DrFecz_

General thoracic surgery. Tweets are mine alone.

[Elliot Servais, MD, FACS @ElliotServaisMD]

@BrendonStilesMD @DrewMoghanaki @ellakaz @DouglasEWood1 @AshleyEProsper @pfccdirector @findlungcancer @arbmckee @LeciaSequist @F_Fintelmann_MD @QuadShotNews Absolutely agreed. Very misleading.
We have published from the @LaheyHospital lung cancer screening program a 0.95% invasive procedure (Dx or Tx) rate in patients without cancer with 0.36% grade III or higher complication rate.

Lung Cancer Screening is SAFE!

[Drew Moghanaki @DrewMoghanaki]

A new report once again focuses on the "complications" of lung cancer screening. In total, they found the rate of major complications for people WITHOUT lung cancer = 0.07%. So, why didn't the authors highlight this statistic in the conclusion? 1/🧵 https://t.co/16KIKRsnDF

[Brendon Stiles @BrendonStilesMD]

@DrewMoghanaki @ellakaz @DouglasEWood1 @AshleyEProsper @pfccdirector @findlungcancer @arbmckee @LeciaSequist @F_Fintelmann_MD @QuadShotNews Agree. It is incredibly misleading to include complications related to the treatment of cancer as “screen related complications”.

https://t.co/rSjQttAK7L

[DrFecz_ @DFecz]

Rad new cap from the PA crew. Thanks!! Will go great with all the extra robot time between holidays!

[DrFecz_ @DFecz]

Deactivate my personal 'twitter.' Gonna give this until the new year.

[DrFecz_ @DFecz]

No better feeling than running a super complicated case by a senior partner, having them agree with you AND confirm your suspicion that it’s not actually your problem.

[DrFecz_ @DFecz]

Active have a mnemonic or framework for short, end of day feedback to trainees? I find it easy to be expansive with feedback, but when everyone wants to go home, brevity counts. a system would help build the habit. #MedTwitter #MedEd

[DrFecz_ @DFecz]

@Zack_Hubbard1 Bike commute

[Salvatore Docimo @Dr_Sal_Docimo]

In honor of the new residents joining the field… a list that still comes in handy. @ericpaulimd

[DrFecz_ @DFecz]

@EM_RESUS @RemindMe_OfThis tomorrow

[Dra. Cecilia Ferrario @draceciferrario]

#juniorradres and all those starting to see chest x-rays 🫁☢️ Here an anatomical guide to get you started! This is a key study in thoracic imaging, often a little overlooked by our generation. Practice makes perfect🤓... Let's get started! 🧵👇🏻
#radiology #radtwitter #FOAMrad

[Isaiah Turnbull @isaiah_turnbull]

IYKYK

[DrFecz_ @DFecz]

@isaiah_turnbull @abribriesco43 A good example of how to do it wrong for the new surgical interns.

Clear channel is suction and saline (flush). Blue channel is for air ONLY (push air to clear the sump mechanism).

[DrFecz_ @DFecz]

I do a 'chest tube' talk for new critical care APPs. Looking to add new content.
For those who don't frequently use chest tubes, what questions would you have?
For those very familiar, what do you wish people knew?
#MedTwitter #meded #FOAMed @tssmn @ctsnetorg #ChesTube

[DrFecz_ @DFecz]

@ManualOMedicine Hepatic hydrothorax w assoc lung entrapment. The air fluid level is a pneumothorax ex vacuo.

Someone would have to try real hard to poke that lung transthoracically

[DrFecz_ @DFecz]

Hey, congratulations to everyone finishing training or starting residency this week (or last/or next). Also, good on ya if you're just making it happen on a Tuesday as a PGY14+. #MedEd

[Biniam Kidane @biniamkidaneMD]

We should banish this #stigma with extreme prejudice.
Many with #lungcancer have never smoked.
But even those who may have smoked don’t deserve to have this horrible #cancer …& they are also no less deserving of our compassion & best efforts to treat them @CancerCareMB
#lcsm

[DrFecz_ @DFecz]

Cardiac vs thoracic surgery. Anticipate more expletives in the absence of bypass.

[DrFecz_ @DFecz]

@iwashyna Like most things in surgery, can be made novel again by including the context of a robotic approach.

[DrFecz_ @DFecz]

Did some very minor electrical work today. Now I’m sure my house will burn down.