Rob Leeper

Late but deserved congrats to @SchulichMedDent Class of ‘25 for bringing home the Tachy Cup. Amazing shows by every class!!! @JohnYooMD and Dr. Venance impressions were IT for me 😊

Trauma Family Feud @TACTraumaCanada !! Big win for Family East, but the West side wants a rematch in 2026!! #TAC2025

Love the casting by President Rao @TACTraumaCanada, but it feels like a weird way to tell me he’s kicking me off the board next year 😬🫣🫰 #TAC2025

@J_Landau @ross_prager

@rob_leeper @ross_prager What is this, a pericardium for ants??

What's the major pathology here? Wrong answers only ❌

@ross_prager @J_Landau @NephroP @ArgaizR @fluidloading @fluidresponsive @PulmCrit @pulmtoilet @First10EM @VancouverPOCUS @PeachtreePOCUS @MaizeandLube @avkwong @iceman_ex I’ll see the evidence based argument from @J_Landau and raise you the following meme: Surgery patients actually ARE just going through a phase. The “Fluid Seeking Phase” is real, and it’s spectacularly important to give that volume over first 12-24 hours… then start the lasix:)

True! Important distinction in the early post operative period. I conceptualize it for a few reasons: 1) their illness course is often shorter than medical patients making the cumulative time to acquire fluids less 2) overall (not all) surgical patients (eg trauma) have less cardiomyopathy than medical icu patients (a bit of a generalization) 3) real fluid losses exist! Drains, third spacing etc. The hardest point for me is figuring out when this phase should be considered done. Treating them statically like this for too long can lead to problems for complicated patients requiring prolonged hospital / icu stays. Interested in some other surgical intensivist thoughts @ewwalser @rob_leeper @traumaicurounds

(4/x) Even if a patient is fluid responsive (they will increase their stroke volume with a fluid bolus), this doesn't mean that the best way to improve their stroke volume is fluids. For example, in a patient with low mean systemic filling pressures from sepsis/vasoplegia, vasopressors can increase venous tone, venous return, and stroke volume. A collapsed IVC does not need to be filled with fluids!

@elliotthaut @NoContextHumans @DctrJByrne @SchellenbergMD @evanwongMDCM @kinabamd @tzakrison The only really famous person in this list is Morgan. The rest of us just try to appear in photographs with her and tell other people that we know her.

@NoContextHumans @rob_leeper @DctrJByrne @SchellenbergMD @evanwongMDCM @kinabamd @tzakrison And those are just some trauma surgeons I know.

Without googling, name one famous Canadian👇

Incredible Harvey Club dinner, hosting a lifelong mentor of mine, Dr. Bill Wall, speaking about his mentor, Sir Roy Calne, a founding father of transplantation. Special stuff.

Exciting to hear visiting prof Morgan Schellenberg talk about trauma verification @LHSCCanada. Tough mission, but could be most positive change in trauma care in our region that I can remember 🤞 @AmCollSurgeons

Tourniquets save lives….even manikin lives! Great seeing some #stopthebleed in real life at this AM’s in situ trauma sim @LHSCCanada.

Great fun being a “sheep in wolf’s clothing” presenting at a vascular surgery panel on SMA syndrome. Great group of speakers and a neat topic. #ACSCC2024 @AmCollSurgeons

@elliotthaut @AmCollSurgeons @MarcieFeinman @SFMOMA The fact that this comes from Dr. Haut senior makes it even more cool! Never got to meet him, but the photo in Elliott’s office and all the stories made it clear that Elliott got a lot more than ties handed down from his pops ☺️ pmc.ncbi.nlm.nih.gov/articles/PMC38…

@AmCollSurgeons @rob_leeper @MarcieFeinman I’ve told my tie story a hundred times. I inherited all my fun, colorful, interesting ties from my dad. Find me for today’s tie selection at #ACSCC24. An example of a classic retro tie from @SFMOMA #ACSCC2024

Mandatory Elliott selfie! Love seeing my old boss. Didn’t love when he reminded me it’s been 10 years since I was his fellow 😬 @elliotthaut @AmCollSurgeons @MarcieFeinman

@elliotthaut @AmCollSurgeons @MarcieFeinman Still so much to learn. For example, snazzy ties.

@rob_leeper @AmCollSurgeons @MarcieFeinman On of my favorite parts of the @AmCollSurgeons meeting is seeing mentees from the past two decades and hearing how amazing their careers have become. #SurgMentoring #ACSCC24 #ACSCC2024 @rob_leeper has collected some snazzy outfits.

@AmCollSurgeons In my heart, yes. In my joints, no 😜

@rob_leeper Time isn't real, we're all 30 years old forever

General Surgery Review Course…took it here w all the other PGY5’s in 2011 but the audience in 2024 seems to be all mid/late career surgeons…including this one 😖#ACSCC24 @AmCollSurgeons

@CANUCSurg @westernuSurgery @CAGS_ACCG @CAGS_Residents @OAGS1

Join us for the first #EGSRounds of the academic year, and get ready for some @rob_leeper @westernuSurgery energy and excitement! Today at 2 PM EST via Zoom; comment or DM for the link @CAGS_ACCG @CAGS_Residents @OAGS1

@cutitoutPODCAS1 @SchulichMedDent @western_gensurg @kootenaysdoc @Seanpcleary Agree with @Seanpcleary that most of my 90s/2000s T’s aren’t fit to be worn anymore. Still have a few nice ones from @Queens_Football that fit my kids, though.

Vintage weekend gear still fits, still in great shape after purchase circa 1998 @SchulichMedDent @western_gensurg @rob_leeper @kootenaysdoc @Seanpcleary

A cool topic, a great article, and a tricky one to comment on! Hope we did the paper justice. Will try to keep my head down for flying 🍅 from folks on either side of the great REBOA debate!

@J_Landau @LHSCCanada I trully enjoyed my Palm Treo during medical school. @J_Landau, what are the major updates and bug fixes in the current generation of Treo devices?

Very proud of our aortic team at @LHSCCanada. We have a truly world class multidisciplinary team prepared to offer the best of open and endovascular surgery from the aortic valve to the aortic bifurcation and beyond! #aortaed