K Benjamin Lee, M.D., 이경준

@OhioStateSurg @JuliaColemanMD @timpawlik @OhioStateMed @OSUWexMed Amazing @JuliaColemanMD 👏🏼👏🏼👏🏼

#OhioStateSurg Dr. @JuliaColemanMD presented Grand Rounds at the University of Michigan as part of the Big Ten Junior Faculty Exchange earlier this month. Proud to see our faculty sharing expertise across institutions! 👏

@KidneyCancer @eric_facs @OSUCCC_James Congratulations Eric!!! 💪🏼

Exciting news!🎉 We're pleased to announce @eric_facs @OSUCCC_James as the new Chair of our Board of Directors. Dr. Singer has always championed the KCA and his leadership will strengthen our impact in the years ahead. 👏 Join us in welcoming him! kidneycancer.org/eric-singer-bo…

Dr. Macsata was the most influential mentor I had. I would not be a vascular surgeon without her. She believed deeply in residents and education and her patients loved her. I am so grateful for her mentorship and the lasting imprint she left on my life. vascular.org/node/2034

@MicieliA_MD These are wonderful points. Thank you for taking the time to educate.

What are the initial thoughts after reading the CREST-2 trial comparing medical management vs stent/CES for asymptomatic high grade carotid stenosis? nejm.org/doi/full/10.10… #MedEd #stroke #neurology

@anish_koka The aviation analogy isn’t implied how you describe it but more so how it was described in @Atul_Gawande checklist manifesto. checklists and structured communication like in aviation have been shown to reduce variability and improve team performance under pressure in hospitals.

@anish_koka I think this misses a key point. Properly implemented QI initiatives aren't about pretending every bad outcome is preventable. They're about reducing the likelihood of never events and improving system reliability.

A healthy 50 year old comes to the ER with a fever. She doesn’t appear well. A CT scan that’s reported at midnight suggests an obstructed kidney stone. An antibiotic is started fluids are administered. The next morning ID sees her, she’s lethargic, antibiotics are added, she’s moved to the ICU, urology is called. She heads to the OR at noon. Subsequently has a PEA arrest , has a stroke, and dies weeks later. Tragic. Every single adverse event like this reveals a multistage of steps that may have changed the outcome. Broader spectrum antibiotics , more fluids, an ICU admit from the outset. Calling urology at midnight vs 8am. But the key word is may. There’s this dumb analogy to aviation that’s made all the time about never events. As if every adverse medical event is a preventable one. Truly sick patients are like planes that are in a terminal descent. Some portion of the time the pilots can sort it out , mange the problem by fixing something gone wrong, or landing in the Hudson. Every mishap that happens in the airline industry also always reveals a number of choices that would have lead to a much better outcome. It’s easier to derive cause because we are dealing with machines. The pilot was flying at the wrong altitude. A collision would not have occurred if they had not ascended.. in human biology we are left to guess what may have happened if the infected kidney stone had been removed at 2am instead of noon. The earlier the better of course, but an experienced physician is all too familiar with the difficult of managing the inflammatory cascade in the setting of severe sepsis. And yet despite the true difficulty with finding fault in these cases, the system focuses on the finding of fault among every member of the chain that came into contact with this 50 year old. Well not every member , only the members of the chain that have malpractice insurance. The nurse that hung the antibiotics late. No fault individually there.. because there’s no money worth going after. Physicians mandated to carry at least a million dollars of med mal, yes. The hospital , of course. And so we have an ecosystem that exists to find fault. Experts are easy to find that will say without a doubt decision X would have lead to a different outcome. And look, I’m not trying to defend why exactly urology isn’t called at midnight for a septic 50 year old.. I wish that had happened.. I just don’t know if anyone can really say it would have made a difference (on average yes, but for this patient?) . And it actually is a good judgement call in this case to order a ct in a patient with a fever and a dirty urine — most of the time unless there’s something on history/exam .. ur finding this out the the next day when the patient is getting worse/not responding to standard treatment of urosepsis. Should we be ordering a ct abd on every patient presenting with urosepsis? It’s complicated… and our fault tort system isn’t a great way of adjudicating all this. But $$ talk, and while the AMA think they are doing gods work , other health care parties are unified and busy making sure the system set up rewards them handsomely.

@BrooketheOstomy Should learn how to do both!

