Leadership: Academic Surgery @MedStarHealth; @ASCRS_1; @SAGES_Updates; EIC @SurgJournal; @AmColSurgCancer; @AmCollSurgeons; Video Host: bit.ly/3HkbebQ
Washington, DC
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- Following 2,246
- Followers 41,966
- Likes 1,742
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Thank you Ellen and Steven for your unparalleled altruistic gift. Your incredible philanthropy has ensured us the ability to perpetuate investigation & education to improve patient outcomes throughout the world in the Ellen Leifer Shulman & Steven Shulman Digestive Disease Center
#CleveClinicFL gratefully acknowledges the generous philanthropic gift of $5M by Ellen & Steven Shulman to support the innovative academic work of @SWexner by dedicating the Ellen Leifer Shulman and Steven Shulman #DigestiveDisease Center in @CityofWeston cle.clinic/3N3eQ4h
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After >10 years of limiting my tweets to surgery topics I am allowing myself diversion into the world outside of academic surgery. It was truly incredible to be in Buenos Aires today with my much better half @marianaberho from Buenos Aires 🇦🇷 Felicitaciones Argentina!!!
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There are 3 kinds of surgeons: surgeons who operate and therefore experience complications, surgeons who do not operare and therefore do not experience complications, and not completely honest surgeons. I am proud to be in the first group
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I am honored and humbled to serve the fellows and members @AmCollSurgeons from @CleveClinicFL @CleClinicMD @ClevelandClinic @clecliniclondon @SAGES_Updates @SoFloACS @AmColSurgCancer @FloridaACS @UCLDivofSurgery @SurgJournal @ColorectalDis @JAmCollSurg @AnnalsofSurgery
Dr. Steven D. Wexner, director of the Digestive Disease Institute at Cleveland Clinic Florida, was recently elected Vice-Chair of the ACS Board of Regents during last week’s virtual Clinical Congress 2020. Congratulations, @SWexner! bit.ly/3lM7x3P #ACSCC20
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there are 3 kinds of surgeons: surgeons who operate and therefore unfortunately experience complications, surgeons who do not operate and therefore do not experience complications, and dishonest surgeons
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the surgeon knows how to operate, better surgeons know when to operate, the best surgeons know why to not operate in certain scenarios
Indeed. That famous saying:
- During training you learn how to operate. You spend the rest of your career refining the “should you operate”.
(Also emphasizes the importance of your partners in clinical practice).
#DecideWell
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Sadly many things can be taken from us against our will. Unfortunately we can loose our health, material possessions, our loved ones, or even our own lives. The only facet of our lives which is exclusively ours to control is our integrity. Therefore we must always maintain it
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Ignorance is shared by some colleagues who think that a tool or technology will make them better surgeons; to date there is no tool or technology which replaces judgement, technical aptitude or experience. Technology may facilitate or augment but does not replace these attributes
Am yet to find any patients who understand what the robotic apparatus does ! They all think “it” does the operation !
It’s like AI , there is so much ignorance out there !!
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As I have previously written on twitter there are 3 kinds of surgeons: those who operate and therefore unfortunately get complications, those who don’t operate and therefore don’t get complications, and dishonest surgeons; I am very proud to be in the first group
takes an honest surgeon to stand up & explain what happened, what complications arose & how it was managed. Important to reflect on what could have been done differently - an analysis of the “Would’ya? Should’ya? Could’ya? Axis” - better decisions are made managing complications
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Indeed; there are 3 kinds of surgeons: surgeons who operate and thus unfortunately experience complications, surgeons who do not operate so do not suffer complications, and surgeons who may not be completely honest
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Excited, energized, and eager to start my new role on November 1, 2025 as inaugural Physician Executive Director and System Chief for Colorectal Surgery and Vice Chair for Professional Development for the Department of Surgery @MedStarHealth @Georgetown @AmCollSurgeons
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كل عام وانتم بألف خير.
