Jeffrey P. Steinig, MD

2.7K posts

Jeffrey P. Steinig, MD

Jeffrey P. Steinig, MD

@docsteinig

Husband and Father. Director of Palliative Care @chsbuffalo Mercy Hospital, Governor @AmCollSurgeons, #godawgs

가입일 Temmuz 2011
2.7K 팔로잉543 팔로워
Mike Chase
Mike Chase@Chaser3030·
New season, new teams…our boys will be swapping team colors for the upcoming year. Owen will be with Southtowns Stars 12U TB and Cam will be with the Jr. Sabres 18U. Proud of how far both of them have come, keep having fun! #Stars #JrSabres
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Mike Chase
Mike Chase@Chaser3030·
Congrats to our son Cam and all the other top WNY high school hockey players on their awards last night. Thank you @wolf3328 for putting the banquet together. Junior year is now in the books, onto the next chapter. #FortesInFide #PrideInThePaw #TimonTigers
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Jeffrey P. Steinig, MD
Jeffrey P. Steinig, MD@docsteinig·
@rbarbosa91 Happy Thanksgiving to all. Surgery has always been and remains an art. Different tools as used by many for better or for worse. Safety of the patient remains paramount. We are trying to not to be the first to accept the new or be the last to reject the old. Challenging times.
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Ron Barbosa MD FACS
Ron Barbosa MD FACS@rbarbosa91·
I would say rather that general surgery may just be remembering the core principles: The use of robot itself tends to become its own outcome. People are always getting a cake for doing 1000 robot cases. But no one ever gets a cake for doing 1000 cholecystectomies without a BDI.
Dr. Duy C. Nguyen, MD@yooeeemd

@CanesDavid @ElliotServaisMD @JAMASurgery Frustratingly, general surgery has been amongst the most critical to innovation specifically with robotics. I observed so much of this during training. Innovation is inevitable with each iteration improving on the last.

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Mike Chase
Mike Chase@Chaser3030·
Happy 26th Anniversary to my best friend…It’s been one hell of a ride and there is nobody I’d rather be on this crazy journey with!
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Ron Barbosa MD FACS
Ron Barbosa MD FACS@rbarbosa91·
Reminder that you’re NOT obligated to spend 2-3 hr robotically lysing adhesions before giving yourself permission to convert. Conversion rate tends to become a thing that everyone feels they need to minimize, and it leads to a lot of time spent in heroic 🤖 adhesiolysis.
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Tennessee Golf
Tennessee Golf@Vol_Golf·
ROCKY TOP REED🔥 In his Tennessee debut, Reed Lotter secures the Individual win at the Visit Knox Collegiate.
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Jeffrey P. Steinig, MD
Jeffrey P. Steinig, MD@docsteinig·
@BobbyWilson1004 I was 6 years old in 1968. Vague memories of a tumultuous time. We are reliving a horrible moment. It’s time to regroup and reflect.
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Bobby
Bobby@BobbyWilson1004·
This horrifying death is still very hard to accept & impossible to understand. A Christian, a husband, a father, an influencer. So much violence, death, & divisiveness in our country. Political violence cannot be acceptable. This has to be a turning point in our country.
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Ron Barbosa MD FACS
Ron Barbosa MD FACS@rbarbosa91·
MICU docs: Percutaneous cholecystostomy tubes are usually requested by medicine and performed by IR… but it is general surgery that is tasked with its disposition once the tube is there. So: before placing a perc tube, please consult surgery first. Thx 🙏🏻
JAMA Surgery@JAMASurgery

Percutaneous cholecystostomy should serve as a bridge to interval cholecystectomy in patients with contraindications to immediate surgery, specifically those with sepsis and acute cholecystitis, with IC ideally performed 8-13 weeks post-PC. ja.ma/4ge3GtS

