COVID with drugs/therapies that have weak prelim data: 90% of what you do every day (no matter the specialty) has ZERO Level 1 evidence. It's a pandemic...AND....this is how medicine works. Slow crawl from darkness to light!
Many patients clearly prefer some risk to stay local vs distant transfer, but we rarely consider this in our ever increasing push for “regionalization”
ACS patients strongly prefer local care when outcomes are equivalent, and many are willing to forego transfer despite higher risk. This multicenter WTA study highlights the importance of patient preferences in ACS regionalization.
ovid.com/jnls/jtrauma/abstra…
Conan blames Jason Bateman for his father's death. #podcast #comedian #c... youtube.com/shorts/ovypVCbgv… via @YouTube
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At this point, if you’re a journal who publishes anything from these two frauds, just pack it up
@NicHulscher fraud
@P_McCulloughMD grifter
🚨 RETRACTED: Anticancer Research has officially pulled Nicolas Hulscher & Dr Peter McCullough's ivermectin cancer paper.
Its viral "84.4% benefit" claim was built on rigged survey math, massive dropouts & chemotherapy overlap.
Full breakdown 👇
techarp.com/fact-check/hulsc…
Last chance for acute care surgery fellows or attendings to apply for the 2026-2027 @traumadoctors ROBO-TRACS program!
apply: aast.org/education/robo-trac…
Interesting study - but no impact on vent weaning while decreasing tracheostomy rates?
Music Therapy During Weaning From Invasive Mechanical Ventilation in the ICU: A Randomized Controlled Trial ovid.com/10.1097/CCM.0000000…
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Contemporary management of traumatic abdominal wall hernias: What you need to know ovid.com/10.1097/TA.00000000…
Alright - time for @bryanacotton1 to start furiously spinning this one!
Survival benefit of prehospital TXA in fibrinolytic shutdown: Insights from two prospective trauma trials ovid.com/10.1097/TA.00000000…
What happens when artists take over four floors of a closed hospital?
The Hospital of Emotions! Highly recommend for anyone in the Los Angeles area
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So the education drops the leak rate from “malpractice” level to just “wow, that’s high” level for right colectomy??
Impact of safe-anastomosis digital training on 30-day anastomotic leak after right colectomy: international prospective cohort study (EAGLE-2)
➡️ doi.org/10.1093/bjs/znag107
Completion of a brief digital training programme was associated with a clinically and statistically significant lower rate of AL after right colectomy, alongside lower rates of reoperation, readmission, and death
Scalable digital education should be embedded into colorectal quality improvement programmes worldwide
Work by ESCP EAGLE Safe Anastomosis Collaborative and NIHR Global Surgery Unit
#SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #colorectalsurgery #StepUp4CRC @FightCRC @ACPGBI #ERAS @dice_europe #Crohn #proctology @Dukes_Club @ACPGBI_EduTrain @AECP_FAECP @PelvExGroup @escp_tweets @YouESCP #TeachMeColoproctology
#Some4COLoprocto
Applications now open for the 2026-2027 ROBO-TRACS program! This year we have slots for 36 trauma/ACS fellows and 18 attending surgeons (must be AAST member) - deadline in 2 weeks!
@WesternTrauma @EAST_TRAUMA @JTraumAcuteSurg @TSACO_AAST @IntuitiveSurg
Build your robotic Acute Care Surgery experience with ROBO TRACS.
Selected fellows will take part in monthly live webinars, simulation training, home institution robotic case requirements, and a funded hands on training day in Atlanta in April 2027.
Applications are open through October 23⬇️
aast.org/education/robo-trac…
Day 1 is going to be the National Robotics in Acute Care Surgery Symposium - so register now!
AAST education is growing.
We’re excited to introduce the AAST Practical Surgery Summit, bringing the acute care surgery community together for practical, case-based learning focused on the decisions that matter most.
See you in Phoenix, May 18–21, 2027.
aast.org/education/practical…
I will pay for her to go FULLY off grid
@unhealthytruth
1 off grid farm🐓
3 years worth of great food 😋
3 years worth of uninterrupted power ⚡️
Unlimited Solar😎
Food I grow myself
Neighbors set up like me & a GREAT support system
Unlimited water with 2 wells💦
Lots of arsenal & trained for years💪🔫
Antibiotics
My herb garden🪴
Antibiotics
Join me on substack to learn how to be prepared. Not scared. ❤️👇👇👇
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Hard to believe this passed even basic peer review @BJSurgery
This is why I say SR/MA of non-randomized and heterogenous trials is the lowest form of evidence. Essentially goes against all clinical series on this topic.
Trimester-specific safety of laparoscopic versus open abdominal surgery during pregnancy: systematic review and meta-analysis
➡️ doi.org/10.1093/bjs/znag084
Laparoscopy confers maternal benefits and reduces preterm delivery but is associated with higher fetal loss and elevated composite adverse outcomes in the second trimester.
Work by Siran Wan , Wei Lin , Xue Zhang , Saidi Hu , Chenchen Luo , Shunhong Zhang , Elaine dos Ramos Amado dos Ramos , Lucilia Fernandes de Almeida , Lin-yong Zhao
#SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #some4hpb #some4tpl @DPCG_official @pancreatitis_nl @PancreasClub #PancreasClub2023 #PancreaticCancer #Pancreatitis #HCC @PanCAN #PanCANawareness @EurPancClub @P_C_E_ @dice_europe #PancreaticCancer #cholangiocarcinoma #HPBSurgery #GallbladderCancer #Oncology #LiverSurgery #colorectalsurgery #StepUp4CRC @FightCRC @ACPGBI #ERAS @dice_europe #Crohn #proctology @Dukes_Club @ACPGBI_EduTrain @AECP_FAECP @PelvExGroup @escp_tweets @YouESCP #TeachMeColoproctology
#Some4COLoprocto #some4UGI #uppergi #esophagealcancer #gastriccancer #reflux @ISDE_net @Augishealth @roux_group @T4UGIS @SARONG_Trial @YoungIFSO #bariatricsurgery
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Never know who you’re going to run into at @AmCollSurgeons 2026.
A mini Mattox-faculty reunion!
