Thomas Scully MD
@braindoc69
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neurosurgeon TMC One Northwest NeuroSpecialists. Past-President Western Neurosurgical Society husband to Dawn father to Tommy and Caroline
tucson
Joined February 2009
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#MedTwitter
I turned 63 Thursday. Spent it doing 4 cases. Best part? 30 years I’ve been a neurosurgeon. I get to have my son
@tscully595
, in his last month of med school, spend it with me. Future general surgeon! He will be an amazing physician/surgeon. I’m so blessed
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We are so proud of the newest Dr Scully.
@tscully595
the hard work necessary to accomplish this is known by few. Compassion, smarts and hard work. You will be a great surgeon.
#MedTwitter
#surgery
#neurosurgery
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@annbauerwriter
There has been a push to “population health” b4 the pandemic started. It’s anathematous to all my training as a neurosurgeon. In an exam room it’s me and the patient (and the insurance company😒🙄) NOT the community
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@tresahorney
@DanRather
Have you watched US TV lately?? Most commercials very diverse and integrated
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@Cleavon_MD
Hospital in NW Tucson. 92 Covid patients. 2nd floor ICU total Covid. Some surgical cases rescheduled. Not able to schedule elective cases until after 12/28. I get vaccine Wednesday. Hoping to do my crani today if ICU bed available
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@rbarbosa91
I absolutely love these posts (even as a neurosurgeon). This one gives a whole new meaning to posting a “thread” 😜😂
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@renkate
I love this! I’m a neurosurgeon. My dad was an internist and my sister a critical care pulmonologist. Her husband a GI doc. At Christmas they tried to put the surgeon at the “kids” table. 😂. But, I quickly turned the tide on my brother, the lone attorney! He was odd man out!
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@hubermanlab
I started listening a few weeks ago! Superb work!! As a neurosurgeon, I have learned a tremendous amount. I recommend your podcast to all!
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@amyfaithho
@CMSGov
The entire death of private practice. Our neurosurgical practice has to hit our credit line to pay our payroll. No pay from United or BC/BS this year!! CMS was delayed until just recently. It’s not a survivable environment.
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Wow! Just wow!! I HAVE to take call. And EMTALA rules state I MUST see patient or face $50,000 personal fine. And that patient is insured by a plan I choose not to contract with, they now can use this to not pay me at all... Even if I do life saving craniotomy surgery?? Unreal
Don't want to sign an insurance contact to become "in-network?" Then you won't get paid, under provisions proposed today by Senate HELP.
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@ZachJonesForTX
@EdGainesIII
“Market driven”! There is no market in healthcare. Medicare rates are pre-determined. Insurance cos then pay some Medicare (x) rate. Docs have no bargaining power. 28 years in practice. Health insurance rates ⬆️, pay ⬇️⬇️
@drdanchoi
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@HealthScoutBlog
I was chair of dept years ago that oversaw peer review and “behavior issues “. Cardiac surgeon was reported for cussing. In front of committee he said “I never fu__ing cuss in the OR!” He winked at me. Knowing I was prob only surgeon that cussed more than he!!
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I may be at a neurosurgeon meeting, but I am sporting Frog gear!
@_delconte
@TCU_Baseball
🐸⚾️🐸⚾️🐸⚾️🐸 new "Frog Dad" shirt 👍🏻
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@NBSaphierMD
@CrisAlvaradoMD
POTUS had Bilateral craniotomies in 1987 for mirror MCA aneurysms! Both frontal and temporal lobes retracted for a few hours combined with a subarachnoid hemorrhage…..but, the voters never heard this from the mainstream media
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Great day golfing with these 2!
@chuckcecil26
@UArizonaPres
good golf, laughs and those 2 are still playing!!
#callsucks
🙄😩
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@yaneerbaryam
I think Arizona is close to herd immunity in many areas. Natural and vaccinated immunity. Our current case count, hospitalizations and ICU usage are exceedingly low. Let’s hope your projections are wrong
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With Coach LaRose golfing. Made the turn to watch his former player Nate Lashley win! What a great day for
@ArizonaMGolf
I think I saw him shed a tear😏👍🏼⛳️
@PGATOUR
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Thoroughly enjoyed TCU Chi Omega dads weekend with
@carolinemscully
World’s
#1
daughter!
