W. Michael Park, MD

@PrajnaKota @PShivanesandr @sctimst_tvm @AortaEd It’s the best, and knowing how puts you in cozy company. vascsurg.me/2023/01/06/rem…

When was your last aorto-iliac endarterectomy? My very first was a couple of weeks ago. Always wanted to do one 🙂 Sending a patient home with a happy aorta, graft free is a cool feeling 😎 @PShivanesandr @sctimst_tvm @AortaEd

Wooden loupes boxes mark you as an old guy. #vascsurg @Design4Vision

@NUCLRGOLF Sometime I can’t break 100. No Venmo.

@LeonardoRandial @MauricioGour @GAEscobarMD @JamesHBlackMD @farkomd @jmills1955 On exploration, may be able to cut out and sew end to end. vascsurg.me/2015/12/23/vis…

@MauricioGour @GAEscobarMD @JamesHBlackMD @docpark @farkomd @jmills1955 Agree in Honor to Osler many of us still call ir mycotic but certainly not the best term

29 y/o man, CKD in HD. With abdominal pain. Listen for some advice. @JamesHBlackMD @docpark @GAEscobarMD @farkomd @jmills1955

@PipeCabreraV @pferrada1 @SWexner @TomVargheseJr @monteromiguel I do end to side but place anastomosis at 2 o’clock.

Aorto bifemoral bypass with end to end infrarenal aorta anastomosis to avoid graft prominence a risk of duodenal erosion ⤵️💥🔪🩸! @pferrada1 @SWexner @TomVargheseJr @monteromiguel

Amazing patient-centered (and lost new surgeon-centered) signage and map system!! Type in where you are trying to go and you get a dynamic map AND a link for your phone. Wow @UHhospitals

I've only recently seen the @WithAScalpel account, but it is immediately obvious that it has a steady output of high-quality visual teaching aids related to pediatric cardiac surgery and physiology, and also some general technical pointers. It should have WAY more followers. 🧐

I debated not showing up and shouting "April fools!" if someone called me, but instead have officially started and am thrilled to report I was welcomed by 10,000hrs of Epic training.

@MaherSabalbal Can preserve the nerve. The skips are made easier with a Ligasure, either the short hand type or 23cm Maryland tipped.

@docpark Ur right. I find skip incisions more challenging in cephalic vein harvests given number and small size of tributaries. Furthermore, the lateral cutaneous nerve of the forearm is intimately intertwined with tje vein, a nerve I always strive to save.

Cephalic vein is often next in line as a suitable conduit when GSV not available. Time consuming? Yes. More durable than cadaveric or PTFE? Also yes. It's also free.

@GAEscobarMD @PipeCabreraV @thesurgerylife @SWexner @pferrada1 @TomVargheseJr @CiruAndes2 @AmCollSurgeons @farkomd The baby yankauer not only a suction device but an important dissection tool. No Frazier’s in my OR.

@thesurgerylife @PipeCabreraV @SWexner @pferrada1 @TomVargheseJr @CiruAndes2 @AmCollSurgeons @farkomd I abhor it. Noisy, worthless unless your goal is to shove it in all the way something small and then turn on the suction. Use an Andrew-Pinchon instead (AKA baby Yankauer).

How to avoid the annoying noise of the Frazier suction! Using a 1 cc syringe with a 14 g IV catheter! How to do it! @SWexner @pferrada1 @TomVargheseJr @CiruAndes2 @AmCollSurgeons @farkomd

@SCVS1969 breakfast session. Just heard an insanely cool technique to treat an extent III TAAA with tiny access vessels via transcaval access. Laser to cross from IVC to Aorta, dilate, place large TAMBE access and deploy. "Fishing pole" retrograde cannulation + AFX via arterial

Ever wondered why surgeons obsess over a tiny “ligament” that’s actually a clever muscle hybrid hanging from your diaphragm? It quietly divides your gut’s bleeding zones and keeps your small bowel from twisting into chaos! The Ligament of Treitz—more accurately termed the suspensory muscle of the duodenum—marks the precise anatomical transition from the duodenum to the jejunum at the duodenojejunal flexure. Far from a simple collagenous ligament as its name suggests, this fibromuscular structure comprises a superior portion of skeletal (striated) muscle fibres arising from the right crus of the diaphragm, blending into connective tissue near the coeliac artery, and an inferior part of smooth muscle fibres originating from the third and fourth duodenal segments. This unique composition allows it to suspend and stabilise the flexure, widening the angle during contraction to facilitate smooth passage of intestinal contents into the mobile jejunum. Clinically, it serves as a critical landmark: bleeding proximal to the ligament is classified as upper GI (often presenting as haematemesis or melaena), while distal bleeding counts as lower GI (typically haematochezia). Surgeons rely on it during laparotomy to identify the jejunum for procedures like feeding jejunostomy or measuring bowel length.

Fat Perez draining Tiger's famous putt on 17 was a scene. 😂

@MayoClinicCVS I remember this being presented in vascular conference with Drs. Kenneth Cherry and my co-fellow Todd Rasmussen -with a classic illustration by David Factor.

In this case report, A. Pochettino, MD & other experts discuss ascending aorta to iliac artery bypass in coral reef aorta w/multidrug resistant hypertension & worsening renal function: #JournalofVascularSurgeryCasesInnovationsandTechniques dx.doi.org/10.1016/j.jvsc…

@georgetolisjr Podium jockies of questionable surgical skills giving lectures is an age old problem. It’s like being lectured in golf by a bogey golfer dressed up like a pro.

Cardiac surgical societies should require all “experts” to turn in a case list before they can sit on a national meeting panel and lecture the audience about “how I do it” or “how I teach it”.

It is a great tournament with a great field on a Pete Dye course that isn’t not fun to watch. But Buc-ees is great too but it doesn’t go asking for Michelin stars.

@NoLayingUp is the Players the fifth major? They’ve been talking about this since the 80’s when I was growing up in Jax. I say no.

@NUCLRGOLF No way to get tortured on a Pete Dye track designed with a disco era sensibility like the old clubhouse they demolished.

⛳️💰😮‍💨 Would you pay $875 to play a round at TPC Sawgrass? #THEPLAYERS