To me this pic actually looks like they has the thumb in but that’s it … which is what I feel like a lot of people do. But it’s been a debate of late at our program. Curious people’s thoughts!

As someone who works regularly in a hospital and the ER, I can say this claim is categorically false. Ms. Leavitt should take the time to read about EMTALA, which guarantees emergency lifesaving care for all. The lack of compassion here is not just disappointing — it's shameful.

@XavierBerardMD Do these come as part of your benefits package if you work in Bordeaux? If so are you taking applications?

I had recently the privilege to operate on my first Professor of Surgery, the very first one to get me scrubbed as a Med student in 1996. He was not the most influential in my surg. education but allowed me to dream that I could one day be a surgeon. Forever Grateful, Cheers!

@TheNotoriousHPB 💯this concept of extreme ownership is so important in surgery

Applies to surgery 100%. All complications are on the surgeon. How a surgeon handles M&M tells you a lot about their character and integrity. Always astounded watching “leaders” shift blame to house staff or spinning their errors into “learning experiences” or “great saves.”

That’s a wrap! @OSUWexMed @OhioStateMed @OhioStateSurg Vascular Surgery Symposium with our wonderful keynote speakers Dr. Passman @uabmedicine and @patrickmuckmd. Our trainees also did an awesome job presenting!

Strong showing by @OhioStateSurg OSU Vascular Surgery at MVSS! Our trainees did awesome job presenting at the meeting! our new partner Dr. Powell also representing and joining us from @UoMVascSurgery

@farkomd Better than wellness/burnout modules

As a vascular surgeon, I spend my days & nights repairing vessels, but I don’t forget to care for my own. Getting outside & staying active isn’t just advice I give, it’s how I stay sharp, focused, & grounded. Nature resets the mind. Movement keeps the blood &ideas flowing.

@georgetolisjr I think we’re ultimately headed for regionalizing those types of surgeries to handful of high volume centers. Especially open TAAA

Very true and well worded. In vascular surgery where in most practices and open thoraco is a vintage operation, that shipped has sailed. We have to ensure that open cardiac surgery (through sternotomy or through minimally invasive techniques) does not meet the same fate.

So proud of our graduates Dr. Alexandra Gobble and Dr. Chin Potti! Dr. Gobble is joining a busy practice at Presbyterian Health in New Mexico and Dr. Potti will be an Assistant Professor at @UTHSCVasc. We train awesome surgeons ready for practice and academia @OhioStateSurg

@thesurgerylife I have not been using the Sep wire since they got the bolt mode but maybe I need to bring it back. I have not had great luck with the organized clot honestly and still cutdown distally about 30% of the time. I’ve had really good result with SMA emboli tho

For tibials: proximal tibials bolt 7 on traditional mode +/- sep wire works very well and again if clogged pull out while on suction and flush clot out. Below is restoration of baseline 2 vessel runoff after embolization into AT during femoral atherectomy/stenting

Tweetorial about how i approach Acute Limb Ischemia (ALI): Over the past 9 years with q2 call ive performed hundreds of ALI cases, my approach is endo first using mostly Penumbra for past 7 years with excellent limb salvage over 95% for ALI 1/2a/2b and compartment syndrome 5-10%

Congratulations to ABS Councilor & #PSBABS Director Dr. Benedict Nwomeh on receiving the 2025 James F. Densler Award from the American Pediatric Surgical Association! @DrNwomeh @APSASurgeons

@XavierBerardMD I love that two syringe taper. When do you use bovine pericardium vs. rifampin Dacron? Also don’t yall have silver impregnated grafts in Europe?

Extending a NAIS to get the requested length and the proper diameter Tapered tubulized bovine pericardium (20 to 10 ml Syringe as mandrel) combined to the 2 femoral veins.

@MiraTanenbaumMD @PennVascular @GWvascsurg @GWSurgery @ch_timaran 👏🏼👏🏼👏🏼

Couldn’t be more excited to match @PennVascular !!! Grateful for my mentors @GWvascsurg & @GWSurgery & @ch_timaran 🤗 can’t wait to start my #vascularsurgery career (…but first chief year 😏)

The Ohio chapter of the @AmCollSurgeons met with our state Senator @berniemoreno to talk about Medicare payment cuts and reauthorizing Pandemic All-Hazards Preparedness Act (PAHPA) with language to support regional medical operating command centers (RMOCCs) #ACSLAS25