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George Tolis
George Tolis@georgetolisjr·
Asking the anesthesiologists and the OR nurses who is the best surgeon for an operation is the only safe way to pick a surgeon. They are the only ones who can separate between who is nice, who would be fun to go out with and who can get the patient out of the OR in one piece.
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Jeffrey P. Steinig, MD
Jeffrey P. Steinig, MD@docsteinig·
@DrDiGiorgio Shitty care perfectly documented is what administration and payors want. Sad state of affairs. Modern progress notes are useless
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Anthony DiGiorgio, DO, MHA
Anthony DiGiorgio, DO, MHA@DrDiGiorgio·
This is how we got the mess that are modern clinical notes. Someone who wasn’t practicing medicine said that a full ROS and a full physical exam are what make for good patient care. So they tie documentation of those to reimbursement. This completely ignores the reality on the ground. Dermatologists and orthopedic surgeons don’t need a full review of systems and a full comprehensive multi system physical exam. In fact if you only have a 15 minute visit with your neurosurgeon, you probably don’t want them wasting time pretending to listen to cardiac and breath sounds. You’d rather they spend time on your neurosurgical problem. But, no, we had bureaucrats thinking they could mandate their version of “good clinical care” by tying it to reimbursement. Classic example of central planning failure.
Dorian L. Beasley MD, FACC@cardiojaydoc02

The ROS and the physical exam are and continue to be useful tools in the evaluation and care of patients. Like many things in this world, it was subverted and tied to reimbursement. If you want to be a thorough doctor, these things are still relevant. #FOAMed #MedEd

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George Tolis
George Tolis@georgetolisjr·
Many strategies in medical management are planned in corporate boardrooms rather than medical meetings and are based on the extent of the denominator rather than the efficacy of the intervention and the potential benefit reaped by the recipients. Afib is a typical example.
John Mandrola, MD@drjohnm

I covered this paper on TWIC podcast. Most relevant observations: 1 in 10 pts w LAAO die with in a year. Thats a lot of people who get no benefit Nearly half pts die at 5 years. Again LAAO is long term therapy. Mortality many fold higher than stroke or bleeding And this was from 6-8 years ago. We are definitely implanting even older pts now. Pt selection for LAAO in the US is terrible. Cc @AndrewFoy82 @MRuzieh

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Jeffrey P. Steinig, MD
Jeffrey P. Steinig, MD@docsteinig·
@rbarbosa91 Humility is an important part of being a successful surgeon. Respect the work of many as service to your patients. Give back selflessly.
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Ron Barbosa MD FACS
Ron Barbosa MD FACS@rbarbosa91·
Last comment before I go back to my usual content: MOST of the attending job is, in fact, ‘service’. Teaching people that routine ‘service’ is menial and beneath them, but then when they become attendings, now ‘service’ is the rest of their lives…won’t turn out well.
Critical Concepts@critconcepts

@rbarbosa91 @bryanacotton1 How many hours of the 80 are still spent in "service" rather than learning? I.e. doing work presumably necessary, but low yield for additional education (I will posit that any clinical time can be somehow educational; the question is yield).

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Mike Chase
Mike Chase@Chaser3030·
@docsteinig Congrats Doc, well deserved! The amount of people you have helped(me included)through various medical/emotional situations is immense. Always appreciate you and your friendship…let me know when the party is!
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Mike Chase
Mike Chase@Chaser3030·
In the immortal words of Looney Tunes…it’s been a hell of a ride! 96-02 #Retired
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Jeffrey P. Steinig, MD
Jeffrey P. Steinig, MD@docsteinig·
@Herniadoc I think you are correct. Opening the flap creates a potential space. Surgery has it’s consequences but for a curative cancer operation we can deal with it.
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Dr. Shirin Towfigh
Dr. Shirin Towfigh@Herniadoc·
Can someone explain to me how suturing the left and right vas deferens stumps after a prostatectomy can reduce the risk of post prostatectomy inguinal hernia? My impression has always been that Hernias occur after prostatectomy because of the opening up of the peritoneal flap and exposing the internal ring, usually in someone who already has an inguinal hernia with fat plugging the hole. Here is the article: bjui-journals.onlinelibrary.wiley.com/doi/pdf/10.100…
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Bobby
Bobby@BobbyWilson1004·
I was asked -in a very friendly manner- if I would refrain from posting specific player detail on the scrimmage today. So I’ll just say that I am very excited about many things I saw today! We have speed, size, depth, & athleticism all over the field on O & D. Also our kicking game is elite. We will see a good bit of playing time from at least 3 true freshmen. Can’t wait for our opening game! Go Dawgs!
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