Cheryl Hilty Orr, MD, FASA, DFPM

Anesthesiologist, perioperative medicine, patient safety,
#SPAQI, #medtwitter, #periop, #Tahoe

[Cheryl Hilty Orr, MD, FASA, DFPM @HILTYORR_MD]

@mrmikeMTL The house already being warm when you woke up in the morning would have been a luxury
(instead of having to go to the basement and start a fire in the coal furnace.)

[Cheryl Hilty Orr, MD, FASA, DFPM @HILTYORR_MD]

@DrNeilStone Nope. Not alone.

[Cheryl Hilty Orr, MD, FASA, DFPM @HILTYORR_MD]

@JeromeAdamsMD Same.
Except the surgeon general part. I haven’t done that yet :)

[Anesthesia&Analgesia @IARS_Journals]

Unique Perioperative Medicine Education Programs Designed to Fill Gaps in Postgraduate Medical Education

https://t.co/xQsXJFIjMD

The Distinguished Fellow of Perioperative Medicine and the Perioperative Medicine Core Knowledge Certificate combine critical topics for POM

[Cheryl Hilty Orr, MD, FASA, DFPM @HILTYORR_MD]

@JoJoFromJerz Same.

[Cheryl Hilty Orr, MD, FASA, DFPM @HILTYORR_MD]

@RobertKennedyJc Go. Home.
You are dangerous and misguided & this isn’t playtime or a place for “hunches” or alternative facts.
Seriously, please stop.

[Cheryl Hilty Orr, MD, FASA, DFPM @HILTYORR_MD]

@SecKennedy LIE DETECTED- You brought up ivermectin and hydroxychloroquine for COVID. LIE
Explain- without looking it up, what are the steps of the scientific method? How do you conduct a randomized, double-blinded study (what does double-blinded mean)? What is the peer review process?

[Cheryl Hilty Orr, MD, FASA, DFPM @HILTYORR_MD]

@GeauxGabrielle The replies here further prove your point, unfortunately. Terrible.

[Steven Cohn, MD @preopconsult]

To reduce postop complications (not just quit rates) requires smoking cessation for >4 weeks using >1 intervention- and the longer, the better.
Preoperative Smoking-Cessation Interventions to Prevent... : Anesthesia & Analgesia https://t.co/mgF2V4DO0i

[Cheryl Hilty Orr, MD, FASA, DFPM @HILTYORR_MD]

@gurami We need more doctors. It’s not one or the other. We should be training more generalists AND specialists. Waiting six months to a year for specialist appt shows we need more of them too. PCP is too important and we need more doctors there too. We need more doctors period.

[Cheryl Hilty Orr, MD, FASA, DFPM @HILTYORR_MD]

@DrNeilStone Yep and there is a second edition out too and with audiobook. It is relevant and the warnings were there while we were being too lenient with the 'treat everyone's position as equally valid, even when verifiably false'. @RadioFreeTom

[Cheryl Hilty Orr, MD, FASA, DFPM @HILTYORR_MD]

@medpedshosp @NovantHealth @SPAQIedu @KurtPfeifer @PJGrant_MD @afedwardMD @aoglasser @whinnec Great talk Dr. Ray - will be super helpful to programs just starting out and looking to level up on their metrics. Well done!

[Cheryl Hilty Orr, MD, FASA, DFPM @HILTYORR_MD]

@JeffBezos Canceled subscription which is quite disappointing. Watching the downfall from “democracy dies in darkness” to turning off the light is sad to watch.
Shame on you for contributing to rising authoritarianism. But hey, as long as you get more rich, what else matters?

[Cheryl Hilty Orr, MD, FASA, DFPM @HILTYORR_MD]

@DrNeilStone I’m here but conflicted so interact less and less. I see your posts & you have some reach but many of us do not.
Vaccines save lives. The HHS secretary is dangerous, disingenuous & should never have been a serious option for that job.

[Cheryl Hilty Orr, MD, FASA, DFPM @HILTYORR_MD]

@JeromeAdamsMD I'm afraid if they knew any of that, RFK would have been waved away without consideration rather than installed in this important position. (hi- fellow anesthesiologist here). I'm truly afraid of what is to come from this.

[Cheryl Hilty Orr, MD, FASA, DFPM @HILTYORR_MD]

Also, #preop #periop friends - we need you over at the other place. Not many of us there yet. Much easier to avoid propaganda and noise and focus on our #medtwitter like content over there.

[Cheryl Hilty Orr, MD, FASA, DFPM @HILTYORR_MD]

Preop/Periop Thought:
If preop'ing pts, don't forget they may be anti coagulated post op (ex: with joint replacement, up to 325 asa BID for 2-4 weeks or DOAC, etc).
If you have reason to think they may have GI bleeding, even if not severe or anemic, consider scope BEFORE surgery

[Cheryl Hilty Orr, MD, FASA, DFPM @HILTYORR_MD]

@JeromeAdamsMD You would be a safe & sane choice. However, your positions are based in actual science & not pseudoscience so you are not going to fit in this time. Might be an impossible position for you honestly- would be lots of pressure to conform & act against what’s right?

[Senate Judiciary Democrats 🇺🇸 @JudiciaryDems]

Matt Gaetz shouldn’t be able to resign away an ethics investigation.

RT if you agree.