Madison Sands MD MS

So thankful and excited to match into general surgery at @UKyGenSurgery !!!

@rbarbosa91 Nope. That’s a nope.

Verbal rounds in the conference room: “NG output is minimal, should we remove it?” In-person rounds:

Greatful to these talented physicians for sharing their experience with the #match and the #UMEtoGME transition. #Inspiration #NRMP #NRMPConference @TheNRMP

The panel discussion with previous Match applicants and NRMP President and CEO Donna Lamb is underway! #NRMPconference

Thanks so much to @SophiaAntimis, @Shawngibson23, @shakiraaharding, @M_KGS7, and @_thebalanceddoc for attending the #NRMPconference and sharing your insights about the Match process!

@NephroP I see! I wasn’t sure their age based on the heart size… was thinking this was of a 1-2 mos old. I appreciate your explanation— it makes sense!

This is a fetus so foramen Ovale must be patent. In adults, can do a bubble study if you suspect intracardiac shunt - appearance of microbubbles within 3-6 cardiac cycles after right atrial opacification is considered positive for the presence of an intracardiac shunt. (air is white on US = acts as contrast). But bubble study is generally beyond the scope of #POCUS (depends on ur specialty). Large shunts can be seen on color Doppler as well.

#POCUS quiz of the day. Is this normal or abnormal image? #MedEd #FOAMed Courtesy: Cluver C, Radiopaedia

@BrownJHM Esophageal varices? Grade 3?

A patient with alcohol use disorder presented with hematemesis and was found to have anemia. Upper endoscopy revealed these findings in the esophagus. What is the likely diagnosis? (Image: Wikipedia) #Medtwitter

@NephroP ~on US~ (not including pt hx)

@NephroP Nice! Incoming intern here—appreciate the learning opportunity. I saw the septum’s and got the four chamber view down…this may be me being nuanced, what are some tips for differentiating a normal case like this versus an ASD or PFO?

@Zevenx7 @NephroP PREGANANANTE!?

@NephroP Ectopic Pregnancy?👀

The results from our DEVICE trial are out in the @NEJM . In this RCT, direct laryngoscopy was inferior to video laryngoscopy for first-pass success. In fact, it was so inferior that we had to stop the trial early after DSMB review due to the clear benefit of VL. This is the 🔨 nail in the ⚰️ for DL. While it's an important skill, VL should be the standard when it's available. If it's not available, we need to make it available. nejm.org/doi/full/10.10… #emergency #emergencymedicine #icu #criticalcare #airway #military #war #trauma #data #science #research #armyemdoc #medtwitter #foamcc #foamed

There are thousands of new docs getting ready to start their internship this month. What advice would you give them, #medtwitter? I'll start... sleep is your highest priority, followed by staying in shape and staying connected to friends.

@Itsme_Amee Using the TexasStar and Residency Explorer, databases, my initial priorities were saving monies and finding places that might not screen me out due to lower Step 1 scores. Then, I looked into those programs to see if they fit what I was looking for(insert what’s important to you)

Hey, #MedTwitter how did you guys go about creating a list of residency programs to apply to. Im overwhelmed already😞. #gasgang #anesthesia

@j_mee949 Priorities✨

not only did i set an anime scene as my computer background but i haphazardly moved every item on my desktop into a folder called “stuff” so i could see it better. help

@DiLaurentino This is motivation 💪🏽

End of intern year approaching and I was able to accomplish all my scientific goals: ✅ 14 research papers published ✅ 1 oral presentation at ACS Clinical Congress (more to come this next year) ✅ editor of a clinical research book coming in the next year ✅ editor of an incoming hernia surgery book Intern year is hard and harder if you still want to be an academic surgeon. You will find strength in your family and your friends. #MedTwitter #SoMe4Surgery

@__DestinyGreen Here for it! Congratulations 💪🏽

🎉 It’s official!! 🎉 I am happy to announce that I will be pursuing a Master’s degree in Artificial Intelligence at Mayo Clinic!!! This year, I’ll be taking my robotics research to the next level 🔥 The world hasn’t seen what I’m about to do 😈 #MedTwitter #neurotwitter

🧵regarding some technical points about passing drains or chest tubes through the body wall. Aside from the normal techniques, we will show what to do with the less common 'trocar' type of drains and chest tubes, and also what the 'pointy' part of the chest tube is for. (1/ )

@amina_hussian This may be a loop of a question, but where are you at in the process? Have you completed research and feel that it’s ready to publish?

@HumeralO I’m on board with this 🫡

Honorable mention: Anesthesia: introverts unite

You and a doctor are on an elevator. It malfunctions. Now you’re stuck for an extended period of time. If you could choose, what medical specialty would you want the other person to be a member of and why?

Excited to share our newly published paper: Healthcare disparities in pediatric neurosurgery: a scoping review in @TheJNS Pediatrics: doi.org/10.3171/2023.3… We summarize major themes & provide a roadmap for future research to understand WHY these disparities exist #Neurosurgery

@thaidoctah I’m always in your corner. Periodt. Equally proud of you!

So proud of you💜