أعاده الله عليكم بالخير والصحه والعافيه
Eid Adha Mubarak to you and your loved ones. May all your supplications and prayers be accepted.
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As I have previously written there are 3 types of surgeons: surgeons who operate and therefore unfortunately experience complications, surgeons who do not operate and therefore do not suffer complications, and dishonest surgeons. Be sad but proud to be in the first group
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Virtually nothing is in our complete control; almost everything can be taken from us against our wills: our health, material possessions, our loved ones, and even our lives. Our integrity is exclusively in our control and should never be voluntarily compromised or relinquished
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3 kinds of surgeons: surgeons who admit complications, surgeons who don't operate, and surgeons who don't admit that they get complications
@SWexner had my 1st leak as chief this weekend. Hurts even more & all others are looking @ you how u handle it. Challenging!Thx 2 my team!
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#colorectalsurgery 21,619 Million impressions @TomVargheseJr, @jdimick1 @AmaliaCochranMD @DrAttai @NirajGusani @jonessurgery
@drchrysopoulo
@dianeradfordmd
@pferrada1
@drmlb
@neilflochmd
@juliomayol @AntoniodeLacy @LoggheMD @OlivierBranford @pturnermd @JosephSakran
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SURGERY ANNOUNCES NEW EDITOR-IN-CHIEF surgjournal.com/article/S003… I am honored to serve @SurgJournal @UnivSurg @AcademicSurgery @CentralSurg and grateful to editor in chief @Behrns and editorial board including @ScottRSteeleMD @herbchen @DCREdInChief @Abe_laparoscopy @ProfG_Edinsurg
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As I have previously stated on @Twitter there are 3 kinds of surgeons- surgeons who operate and therefore unfortunately experience complications, surgeons who don’t operate so can’t have complications, and disingenuous surgeons.
Every surgeon is prone to do the complications that our Titans have done and documented. Best part is to accept and manage. Needs some confidence to share on Twitter.
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Wishing my colleagues and friends a blessed month of accepted fasts and spiritual reflection for you and your families this Ramadan. Ramadan Mubarak.
صياما مقبولا ورمضان كريم
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Practicing #colorectalsurgery is a passion not a chore, caring for patients is an honor, not a job; always use these privileges to try to better the lives of your patients, educate others, and advance the science of our specialty. Always maintain integrity + always try to improve
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Our recent #colorectalsurgery textbooks from @CleveClinicFL are available as unique special holiday gifts 🎁 ……..
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As I have posted in the past: there are 3 types of surgeons: surgeons who operate and therefore unfortunately experience complications, surgeons who do not operate and thus do not realize complications, and dishonest surgeons. I am saddened though proud to be in the first group.
We have all been there
We’re healers by nature
Reflect,adjust when necessary but try not to persecute oneself. Don’t forget all the good outcomes
If you have never had a complication,you’re probably not operating
@JanPKaminskiMD @NeilFlochMD @debby_keller @juliomayol @SWexner
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HUGE CONGRATULATIONS @CleveClinicFL Region CEO and President @ConorDelaneyMD on your very well deserved election as President @ASCRS_1 #ASCRS22 @ClevelandClinic @CleClinicMD @RCSI_Irl
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Always be honest. Many things can be taken from us against our will: our possessions, our health, and even our lives. Our integrity is our only one attribute which is exclusively completely under our own control and should never be sacrificed, compromised, or relinquished
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Purse string suture to decrease circumference but not to close the entire skin defect has been my preference for about 3 decades
How to close the stoma skin after stoma reversal surgery: Circular (purse-string) vs primary skin closure! Systematic review and meta analysis by @GianlucaPellino et al! @pferrada1 @SWexner @juliomayol @TomVargheseJr @CiruAndes2
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Thank you to the @FloridaACS for the incredibly unexpected and hugely appreciated honor of receiving the Raymond H Alexander award today @AmCollSurgeons @CleveClinicFL @SAGES_Updates @ASCRS_1
