Manick Saran, DO

ENT Rhinology and Skull Base Surgeon / Lawn Game Connoisseur / #MedTwitter / #DogTwitter / #RollTribe / #TheLand

[Manick Saran, DO @MSaran23]

3:30 flight out of TPA and there’s still “here we go brownies” chants in the airport

[𝚂𝚙𝚎𝚗𝚌𝚎𝚛 𝙶𝚎𝚛𝚖𝚊𝚗 @Spencito_]

Pilot getting ready to leave the gate:

"Wanna give a shoutout to the Browns..."

*Most of the airplane barks in unison*

Pilot:

"You guys are hard-core!"

[Manick Saran, DO @MSaran23]

@emma_jean23 Of all your bangers how is this the tweet that went viral

[Manick Saran, DO @MSaran23]

@hubermanlab @AbudBakri Haven’t listened yet. On my list.

Is there data on safety of peptides for men who are in the beginning stages of family planning? In other words any data on teratogenic effects of peptides? @hubermanlab @AbudBakri

[Manick Saran, DO @MSaran23]

I had to redo consent this morning because instead of “Anterior” my consent had “Ant.”

…

Now I’m in a revision case frustrated rather than level-headed

I’ve learned to laugh through it, because my 11 years of post college training deserve better. @DutchRojas @DrDiGiorgio

[Anthony DiGiorgio, DO, MHA @DrDiGiorgio]

Imagine your surgeon preparing for your operation.

They see you in pre-op, answer your questions, calm your fears, examine you, confirm the plan, and go get ready for the case. They review the imaging and think through the critical parts of the operation.

Then a nurse interrupts them:

“Doctor, your pre-op documentation isn’t good enough. You can’t just say you discussed the risks and benefits. You need a full H&P.”

The surgeon points out that the H&P was already done in clinic. The note is right there in the chart.

“No. That note is 31 days old. It has to be within 30 days. But it’s fine if you just copy and paste that old note.”

Think about how insane that is.

There is no new clinical information. There is no patient benefit. There is no improvement in safety or quality. The only thing being demanded is duplication. A pointless bureaucratic ritual to satisfy the machine.

So now you have a frustrated surgeon, a delayed case, a bloated chart, and one more example of modern medicine confusing clerical box-checking with patient care.

This is exactly what is wrong with the system. Endless note bloat. Pointless duplication. Administrative nonsense dressed up as professionalism. If there are no changes, there are no changes. Forcing a doctor to re-paste an unchanged H&P adds absolutely nothing for the patient.

And the most insulting part is the tone. That smug, condescending “of course you have to do it this way” attitude, as if this is self-evidently necessary instead of obviously stupid.

At this point, a lot of doctors would probably take a substantial pay cut to never touch a computer again. Cut the salary and use the savings to hire people to do the computer garbage. Epic. CDI queries. Coding queries. H&P updates. Order entry. Case booking. Inbox nonsense. All of it.

Never touch Epic again. Never answer another coding query. Never update another unchanged H&P. Never place another order that a clerk or protocolized team could enter. Never do another ounce of hospital data-entry cosplay.

Just let us be goddamn doctors instead of highly trained documentation technicians.

[Manick Saran, DO @MSaran23]

@drrdemon Don’t fall for the hype factor actually sucks ass

A cleaning service once a month or more if you can afford it. Walking into a spotless clean house after a long day was worth it every time

[Manick Saran, DO @MSaran23]

@4golfonline I like this drill especially with Irons

I can’t figure out when I do this drill why I hit the ball flush

Then when i set up for a normal swing it’s a completely different ball flight. (Push fade)

[Manick Saran, DO @MSaran23]

@drrdemon Spend time with the people that got you here! Friends, family, yourself. This is the most time you’ll have again. Do NOT do ANYTHING academic. You’ll be behind July 1 regardless, and starting off with a happy soul and a refreshed psyche will be the best thing you can do.

[Manick Saran, DO @MSaran23]

@drrdemon You got this!!!

[Manick Saran, DO @MSaran23]

About that time of year, hopeless dreams in the offseason @REFLOG18

[Manick Saran, DO @MSaran23]

@JohnCraigNose @Rayan_alfallaj Thoughts vs Caldwell luc?

[Manick Saran, DO @MSaran23]

@JohnCraigNose What’s your go to recon at that point?

[Manick Saran, DO @MSaran23]

@dog_rates Hi Mochi, this is Mochi. 12/10 would be friends.

[Manick Saran, DO @MSaran23]

@olsonplanner What does the single session include and there an option to opt into full time services after

[Manick Saran, DO @MSaran23]

And then watching this very quarterback get booed out of Cleveland and then dice up the team that just beat us.

Special place.

Special, sad, pitiful place.

@reflog18

[Manick Saran, DO @MSaran23]

Browns fandom is a special place.

@reflog18

[Manick Saran, DO @MSaran23]

@DanielOyefusi Chase and Higgins >>>

[Manick Saran, DO @MSaran23]

Browns fandom is a special place.

@reflog18

[Manick Saran, DO @MSaran23]

@923TheFan @andy_baskin @CLETalkingHeads Let’s get the Win and reverse the curse.

[Manick Saran, DO @MSaran23]

Lots of new followers after my previous tweet…

I promise all you’ll find here is Cleveland sports disappointment and the occasional medical hot take.

Stick around if you’d like 😎

[Manick Saran, DO @MSaran23]

@drdanchoi Already signed with a private group! My generation of graduating residents has to be the ones to get the power back.

Can’t wait 😎

[Manick Saran, DO @MSaran23]

Four years of undergrad, five years of medical school, five years of residency, and now one year of fellowship.

All for someone on Zoom to tell me what buzzwords to use for clinical findings to keep insurance companies happy.

This is 2025.

@drdanchoi @DutchRojas