Guillermo Escobar🩸
@GAEscobarMD
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Human plumber by trade, educator by passion, dog walker by obligation. Program Director for Emory Vascular Surgery Fellowship, Residency and ESP. #heforshe #blm
Atlanta, GA
Joined November 2014
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Finally got the pictures of our class of 2023-2024!
Our vascular family is growing and we are proud to have them with us.
The future is bright
@EmoryVascSurg
!!
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@ScottTruhlar
@SPuro88
I fired someone from my practice at an academic institution due to GROSS slurs to staff. When my request went in, we found other registered complaints from other specialties, so the patient was auto-banned from the entire system.
Private is irrelevant. This is a right of all Drs
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4K
@ValerioCapraro
@JJcolemanMD
FYI, The current (3-18-2020) mortality in Italy of
#COVID19
#coronavirus
infected patients is: 8.3%! Almost 1:10 have died!!!
In the US, Washington state has >5% mortality (1:20 with the infection die)
#FlattenTheCurve
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Never seen before...Top Gun skills competition finalists, Andrea from
@StanfordVasc
is a PGY-TWO!!!
Smoking all the old residents and fellows...stay tuned
@SCVS1969
!!!
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@embasic
@jimbog_76
@VASBImedia
@RenalAssoc
@VASAMD
@KidneyAcademy
Operating room. They bleed when infected or worn out. Send to your friendly neighborhood vascular surgeon and they’ll go to the OR and figure it out there - ligate, remove or reroute!
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@ValerioCapraro
@JJcolemanMD
Original data (real-time update and interactive map). Check it from time to time and see what’s happening in the world.
@JohnsHopkinsSPH
@JohnsHopkins
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Anyone wanting to start a vascular fellowship THIS YEAR, there is an opening!
“Vascular Surgery Fellowship at Harbor-UCLA Medical Center in Torrance, CA has an immediate opening. The matched fellow (who was supposed to start tomorrow) has had to resign for personal reasons.”
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This is AWESOME! Santa, showing some great Endo skills!!
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@DrGolfShirt
I’ve seen this. Trached laryngectomy patient with “no pulse” tighty grabbing the wrists of CPR provider. I suggested that despite “no palpable pulse”, that he was pRobably OK now and they could stop.
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@SPuro88
@ScottTruhlar
Certainly “less hoops” in a single practice, but my point is that no person (patient) has a right to repeatedly anyone, nor is a healthcare provider obligated to keep treating a patient…you have to document and report.
Be understanding for one-offs, but serial abusers =the door
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Aortic aneurysm thrombus is so weird...
It's funny how the old, chronic clot sticks to the outer walls and looks like grumous, while the inside is smooth and silky.
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At long last a dream of mine is achieved.
I've been collecting vascular surgery "must knows" since I was a resident and promised to one day write a book.
@michaelsgroi15
had the same ambition and together made the plan to do it!
❤️❤️to our BRILLIANT co-authors and friends!
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Hey vascular residents and fellows...what is that big white thing on the right of the aorta??
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@scratchpadMD
I had a delirious head trauma patient share a secret with me. He told me nurses were coming into his room, squatting in the corner and urinating in his room- he SAW their pee!!!...turns out, if you enter in the dark, squat to drain a Foley container into a plastic measuring cup..
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@c0nc0rdance
This one is my favorite of the end of the year spoof Edition From BMJ.
They do these yearly and are written with the most serious-type writing… this topic is often brought up in something that is totally obvious and doesn’t need a study… But obviously a bad study gets bad data
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PSA to all PAD interventionalists.
Please, please, PLEASE send for a surgical evaluation ANY patient with a long segment SFA-Pop occlusion and a proximal tibial that is open.
A full metal jacket from the CFA INTO the last tibial either leads to amp or a high risk bypass.
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Another PHENOMENAL vascular fellowship match year!!
Please welcome me in congratulating our 2025-2027
@EmoryVascSurg
fellows,
Drs. Kirsten Baecher & Sally Boyd!
👏👏
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#HappyImmigrantDocs
is an inspirational #. I was a Prelim intern in Minnesota, and for >1year owned only an air mattress, a computer + a desk ~> afraid of having to return if I didn’t get a residency. I biked to the hospital daily until it snowed in Oct, and HAD to get a car! 🇲🇽
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IT’S A MATCH!
We are thrilled to match with Brandi Mize, the newest member of Emory Vascular surgery!
She will complete our incoming class of 4/4 future female vascular surgeons!!
#LookLikeASurgeon
!
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@cadiulus
Love you analogy, and it inspired me to use this:
If I am 80 years old, get Covid and die, I did not die of old age.
