Michael Reopelle

@rbarbosa91 My program had similar structure (Virginia Mason, Seattle). It certainly implored one to thoroughly prepare for each week.

My program did M&M where the Resident presented the service, and there was a list of all of the surgical cases from the service that week. Anyone in the room could ask the junior any question or detail about any of the cases from the week. Rigorous, but very educational. 🧐😬

@sguyenet Many facets of the world right now that are very disappointing.

We justifiably get upset at academics like Sacks when they commit fraud, because we expect better of them. But I think examples like this are just the tip of the misinformation iceberg, which extends far beyond academia. #RedPenReviews

Dang, this is messed up. "The Man Who Mistook His Wife for a Hat" was one of my inspirations as a young neuroscientist. This is why we need better systems for promoting information quality, both inside and outside the scientific community.

@radfugee I’ve described LLM/AI to others as something akin to “fancy autocorrect.” Idk, perhaps I’m missing something.

The radiologist shortage is not going away anytime soon

@radfugee The current AI boom/fanfare, I would venture to guess, will likely fizzle out. There is something with the current LLM technology that frankly doesn’t capture how we think. Which should be quite a rational leap given our understanding of consciousness etc.

@EzraTeitelbaum @EricKnauerMD @MBosleyMD @rbarbosa91 @DouglasAdlerMD @cutitoutPODCAS1 @AlbertoIsla1 I perform routine IOC. This looks like future trouble.

To surgeons doing cholecystectomy who just ligate cystic duct without doing routine IOC or making ductotomy/milking: what do you think of this??!? @EricKnauerMD @MBosleyMD @rbarbosa91 @DouglasAdlerMD @cutitoutPODCAS1 @AlbertoIsla1

@rbarbosa91 So many meetings…

It took years to recognize the phenomenon of pseudo-meetings and pseudocommittees. In these meetings, there is almost no hope of real input, as the decisions have already been made. In reality, your purpose is to fill the chairs so that 'the process' appears more legitimate.

@cntrydr @SWexner @AmCollSurgeons I think can be useful for those incorporating robo in their practice to facilitate familiarity with 4 arms.

@SWexner @AmCollSurgeons Actually I call Bull 💩on robotic appendectomy. Lap appendectomy is a highly successful procedure, associated with a short length of stay and low complication rate. Additional costs of over $3000 per case for robotic surgery are not justified.

Robotic and Laparoscopic Appendectomies Are Effecative—But with Key Differences facs.org/for-medical-pr… @AmCollSurgeons #ACSCC24

@thejackhopkins 🤨

Here's a little test. I think I already know how this will turn out...but we'll see. As many others have been, I've also been getting crunched by X. If you can see this...give me a "like" and comment with any symbol or emoticon you choose.

@evolutionarypsy @sciam While I certainly agree with some of your sentiments, drastic times do, unfortunately, call for drastic measures.

@8ntmuch Absolutely

“Perhaps the genius of ultra running is its supreme lack of utility. It makes no sense in a world of space ships and supercomputers to run vast distances on foot. There is no money in it and no fame, frequently not even the approval of peers. But as poets, apostles and philosophers have insisted from the dawn of time, there is more to life than logic and common sense. The ultra runners know this instinctively. And they know something else that is lost on the sedentary. They understand, perhaps better than anyone, that the doors to the spirit will swing open with physical effort. In running such long and taxing distances they answer a call from the deepest realms of their being — a call that asks who they are.” — David Blaikie #motivation #quotes #running #trailrunning #mentality

@radfugee As we say in the biz, no bueno.

Swirl

@LakotaMan1 Yep. Sorry Ms. Jackson. I am for reeeeeeeeal

@SvengerdHoek Pubes

@evolutionarypsy Classic materialism. The world of fast fashion nauseates me.

@AshleyGWinter Cefaaaaaazolin (to be said with jazz hands, naturally)

The best antibiotic is keflex

@LakotaMan1 Yo!

So, they’re blocking me from seeing your replies. Can you please reply to this tweet or just like it so I know you’re still there?

@EricKnauerMD @rbarbosa91 @SAGES_Updates @FilipinoSurgeon @EdLinEmory @RScott571 @traumamom4 @VNikolian @CPark_MD MegaDooDoo

What do you call it when a surgeon has a regular elective practice day (surgery, office patients,etc) and is also covering Emergency General Surgery(#EGS) call? @rbarbosa91 @SAGES_Updates @FilipinoSurgeon @EdLinEmory @RScott571 @traumamom4 @VNikolian @CPark_MD

@AshleyGWinter What’s the rate of chronic pain after vasectomy? Anesthesiologist buddy stated have seen many cases. 🤔

And yet 90% chance they are too scared to get a vasectomy

@Alan_Couzens Wonderful. What’s you opinion on endurance athletics and risk for atrial fibrillation?

A good question from Sam... Some things I like for endurance athletes when it comes to 🏋️... 1/ Large muscle, integrated, movements over a full range of motion in many planes. The strength work offers us a great way to work planes and ranges of motion that we *don't* get to access with swim/bike/run. In this way, it promotes mobility and muscle balance. Squats, lunges, rows, presses over a full range of motion in all planes. As much standing/unsupported as possible to force the stabilizers to work. This includes a good dose of single leg & single arm work. 2/ Most of the work devoted to relatively high reps, w/ relatively little rest Even in strength, we want to keep the aerobic demand up. Doing things like super-setting 2 big muscle movements together (e.g. a barbell squat straight into a pull up) with minimal rest between the 2 facilitates this. For endurance athletes, large muscles with no mitochondria are just dead weight. 3/ A mix of modalities Bodyweight work (for the upper body) is great. To me, there is nothing more "functional" than being able to manipulate your body. I love kettlebells as well - swings & cleans with a kettlebell are a great way to develop power in a safe and low impact manner. Bands and cables add the ability to change the plane that you're working and put more of an emphasis on stabilizers e.g. doing a standing cable press vs a bench press. #### By focusing on the above, we can cover a lot of objectives and get a lot of good, general, bang for the buck out of relatively short strength sessions.

@tommy_rivs Needed to read this. Thanks brother.

Zoom in for gratitude. Zoom out for perspective and progress. 🏴‍☠️