Rolando

Family, Friends and Futbol ⚽️. Vascular Surgeon

[Rolando @Roloceva]

@PipeCabreraV @CiruAndes2 @MediUniandes @FSFB_Salud @Uniandes @lemaitre @SWexner @TomVargheseJr @AmCollSurgeons @pferrada1 Gotta bevel the vessels bud

[Rolando @Roloceva]

@PipeCabreraV @pferrada1 @SWexner @TomVargheseJr @CiruAndes2 If there is a patent superficial and deep palmar arch why the repair?

[Tyler Olson, EA @olsonplanner]

Congrats, you’re a brand-new attending.

You just finished residency, and now someone hands you a contract that says:

“$39 per RVU”

Cool, cool…

What the heck is an RVU? And how much money is that?

👇

[Rolando @Roloceva]

@PipeCabreraV @pferrada1 @SWexner @juliomayol @TomVargheseJr @CiruAndes2 @BehindTheKnife Reversed

[Lea Alhilali, MD @teachplaygrub]

Can you get the diagnosis when it comes to carotid stenosis?

Having some confusion about the strokes you see w/ICA occlusion?

Why are there so many different patterns of infarcts w/ICA occlusion/stenosis?

There are 5 main infarct patterns—and they reflect the different types of disruption to flow you get w/carotid disease: artery to artery emboli, embolic shower, & hypoperfusion

Here’s what you see:
1.  Territorial infarction w/cortical or subcortical involvement
--From artery-to-artery or distal embolism.
--More than one occlusion indicates more proximal arterial dz

2.  Subcortical infarction
--When ICA, MCA, & ACA perforating deep arteries are occluded
--Can be from MCA occlusion w/good collaterals or emboli directly to deep perforating arteries

3. Combined territorial & smaller cortical and/or subcortical infarcts
--From partial embolism fragmentation or emboli shower of various sizes

4. Multiple small infarcts in the distal territories of the MCA & ACA
--If in more than one arterial territory, it’s suggestive of cardio-embolism
--If single arterial territory, it’s from a parent artery steno-occlusive lesion

5. Watershed infarctions.
Two types:
--External border-zone (located between the cortical territories of ACA, MCA, & PCA)
--Internal borderzone (between the deep & superficial networks of MCA & ACA)
--Traditionally thought from low-flow, but emboli are often a cause
--Hemodynamic mechanism may be more important in internal borderzone infarcts & embolism in external borderzone infarcts

[Rolando @Roloceva]

@AndreMansoor Master Roshi?

[Rolando @Roloceva]

@elinaq Congrats Elina!

[Rolando @Roloceva]

@UWVascsurg @ShereneShalhub @OHSUsurgery @OHSUvascular @UWSurgery 👏🏽👏🏽👏🏽 Well deserved Sherene!

[Rolando @Roloceva]

@FadiSaab17 @_MCLIN_ @CLI_Global Some of us see also the results of futile or non-indicated endovascular interventions, which end up in amputations.

[Rolando @Roloceva]

@ReneLizola @FutureVascSurgn Central venous stenosis

[Rolando @Roloceva]

@stephencfu Prague

[Rolando @Roloceva]

@wekaweko1 💯 % de acuerdo

[Rolando @Roloceva]

@elonmusk

[Rolando @Roloceva]

@a_saratzis @Matt_J_Bown @EndovascularU @ninsalsaadi @uk_surgeon Save the Profunda

[Rolando @Roloceva]

@FadiSaab17 @vascularIR @farkomd @HadyLichaaMD @Vascupedia_com @ChokeEddie @DrKKatsanos @monteromiguel @EricSecemskyMD @GarbettDon @jmills1955 @kmadass @K_Stavroulakis @drochohan @EndovascularU @ADiamantop @Watts_IR @dandu_n @SDhandMD @t_intheleadcoat @YsaAugust @a_saratzis 1 vessel run off. High risk for embolization and short patency with endo treatment. Patient needs knife and prolene if symptoms require intervention and patient fit for surgery.

[Rolando @Roloceva]

@AlaskaAir @AlaskaAir we have filed a complaint at the US department of transportation.
Given the lack of an easy identifiable place or link in you website to file a complaint. Consider your organization notified.

[Rolando @Roloceva]

@AlaskaAir
Recently purchased tickets for family of 4.
You changed the price in the middle of the transaction to obtain premium tickets first from $ 69 to 96 and then from $ 96 to 110. This is false/fraudulent advertisement. #falseadvertisement #CustomerCare

[Rolando @Roloceva]

@AlaskaAir Once I buy 1 ticket I have to purchase the other three so I don’t leave my 8 or 2 year old sitting by themselves… your algorithm takes advantage and changes the price “in real time” . #ilegal

[Rolando @Roloceva]

@AlaskaAir They should not change once the customer agrees to pay a price, you changed the price during the transaction. That is not right. #dissapointedcustomer