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@Covid19Docs
Emory just announced they are maintaining their 2.5% stipend increase for 2020-21 trainees. Residents and Fellows should NEVER be a place for a budget cut (or anyone else who tows the line during this crisis). However, I bet there are a few administrators who could shed a few %s.
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Ready or not, Houston, I’m bringing
@EmoryVascSurg
’s three senior fellers (AKA
#AorticAngels
) to the
@HMethodistCV
aortic course!
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It's an exciting time
@EmoryVascSurg
!
We are beyond excited to be a part of two future vascular superstars in vascular surgery, Drs.
@KaileenFei
and Sebouh Bazikian!!
Get ready for the next surgeon scientists and academic superstars.
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Emory University Vascular Surgery fellowship is thrilled to announce we have stolen (AKA matched) two SUPERB fellows from all of you!
Samantha Terranella and Jason Martinez will be starting their fellowship in 2023 and we cannot be more excited!
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@EmoryVascSurg
is ecstatic to announce our 2023 vascular surgery class for our Integrated Vascular Surgery 0-5 Clinical Track and 0-7 Research Track; Stephen Hayes and Miller Allan, respectively.
Congratulations to them and ALL the
@FutureVascSurgn
s!
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@dcron09
@KBrookeGolisch
We operated on someone with terrible ischemic vascular disease (with ulcer) with 2 fevers...3 days later started to cough....you guessed it. COVID positive. Everyone surprised and now all isolated, to be tested. **Assume now all patients may b positive. Be careful out there!
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@doc_on_the_run
I need an assistant to do your surgery. I always need an assistant to do a surgery. In a private hospital, it might be a surgical technologist or it may be a nurse.
Here it’s a physician that is dedicating their lives to learn to be a surgeon.
I can’t do your case without them
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End of an era..
@EmoryVascSurg
are getting 2 brand-new Phillips FORS installed at the University hospital and our already-massive hybrid room looks even bigger cleaned out, ready for tear-down.
It will be rough for a while on an old-school c-arm, but totally worth it!
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#LookLikeAVascularSurgeon
Below are Emory’s newest class of “AorticAngels” (
@AmandaFobare
’s ™️)
These 5 exceed our 4 male vascular trainees this year!
Here’s to a new majority making a difference in equal representation in our field!
(Guys need to make up their “team name”!)
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My institution just discharged our first
#COVID19
patient home who came in and was on a ventilator! Need to share some small “wins” to keep morale up!
#WeCanDoThis
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@ValerioCapraro
@JJcolemanMD
To remind everyone...the seasonal flu mortality is 0.1% (1 of 1000 die).
#COVIDaintTheFlu
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Brainchild of
@GustavoOderich
! Multicenter collective effort to look at the outcomes of Debranching for TAAA and pararenal AAA.
Traditionally used for “too sick for open TAAA” or “bad lungs”, we found that good-risk Pts do REALLY well, suggesting it’s a viable alternative vs open
#OriginalResearch
: Insight from the
#NACAAD
registry - Hybrid debranching repair of complex AAA had low early mortality in lower risk individuals but was associated w/ high mortality in high-risk patients. Graft p...
#AHAJournals
@GAEscobarMD
@neotenorioMD
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@ciaracjenkins18
I will never understand why programs for the offer more spots for interview then they have. It’s ludicrous to try to make a competition of who can click except the fastest. It makes me so mad.
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Honored to have my very good friend and Chief of Vascular surgery
@DukeSurgery
,
@ColemanDM_vasc
as our Garland Perdue Professor. She enthralled us with her trajectory to co-found the multidisciplinary and multi institutional consortium for treating pediatric renovascular Dz
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@TheMedicJournal
Love what I do.
I help change lives and contribute to:
1) take away pain
2) save limbs from amputation
3) save lives when bleeding
4) prevent death from ruptured vessels
5) prevent stroke
I use my brain, my hands and my heart to heal + teach.
I fail. I get up. I do it again.
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Our very own senior ESP fellow,
@EmmaRooneyMD
won the Founder’s Award for the best abstract submitted by a trainee
@SouthernVasc
!
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Experience in HUNDREDS of robotic aortic reconstructions
@SCVS1969
, presented at the International Panel by Dr Stadler from Prague, Czech Republic.
Astounding experience and outcomes. <3% conversion, <1% 30 day mortality.
Thanks to
@AlanLumsdenMD
for bringing him!
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Our vascular family is growing!!
So excited to watch the
@EmoryVascSurg
training program grow over the years!