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In my opinion the reason for high ligation is not to provide an oncologic advantage but to provide a tension-free anastomosis. onlinelibrary.wiley.com/doi/… @ColorectalDis @ACPGBI @escp_tweets @coloproctoaec
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I was asked by @CleveClinicFL #colorectalsurgery alumnus @AlvarezDowning to mention 3 kinds of surgeons: surgeons who operate and therefore unfortunately see complications in their patients, surgeons who do not operate so do not experience complications, and dishonest surgeons
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Huge congratulations @ScottRSteeleMD on your very well deserved new leadership role @CleClinicMD @ClevelandClinic @ASCRS_1 @DCRjournal @BehindTheKnife @SurgJournal @ClinicsColorect @ABCRSorg @AmCollSurgeons @OhioACS @SAGES_Updates @SSATNews @SocSurgOnc
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Thank you to all of the employees @CleveClinicFL @CleClinicMD @ClevelandClinic who are helping keep us as safe as possible during the #COVID19 pandemic @ConorDelaneyMD @IannottiJoseph @RJBlandonMD @kirschj @fpotenti @SonyaPeaseCCF
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Congratulations @pferrada1 on your very well deserved election to the @AmCollSurgeons Academy of Master Surgeon Educators @UVA @acsTrauma @WomenSurgeons @LatinoSurgery @Cirbosque @MISIRG1 @ascolcirugia @futuroscirascol @juliomayol @TraumaDocSF @pturnermd @acsTrauma @acsYFA
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In my opinion surgeons often become better surgeons after they themselves have been patients
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It is our responsibility and duty as surgeons to continue to deliver the messages about the importance of vaccines, masks, and safe physical distancing to help save lives. We must #TalkItUp
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Endoscopic retrograde appendicitis therapy versus appendectomy or antibiotics in the modern approach to uncomplicated acute appendicitis: A systematic review and meta-analysis surgjournal.com/article/S003… Much discussed @SurgJournal OPEN ACCESS publication
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An amazing and humbling privilege to wake up in Dublin as an honorary fellow of the @RCSI_Irl. Thank you again President John Hyland @betterbeaumont Professor Ronan O’Connell. Delighted to be in the college of friends @Johncalvincoffe Ronan Cahill Lord Ara Darzi of Denham
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“Music significantly reduced mental workload overall and of several previously identified key surgical stressor domains, and its use in the operating room is reportedly viewed favorably.” link.springer.com/article/10…
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"The role of C-reactive protein in predicting anastomotic leaks" linkedin.com/pulse/role-c-re… by @SWexner on @LinkedIn @LaheyHospital @LaheyHealth @UFHealth @DCRjournal
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Very important OPEN ACCESS #colorectalsurgery publication in @SurgJournal by @LauraKoskenvuo @villesallinen 🇫🇮 surgjournal.com/article/S003… “After the Hartmann’s procedure for acute diverticulitis, one-third died, half underwent stoma reversal, and one-fifth did not undergo stoma reversal within 2 years”
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Neil’s passing at such a young age is tremendous profound tragedy beyond words. His absence leaves a global void; Everyone who knew him is well aware of his incredible surgical prowess, impeccable judgment, innovative creative mind, keen wit, and engaging demeanor. Those people who did not know Neil may not recognize how their surgical practices have been influenced by him. Patients throughout the world will continue to benefit from his legacy. Rest in peace our dear friend Neil. Our thoughts and prayers are with your family.
Our friend @Neil_J_Smart has given his
final lecture, the apprentices learning from his wise words, great times, & hard work - patients getting the very best. Legacy exists in the actions of those that follow & the stories continuing to be told & yes mate, “You did good” RIP
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Learn from them and never forget them to try to never repeat the same bad decisions but do not let them paralyze you. The day the consequences of bad decisions no longer bother a surgeon is the day to retire or to change careers
Are there expert advice on how to overcome bad decisions?
