Sean Runnels MD,

Anesthesiologist, Academic, CEO, inventor of TCI dynamic introducer (Steerable bougie). Not as smart as my colleagues, hence the need to Keep Things Simple.

[Sean Runnels MD, @RunnelsSean]

This after only 15 mins of light formatting work. So much for productivity boost. So much for a 99$ per month subscription.
Usually tech companies wait till they are profitable to enshittify product.
Anyone else sense a disturbance in the force that keeps a bubble intact

[Sean Runnels MD, @RunnelsSean]

Hard to find training for rare but devastating airway events. The upcoming HALO course offers just that.

[Sean Runnels MD, @RunnelsSean]

Happy to announce the launch of TTCmed steerable introducers in the Kingdom of Saudi Arabia. Wonderful hosts. A pleasure to speak about the realities of airway geometry when using VL. A pleasure to exchange practices and ideas.

[Sean Runnels MD, @RunnelsSean]

Happy to announce the launch of TTCmed steerable introducers in the Kingdom of Saudi Arabia. Wonderful hosts. A pleasure to speak about the realities of airway geometry when using VL. A pleasure to exchange practices and ideas.

[Tim Cook @doctimcook]

“Hello, my name is” introductions & badges need updating to include
full name, title & role

https://t.co/oNvAqFSsvM

Choices choices

[Sean Runnels MD, @RunnelsSean]

Overlay that with aggregate decrease in life spans and increase in cost and it may tell interesting story😬

[John P Erwin III MD MBA MACC (#BigPoppy ) @HeartOTXHeartMD]

Worth posting again.

“Healthcare”

[Through The Cords-Next Generation Airway Tools @TTCmed]

Did You Know? Proper Airway Management Saves Lives 🌟

Every second counts when it comes to intubation. Yet, over 1.2M procedures in the U.S. Operating Rooms each year require 3+ attempts, putting patients at risk.

Swipe through to uncover why having the right airway tools🚑

[Intersurgical @intersurgical]

Patient safety is a primary focus in the design of our product range, and this week we are recognising the annual patient safety awareness week to highlight the importance of advancing patient safety. We’d also like to celebrate healthcare professionals and their dedication to ensuring the safety and well-being of patients worldwide 💚

Explore our range which supports patient safety:
📲 https://t.co/XUseiOvJNJ
📧 [email protected]

#Intersurgical #respiratorycare #PSW25

[Through The Cords-Next Generation Airway Tools @TTCmed]

Bringing Care. Saving Lives. 🌍

We’re excited to support #healthcare in Honduras by donating vital devices and providing training for difficult intubations. Together, we can empower #medicalteams to deliver life-saving care wherever it’s needed most. 💙

[Through The Cords-Next Generation Airway Tools @TTCmed]

Say goodbye to VL challenges with the Runnes Steerable Introducer—designed for precision, reliability, and dynamic solutions. Get where you need to be. Learn more 👉 https://t.co/DoTkUDVtec

#MedicalDevices #Innovation #HealthcareTech #VLsolutions #DynamicIntroducers

[Sean Runnels MD, @RunnelsSean]

Sun dog. N Dakota

[Massimo @Rainmaker1973]

Iridescent clouds are a diffraction phenomenon caused by small water droplets or small ice crystals individually scattering light.

They often occur on lenticular clouds on top of a cumulonimbus, called pileus.

[Robert Reich @RBReich]

A grassroots movement is calling on all Americans to abstain from shopping with major retailers tomorrow, February 28, as part of an “economic blackout.”

I encourage you to join. https://t.co/XBi2lAVQW0

[Adam Bruggeman, MD @DrBruggeman]

What is making America’s doctors sick?

That’s the question I found myself asking last night. I am at a clinical/scientific meeting this weekend and there are pre-programmed sections to discuss our practices and our personal lives, not just the patients we take care of. Last night physician after physician got up to the microphone and told stories of issues with major depressive disorder, substance use, anxiety, anger, and a host of concerning problems that impacted their professional and personal lives.

Lost in the discussion of all of these eye-opening stories was the fact that these are all outward signs of an underlying problem. Unlike what we do every day in our practices, last night was all about discussing the “symptoms” but we never did a root cause analysis.

So, what’s making America’s doctors sick?

It’s a sick healthcare system on life support. It’s the requirement to be available every hour of every day in a never disconnected world. It’s the legislators continuing to cut pay year after year. It’s the administrators squeezing every profit possible leading to less control over our staff and our operating rooms. It’s the reduced support teams in order to provide returns to stockholders. It’s the loss of autonomy from physicians having no choice but to become employed or sell their practices. It’s the inability to choose the implants we want to use for surgery because they aren’t on contract or are too expensive.