@TCUFootball
didn’t disappoint Thanks
@_delconte
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Proud moment. A year late due to COVID, but son Tommy had his white coat ceremony at Incarnate Word School of Osteopathic Medicine. So proud!
#doctortobe
@UIWSOM
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@KBrookeGolisch
Picture of my dad... Internal medicine resident with his fellow "house officers". They lived at the hospital. Circa mid 1950's. Obviously spent their cash on clothes 😏😂
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@tomfolanmd
I have a neurosurgery joke but I lack the nerve and I am too spineless to tell it. I will “disc”uss it later. I’m afraid it won’t be “dura”ble or mater much
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True words
@FastestSurgeon
the amount of free work over the years is astounding... And, I usually don't mind. It's a blessing to do what we do. But don't vilify us for wanting to be compensated appropriately. Those same "free" patients can sue us with impunity
@CerebralDoc
When I get called in to do emergent surgery, there’s a fairly high frequency of getting paid nothing at all.
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#MedTwitter
#ProudDad
day8/7 of a
#neurosurgeonslife
in pictures
#neurosurgeon
Had to tweet this pic of my son who just started medical school. So proud of him. He will make a phenomenal physician. He worked his butt off to get here! Inspired by his grandfather ( and maybe me)
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Happy Thanksgiving to all. Gratitude is attitude. Carry it over on a daily basis. Just a bit more patient. Let someone cut in front of you driving. Smile more. It all helps
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@kksheld
Superb! As a private practice neurosurgeon still taking call 10 days/month, I put my patients first. Individually. Not population health. The physician/patient bond is immutable and must not be tarnished. Bravo Dr Held
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National Purple Day!! Supporting the Frogs in the office today 🐸🐸 _delconte TCU
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All the brains know to cheer the Frogs!🐸🐸🐸 TCU _delconte note "Go Frogs" on gown and brain surgery. Might miss game, but doing some good 😇
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@MaryMargOlohan
This is the best thing I have seen in 4ever. Do as I say not as I do. Precisely why we need to fight back against socialistic policy/leaders. America is great because of individual liberty!
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@_delconte
wearing TCU colors under my scrubs. Long surgery for brain tumor during Frogs game today. Multiple DVRs set 👍🏻🐸🐸
#TCU
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#golf
beautiful day in Tucson! Made better by having the hardest working college football coach
@chuckcecil26
back with us!!
@AZATHLETICS
and Coach LaRose and Ricky Tornquist
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#spine
#acdf
3 weeks removed from C5/6,C6/7 ACDF. Back to work full time. 2 level lumbar fusion and posterior cervical tomorrow (no residents or fellows, it’s me operating). No arm pain. Just post cerv
@alibaajmd
@FastestSurgeon
@KhoiThanMD
@DrDiGiorgio
1.)
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@BrianSachs
It's specialist groups as well. No elective surgery. We take call each of us 3 10 days/month. But hospital/ED empty. None of us taking salary so we can keep paying our employees. Hopefully virus dies off and some sense of normalcy resumes. Hang in there
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@MKIttlesonMD
And, always knock and ask if you can come in first. My dad taught me that in medical school 30 years ago! (I don’t feel that old). Not much dignity being a patient. Strive to keep as much as you can for them
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@cscla
To have hospital privileges at most institutions, one must accept Medicare. We are all held hostage
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Supporting
@TCU_Athletics
NCAA 1st round lady soccer. Go Frogs!! In my hometown of Tucson 🐸🐸
@_delconte
@GretchenTCU
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#TCU
@TCU
Tucson TCU club freshman send off. Fun day! Appreciate support and 🐸 swag😎 from
@TCUAlumni
assoc. Casa Scully was perfect venue!
@GretchenTCU
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So proud of our daughter
@carolinemscully
#TCUgrad
@TCUNursing
graduate!! Soon to be the best ICU nurse ever!! Love her more than words can express!! Grateful to get to have a graduation ceremony! Thank you
@TCU
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1.) I have changed my occupation /title on my social media sites. I am no longer “physician/owner” of Northwest NeuroSpecialists. Rather, I am now employed by TMCOne. This is effective as of June 26,2023
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Visiting for a day in Indiana before heading to Chicago for meeting. Took my wife, son and his girlfriend to see ICU named after my father.... The best Physican ever! My sister, who was President of the Medical Staff at the same Hospital was there too! Pretty special
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@TCUCoachP
The best to you and Mrs P! Words can’t thank you for what you brought to TCU and Ft Worth. 👋🏻👋🏻
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Happy Memorial Day weekend. Golf with 3 U of Arizona legends
@UofAPres
Robert RobbinsMD, Nyal Leslie and Coach Rick LaRose. Typical Tucson bad weather!