@SWexner @RNCsantander
@drambm @drkeithsiau @drmoutaz @KM_Pawlak @DeMadaria @morenominilap1 @drdalbir @stevenbollipo @oliversalasl
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There are 3 kinds of surgeons: operate and get complications, don't operate thus dont' get complications, operate and deny any complications
The surgeons are as the mountain whit one side to ascend and other to descend. C'EST LA VIE. Las complicaciones son para aprender, hay que aceptarlas y reconocerlas.
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Thank you to my @CleveClinicFL #colorectalsurgery operating room staff for your special birthday wishes and celebration. We are blessed that you help us optimize patient outcomes every day.
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delighted to see our 2nd edition of Master Techniques in Colon and Rectal Surgery @SAGES_Updates #SAGES2018 @wkhealth @Wolters_Kluwer @CleveClinicFL @CleClinicMD @ManishChandSurg @venky72 @JosephSakran @bnwomeh @AntoniodeLacy @juliomayol @fascrs_updates @AmCollSurgeons @JBBC
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the day that a surgeon is not disturbed by and reflective of adverse outcomes is the day that surgeon should retire or change professions
We all decided to enter this profession to help and hopefully heal. Dealing with adverse patient outcomes/events is hard. Often this weight is carried home with you. Training does not usually prepare you to deal with this. The personal cost of this can be great and unrecognized
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Coming soon to a bookstore or website near you - the long awaited 3rd edition of Fundamentals in Anorectal Surgery welcoming our new third co-editor @ScottRSteeleMD @CleClinicMD @BehindTheKnife @fascrs_updates @CleveClinicFL @ClinMedJournals @SpringerSurgery @OchsnerHealth
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Good judgement comes from experience and experience comes from poor judgement @TomVargheseJr, @jdimick1 @AmaliaCochranMD @DrAttai @NirajGusani @
@drchrysopoulo
@bnwomeh
@pferrada1
@drmlb
@neilflochmd
@juliomayol
@josephsakran
@shafiahmedy5 @AntoniodeLacy @ManishChandSurg
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Guidelines for perioperative care in elective colorectal surgery: sciencedirect.com/science/ar… New long awaited OPEN ACCESS @ErasSociety 2025 guidelines @ulfog in @SurgJournal
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Integrating surgical complexity and nutritional parameters to enhance prediction of postoperative complications in liver resection surgjournal.com/article/S003… open access @SurgJournal
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Welcome @ConorDelaneyMD @CleClinicMD @ASCRS_1 Vice-President as our CEO and President @CleveClinicFL Looking forward to benefitting from your wisdom, insights, and leadership @SSATNews @SAGES_Updates @AmCollSurgeons @FloridaACS @SoFloACS @OhioACS @Casesurgery @CWRUSOM @DCRjournal
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Honored to be included with such an esteemed group of colleagues @AmCollSurgeons Academy of Master Surgeon Educators @ACSPastPrez98 @meklingensmith @kmattox1 @TraumaDocSF and many other luminaries in every surgical specialty and from numerous leading institutions @CleveClinicFL
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Hand-sewn gastrojejunal anastomosis reduces delayed gastric emptying after pancreaticoduodenectomy: A single-center retrospective clinical study of 1,077 consecutive patients @SurgJournal surgjournal.com/article/S003…
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Wishing my friends and colleagues around the world Ramadan Mubarak and Ramadan Kareem @Schadi_CRS @AlikoDangote @wbalrefaie @drznahleh @ElfallalHossam @uraiqat @SheriefShawkiMD @FezaRemziMD @dr_samehhany81 @MousaKhoursheed @Ahmedelhadi2010 @elkarow @FaheezM @BilalMohammadMD
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Integrating surgical complexity and nutritional parameters to enhance prediction of postoperative complications in liver resection surgjournal.com/article/S003… another superlative OPEN ACCESS @SurgJournal publication
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every surgeon should strive to learn every day. education includes not only technique, technology, and facts, but very importantly interpersonal skills, empathy, respect, balance, and a myriad of other essential practices, behaviors, and emotions
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Bowel Preparation and Oral Antibiotics Before Elective Colorectal Surgery ja.ma/2IU45Si @JAMA_current once again the combination of oral antibiotic and oral mechanical cathartic bowel preparation yields the lowest rates of surgical site infections @JAMASurgery
