Jose de Jesus Roman Sandoval

Internal med and critical care in Mexico, passionate of trauma and critical care, sepsis, mech vent and lifelong learner

[Jose de Jesus Roman Sandoval @drroman1985]

I’m over the moon!!! Ecfmg certification…. Step 3 and next match season

[Syed A. Ahmad @SyedAAhmad5]

A randomized phase II trial of gemcitabine, nab‐paclitaxel, cisplatin with or without a medically supervised ketogenic diet for patients with metastatic pancreatic cancer - Jameson ⁦@JournalCancer⁩ https://t.co/VpEdyL8DEq

[Giovanni Marchegiani @Gio_Marchegiani]

Postpancreatectomy diarrhoea 🔴🔴 an emerging issue in the era of pancreas cancer surgery

🚨Incidence 33% at 90 days
😖 Severity correlates with QoL
💊 PERT always required + 40% loperamide

✂️ Arterial divestment / vascular resection risk factors

https://t.co/i03eJ7lcQS

[JAMA Surgery @JAMASurgery]

The 2025 WSES #Appendicitis guidelines recommend risk stratification and imaging for diagnosis, outpatient antibiotics for uncomplicated cases, and laparoscopic surgery within 24 hours for surgical management. https://t.co/rXeNJKsPDW

[Tommaso Scquizzato, MD @tscquizzato]

5 studies from #ISICEM26 every intensivist should know 👇

🧬 Immune dysregulation in pneumonia & sepsis
💨 High-flow vs standard oxygen
🫁 ARF in immunocompromised patients
🩸 Prehospital whole blood in trauma
🏥 ICU restraint strategies

@ISICEM

[Achintya Singh, MD @AchintyaSinghMD]

Basics of electrocautery: https://t.co/21QB9cOV7W

Very informative article!

🔑Time to move from 🟡🔵 pedals
🔑coagulation vs cautery depends on peak voltage, rate of heating
🔑Monopolar vs bipolar
🔑Very organ has different sensitivity

[Syed A. Ahmad @SyedAAhmad5]

Bookmark this. Fantastic reference for medical students. 👇🏼👇🏼

Society of surgical oncology medical student & trainee primer for hepatopancreatobiliary surgical oncology https://t.co/t4qF2e0EVP

[Erika Rangel @ErikaRangelMD]

Mixed-Methods Evaluation of Surgeon Workplace Support and Obstetric Complications https://t.co/tWWWEK2EZ1 Call adjustments, helping your pregnant surgeon partners matters. ⬆️ OB complic in female surgeons-difference gone when adjusting for ⬇️ workplace support. @AmCollSurgeons

[Wolfgang Gaertner @GaertnerWB]

Would be very cautious as labeling this as “treatment”. Lots of methodological concerns here and they even labeled it themselves as “supplemental for maintaining remission” with many lacking granular details re UC phenotypes that require medical and surgical escalation.

[Syed A. Ahmad @SyedAAhmad5]

Emerging landscape of KRAS inhibitors in cancer treatment https://t.co/EaVcbc6N9S

[Jasmohan Bajaj @JasmohanBajaj]

New @AmJGastro guidelines on #hepaticencephalopathy
https://t.co/9sbtpuaCu0 are out! Clinician directed, generalizable & user-friendly! @ebtapper
🔑 3 villages
🔑Comorbid 🧠 important
🔑 ⬇️impact of ammonia
🔑 Bristol 💩 scale, ⬇️ recurrence
🔑 social infrastructure ✅

[Jose de Jesus Roman Sandoval @drroman1985]

Ojalá pueda ayudarme la dirección general de profesiones de la SEP a obtener el documento que solicité para continuar mi formación académica como médico , en carácter de urgente
Agradezco infinitamente atenciones [email protected]
@SEP_mx @mario_delgado

[Syed A. Ahmad @SyedAAhmad5]

Six techniques for artery first Whipple. @juliomayol @TomVargheseJr @SAGES_Updates

[Syed A. Ahmad @SyedAAhmad5]

Description of pancreatic surgery. Circa 1953. @juliomayol @TomVargheseJr

[Enrique de-Madaria @DeMadaria]

Very important paper, #PancreasLovers!!!!!

International Multidisciplinary Consensus Report onDefinitions, Diagnostic Criteria, and Management of FattyPancreas @UEGJournal @albrechtneesse @my_ueg @EurPancClub @ESGE_news
👇👇👇
https://t.co/eRCFnoMWBp

[JAMA Surgery @JAMASurgery]

Delayed diagnosis of anastomotic leak after #ColonResection was associated with increased mortality, more complications, and longer hospital stay, highlighting the importance of early detection and intervention.

https://t.co/LLLGonzD6o

[Dr. Mateo Avila @drteoa]

La subtotal cholecystectomy (STC) mínimamente invasiva es un “bailout” para la colecistectomía difícil: prioriza evitar lesión de vía biliar cuando no logras un Critical View seguro.

El precio: más morbilidad, sobre todo fuga biliar.

[Oscar Tahuahua @OscarTahuahua]

More evidence that #immunotherapy works better in the morning.

In a prospective, randomized phase III trial, giving first-line chemo-immunotherapy earlier in the day (<15:00) nearly doubled PFS (11.3 vs 5.7 mo, HR 0.40) and improved OS (28.0 vs 16.8 mo; HR 0.42) in advanced NSCLC.

More effective, no added cost and easy to implement.
Likely reflects circadian immune rhythms with greater CD8⁺ activation and less T-cell exhaustion.
https://t.co/q4JrFU4yws @OncoAlert

[MassGeneral News @MassGeneralNews]

Snowy night at Mass General.❄️ #MassGeneralMonday

[Journal of Brown Hospital Medicine @BrownJHM]

Cholecystectomy and biliary drains @COREIMpodcast #MedEd