@NotreDame
golf represented well (except for putting😩😩)
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@AtulGroverMD
And if I am doing craniotomy for brain tumor, or spine surgery. Medicare pays me the same as the surgeon in practice for one month, even though I have 30 years of experience
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My 3rd hole in one!! Playing with Senior US Open Champion Don Pooley!! Tim Garigan. Peter Evans😜
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@crampell
I've taken over a 30% cut in the past 10 years. Most spine surgeons have seen the same reduction in re-imbursement. I work hard and efficiently. I make less each year. I am a business owner. I pay my employees more every year. Costs go up. I love what I do.
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Great day at Tucson Country Club.
@chuckcecil26
joined me, Nyal, Coach LaRose and pro golfer Jon Khan. Chuck will do great at
#UAfootball
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@DrSomedayMaybe
I did my surgery rotation 3rd year early on so as to never set foot in an OR again…. Finished my neurosurgery residency 22 years ago😉 best advice I was ever given: “Whatever the rotation, that is what you are” it makes it easier, more enjoyable.
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PAC 10 defensive player of the decade and “too vicious for the NFL”. Breakfast of champions! Great to have
@chuckcecil26
back on the golf course after the spring game
#beardown
#poptarts
#uncrustable
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@JJcolemanMD
Appreciate the sentiment. I trained B4 80 hour weeks. As a neurosurgeon in private practice, there are no "shifts". You work until it's done. Add on cranis etc. I cover ED call 10 days/month at 58 years old. It's hard. If I'm up all night I work the next day. No good answers
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@andreanatalemd
I am so sorry to hear this. This is not the America we know nor desire. You are one of the most ama ing docs out there and fixed my a fib!! Prayers and thoughts for you and your family.
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Recovered well enough from Covid to work, so I golfed today. Sandwiched by 2 Hall of Fame Coaches! Rick LaRose
@ArizonaMGolf
and MikeCandrea
@ArizonaSoftball
#Golf
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@mattktob
Way too many times I have experienced that. We all have a little brain graveyard where we deposit this and all the other bad neurosurgical memories. Just don’t let the graveyard get too big or overshadow all the good you do and will do! Finished my training at IU 1994👍🏻
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#TUCSON
#sunset
on call. Crani earlier. Reminded how amazing life is even with
#COVID19
Gratitude is attitude
#Neurosurgery
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Frogs!!!!!🐸🐸🐸⚾️⚾️⚾️⚾️
#ToadToOmaha
great display by Howard! Congrats
@TCUSchloss
@_delconte
@TCU_Baseball
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@AshishRawalMD
@DrLeeRubin
@jointdocShields
@CenterRotation
@NaanDerthaal
They don’t work. First time I pulled mine out. The TSA guy laughed and said “terrorists can have these too”. Tell ur patients to use the X-ray scanner.
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18th hole for birdie to win Team Match Play Champ. I exorcised some demons out there!
#golf
#yips
#Neurosurgery
@Anderson_Jimbo
I have a year of eligibility left!!
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#holeinone
made my 4th hole in one today. Playing with the legend, Coach Rick LaRose
@ArizonaMGolf
and, he tied me with a 74!
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Great round of golf with my friend, Alamobowl champ,
@chuckcecil26
@ArizonaFBall
was a force this year!!
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@docdailey
@drdanchoi
In what universe??? I have been private practice neurosurgeon for over 25 years. I'm on call 10 days/month still at age 58. I've never come close to making a $million/year. I have a great living compared to most. But I work 60-80 hours/week. High stress occupation
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@dave_hegan
Grew up in da Region. Played golf at Notre Dame in early 80’s. In Tucson now. Your father is legendary. Condolences and prayers
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@AtomsDNA
@DataDrivenMD
A bit of hyperbole. Less than 400 children dead. Most with previous significant medical issues. Masks likely not effective with delta. HEPA filters in classrooms. Open windows. Never going to be zero Covid. Viruses morph, infect different groups over time.
