Kevin C. Welch, MD

Professor
Rhinologist, sinus surgeon and skull base surgeon. Wine Guy.
WSET II, FWS, Rhône ML, Bordeaux ML

#revisionsinussurgery
#polyps
#sinussurgery

[Kevin C. Welch, MD @igotsinus]

@JamesSuckling When are you bringing back your Italian wine tour to Chicago!?!

[Kevin C. Welch, MD @igotsinus]

Starting to appreciate more and more Languedoc-Roussillon these days. This one is IGP rather than AOC, but no less an amazing GSM blend! #languedoc #roussillon

[Kevin C. Welch, MD @igotsinus]

@JohnCraigNose Of course. I'm making it an issue of semantics. It's sinusitis. Neutrophils. Subepithelial edema. Basement membrane thickening. And, it's odontogenic in origin 🤣. But, yes, it should be without passion or prejudice dismissed as clinically insignificant. 💯

[Kevin C. Welch, MD @igotsinus]

@ent_ams @JohnCraigNose @henryfordent What's under the microscope?

[Kevin C. Welch, MD @igotsinus]

@KU_ENT @AmRhinoSociety @sd01race Proud of you, @sd01race! Representing @NM_ENT! 👊🏻

[KU Otolaryngology - Head & Neck Surgery @KU_ENT]

Sam Racette MD, Rhinology & Skull Base Surgery Fellow @KU_ENT presents @AmRhinoSociety #WeAreOto #ENTsurgery #OtoHNS #OHNS

[Kevin C. Welch, MD @igotsinus]

Was an honor and privilege to moderate a panel on the Unified Airway at the annual meeting of @AmRhinoSociety. Always have to step up my game when experts like @jbossomd, Cecilia Damask, @SnotSurgeon, and Anju Peters from @NorthwesternMed are sitting at the table!

[Kevin C. Welch, MD @igotsinus]

Professor Vining talking about post operative medical management in #chronicsinusitis at @PennRhinology @JohnCraigNose @ChandraRickK @NAdappaMD @davidgudismd

[Kevin C. Welch, MD @igotsinus]

When the fire alarm goes off at @PennRhinology 2022!

[Kevin C. Welch, MD @igotsinus]

@NAdappaMD @davidgudismd @JohnCraigNose @DwayneHallman @PennRhinology Thrilled to be back at @PennMedicine for the @PennRhinology meeting!

[Nithin Adappa @NAdappaMD]

1st day of our Penn International Rhinology & Skull Base Course in the books! Had some amazing lectures today from @igotsinus @davidgudismd @JohnCraigNose to name a few, finishing off with a full house lab set up by long time friend @DwayneHallman and sponsors! @PennRhinology

[Kevin C. Welch, MD @igotsinus]

@SEMiNurse @MaddieMierMD @300ZXNA @lizditz QED. See how we're quibbling over phraseology? The tone and the tenor of the entire encounter sets the pathway and opens the door for engagement, not simple phraseology.

[Kevin C. Welch, MD @igotsinus]

@MaddieMierMD @300ZXNA @lizditz I think this is an issue of semantics. Either one opens the door for the patient. I've used both. Sometimes there aren't any questions. Sometimes the response is "what should I be asking?" to the "what ?s do you have?" Maybe you do or don't have a quick response to that one.

[Kevin C. Welch, MD @igotsinus]

@Rileycaf @JohnCraigNose @henryfordent Unzip!

[Kevin C. Welch, MD @igotsinus]

@JohnCraigNose @jakeeide1 @henryfordent @DrAmritaRay Is that a shot of @FireballWhisky there @jakeeide1 ??

[Kevin C. Welch, MD @igotsinus]

@JohnCraigNose @TroyWoodardMD @henryford A lot of cautery around vidian gets PT ganglion too. For far lateral, corridor better in my opinion, as it preserves all nerves. But, YMMV and pathology is highly variable here!

[Kevin C. Welch, MD @igotsinus]

@JohnCraigNose @TroyWoodardMD @henryford V2 complication is broad. It can from managing defect itself or approach. This approach works well (I use 2) if not 2 far lateral - stretch PT ganglion and sensory from V2 to l/g palatine nerves. No mention in manuscript about palate numbness - often overlooked and not asked.

[Kevin C. Welch, MD @igotsinus]

@JohnCraigNose The dry eye rates are surprisingly low. But, I've definitely done Schirmer tests that have shown decreased rates in asymptomatic patients. Must be alternative pathways or post-traumatic regeneration.

[Kevin C. Welch, MD @igotsinus]

@ProfFeynman Surely you're joking, Mr. Feynman, about bullet 4! 😂

[Prof. Feynman @ProfFeynman]

FIVE Productivity FEYNMAN- strategies:

• Stop trying to know-it-all.
• Don't worry about what others are thinking.
• Don't think about what you want to be, but what you want to do.
• Have a sense of humor and talk honestly.
• Teach others what you know.