Fellowship, ESP, 2/Yr residency…We are going to need a bigger car to go to the
@HMethodistCV
Boot Camp tomorrow!
#TheBradyFamilyWasNotThatBig
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CONGRATULATIONS to Anthony Meena
@EmoryVascSurg
‘s PGY4 for winning his poster section and advances to
@SCVS1969
final tomorrow!!
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First day
@HMethodistCV
Boot Camp! So excited to get started after 2 year lag.
Thanks to
@AlanLumsdenMD
for starting up the engines again!!
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@MeadowGood
@rbarbosa91
Oh boy…don’t get Twitter started on Palming vs. Fingers-in-the-holes-ers…
When I was a PGY-5 I palmed a driver and after a warning, I received the back of DeBakeys to my knuckles with “A much better surgeon than you designed those holes for your fingers. Use them or
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@davideyoungmd
@fingersXmed
Actually, it’s currently DOWN to 80hrs a week....decreased from...well, no limit.
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@DrStephanieCoo1
@Vancbromycin
P: No blood for hemorrhagic shock x 6 days b/c God said no blood
D: All organs failed. Lactate 20. We should consider stopping life support. She should be able to go in peace with God.
P: God gave you all those machines to use them. Use them until He decides its her time to go.
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Had a great special session this AM on positioning and stretching for OR ergonomics.
Great exercises and awareness on the best ways to stand and have spinal longevity!
Thanks to Kathy Norris, PT
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Ordered new hats for the new Vascular trainees and me and it looks like either I got a bum-sizing, my head shrank, or this is the style for people who want to tuck in a lot more hair than I have!
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@SCVS1969
DEBATE ALERT
Despite a strong effort by Jeffrey Jim proposing TCAR as the new Gold standard, the audience’s questioning if it’s more like Bitcoin rather than gold,
@WeiZhou74370988
won the audience over and CEA with removal of plaque remains GOLD for carotid stenosis.
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My entire surgical team today
#LookLikeASurgeon
MS4, PGY1 and Fellow (and anesthesia, circulator, scrub)!
It's a great time to be a surgical educator!
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@justarandomdani
I love what I do, I love to teach it, and am the son of two surgeons. Touching, changing and saving peoples lives (and limbs) while using my mind to creatively imagine how to do it every day....then doing it!
Politics, paperwork and 🤦social interactions are a part of every job.
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@ciaracjenkins18
It’s completely disrespectful. It makes an assumption that everyone is, actually, glued to their technology. Hearing that some of you will pay people or have entire families looking out for them just so they can click “accept” is ludicrous. Even if they gave you two days or so.
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My Annual homage to "
@farkomd
in his natural environment" at the
@VEITHsymposium
50th anniversary meeting.
I cannot be sure but I suspect someone just got skillfully burned on X.
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Shameless plug from "1 more"!
@michaelsgroi15
's project compiling what we need in vascular surgery is complete! All original work from literally the brightest vascular minds in the nation.
Available for preorder- paper and 📲
The VSITE Review Manual
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@iraqidrphil
I secretly paid for Ashton Kutcher and Mila Kunis’ breakfast and they both came to our table yelling at me “WHAT WERE YOU THINKING???”
Once they got over the unsettled shock, they laughed and complimented my good friend’s young girl.
Cool people, they never saw it coming.
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Cutting edge (or cray?)
An intraoperative arterial injury during a robotic gynecological procedure… repaired ROBOTICALLY by vascular surgeons.
The next frontier presented by the
@HMethodistCV
team
@SCVS1969
AM session
Future fellows, keep your robotic lap card!
#Timestamp
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@ScottTruhlar
@SPuro88
My institution controlled a HUGE % of the city.
Trust me.
Speak up, no matter the place.
I NEVER expect them to shut them out of the entire system, but they almost insisted when they realized it was a pattern.
No one should be verbally/physically abused on the job
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Last day of the Dr
@AlanLumsdenMD
's
@HMethodistCV
open aortic course. Superb experience for all, with a chance for trainees (and me!) to exchange experience and ideas with master teachers and surgeons.
Always appreciate being a part of this event.
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@threadreaderapp
@tcbtttc
@GoughCJ
1st hand account of a week of COVID. Well detailed.. unfortunately it mirrors someone I know who has not gotten results back...
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I cannot express the elation, excitement, and overall amazement I felt during Dr. Vincent Rowe’s talk
@SouthernVasc
Diversity lunch following
@jordan_wd
’s announcement to retire Mattas from the emblem.
Dr. Rowe called for engagement, empathy, persistence and A BUS DRIVEN TO URM’s
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Yesterday we graduated 2 superb fellows, marking the 50th anniversary of our fellowship program @ Emory! Our program started in 1969, and in 1984 joined founding centers 1st accredited by ACGME.
