Roy

Solve et coagula.

[🕉️ refresco_ ⚔️ @refresco_]

"Las izquierdas son maestras en el arte de contar cuentos, en creerlos y hacerlos creer a sus seguidores. En tanto, los Bolsonaro ofrecen salidas, señalan dónde están las puertas, aunque conduzcas al abismo..."

—Raúl Zibechi.

[Furkan Gözükara @FurkanGozukara]

Who made this 🤣😂

[Roy @roynoriega7]

Viene una nueva hoja. 🌱

[Dr. Jeringas @DrJeringas]

-Por eso, me vas a aceptar la interconsulta sí o no?

[Roy @roynoriega7]

@ManuMontaIp ¿Y tú dónde andas? ☺️

[Ron Hekier @ronhekier]

Respecting Fear: Lessons for Surgeons & Life 🧠🏥
Here are three vital lessons on the importance of acknowledging fear, whether you're a surgeon or navigating life's challenges:

1️⃣Lesson 1: Fearlessness can be overconfidence.

I remember an event back in 1997 when I was a med student at Tufts Med and on a surgery rotation at Mass General Hospital. While I was in the OR with the surgical team, a second-year surgical resident came in to discuss a patient, exhibiting confidence in their assessment.

When he walked out of the OR, both the attending surgeon and the fellow shook their heads.
The attending said:
“This guy is at his most dangerous. He thinks because he is now in his second year, that he has a sufficient amount of clinical experience and wisdom. But his overconfidence is borne of ignorance. He doesn’t know what he doesn’t know.”

✅The lesson: Fearlessness without experience often stems from ignorance. That overconfidence can be dangerous.

2️⃣Lesson 2: Fearlessness can be disrespectful

In critical moments like emergency surgery, fear is a sign of respect for the potential for a bad outcome. No patient or their family member would want a surgeon who wasn’t aware and respectful of the high stakes at hand.
Think of the mindset of a pilot landing a passenger plane in a storm. Or a parent with a sick and feverish child.
A heightened sense of awareness bordering on fear signifies concern for what's at stake.

✅The lesson: A lack of fear may imply disrespect for the gravity of the situation.

3️⃣Lesson 3: Fearfulness can be egoism.

Long ago I took a skydiving course, and my manual including a powerful line:
"Good judgment comes from experience. Experience comes from bad judgment.”

As a surgery resident I once scrubbed in a case with two thoracic fellows. They got into bad bleeding in the chest that they couldn’t fix. They held pressure to prevent ongoing bleeding, and the attending, who is a world famous aortic surgeon came in.

He assessed the situation, and quickly and calmly threw a few stitches and repaired the seemingly invisible source of bleeding.

He looked at the fellows and said “You’re probably wondering how I so easily fixed that problem. Well I knew exactly where the bleeding was coming from because I’ve seen it before when I made the same mistake.”

✅The lesson: All the greatest performers in any domain have made mistakes. If you think you won’t make mistakes, you are displaying your ego and a lack of awareness of the challenges of your craft.

tl;dr
Whether you're a surgeon or anyone facing life's challenges, remember these lessons:
Don’t falsely hold onto fearlessness as a macho virtue.

Humility, respect, and modesty should be your guides.

[NEJM @NEJM]

A 70-year-old man undergoing cholangioscopy to evaluate dilatation of the common bile duct was found to have flatworms in his biliary tract (shown in a video). Read the full clinical case: https://t.co/OK4X48EOne

[tim anderson @timand2037]

Dr Tanya Haj-Hassan, pediatric doctor. "An avalanche of human suffering" in #Gaza, from the constant bombing.

[LadyIzdihar @LadyIzdihar]

The timeless quote from Malcom X on my mind and oh so relevant today
“If you’re not careful, the newspapers will have you hating the people who are being oppressed and loving the people who are doing the oppressing”

[Ron Barbosa MD FACS @rbarbosa91]

Trauma history nerds may be interested to see an early description of what sounds like the Mattox maneuver (left medial visceral rotation) performed on a Marine injured in Okinawa in 1945. This is the earliest description of the maneuver I can find.

(reference on next page)

[Roy @roynoriega7]

Wouldst thou like to live deliciously?

[Creepy.org @creepydotorg]

A black goat walking on two legs like a human tricks a chicken into the shed

[SAGES is in Vegas in 2027! @SAGES_Updates]

Open surgery vs. MIS

[Roy @roynoriega7]

@_EfrenN Está bien bonita tu zz, me convenciste de tener una.

[Roy @roynoriega7]

@vogelfeuers @pypas Ah también conmigo. :c

[Roy @roynoriega7]

@pypas @vogelfeuers Por acá ando. 👋🏽

[Sara Saeidi, M.D. @SaraSaeidi92]

A rare case of "Gallbladder Duplication", V shaped! Prevalence: 1 in 3800-4000 births. 💫💫
By my dear friend Dr.@David_black70 👍
@SAGES_Updates @ACPGBI_EduTrain @Cirbosque @BJSAcademy @PipeCabreraV @hpb_so @me4_so #SurgicalTraining #SoMe4Surgery #Gallbladder

[Dr Luis Felipe Cabrera Vargas MD FACS @PipeCabreraV]

Surgeons in history: Antoine Lembert studied under Guillaume Dupuytren in Paris, where he was epidemiologist to the Seine-Département. In 1828 he won a prize from the Académie des sciences for his Essai sur la méthode endermique. He is remembered for the intestine suture!

[Informa Cosmos @InformaCosmos]

Cadáver de una tarántula con espeluznantes tallos del hongo Cordyceps.

Entre los organismos gravemente afectados por los Cordyceps, se encuentran las hormigas.

Sucede que, al ser infectados por este hongo, estos insectos se convierten en marionetas controladas desde su interior por el hongo.

📸: K.D. Shives