Levi D. Procter, MD, FACS

@FennerBrittany @macky_neal @traumadoctors @traumadoctorsam @PittSurgery Let’s see it @macky_neal

Drop your lanyard swag below ⬇️. @macky_neal is very proud of the length of his. Can you beat it? @traumadoctors @traumadoctorsam @PittSurgery #aast2025

@LNHaines @UCSDTrauma @TWCostantini @rwinfield11 @jaydoucet @PTAlbini @ecantrellMD @Dr_ABrito That’s awesome.

A fantastic lunch reconnecting with UCSD Trauma Critical Care Fellows past and present. #EAST2025 @UCSDTrauma

@bryanacotton1 Shocking. You mean pressure doesn’t equal flow and flow doesn’t equal perfusion? 🤣

In this SR/meta, low BP targets (mostly in ICU setting/first 24 hours) had ⬇️ 💀, ⬇️ afib, and ⬇️ transfusions mortality Low Versus High Blood Pressure Targets in Critically Ill... : Critical Care Medicine journals.lww.com/ccmjournal/ful…

At exactly this time on November 24, 1963 (also a Sunday), Dr. Tom Shires and his residents begin the trauma laparotomy on Lee Harvey Oswald. Oswald was found to have the SMA sheared off the aorta, along with R kidney and IVC injuries. He also got a resuscitative thoracotomy.

@rbarbosa91 @AckertKathleen @OlgaTheOBGYN Truth.

@AckertKathleen @OlgaTheOBGYN My impression is that it’s easier to get picked to be an astronaut than it is to get on one of those RVU committees.

If you’re ever wondering why it’s important for your specialty to advocate for its RVU: For…uh, no particular reason, I learned that creation of bilateral testicular thigh pockets (14 RVU) is roughly equivalent to an ECMO cannulation *plus* a laparoscopic inguinal hernia 🤔.

Today marks the 22nd anniversary of the release of the debut Audioslave album.

@Herniadoc @jennyshaomd @AmericanHernia Any discussion points in transplant patients on permanent vs abs/biosyn mesh?

Smart advice from @jennyshaomd on which mesh to use, especially in ventral hernia. @AmericanHernia #AHS24

Repping VCU at the @IntuitiveSurg robotics training course in ATL ✨🤖

Celebrating Drs. Dart, Wishnoff, & @AlexSimmondsMD for matching into critical care fellowship! We are so proud of you!

@diana_otoya Thanks!

The absolute best #herniaking

@VCUGenSurgRes Thanks!

Happy birthday to the one and only @LeviProcter!

@rahuljanand @AaronGilani @EricKnauerMD @VNikolian @rbarbosa91 @CPark_MD @ericpaulimd @SAGES_Updates @RScott571 @TWorrest @mj_pucci Agree.

@AaronGilani @EricKnauerMD @VNikolian @rbarbosa91 @CPark_MD @ericpaulimd @SAGES_Updates @RScott571 @TWorrest @mj_pucci It doesn’t.

What is your hospital policy regarding surgical site marking. (Who does it, where is mark, what is mark, etc). Have a great weekend! @VNikolian @rbarbosa91 @CPark_MD @ericpaulimd @SAGES_Updates @RScott571 @TWorrest @mj_pucci

@bryanacotton1 Yup. Basic chemistry.

Who’s giving HCO3??? Just makin’ more CO2 for my vent pts and playing a shell game in patients that need volume.

@ericpaulimd I removed an ETT from a patients stomach on EGD. That was entertaining

I only have a partial plan for the management.

@ericpaulimd 🤣🤣🤣🤣

@ericpaulimd Pwned

The face of a dog who climbed onto the counter and ate 250 grams of Brugge cheese when no one was looking. This isn’t guilt. This is contentment.

@ericpaulimd I never understand this chasing of postop ileus. There’s a reason for it. Rule out obvious causes. Support the patient and it’ll resolve in the huge majority of cases with patience.

Can’t see any issues with this design.

Happy pancreas day! @FreudenbergerMD showing off her incredible and anatomically correct baking ✨skills✨

Excellent @VCUGenSurgRes Chief Talk on “Shame in Medicine and Medical Education” by PGY5 Anna Xu - great talk on a subject not discussed enough!

Dr. Haoxuan Xu, PGY5, giving grand rounds on “Shame in Medicine and Medical Education” chief talk. Excellent talk. @VCUHealth @VCUGenSurgRes