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@rbarbosa91
We use a variety of different sutures. “Neuralon” most common. Sometimes proline, and goretex makes a dural suture as well. Many of us older docs still like silk as it “swells” and blocks needle holes from leaking
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@teachplaygrub
I’ve been a neurosurgeon many years, and, I love and learn something with all your threads! Thank you 👍🏻
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My wife is an amazing cook. The only thing I can do is fancy desert on Holidays! ooey gooey pumpkin cake! Grateful to not be on call!!
#MedTwitter
this recipe comes with one free cardiac stent 😱
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#TCU
#nursing
Fortunate to have
@carolinemscully
as my daughter!! Great white coat ceremony put on by
@TCUNursing
well done!
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First round of
#2020SoFar
and all 3 of these clowns birdied the first hole 🐦🐦🐦
@chuckcecil26
RatBoy and me. All downhill from there!! Beautiful day for
#golf
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Day off. Raining in Tucson☔️☔️at Roadhouse with
@carolinemscully
Richard Jewell to be seen 🍿🎥
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The legend,
@chuckcecil26
and I big 💰💰winners on the course today😜. #$30 goes a long way 🙄😎🏌️🏼♀️
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@KamalaHarris
This is endless pandering. Operation warp speed with 2 vaccines in 6-8 months!! Unreal progress! Tracing?? We test in the US to a huge amount!
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#MerryChristmas
#bestwife
my wife outdid herself. Beef tenderloin, crab legs, Brussels sprouts, etc and fondue!! God is great
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@ryanclearyMD
This is Dr Carol Lally Shields. Notre Dame grad. Oncologic ophthalmologist extraordinaire. Lally Shields was presented with the Theodore Roosevelt Award, the highest honor the NCAA bestows upon an individual. She has authored over 700 papers. She and her daughter should be proud
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@medicalaxioms
True words we have cancelled elective spine surgeries. Taking full call, trying telemedicine. Hard to do neuro exam via computer!! We refuse to lay anyone off. I will step up if our hospital is overwhelmed Neurosurgeons are critical care too. We aren't hit yet. Waiting tho
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#spine
I tweeted my surgical story the other day. I shall give periodic updates. Having performed a few thousand of what I had done, it hopefully gives some insight from both sides.
@alibaajmd
@DrDiGiorgio
@KhoiThanMD
@FastestSurgeon
🧵
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@RanaAwdish
I'm a neurosurgeon. I will do anything anyone asks of me. We all can step up. I'm a doctor first!
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@KhoiThanMD
I did them myself for years. There is now data that laparoscopically placed do better, less revisions etc… in NPH patients (which is my patient population) so I changed. General Surg lap places abdominal catheter now
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Happy birthday to the number one daughter/Frog of the world!!
@carolinemscully
love you!! See you soon!! Go Frogs!
#TCU
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#MedTwitter
insurance companies should grant grace period for patients scheduled for surgeries before end of year (who have used up deductible) but get postponed due to Covid
#s
in hospitals
#COVID19
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This is well said and true. Insurance companies desire narrow networks. Make low ball offers of contracts to docs. Some take. Others try to negotiate. Docs that stand ground for reasonable contracts are not in network yet take call. Patient comes in has surgery. Insurance no pays
The debate over balanced billing is heating up again. Can we please all agree on one thing? They aren’t “surprise bills”. Someone got a service, they got a bill. No surprise. The surprise is finding out their health insurance sucks & didn’t pay the bill. It’s “surprise coverage”.
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@EllenMcKnightMD
On all my "order sets" for post op patients I have a communication order. It says "please remember that these are physician orders, not suggestions". And, honestly, I am not that guy!!!
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@miaowlex
Cardiology. But I am a neurosurgeon. Did surgery rotation 3rd year early, so as to “never set foot in OR again”! I can’t imagine not doing what I do
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Me: do you understand the surgery we are going to do?
Patient: “yes. You are going to remove my spinal cord, fix the vertebra and replace the spinal cord in a better place”
Me: 😳 yep, that’s pretty much it
#spinesurgery
#ACDF
#neurosurgery
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@amychomd
EMTALA. Unfunded mandate. Contributes to the whole surprise billing issue. We are not able to ask what insurance patient has? Then we are bad guys if we are out of network? $50,000 personal fine. Good intentions as "anti-dumping" but, as frequently is the case, bad in practice
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