Philbert Van MD FACS

@PaulChapman1954 @TraumaSoapBoxes Everybody poops. Doesn’t matter if you are NPO.

@TraumaSoapBoxes WHen I was in hospital a couple of years ago, this was a big issue for one resident. Didn't seem to understand that if you don't feed me (which they didn't for almost a week), I'm not producing.

@olsonplanner (Most) Surgical fellowships start on August 1

How does one finish their last shift of residency at 10:00pm on 6/30 and then travel across the country to start their first shift of fellowship on 7/1 at 6:00am? Asking for a friend.

@JungEnjae @OHSUsurgery @ShereneShalhub @OHSUvascular Dr. Ben Chou is a superstar. Best of luck in Oklahoma!

@RichLesperance @STCHealth Congrats!

Happy to announce that as I retire in two weeks from the US Army (36 years), we will be moving to Bend, Oregon, where I will join the Acute Care Surgery team at St. Charles Medical Center! We will miss San Antonio but this is a great move! @stchealth

@CaseySeidemanMD Have you tried the bundle packing method? Some people love it- but it looks like too much work to me.

I am not sure packing cubes really did anything for me 🤷‍♀️

@OHSUTraumaCtr @OHSUsimulation @OHSUEMres @OHSUNews @JordanWackett @MackenzieCookMD

@RichLesperance Email and ask directly: “Have you given up on this project?”

Their only contribution really was to recruit a resident from their department...

Research Q: How do you handle when you invite someone from another dept to collaborate, and in person they're all "yes, I'm in!" but then they never answer emails, never give input on the abstract, never volunteer to help with needed tasks?

@rbarbosa91 Perhaps you should accidentally drop another Ligasure…

@philvan I couldn’t get the machine to let me adjust that, and I only had one crack at it because you can’t reuse the tool, as it seems to know when it has been used. my understanding is that it applies energy at the same intensity, but longer.

🧵regarding some observations about the LigaSure device. In December 2022, I accidentally dropped this one on the ground when setting up for an (open) case. Rather than discard it, I saved it for a 🧵 . (1/ )

@rbarbosa91 Nice thread - did you compare the “two bars” versus “three bars” energy setting?

Instead of a conclusion, I'll leave you with another video, this time of liver vessels being divided with the LigaSure. Remember: - vessels have to be <= 7 mm and -consider 'buzzing' only once. ⬛️

Dear people who “reply all” to large group emails with “Thank you” or something even less helpful. You know who you are. Or maybe you don’t. Please stop.

@AgizouMohammed @DruvBhagavan @EM_RESUS Why not place a chest tube initially and skip the needle decompression?

@DruvBhagavan @EM_RESUS If it is tension pneumothorax, we use needle thoracostomy initially then after being stable use chest tube

Here’s the Chest X-Ray of a young boy with a condition that is now the leading cause of death in children and adolescents in the U.S. What’s the diagnosis?

@RnInfection @thanh_neville @MedicMatt17512 It’s for the situation in which the patient died despite the best efforts of the medical/surgical team.

@thanh_neville @MedicMatt17512 I don't get the signage either.

Saw this hanging in the resus room last night. I really like the way it’s worded and I think I’ll use this wording going forward.

@CaseySeidemanMD @WrayCharles @DrJRubenstein @aoglasser @ETSshow Ugh- hate that form. Every year it makes me feel inadequate

@WrayCharles @DrJRubenstein @aoglasser @ETSshow It’s not the CV - it’s an annual form you fill out that is very prescribed. To make sure you are on the path for promotion.

I have to fill out my annual faculty evaluation form - and I find it so hard to fit my "accomplishments" into these conventional boxes... #outsidethebox successes should be celebrated ;)

@ArvinGeeMDPhD @rbarbosa91 @drymtn @OHSUsurgery …combined with an audible sigh. 60% of the time, it works every time. #Anchorman

Was talking about this trial with our @OHSUsurgery #OHSUSurgOnc team this morning when the “Q” word was uttered…hasn’t been shown to be non-inferior in the inpatient oncology setting. Just saying…pubmed.ncbi.nlm.nih.gov/35339973/

@arpitdave @jcdelo @bbiebelberg As the IT people say: PICNIC. Problem In Chair, Not In Computer.

@jcdelo @bbiebelberg Job security in IT

I go to the website So I can log in to Citrix So I can send a push to Duo So I can open Duo to confirm So I can log in the portal So I can click on the app So I can download the app So I can open the app So I can log in… to EPIC ✨

@_NancyMD My credit card was spared…briefly…when the wifi decided to stop working for 12 hours.

In the waning hours of cyber Monday, I must ask how much do I NEEEEEED certain things. Like really need. Send me strength. Or if not, send the best friggin deals you’ve seen.

@smstreit @EAST_TRAUMA Ironically…more working space here than at home

Roll call, @EAST_TRAUMA - who is on Thanksgiving duty today? 🙋🏼‍♀️

@PeterJosyph @DavidEdmonds100 Why? How does the quality of science I do or medical care I provide have anything to do with what I look like?

@KATUNews The TBI Bowl

What do you think? MORE | bit.ly/3U1Jj69

@TraumaSoapBoxes On the other side of the world in my 7x7’ plywood palace