Tim Wu

Family Man, Runner, Vascular Surgeon @LenoxHill, Program Director @LenoxVascular @NorthwellHealth, Associate Professor @ZuckerSOM

[Tim Wu @timwumd]

@mattsmeds We bought one for our residents who seem to use it fairly frequently. Not sure for what exactly. Will have to ask one day.

[Tim Wu @timwumd]

@mattsmeds As some others have said, get inflow to that L profunda (aortofem or cross fem) and then see what comes back. Maybe that wisp of a peroneal (?) that I think I see distally will get better as a target… Or maybe something else. Good luck!

[Tim Wu @timwumd]

Maybe I agree. Maybe I don’t. It’s amusing to retweet myself nonetheless.

[Tim Wu @superwuster]

The Tiktok shutdown is such a farce. The firm didn't actually need to shut down, but is doing so to allow Trump to "rescue" Tiktok when he takes office (90 day statutory pause) and make some kind of lousy deal and declare victory. Very weak stuff

[Tim Wu @timwumd]

Physicians are the reason for runaway healthcare costs in the US? Finally found a real reason to use #fakenews.

[Third_Eye_Prophet @Third_i_Prophet]

A media blitz has been going on to demonize Doctor salaries. It's obviously funded by the Healthcare-Pharma Complex, to deflect blame onto Doctors for high Healthcare costs.

It is the worst kind of gaslighting against doctors, because the exact opposite situation is true.

First, doctor pay is 6-9% of all Healthcare costs, so even if they worked for free, it would hardly put a dent in Healthcare spending.

Second, many young doctors may not realize this, but Congress froze Medicare payments to doctors in 1997, and real salary adjusted for inflation decreased 80% since then!

Medicare work-RVU payment-
2000: $36.69
2024: $33.29
Inflation since 2000: 70%

Meanwhile, hospital payments and insurance premiums have OUTPACED INFLATION since 2000. That is where the problem lies.

People will argue that doctors are paid more in the US, but so is every other profession- law, finance, tech, nursing, etc.

Average nurse salary-
USA: $82,750
Germany: $33,000

Also, the US has fewer doctors per capita than Europe, resulting in more office visits and procedures per doctor.

And US doctors have on average $227,000 in debt compared to none in Europe. If you just invested that money in the S&P at it's historical return of 10.26% for 45 years, adjusting for inflation, you get $22.97 Million. That is the opportunity cost of becoming a doctor in America.

Anyone blaming doctor pay, which is down 80% the past 25 years, for our high healthcare costs, needs to read this thread and face the facts.

[Caitlin Hicks MD, MS @CaitlinWHicks]

Evidence-based data available TODAY from @EJVES_ESVS that infrapopliteal interventions should be avoided in patients with #claudication.

Surprising? No.

Relevant? Very.

#WeCanDoBetter

https://t.co/p7y1oE25fX

@SanujaBose 👏

[UPMC Vascular Surgery @UPMC_Vascular]

Dr @YuoTheodore, dedicated to improving outcomes for our challenging ESRD patients, presents his research comparing HeRO vs femoral arteriovenous graft on the podium at #VAM2024 .

[Sean Lyden @drseanlyden]

if you are an SVS member and support the concept of an independent board please like and share this post

[Tim Wu @timwumd]

@farkomd Same here. I’ve managed to stay away from stenting here, hoping one day bioresorbable stents become a reality.

[Tim Wu @timwumd]

@TurkSurgeonNYC @Cornell When did Andy Bernard go to med school?

[Tim Wu @timwumd]

@sternvascular @SharifEllozy @derubertisMD @phcvascular Congrats Jordan and welcome back to the Big Town!

[Prashant Saini @saini_pr7]

ERAS is upon us! It seems like yesterday that I was filling out my application and now I have the privilege of sharing this open house invite for all interested vascular applicants for this cycle. Please come pay us a visit next tuesday @ 7pm! @FutureVascSurgn @LenoxVascular

[Tim Wu @timwumd]

Calling all @FutureVascSurgn. Our program @lenoxhill @LenoxVascular in NYC will hold an open house next Tuesday for you to get to know our program and our residents virtually! Sign up today!

[Tim Wu @timwumd]

Overtreatment of PAD hurts people as well as confidence in our profession. We are entrusted by the public to exercise sound judgment and prescribe therapies for their benefit — not ours. Bad actors need to be stopped, no matter which specialty they belong to.

[Caitlin Hicks MD, MS @CaitlinWHicks]

Lots of press from @nytimes @propublica recently about #overuse in the treatment of #PAD. So who’s to blame and what can we do about it? Check out my thoughts here @medpagetoday . . . Sneak peak below. #WeCanDoBetter
@hopkinssurgery @HopkinsMedNews

https://t.co/QhEa0TjjLA

[Tim Wu @timwumd]

@farkomd Nevermind open. If bad symptoms, endo.

[Tim Wu @timwumd]

@shamitsdesai @chrisharnain @VascularSVS My relationship with IC and IR at my institution is great. It's very collaborative. But those OBL docs see us as a last resort and do anything/everything before they have to send to us to undo a lot of it and save a limb. The NYT article accurately reflects that.

[Tim Wu @timwumd]

@shamitsdesai @chrisharnain @VascularSVS And the misadventures that occur in that setting almost always fall into the lap of the local vascular surgeon, so unfortunately that silo still exists because of the OBL and our leadership responded appropriately, IMO.

[Tim Wu @timwumd]

@shamitsdesai @chrisharnain @VascularSVS I think relationships between VS, IR, and IC are great when we are working together in the same setting and taking care of a human being. The issue that has been exacerbated over the last several years is the explosion of OBLs where the abuses cited in the NYT piece mostly occur.