With our residency (2017) and ESP (2019) we join 1 other place with all 3 programs!
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Congratulations to all the graduates of their residency and Fellowship programs!
We will miss you and look forward to hearing the tales of your success.
To Windsor, Niki and Anthony, no we are proud and wish you the best!!
@YDuwayri
@EmoryVascSurg
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@danleisman
A lot of the work regarding colonization + infection with catheters was done by Dr. Maki. There’s logarithmic rise after 3 days which led to most policies of moving peripheral IVs. Arterial lines tend to stay in longer + can’t be just put elsewhere.
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@garcia_toca
kicking off the afternoon session of the Rising Seniors/Incoming Fellows Program
@SCVS1969
with health and ergonomics!
Take care of yourself!!
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@EmoryVascSurg
is still growing!
Welcome to the 4 newest members of our class of 2023-24.
The future of our specialty is so, so bright!
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Had an amazing time
@cvinnovations
, learned a TON and made new friends.
The ultimate cherry on top was listening to Dr Safi share with us historical references, hilarious stories and a master's tips on open TAAA.
Great seeing my bestie Colorado'ans
@leith_erica
and
@doctormaxw
!
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#LookLikeASurgeon
in an aortic graft explant/AxFem
@EmoryVascSurg
.
Visiting med student, Jr Feller, Sr Feller and our Super PA all supported by our awesome vascular scrub (acting coy for this pic).
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Attention Program Directors who are not in touch.
No matter what you think, Taylor Swift is NOT going to your city to promote your residency program.
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@deafcon_meg
@stephlococcus
1) Send them a note telling them you appreciate their taking the time (once they upload)
2) Relay any comments you get regarding their particular letter recommendation which was brought up during an interview
3) Let them know where/if you match!
(The last one is the best part!)
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FYI- With the right tools (and a strong desire to get a tunneled catheter through a tight stenosis), you can make a Gore dry seal into a peeleaway sheath!
#OhItsGoingIn
!
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@farkomd
@EmoryVascSurg
So good to se
@farkomd
IRL!
While always the gentlemen and supportive of other vascular surgeons, I not sure he really liked my talk…
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During a much-needed house clean-up/unpack I discovered a little bit of history/pack ratting of Apple boxes over the decades…
“Let it goooo….let it goooo….”
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@scratchpadMD
Goal = Ia (Fibrin)
IIa (prothrombin) activates I
Xa activates II and is the common pathway for intrinsic and extrinsic.
III + VII = Xa (extrinsic)
The remaining ones are intrinsic pathway and... end in Xa
____
3+7=10
Rest are Intrinsic = 10
2 activates 1
1 polymerizes with 13
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Was an honor and pleasure to have one of my fav vascular surgeons visit as our 15th annual Dr Garland Perdue lecturer,
@MeganTracci
!
Inspiring but ominous lecture on payment structures in surgery, history, current and future.
Call out to
@FutureVascSurgn
to join advocacy
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#VAM2022
Residency Fair was a blast, we met with over a dozen aspiring
@EmoryVascSurg
residents and fellows. Some were still in college and some had previous careers, but all passionate about vascular surgery.
Our Division chief
@jordan_wd
was present and fielding questions!
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At SAVS,
@UTSW_Surgery
‘s abstract led by Carlos Timaran report no significant difference in using right vs. left arm for fenestrated/branched aortic endograft cases! Single digit strokes in either with better ergonomics + less radiation with RT!
@GustavoOderich
discussant said👍
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Congratulations to all the vascular surgeons to be!!
We are excited to find where everyone will be going!!
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@anothermarcusa
@MStott88
There were so many randomized control trials showing the benefits of CT over physical exam I am shocked that this even comes up anymore. I was one of the people thought physical exam was enough, but level one data consistently shows otherwise!!
This argument doesn't belong here.
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Attention med students!!
If you wondered what vascular surgery is and what it offers as a specialty, join the Society for Vascular Surgery’s VSIG, especially if you don’t have an “IG” (Interest Group) at your school.
Coming March 25th!!
Join here!
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This is really cool
#2
Example of how to get skin to reach a little farther! I will try with the next fasciotomy that I can’t quite close and hate to have to skin graft them!
I use “pie crusting” mostly for fasciotomy wounds, but it was described by
@FractureDoc
in 2007 for the feet as well. I use it in the setting of tight dorsal foot wounds if I do a midfoot or Lisfranc type injury to increase my comfort level with the skin. They heal great.
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