Susan Kiernan O'Horo, MD

@sethmhardy My back patio and driveway this AM. Crazy!

@skohoro Stay safe. Hopefully the roofs hold.

Hingham, 5 PM: 17.5” Snow continues to fall, though winds are relaxing. @WX1BOX @WCVB

@sethmhardy Proud papa moment. Values start at home

This happened yesterday at my daughter’s HS. She sat in her ELA class with her fantastic teacher working on college essays. ❤️ that girl and grateful for the good teachers she has. Her choice was reinforced at the dinner table.

10 @TedLasso leadership lessons: 1 be curious 2 winning is an attitude 3 all people are different people 4 see good in others 5 forgive first 6 stay teachable 7 believe in yourself 8 optimists do more 9 be honest 10 doing right thing is never wrong thing

I recently heard someone say: "The amount of good things in your life depends on your ability to notice them." I can't see it any other way now.

The Last Snowman I’m at that stage of life where I’m starting to realize that some moments might be happening for the last time. Yesterday, my middle son and I built a snowman :-). Yes, this 60-year-old doc's child comes out every now and then. Fresh snow, quiet air, the kind of morning that feels suspended outside of time. He’s graduated from college. His life is already pulling him west…toward love, toward opportunity, toward whatever comes next. And as we packed snow between our hands, shaping it into something temporary and imperfect, I realized this might be the last time we do this together. Not the last time we’ll talk. Not the last time we’ll laugh. Not the last time we’ll see each other. But the last time we’ll build a snowman. No one tells you how parenting changes. At first, it’s all beginnings. First steps. First words. First days of school. You’re trained to look forward, always forward. And then, without warning, life quietly starts handing you endings instead. Not loud ones. Soft ones, often unannounced. You don’t get a notification that it’s the last time they’ll fall asleep on your shoulder. Or the last time you’ll hold their hand crossing a street. Or the last time you’ll all be living under the same roof. You just live through them. And only later do you realize what they were. I want my kids to move on. I want them to chase what calls them. I want them to build lives that are expansive, brave, and unmistakably theirs. I’m proud of their independence. Proud of their curiosity. Proud of who they’re becoming. But pride doesn’t erase grief. It just lives beside it. I’m climbing what’s been referred to as my Second Mountain now. The first was about building, proving, and accumulating. This one feels different, quieter, and far more deliberate. It’s less about adding, more about distilling. Less about what I achieve per se, and more about what and who I carry forward. And with that shift comes questions that don’t always have clean answers. Was I present enough? Did I listen well? Did I prepare them for what I couldn’t protect them from? What did I miss while I was busy building everything else? I don’t know. Maybe no one ever really does. Yesterday, we built a snowman. But, for me,  it wasn’t really about the snowman. Well… maybe a little about the snowman. But… It was about time. About becoming…. and about letting go without letting love leave. About standing in that strange, tender overlap where past, present, and future all exist at once. If that really was our last snowman, I’m grateful I was there for it.

@SavageSports_ @ESPNNFL Randy Moss is the best ❤️ preach

Randy Moss on the Patriots: 🎥: @ESPNNFL "I think toughness is going to really show up."

Making this my mantra for the New Year. (Ralph Waldo Emerson, from an 1854 letter to his daughter)

@theblanketdog Also would consider asking anesthesia to do bedside before escalating care. They do spinal access without imaging all the time

Maybe doctors are partially to blame for the cost of Healthcare. I am at a rural site. I was called last night by another rural site and was asked to transfer a patient with possible meningitis to get an LP. I asked if they had tried bedside? No. Will you be trying bedside? No. Well, I'm not accepting this unless you try. The indication for image guided LP is failure of bedside LP. To transfer a patient with possible meningitis because you don't want to try an LP is insane. When I was an intern, we did these all the time. Now, I wonder how often this is happening on a daily basis? Even if it's 5 times across the country at 3k per transfer, that cost adds up.

@SketchesbyBoze The Correspondent

I’m looking for a good contemporary novel. I’ve been reading a lot of medieval poems & sagas and realized I’d read hardly any recent fiction this year. I love a book that’s a bit cerebral, a bit strange, and tells a solidly plotted story with a minimum of fuss.

Can't stress enough how important this is. Your brain will rot if your sole media diet is tweets and short-form videos. You need to be reading daily. The consequences of a world in which no one has the sustained attention to read a book will be catastrophic.

@MagnumAoV @tuckerweather The thing that is crazy though is that it is not classified as invasive in any surrounding states

@tuckerweather It’s a great plant, just invasive and they pretty much take over in comparison to our native plants. Same thing with Norway maple

Not sure what this bush is at work, but it’s gotta be my favorite this time of year. We’re likely into our best week for color in southern New England, get outside before it’s gone!

@tuckerweather I think this is a burning bush. My favorite too. I wanted to plant them as a hedge but apparently they are illegal to buy in MA bc considered invasive.

And just for the record, this is not color-enhanced at all. It’s so bright it actually looks like it’s glowing

If you want to push back against tech's encroachment into every corner of our lives, you have to read books. They're eager to create a future in which most people are illiterate and hooked on slop, a world without imagination or knowledge. Reading is resistance.

@sethmhardy Won’t age well

If you multiply the # pregnant women posting videos of themselves taking Tylenol by the incidence of disease (regardless of cause), a lot of them may be second guessing that decision long after Trump is gone.

@stoolpresidente Charlie

Name suggestions for newest member of Go Go Greys?

IR fellows/attending looking for private practice in metro NY area? This is a great IR job! Clinical practice. IO. Pulmonary IR. Ablations and more. $$$ and vacation is unreal! Nice people and great practice environment @SIRRFS @womenirads interventionalradiologyjobs.sirweb.org/job/ir-radiolo…

@theblanketdog @ChengaziMD Classic. The more things change the more they stay the same. Ok for there but not for me

@ChengaziMD But the ridiculous part is them not giving a shit about me taking up call resources on a holiday while they position themselves to not take up call resources on a holiday.

Whyyyyy can't you do this pre op embo today so we can go to the OR tomorrow? No we didn't want it yesterday because we didn't want to go to the OR on a holiday. I hate everyone.

@CHICKVIR @InariMedical @CVIR_Journal @JVIRmedia @MinaMakaryMD @mabadsantos @Eric_Monroe_MD @iRadRock @_backtable @thefibroidlady @DaveJohnsonMD @baobui99 @DonGarbettMD @bahetimd What about for loculated ascites? Malignant ascites?

Mechanical aspiration with the FlowTriever Aspiration Catheter may be an alternative or adjunct to catheter upsizing and fibrinolytic therapy for complex intra-abdominal abscesses, especially when drainage fails. link.springer.com/article/10.100… @InariMedical @CVIR_Journal @JVIRmedia