William Thorell, MD

Hospitals have convinced a generation of doctors that the building is the value. (Funny how that theory disappears the second there is a lawsuit) Without doctors: no admissions, no surgeries, no procedures, no E&M billing, no facility fees, no DRGs, no MCC/CC capture, no 340B scripts, no quality metrics. The building collects the fee. The doctor creates the value. That is the relationship. Time physicians started acting like it.

The No. 3 vertical jump by a QB on the all-time NFL Combine list belongs to Cole Payton (40.00”) 📺 #NFLCombine on @nflnetwork

for those who have never worked in healthcare, I made a simulation to get a sense of how difficult it is to do something even very simple like order Tylenol. WARNING: this may be infuriating to some providers

#ABNS #Boards #Neurosurgery @StanfordNsurg 47M avid cycler presents with weakness and numbness in right hand. Numbness includes digit 5 and medial half of digit 4, sparing the dorsal-medial hand and medial palm. Adductor pollicis and ADM are weak. Where is the likely entrapment?

#ABNS #Boards #Neurosurgery @StanfordNsurg A patient is found to have an avulsion of the C6 nerve root. What surgical treatment would be appropriate to consider? Direct (primary) repair? Autograft nerve repair? Allograft nerve repair? Distal nerve transfers?

#ABNS #Boards #Neurosurgery @StanfordNsurg You see this sign when examining a patient. What sign? What neuropathy? Why does this happen?

#ABNS #Boards #Neurosurgery @StanfordNsurg On a nerve conduction study, the conduction velocity is found to be normal, with a reduced CMAP amplitude. There are fibrillation potentials and positive sharp waves noted in the corresponding muscles. What do these findings suggest?

#ABNS #Boards #Neurosurgery @StanfordNsurg Patient has a total hip replacement and has a complete foot drop. Differential includes compression of the common peroneal nerve at fibular head versus peroneal division injury at the hip. How could you differentiate these?

We’ve got a lot to talk about with NDSU QB Cole Payton. I’ll say this; while it ain’t always pretty, the ball placement (no matter how wild the launch) just keeps drawing me in more and more. Dude just keeps hitting spots! 👇

This Reds player hit a HR for his first Major League hit. Mookie Betts knew that and went to the outfield and ask for the ball back. The fans gave him the ball and the next inning Mookie came out with a bat to give those fans. Absolutely awesome

🧵regarding the Gigli saw: A simple but effective tool for cutting bone. As usual, we'll go over its design, how to use it, and why such a basic device still exists in the surgical toolbox in 2026. We'll also cover its history and the tragic fate of Leonardo Gigli. (1/ )

That’s a wrap! 🎉 Our 2025–2026 #neurosurgery residency interview season has officially come to a close. We’re grateful to have met such talented & driven candidates. Thank you to all who interviewed with us! We wish you all much success in the @TheNRMP Match! @unmc @UNMCCOM

Read more here: offlabelideas.com/p/the-young-ph…

If this isn't targeting, why even have the rule?

ICYMI, Inspired by @Doctor_V here are 45 things I believe in Medicine johnmandrola.substack.com/p/what-i-belie…

🎉 Today we proudly celebrate Dr. Lyal Leibrock’s 85th birthday, who left us too soon! His pioneering work & commitment to education built the very foundation of our @UNMC_NeuroSurg & #neurosurgery residency training program. We are honored to carry forward the legacy he created.

One of the most underappreciated dynamics in healthcare is Parkinson’s Law of Triviality: organizations devote disproportionate time to the issues that matter least. In behavioral economics, it’s called “complexity avoidance.” In healthcare, it’s usually called “the weekly meeting” or sometimes referred to as “the huddle.” We’ll spend hours debating badge colors, committee names, logo refreshes, and which department should ‘own’ a metric - while multimillion-dollar structural failures, workforce collapse, and catastrophic billing inefficiencies glide by untouched. The harder the problem, the faster it gets tabled “for further discussion and research.” The easier the problem, the louder the opinions - suddenly everyone’s an expert. This is why health systems have immaculate branding guidelines but chaotic revenue cycles. Why they can produce a 200-page “cultural competence” report but can’t reliably staff a night shift. Why they optimize hallway signage faster than clinical throughput. Why they talk about all the community service that they produce yet none is ever actually observed or experienced. This is why dilettantes are rewarded and brilliance is punished. Healthcare doesn’t suffer from a lack of goobers, gomers, and grifters - it suffers from a gravitational pull toward the trivial. And nothing accelerates that gravity quite like a conference room full of administrators with laptops.

CP9 did it again!

It only takes minutes to save a life. On #WorldStrokeDay🧠, remember the signs of stroke & call 911 immediately. @NebraskaMed stroke specialists are ready 24/7 to provide expert care for our community. 💙 #ActFAST @unmc Learn more 👉nebraskamed.com/neurological-c…

#Recruitment season is officially underway! Yesterday, we welcomed our first group of #neurosurgery applicants & it was such a pleasure getting to know such an impressive group! We look forward to welcoming more outstanding candidates soon! @TheNRMP @unmc @NebraskaMed