Zachary Spigel

Congenital Heart: @EmoryCTS
Cardiac: @WCM_CTSurgery
Gen Surgery: #AHNSurgRes
Research: @TCHheartcenter
MPH: @UTexasSPH
MD: @UTHealthSASurg
BBA: @UTexasMcCombs

[Zachary Spigel @ZacharySpigel]

Excited to have matched @WCM_CTSurgery! I never would have dreamed this day would come in June 2014 when I did my first rotation with @UTHealthSA_CTS. Thankful for everyone who helped make this possible, especially those at #AHNSurgRes and @TCHheartcenter

[Zachary Spigel @ZacharySpigel]

The conversation generated by this study has made the hard work worth the effort. Both the manuscript and excellent commentaries have free access from @AATSJournals. @TCHheartcenter

[AATS Journals @AATSJournals]

Low parental socioeconomic position results in longer post-Norwood length of stay. Read the full article in JTCVS by Spigel, Caldarone, et al: https://t.co/zVjFV93u23 Watch the vid featuring @karamlou https://t.co/wn35Z5aMJ1 #JTCVS #CardioTwitter #CTSurgery @tssmn @ZacharySpigel

[AATS Journals @AATSJournals]

#OpenAccess Shunt resistance is associated with clinically important outcomes after the Norwood operation. Read the full article in JTCVS Open by Spigel, Caldarone, et al: https://t.co/i85eLEE1dr #JTCVS #CardioTwitter #cvsurg @AATSHQ @tssmn @ZacharySpigel

[Zachary Spigel @ZacharySpigel]

See the full presentation and discussion with @karamlou in the #AATS2021 Congenital Heart Failure/Mechanical Support session (0900 on 4/30) beginning at the 1:17:00 mark. @TCHheartcenter @AATSHQ @AATSED @tssmn (5/5)

[Zachary Spigel @ZacharySpigel]

When considering metrics of quality, patient socioeconomic position should not influence your metric, risking negative impact on patient care and centers providing care for patients from low socioeconomic positions. 🧵(1/5)

[Zachary Spigel @ZacharySpigel]

Recording complete for @AATSHQ Annual Meeting 2021, including a great discussion with @karamlou. Looking forward to sharing it with #AATS2021 on April 30! @TCHheartcenter

[Zachary Spigel @ZacharySpigel]

Considering LOS as a quality metric may inappropriately align socioeconomic position with our definitions of quality. (4/5)

[Zachary Spigel @ZacharySpigel]

@BrendanLHagerty Really proud of all the excellent work by #AHNSurgRes being showcased at #SSO2021.

[Zachary Spigel @ZacharySpigel]

Recording complete for @AATSHQ Annual Meeting 2021, including a great discussion with @karamlou. Looking forward to sharing it with #AATS2021 on April 30! @TCHheartcenter

[Zachary Spigel @ZacharySpigel]

@babowice And if you want to see the slides:
https://t.co/f1flz6Dsh8

[Zachary Spigel @ZacharySpigel]

@kareem_carr install.packages(“ggthemes”)
p + theme_excel_new() + scale_colour_excel_new()

[Zachary Spigel @ZacharySpigel]

@BrendanLHagerty @HillaryLSimon tells me pumpkin carving is all about identifying and staying in the appropriate plane. Must be true.

[Zachary Spigel @ZacharySpigel]

@BrendanLHagerty @babowice @rtindallmd I agree. That’s where the significant comorbid conditions part comes into play. Having a risk/benefits discussion ≠ offer nothing.

[Zachary Spigel @ZacharySpigel]

@babowice @rtindallmd @BrendanLHagerty According to the original post (and your H&P), Patient is a nonagenarian with significant comorbidities. The gallbladder was perc drained. Would carefully weigh risk/benefit of further work up with patient and family before proceeding.

[Zachary Spigel @ZacharySpigel]

@mattnoorbakhsh Not pictured: the efforts of @mattnoorbakhsh and #AHNSurgRes to put their residents' best interests first, even when inconvenient. Such as helping a resident step out for research when offered an incredible opportunity, despite it not being at the traditional point in training

[Zachary Spigel @ZacharySpigel]

@BrendanLHagerty @babowice Does it count as converting to open if that's just the incision required to get it out?

[Zachary Spigel @ZacharySpigel]

@elliotthaut @CWISociety @AdamShiroff @rigross12021 @traumadmo @mademoya @saranimd @EAST_TRAUMA I have a long joke about flail chests, but it can be broken into multiple consecutive segments.

And a really good one about an undrained hemothorax. It’s easily retained.

Also have one about open pneumothoraces, but it sucks.

[TSRA @TSRA_official]

Our July Newsletter is out, with important information on how to get involved during the new academic year! Also content focused on medical students applying to CT residency & a full list of the new TSRA EC members & new committee chairs. Full Newsletter: https://t.co/IOsn7TLhQN

[Zachary Spigel @ZacharySpigel]

@DGlaucomflecken @Caulimovirus @DrSandman11 @nephrotox