Trauma Surgeon part š¦ and sometimes a researcher free spirit with a wild heart š¦ š¦
Joined May 2011
- Tweets 15,104
- Following 1,311
- Followers 16,559
- Likes 43,756
2,440 Photos and videos
Pinned Tweet
1 Jun 2020
We are surgeons and we operate beyond our knives and operating rooms.
Underneath our incisions is a world that we must be part of
#racism #gunviolence are public health issues
#ThisIsOurLane
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Bellal Joseph retweeted
Among patients hospitalized with necrotizing pancreatitis, treatment at high-volume hospitals was associated with lower adjusted mortality, shorter hospital stays, and lower health care costs. journals.lww.com/annalsofsurā¦
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Jun 11
Dear Trauma World
It doesnāt work
šš¤
One year after minimally invasive thoracic surgery, patients receiving cryoanalgesia were more likely to experience neuropathic pain than those receiving standard intercostal nerve block alone (30% vs 5%). journals.lww.com/annalsofsurā¦
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International medical graduates comprised nearly one-quarter of academic cardiothoracic surgeons at U.S. training centers, highlighting their important contribution to the cardiothoracic surgery workforce. journals.lww.com/annalsofsurā¦
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Jun 8
Could be a game changer for Trauma and Emergency Surgery
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What drives surgeons to adopt wearable ergonomic devices? Perceived effectiveness, innovativeness, social influence, and enjoyment were associated with willingness to use wearable sensors designed to improve ergonomics in the operating room. journals.lww.com/annalsofsurā¦
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Jun 6
Retromuscular mesh placement and intraperitoneal onlay mesh were associated with higher risk of reoperation for recurrence and bowel obstruction vs onlay placement after primary ventral hernia repair.
ja.ma/3RIzlvl
ALT JAMA Surgery: Study on mesh placement & risk of reoperation/bowel obstruction after primary ventral hernia repair. 17,832 repairs (2014-2025) in Denmark. Compares Onlay, Retromuscular, Preperitoneal, IPOM. Graphs show cumulative reoperation & bowel obstruction rates over 10 years. Onlay & preperitoneal are preferable options.
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Jun 5
Wow - more to come in trauma
In a randomized trial of minimally invasive thoracic surgery, cryoanalgesia was associated with higher rates of neuropathic pain through 1 year compared with standard intercostal nerve block alone. journals.lww.com/annalsofsurā¦
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Barriers continue to limit entry into the surgical workforce for URiM trainees, including lack of exposure, financial barriers, and inadequate mentorship. This perspective highlights actionable strategies to sustain progress toward an inclusive workforce. journals.lww.com/annalsofsurā¦
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Open-source surgical education has expanded access to training, but āonlineā does not always mean accessible. Across 137 countries using a global surgical training platform, internet connectivity varied substantially, creating barriers to participation. journals.lww.com/annalsofsurā¦
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Jun 1
Hot take: Reviewer 2 isn't the villain
This manuscript synthesizes the authorsā anecdotal experience as editors and peer reviewers by summarizing 10 commonly encountered flaws in the presentation of submitted research manuscripts in the field of acute care surgery that may contribute to editorial decisions to reject.
journals.lww.com/jtrauma/fulā¦
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May 26
Eid Mubarak to all those that celebrate.
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May 26
I keep thinking if i wait long enough to dock the robot and learn robotic surgery
the robot will just fade and be good for a small number of procedures and my laparoscopic skills will live on šš¤
May 25
Robotic-assisted groin hernia repair was associated with a higher long-term operative recurrence rate than laparoscopic or open repair among #Medicare beneficiaries, with overall recurrence rates remaining low across all methods.
ja.ma/49jnc5Z
ALT JAMA Surgery: Assessing the impact of surgical approach on long-term operative recurrence following groin hernia repair. Rapid adoption of robotic-assisted approach saw an 8.6-fold increase from 2010-2021. Higher rate of recurrence with robotic approach.
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May 26
But is it ? Still not a fan have seen it mislead so many decisions
Another tool that CAN add some info sometimes šš„“ flip a coin
Thank you for reading my letter to the editor āļø
Ultrasound is now essential in the ICU for managing hypotension. Point-of-care protocols rapidly identify shock type, guide targeted resuscitation, and improve outcomes. Mastery of this āultrasound stethoscopeā is key to modern critical care. #POCUS #CriticalCare
journals.lww.com/jtrauma/absā¦
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May 21
Proud parent moment. Son graduating medical school. Proud of his accomplishments, dedication, incredible work ethic and passion. Love you.
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May 20
Until now, physicians using AI in clinic had to assemble the patientās context themselves. Allergies, comorbidities, medications, prior procedures, copy-pasted in from the chart.
Today weāre announcing a partnership with @CedarsSinai. OpenEvidence now works directly inside Epic, drawing on the patientās full record and interpreting the medical literature through the lens of that specific patient.
Cedars-Sinai is the first academic health system to deploy patient-aware clinical intelligence at enterprise scale. The clinician asks a complex question in natural language. The answer reflects both the best available evidence and the patient in front of them.
Patient data is never stored after the clinical session or used for any other purpose.
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Pediatric severe TBI study finds extraventricular drains (EVD) linked to 30% fewer surgeries and 25% lower mortality vs. intraparenchymal monitors (IPM). Highlights EVDās potential benefits in ICP management.
@TopKniFe_B
@colstewart09
@malmaaniMD
@fcastillodiaz99
journals.lww.com/jtrauma/absā¦
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DD strikes again ..
@Topknife
Read the article "Editorial critique: One incision, complete access: Median sternotomy and aortic occlusion in penetrating chest trauma"
journals.lww.com/jtrauma/citā¦
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May 15
No bleeding patient ever died from pain
There is no free drug in trauma
Spoiler alert KetaWho ?
Ketamine infusion for pain control in severely injured patients: Results of a randomized controlled trial dlvr.it/TSXD3M
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Bellal Joseph retweeted
Pediatric severe TBI study finds extraventricular drains (EVD) linked to 30% fewer surgeries and 25% lower mortality vs. intraparenchymal monitors (IPM). Highlights EVDās potential benefits in ICP management.
@TopKniFe_B
@colstewart09
@malmaaniMD
@fcastillodiaz99
journals.lww.com/jtrauma/absā¦
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May 11
Most people stay stuck because they keep adjusting themselves to fit the room theyāre in.
If your goals, values, or vision actually matter to you, there will be moments where standing apart is the price of staying true to yourself.
Not every path is meant to blend in. -JD
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