Our healthcare system is in multisystem organ failure right now. But just like a patient in the ICU, the knowledge of how to fix the problem lies with the physicians. We know where the problems are and we know how to get to the solutions. We need to go to roll up our sleeves and fix perhaps the most complicated patient we have ever taken care of…. The American healthcare system.

Let’s go to our state and federal legislators and show them the problems and the solutions. Let’s engage our patients to tell the stories they are facing. Let’s work together as a team again.

Let’s fight unfair practices in medicine that put the thumb on the scale in favor of large monopolies and marginalize physicians. Inflationary Updates for Physicians. Stark Laws. 340B. Site Neutrality. Prior Authorization. Physician Ownership of Hospitals. Medicare Advantage Reform. Workplace Violence. Noncompetes. Failed No Surprises Act Implementation.

Join your PAC. Help your Association’s advocacy efforts. Meet your state and federal representatives. Engage with your patients.

It’s time. Our voice is important and needed, but we can’t do it without everyone participating. The literal lives of our colleagues and our patients hang in the balance.

[Anthony DiGiorgio, DO, MHA @DrDiGiorgio]

You’re covering a hospital and get called for a consult.

You’re not the primary doctor.

You open the chart to review imaging. All you need to do is look at one CT, Xray, or lab result—but the EHR won’t let you proceed without clicking through a series of unrelated alerts:

✔️ Sepsis screen (acknowledged)
✔️ Allergies (acknowledged)
✔️ Contact precautions (acknowledged)

You’re forced to “confirm” things you don’t know. You’re not at bedside. You don’t need to be at bedside.

You weren’t consulted for any of that. The primary team handles those issues.

But the system makes you lie to move forward—all to boost compliance metrics and legal cover.

The admin wins.
The lawyers win.
Doctors? We just click.

[Sean Runnels MD, @RunnelsSean]

To say the system is moving into crisis is old news. The system is in crisis. this a battle for the moral soul of the system. Clinical vs profits A walk out is painful for staff as patients suffer. For execs only pain is lost that revenue. Bad incentives, bad outcomes

[Dr. Jennifer Lincoln | OBGYN @DrJenLincoln]

5k Doctors and nurses at 8 Providence hospitals in Oregon walked out today at 6am to cold, dark, rainy weather to tell execs we know our patients deserve more than they’re getting.

Our first doctors’ strike in Oregon is no joke.

Prov: time to wake up.

[Sean Runnels MD, @RunnelsSean]

Why would you do that? What would be the point?

[Selvan Ramsamy @selvan_ramsamy]

@AntonBooth_SAS @doctimcook @AirwayMxAcademy I challenge you to complete the next 500 VL intubations ( excluding HAVL ) without the aid of the bougie or stylet .

[Dr. Jennifer Lincoln | OBGYN @DrJenLincoln]

2025 is the year we show corporate America that CEOs making millions has no place in healthcare.

These doctors are fighting back. Solidarity.

[Sean Runnels MD, @RunnelsSean]

No one. Goes to a hospital to see admin. value is created in the medical system when the healers treat patients. Admin can monitored the value, they cannot create the value. Time for the system to refocus on the primary components of value creation. Stick to your guns!

[Dr. Jennifer Lincoln | OBGYN @DrJenLincoln]

Providence now wants to bargain with only the doctors and not the nurses — they’re trying to split our solidarity.

Heck no.

And weird just yesterday the CMO said they had no time to bargain ahead of the strike to prevent it?

https://t.co/Y0WPiVy309

[Dr. Jennifer Lincoln | OBGYN @DrJenLincoln]

Providence now wants to bargain with only the doctors and not the nurses — they’re trying to split our solidarity.

Heck no.

And weird just yesterday the CMO said they had no time to bargain ahead of the strike to prevent it?

https://t.co/Y0WPiVy309

[Sean Runnels MD, @RunnelsSean]

The present economy is doing exactly what it is designed to do. Pump money from the bottom to the tippy top. The idea that this pumping action in itself creates value for society is objectively crazy to all but those at the tippy top! Strategy not accident! Feature not a bug!

[Robert Reich @RBReich]

The combined net worth of America's twelve wealthiest people passed $2 trillion last year.

12 people. $2 trillion.

Meanwhile, U.S. homelessness increased 18% in 2024.

Our problem isn’t an issue of resources.

Our problem is ever-expanding wealth inequality.