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“Pfannenstiel extraction is the preferred method in minimally invasive colorectal surgery. In cases where Pfannenstiel extraction is not possible, surgeons should avoid specimen extraction in the midline.” @ColorectalDis onlinelibrary.wiley.com/doi/…
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Likewise
So pleased to get my #PfizerBioNTech #Covid_19 vaccine just now! 💉
It is so important that as many people as possible get vaccinated. Hopefully this is the beginning of the end and 2021 can be better for all of us
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Congratulations Dr. @borjadelacy on your incredibly impressive defense today of your PhD thesis @UniBarcelona and the very well deserved unanimous recommendation of the tribunal of your being awarded with your well earned PhD degree @BalibreaJose @AntoniodeLacy @AISChannel
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Thank you @RCSnews President @mortensen_neil for the tremendous honor @CleveClinicFL @AmCollSurgeons @ASCRS_1 @SAGES_Updates @SurgJournal @clecliniclondon
It’s our second day of diplomates ceremonies today. What a wonderful day to be celebrating.
Congratulations to @SWexner who has received an honorary fellowship. ‘We’re entrusted to solve problems… and what we practice is not just a science but an art’ Steven says.
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outstanding news!!!!
#Coffee consumption is associated with healthier livers
In this national study, @sniezenMD shows that caffeinated coffee - not decaf or tea - is associated with lower liver stiffness by fibroscan
cghjournal.org/article/S1542… #livertwitter #medgrind @AGA_CGH
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Congratulations to all of our 2,340 new @AmCollSurgeons initiates 1,076 of whom are from countries other than 🇺🇸 and 🇨🇦
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The use of oral antibiotics and mechanical bowel preparation in elective colorectal resection for the reduction of surgical site infection onlinelibrary.wiley.com/doi/… @ColorectalDis
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Thrilled to receive a printed copy of the newest @CleveClinicFL #colorectalsurgery textbook in collaboration with Drs. Eli Ehrenpreis and @JCAlverdy @uchicagosurgery @UChicagoMed @UChicago A tribute to the innovative insights of @Johncalvincoffe @UHLSurgery @UL @ULHospitals
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Great to see incredibly energetic and innovative @SAGES_Updates leaders in person @Trustursurgeon @asbun_hj @HPB_Surgeon @lianefeldman @CarlaPughMDPhD
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surgjournal.com/article/S003… @SurgJournal “...we found a dramatic increase in the use of robotic-assisted cholecystectomy with no difference in mortality or duration of hospital stay, but there was a statistically significant increase in complications and costs.”
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Mesh versus suture repair of incisional hernias 2 cm or less: Is mesh necessary? A propensity score–matched analysis of the abdominal core health quality collaborative @CCFSurgery @ClevelandClinic @CleClinicMD in @SurgJournal by @ChaseWehrle @BeffaLukeMD surgjournal.com/article/S003…
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CONGRATULATIONS @marianaberho on your very well deserved appointment as Chief of Staff @CleveClinicFL Weston @Pathologists @DCREdInChief @drtracyhull @ColorectalDis @TechColoproctol @CleClinicMD @AmColSurgCancer @patsyllamd @betterbeaumont @debby_keller @DCRjournal @SonyaPeaseCCF
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Personally in my opinion I think that the fault lies with the operator of the robots rather than the robots; drivers, rather than the vehicles that they drive, cause automobile accidents. Industry can facilitate procedures but cannot supply aptitude, skill, technique or judgement
Another case of Da Vinci #RoboticSurgery causing patient harm — hospitals, surgeons, and patients need to consider risk and competency #PatientSafety @SWexner buff.ly/2SSfIxS
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I am honored and humbled to learn from my friend @dr_samehhany81 that I am among the 3 most cited authors in #colorectalsurgery and among the the top 34 in #surgery with such legends as Drs. Thomas Starzl, Clavien, Warshaw, Cameron, Birkmeyer, Bismuth, Strasberg, and Lillemoe
2021 updated science-wide author databases of standardized citation indicators by @ElsevierConnect
Top 50 most-cited surgeon-scientists of all time.
