Christopher Graham

Husband, Father, Surgeon, Intensivist, & Traumatologist. Practicing @ Jacobi by way of BMC and UPenn

[Christopher Graham @CDG02001]

By some accounts, malaria has killed over 50% of all humans that ever lived.

Hopefully this historic, inspirational, and joyous news will make international headlines. Will this be the beginning of the end for humanity’s most deadly pathogen?

[JAMA @JAMA_current]

Medical News in Brief:

First Ever Malaria Vaccine to Be Distributed in Africa

https://t.co/7gm0FwdH1m

@Emily_C_Harris

[JAMA @JAMA_current]

Medical News in Brief:

First Ever Malaria Vaccine to Be Distributed in Africa

https://t.co/7gm0FwdH1m

@Emily_C_Harris

[Christopher Graham @CDG02001]

@DrewFarmerMD @rbarbosa91 @topknife @docmartin22 Bro I just do the 80mm x2. Some surgeons i trained with used the TA, but just like you said, we got cost conscious and kept it to 1 stapler. But if you use the 80, no narrowing at all

[Christopher Graham @CDG02001]

@MihirMShah1 @rbarbosa91 @topknife @docmartin22 Which is why I specified that I use the 80mm stapler, even after a second fire to close the common enterotomy, the anastomosis will be ~6cm

[Christopher Graham @CDG02001]

@rbarbosa91 @topknife @docmartin22 Serious question I've had - why not just staple the common enterotomy? In my residency we always did it (80mm stapler so even losing width on the anastomisis it will be large enough). Saves time, one reload isn't a lot of money, and never saw a higher rate of leaks.

[Wimbledon @Wimbledon]

🇪🇸 𝗡𝗔𝗗𝗔𝗟𝗖𝗔𝗥𝗔𝗭 🇪🇸

@RafaelNadal 🤝 @carlosalcaraz

#Wimbledon

[Christopher Graham @CDG02001]

@elliotthaut Got an abdominal GSW I’d like to transfer to you. He’s stable, so we’re getting a CT first before we send over.

[Christopher Graham @CDG02001]

@CPark_MD @jointdocShields When I moved from Philly to NYC same thing happened

[Christopher Graham @CDG02001]

@RPDumasMD @SlyFitz @topknife @MichaelCrippsMD @Mike_TruittMD @PMHTrauma_ALE … I started an EDT. I think @MarkSeamonMD was doing the same, at least for a time.

[Christopher Graham @CDG02001]

@RPDumasMD @SlyFitz @topknife @MichaelCrippsMD @Mike_TruittMD @PMHTrauma_ALE The first time I did an ICL in fellowship because the chest was open, aorta was cross-clamped, and we were doing internal compressions on a flat heart I thought there had to be a better way. I saw your poster hanging in PPMC and starting asking for right humeral IO every time…

[Christopher Graham @CDG02001]

@MedFactChecks @armyemdoc @smuramed Show me the data!

[Christopher Graham @CDG02001]

@NinjaMedic @RPDumasMD @karimbrohi @EM_RESUS @armyemdoc @jducanto As a fellow I started asking for right humeral IO as we started EDT because we knew (relatively) the IVs would take forever.

We started using sternal IO for flow rates of ~12L/m but, as we clamshelled so many EDT, it wasn’t clear to me if it bled out the sternotomy.

[Christopher Graham @CDG02001]

@NinjaMedic @RPDumasMD @karimbrohi @EM_RESUS @armyemdoc @jducanto Very interesting. I was always told 1L/h for tibia and 6L/h for humerus, but when hooked directly to the Belmont (Belmont tubing directly to IO, discarding the hub tubing) I can get well over 100cc/m through the humerus.

Never tried femur.

[Christopher Graham @CDG02001]

@richmanap They lost me early on, advocating for perc trachs only with virgin necks. Or with goiter. Bronch visualize the perc and go thru all that scar/goiter with radial dilation to tamponade.

[Dan Semenza @Dan_Semenza]

This is not getting enough coverage. Two killed and at least 28 injured in a mass shooting in Baltimore yesterday. Most of the victims are children.

It feels hard to celebrate a country that has let this become so normal that we largely ignore it.

https://t.co/ULdHXhbHWi

[Christopher Graham @CDG02001]

@CPark_MD The first bridge I ever walked, ran, or biked. And prettiest I’ve ever seen!

[Christopher Graham @CDG02001]

@kathleen_belew Without Robin Williams?

[Christopher Graham @CDG02001]

@grumpyscalpel Congrats Cristine! Look at the new big boss!

[Christopher Graham @CDG02001]

@ValaAfshar I don’t think there’s a 1:1 correlation, but there’s a kernel of truth in it. Reminds me of DFW’s “This is Water,” which I listen to a few times a year to keep me grounded. I also encourage medical students to listen to as they head out into the wards.

https://t.co/qM76sy2gWl

[Christopher Graham @CDG02001]

@billmaher He’s wrong. There’s no study comparing aspirin to placebo during an acute heart attack because we know it would be unethical. Many studies are abandoned prior to completion because the placebo (or treatment) group has much worse outcomes than the other.

https://t.co/IolPDbTQSP