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@SeanLangenfeld @DCRjournal You are plenty qualified dude. Don’t sell yourself short

Tomorrow at 7pm EST, I will be participating in a @DCRjournal #DCRJournalClub debate regarding the role of #TaTME in rectal cancer surgery. It's an insane lineup of all-star speakers and judges, and I have no business being a part of it, but it hasn't stopped me before! We'll hear debate from experts including @patsyllamd @DavidLiskaMD @justinmaykel @TAMISYoda @caycedomarula and their arguments will be judged by legends including @ConorDelaneyMD @JamesFleshmanM1 and Neil Hyman (who intelligently avoids social media) Click here to sign up: ccf.us17.list-manage.com/subscribe?u=7b…

@docmartin22 @SeanLangenfeld Ummm, no

@doktrj @SeanLangenfeld but now what if that "another 20 years" was on active duty in the military??? Tempting!!

Surgery resident calls out grand rounds speaker and ACGME CEO for "hurtful" comments, thanks his chair and resident for support (in a weaponized manner), and demands a response/apology from the ACGME. Reposted 75 times, liked 350 times despite pretty much nobody actually knowing what the guy said (and in what context). Another surgeon who's known the speaker (and his dedication to medical education) for years comes to his defense, gets 13,000 views and a resultant 15 likes. Social media is so gross. We all assume the worst, simplify things into buckets of good and evil, make snap judgments without a shred of research, then attack people without any concern for consequences. There's a huge ripple effect (in an unpredictable manner), sometimes it blows over, sometimes people's lives are ruined, but it's irrelevant to the mob, as our attention span is short and we've already moved on to the next offending incident. Whether or not the GR speaker was truly hurtful, the way we all decide about his worth and then demand a consequence is extremely dangerous.

@RichLesperance @SeanLangenfeld Appreciate that Rich. Hope you are well. Our current culture has beaten the life out of me. I love my job in Montana- mainly because it’s just me and the patient. Very pure. The people I work with are wonderful. Unfortunately, I probably won’t be doing it much longer.

@doktrj @SeanLangenfeld Disagree (with the not being special part) - you were one of the outstanding mentors I was lucky enough to benefit from. Not everyone could do what you did…

@SeanLangenfeld Not sure that I’m anything special. Where we are as a profession is not good. It’s only getting worse. Time to move on. Pretty bad when dying is a convenient way out. I can’t imagine having to work another 20 years in this environment

@doktrj I appreciate you. You've done a LOT for surgical education over the years.

@Sassynightnurse Total bullshit. Hospitals need to do something about this

It took 2 nurses and the doctor to pry my hair out of the hands of a 23 year old combative patient. And I literally can’t cannot stop my hands from shaking right now. Im so tired of this.

@doclauravater Excellent policy

Once, a woman stopped me in the lobby. "I'm sorry, I can’t find the ICU.” I showed her where to go. An hour later, I was called to the room—her husband was dying from cancer. That was the day I decided to treat every person in the hospital as if it were their hardest day.

@VascularArtist @residencyreview Right now, I think it’s immunotherapy. Everything hurts

@doktrj @residencyreview Doktrj : Who hurt you?

I WILL NEVER UNDERSTAND GUNNERS IN RESIDENCY. LIKE YOU ALREADY MATCHED, WHATS THE POINT? 🤷🏻‍♀️

@VascularArtist @residencyreview lol. That’s funny.

@residencyreview No kidding- did they even do that though? Maybe the issue is yours?

@doktrj YOU CAN WORK HARD WITHOUT STEPPING ON YOUR PEERS OR MAKING THEM LOOK BAD

@SeanLangenfeld My invitations for everything dried up. Probably different reasons. Organizations like to move on nowadays. Now I don’t care anymore. Shift in personal priorities

After 10 years, my invitations to give talks on the dangers of social media have dried up considerably. My biggest regret is that I was never witty enough to title a talk "Maybe next time he'll think before he tweets." 🥲

@marklewismd Yep. Waiting on my CT today- ordered yesterday- cancer eval, acute. Had to sign that id pay 10K if insurance doesn’t

Influencers are hawking whole-body MRIs while I can't get an insurance company to approve a CT abdomen for my patient with pancreatic cancer (they did, however, approve a CT pelvis🤦‍♂️) We are living in the Upside Down of medical imaging inverse.com/health/whole-b…

@DrJaneKeating 41

@NotAlexSheppard @Ashley04Marie Hopefully you go to jail. They’re gonna love you

@Ashley04Marie We appeal.

I was just sentenced to 1 year and 7 months incarceration for my role in the protest on January 6th, 2021. The government claimed that I stopped the certification of the election, and that my unapologetic claims of widespread voter fraud, along with my continued observation of federal agitators on 1/6, meant that I had no remorse for entering the Capitol building that day. Therefore, I needed maximum deterrence in order to keep the community safe and prevent me from continuing down this life of crime.

@NotAlexSheppard Fuck around and find out

@bennyjohnson You don’t care about any of those people. I’m curious, you ever spend the day in the fight?

Two years ago, we lost THIRTEEN American heroes because of Joe Biden's weakness. Remember them.

@laurenboebert Will he include that somehow the world created you?

Biden is taking out a huge ad buy to tout his results on “Bidenomics.” Will he include that mortgage rates are at the highest level in 21 years? Will he include that we have hit $1 TRILLION in credit card debt as a nation? What about skyrocketing grocery prices? What about real wages being significantly down? Can he even fit all that into 30 seconds?

@laurenboebert Like you would do any better. Instead of bitching about everything, why don’t you come up with a solution?

The federal response to Maui has been absolutely disgusting. The state is run by Democrats so the officials can’t criticize it for political reasons, but we all are watching a complete failure of leadership AGAIN.

@bennyjohnson People with guns. It’s fine, but why. Pretending to be an operator?

Democrats are terrified of this photo. They would make this photo illegal if they could. I see nothing wrong with it. What do you think 👇🏼