Top 3 cited #colorectal surgeons: Late Prof Fazio
Late Prof Pahlman,
Prof @SWexner @CleveClinicFL elsevier.digitalcommonsdata.…
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The day that complications stop affecting a surgeon is the day for a surgeon to think about changing careers or retiring. Conversely, surgeons must not let complications impair care of other patients. Surgeons must continually learn from and improve because of those complications
Every single complication affecting my patients affects me personally, I just try my hardest to deal with it the best I can and try and prevent it occurring in the future
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For Fat Burning, Interval Training Beats Continuous Exercise ja.ma/2KfXHYw @JAMA_current
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Intersphincteric resection for low rectal cancer: the risk is functional rather than oncological. A 25‐year experience from Bordeaux onlinelibrary.wiley.com/doi/… @ColorectalDis
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“Emergency laparoscopic cholecystectomy is positively associated with a multitude of operation-related adverse outcomes in acute cholecystitis, compared to delayed laparoscopic cholecystectomy.” @SurgJournal surgjournal.com/article/S003…
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He was a master surgeon and educator past president @AmCollSurgeons and internationally renowned cartographer @URMCSurgery Chair
Today we lost a surgical giant!
Dr. Seymour Schwartz, author of “Surgeon’s Bible” and father of University of Rochester Surgery passed away!
@AmCollSurgeons @URMCSurgery @AmBdSurg
@AnnalsofSurgery
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Thrilled to see our progress in #colorectalsurgery during the past quarter century @ScottRSteeleMD @justinmaykel @CleClinicMD @CleveClinicFL @UMASSColorectal @ConorDelaneyMD @SheriefShawkiMD @landmann @BoutrosMarylise @drtracyhull in time for @AmCollSurgeons #ACSCC20
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THE #COVID19 #COVIDー19 sugery leadership program @AmCollSurgeons @CleveClinicFL @ASCRS_1 @SAGES_Updates @DCREdInChief @JAMASurgery @pennsurgery @AmColSurgCancer @CoC_ACS @kibbemr @StonyBrookMed @CleClinicMD @CovidSurg @GWSMHS @yfaacs @RASACS @AAOS1 @AAOSmembers @STS_CTsurgery
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definitely never stop training. The day that a surgeon loses the desire to stop learning is the day to retire from surgery
Never stop training...#Tamis
@LuisSanchezGlln @VVigorita @TAMISYoda @TAMISsurgeon @CrsOrlando @SamAtallahMD @dr_samehhany81 @SWexner
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Pleased to welcome our new inductees into the @AmCollSurgeons Academy of Master Surgeon Educators. An incredible group of internationally renowned surgeons including @RaulRosenthalMD @pferrada1 @herbchen @JFreischlag @LillianKao1 @Schwaitzberg @DrNancyPerrier @TimmermanGary
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Comparison of extended right hemicolectomy, left hemicolectomy, and segmental colectomy for splenic flexure colon cancer: A systematic review and meta‐analysis onlinelibrary.wiley.com/doi/… @ColorectalDis @ACPGBI @escp_tweets
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Can video games enhance surgical skills acquisition for medical students? A systematic review surgjournal.com/article/S003… Thank you @Nptdot and colleagues @UofTSurgery @CAGS_ACCG for your fascinating contribution @SurgJournal
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Welcome and congratulations to our newly matched 2023-2024 @CleveClinicFL #colorectalsurgery residents @TravelinAshley @VCU_Surgery @VCUGenSurgRes @FeliceDSH @UCarabobo @MarcusOosenbrug @UofTGSx @UofT @dmeyermd @UMassSurgery @UMASSColorectal @ABCRSorg @AmBdSurg @ASCRS_1
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