Maximilian Hemmrich

🇩🇪 → @UMich '16 → @UChiPritzker '21. Former software engineer, PGY-5 @UChicagoOHNS. Interested in Head&Neck Surgical Oncology, tech & healthcare, 🎾.

[Ed Livingston @ehlJAMA]

NO ASSOCIATION BETWEEN PREPROCEDURAL FASTING AND WITNESSED PULMONARY ASPIRATION
A SYSTEMATIC REVIEW AND META-ANALYSIS

I want to bring to everyone's attention the publication of an article we have been working on for some time.

Ever been annoyed by having cases cancelled because a patient ate recently? I had this happen a couple of years ago. This motivated me to look at the preoperative fasting literature.

I was surprised to learn how little actual evidence there is to support fasting policies.

In our recent publication we point out that 1) aspiration rates are no different now than they were before fasting was imposed before administering anesthesia 2) The studies used in fasting research use surrogate outcomes that have never been shown to be relevant to human aspiration events.

See the article published in Surgery (@SurgJournal) here:

https://t.co/KzdmhSQ2UM

There is a pressing need to rethink preoperative fasting policies. New studies are needed that employ proper endpoints to provide guidance for how long patients really need to fast. My guess is, not very long.

[John Asghar MD @JahangirAsgha10]

In 2023, the U.S. spent approximately $1.35 trillion on healthcare administration. That’s more than we spent on:
•Physician salaries (~$350B)
•Nursing salaries (~$335B)
•Retail prescription drugs (~$450B)
•Imaging, lab tests, EHRs, and outpatient procedures combined
•Even capital investment in hospitals and equipment

All the while, clinicians are being told to “do more with less.”

Every cost-saving initiative aimed at doctors adds layers of compliance and complexity which only fuels the unchecked growth of bureaucracy.

[Nick Mark MD @nickmmark]

I love when pseudoscience people talk about how “they don’t even teach nutrition in med school”

First of all they do. We call it biochemistry; understanding how vitamins, metals, & other cofactors are used in metabolism IS nutrition. Physiology & pharmacology are also key.

1/3

[Joseph Carlson @joecarlsonshow]

It's crazy we're in a situation where one man can at a whim determine winners and losers and slap enormous taxes on companies whenever he wants with no limit (when taxation is a congressional power). A 100% tariff is completely absurd. This is an industry that's a net exporter, well capitalized, and growing in the US. There is no 'emergency' here (which is the basis that he's using these emergency tariffs for).

What's next, a 100% tariff on all YouTube videos made outside the US? Who knows, it's up for a few people in the white house to decide.

[Trumpton @Trump_ton]

Yesterday I bought a cup of coffee for $3

I now have a $3 trade deficit with the coffee shop so I am imposing a 50% trade tariff on them.

Today my coffee cost me $4.50

#winning

[Jeffry Gerber, MD @JeffryGerberMD]

"In 1992, the Medicare conversion factor was $31.00. Today? $32.36. That’s a $1.36 total increase in 33 YEARS. If it had just kept up with inflation, it would be over $64.00 today. Instead, it’s more than 50% below where it should be."

[GermanForeignOffice @GermanyDiplo]

Like it or not: Germany’s energy system is fully operational, with more than 50% renewables. And we are shutting down – not building – coal & nuclear plants. Coal will be off the grid by 2038 at the latest. PS: We also don’t eat cats and dogs. #Debate2024

[Adam Bruggeman, MD @DrBruggeman]

Going to say it again…

1998 conversion factor for doctors - $36.68

2024 conversation factor for doctors - $33.29

1999 Insurance premiums - $6k

2024 Insurance premiums - $24k

When you pay more for healthcare, it’s not coming from private, independent doctors no matter what the insurers, politicians, or news stories say. Physicians are paid less in absolute terms over the last 25 years while insurers are up 314% and inflation is up 83%

We need a long term solution to ensure physicians are paid commensurate with their cost of doing business. Our country is on an unsustainable path in healthcare where all of the profits are going to insurers and hospitals, leaving physicians no choice but to vertically integrate, which drives costs even higher.

[Nick Mark MD @nickmmark]

ICU doc here. The most life-saving treatment developed for COVID is Dexamethasone.

Dexamethasone is generic, cheap, widely available. Dexamethasone costs less than a dollar per day and saved millions of lives. It also completely destroys your argument.

[UChicago Medicine @UChicagoMed]

U.S. News & World Report's Best Hospitals list ranked University of Chicago Medical Center's Cancer and ENT programs highest in Illinois. Additionally, UCMC is one of only 25 hospitals nationwide to have at least 10 ranked specialties. https://t.co/CL6ITFUDcE

[Maximilian Hemmrich @maxhemmrich]

@otolaryngolivia @dave_zander @CfeKirsch Watched it twice on a 6:30am flight this morning (and rewatched your mastoidectomy video)! Thank you so much for making such amazing otology resources :)

[Maximilian Hemmrich @maxhemmrich]

@TedImbEARy @UChicagoOHNS @niralipatelmd @MeganSWu @NamanJulia @auger_sam I only remember that pulling the earlobe really fast fixes tinnitus…maybe

[UChicagoOHNS @UChicagoOHNS]

Thanks Dr Meleca for your instruction with our hands on #resident fillers and injectables course! #Botox #MedTwitter #ENT #IAmOto 💉💉💉

[Maximilian Hemmrich @maxhemmrich]

This was so sweet 🥰 best group of co-residents ever! Also definitely need to work on a @DietCoke sponsorship

[UChicagoOHNS @UChicagoOHNS]

Our residents held a baby shower today to welcome the soon to be new additions to the #ENT family!🐣 @maxhemmrich @NamanJulia #FutureOtolaryngologists

[UChicagoOHNS @UChicagoOHNS]

Section picture day is in the books! A few shots from this mornings action #LookingGood #ENT #IamOto #Family

[Maximilian Hemmrich @maxhemmrich]

@TedImbEARy @UChicagoOHNS Tfti

[Maximilian Hemmrich @maxhemmrich]

@TedImbEARy @MeganSWu @neilios_dealios @niralipatelmd Not pictured: the many areas of violated tegmen on my tbone #leaky

[Maximilian Hemmrich @maxhemmrich]

@TedImbEARy @MichelleHavlik @UChicagoHearing Nice makeup @TedImbEARy

[UChicagoOHNS @UChicagoOHNS]

Last night we celebrated the graduation of our chief residents, Drs Adam Howard and Dara Adams! 🎉🥳🎊 They’ve accomplished so much during their five years with us and they will make us proud in their future endeavors! They will be missed! #iamoto #medtwitter #ENT #residency

[Maximilian Hemmrich @maxhemmrich]

@TedImbEARy @auger_sam @niralipatelmd @NamanJulia #drillintocerebellum #justinternthings