Purchased 150 castros and forceps for my students from a factory in Pakistan on . Paid in advance. First time buying on this site and was a bit worried. They arrived safely and quality is very good. Globalization is great. Let the surgical simulation begin!
Pericardial window and relief of tamponade. A few points: litres can accumulate slowly but 200cc can cause tamponade acutely. A window is a simple operation but potentially very dangerous as you are operating in a hole
VENTRICULAR FIBRILLATION (no blood flow) - DEFIB (shock) - SINUS RHYTHM. Similar sequence when you use the AED to SHOCK someone who has a heart attack (permission obtained)
Never thought that Harvard and Yanagawa would be two words that would be spoken together. Amazing course for any surgeon interested in leadership... yes this is a bit of a humble brag... sorry!
@HarvardSLP2020
Beautiful demonstration of tamponade. Easy to see why chest compressions will not work here. A surgical technique for acute wall rupture is to get on pump, then place a large felt patch with lots of bioglue
Heart surgery is the most thrilling, exciting, challenging, satisfying thing in life. Don’t let it take up so much of your heart that when it’s gone, it leaves a huge gaping hole that even the lives of your family cannot fill
We are delighted that Dr. Mimi Deng will be joining the University of Toronto Cardiac Surgery family. We are excited and we expect great things from you Mimi!!!
@UofTCVsurgery
Repair of inferior ischemic VSD: 1. Retract heart up 2. Open LV lateral to septum 3. Identify VSD 4. Sew patch in healthy tissue 4. Repair LV (pt seen in clinic and gives permission to share images)
#medtwitter
@UofTCVsurgery
Posture is so important in surgery. Back straight, elbows tight to the body, hands at 90 degrees and resting on the patient. 🧍♀️🧍🧍♂️You can operate like that for hours and hours 😷😷😷
As surgeons who see patients at 6week FU, we don’t really have a good sense of how long it takes to recover from a sternotomy. I used to say 3months, now I say 3-6mo. I suspect a survey of patients will reveal that it takes much longer for complete recovery - survey needed?
Working a paper on gender equity in surgical education with a cardiac surgery resident and two medical students going into cardiac surgery. Making progress on inclusion
@UofTCVsurgery
@gracelee_lsh
The wonderful cardiac surgery team at St Michael’s Hospital - Dr Daniel Bonneau has retired. His legacy lives on in the thousands of surgeons that he has trained around the world
@UofTCVsurgery
@MO_Barbati
You should never look at the clock when you operate... However, if you want to operate fast, you should optimize each motion of the hand no matter how small, eliminate any unnecessary move and go from task to task without any pauses
Good example of LV rupture. I suggest, go on pump, get the largest felt patch (do NOT use bovine patch), place copious amounts of bioglue, place on heart and try to come off pump 🫀🫀
#medtwitter
@UofTCVsurgery
55M with tearing CP. 5cm ASc Ao... what to do??? We hummed and hawed but eventually replaced the aorta and pain is gone. Acute aortic syndrome is: dissection, ulcer, intramural hematoma and... symptomatic aneurysm. Don’t forget the last one
Pericardiectomy: 1) ext defib pads ON 2) peel lungs away from pericardium 3) start at base of aorta and dissect pericardium off heart phrenic-to-phrenic
@CardiacUottawa
@UofTCVsurgery
@UofTCardio
(w/pt consent)
@okusanyamd
@TomVargheseJr
Your response was amazing... keep smiling... or... would love to have you in Toronto - we have 250 ethnicities and over 50% of us are born outside of Canada. From your name I suspect you are Yoruba... there is a huge community here
After 3 months, hundreds of hours, 140+ Canadian medical students improved their surgical skills. So proud of their tenacity and grit. Many staff-level anastomoses! Congrats! Thank you to Dept Surg and Ethicon for support
@EthiconCanada
@najmadoc
@UnityHealthTO
@DVervoort94
Thank you to Ky Luu and SURE Gen Contractors for their generous support. Ky is a self-made man, an immigrant who built his company from nothing. What an honour to be associated with him! 💪💪💎💎🇨🇦🇨🇦🫀🫀
@UofTCVsurgery
@StMichaelsFdn
@UnityHealthTO
@uoftmedicine
I measure flow in all my grafts. There is almost no risk to the patient. It only takes a few seconds. When in doubt, I redo an anastomosis - it only takes a few minutes. You should leave the OR knowing that you have done everything in your power to achieve complete revasc
We're thrilled that
@nature
ranked
@UofT
among the top 3 institutions in the world for health sciences research output!
This achievement is reflective of our commitment to collaboration in the health sphere, says
#TemertyMed
Prof. Leah Cowen
@UofTCVsurgery
is thrilled to announce that Dr. Abdulaziz Alhothali will be joining us in July 2024 from Riyadh 🇸🇦. Welcome to 🇨🇦🍁🇨🇦… we know you will find happiness at
@uoftmedicine
@UnityHealthTO
@UofT
🫀🧠💪💪💪… bring a warm 🧥
Any Canadian medical students considering applying to cardiac surgery - please message me. We will be releasing some materials shortly to showcase our residency training program
Interview season is coming. The most common question I have been asked is what we look for in applicants. Integrity, brains and effort. Of these integrity is most important. Good luck all!!!