Shiva Jayaraman
@cutitoutPODCAS1
Followers
4,515
Following
1,127
Media
515
Statuses
3,248
HPB Surgery @StJoesHPB , Raptors, Blue Jays, and Sens fan
Toronto, Ontario
Joined September 2020
Don't wanna be here?
Send us removal request.
Explore trending content on Musk Viewer
Cardiff
• 49591 Tweets
Osimhen
• 47837 Tweets
本イベント
• 36125 Tweets
Cataluña
• 34292 Tweets
#ConversexFourth
• 29504 Tweets
広瀬めぐみ参院議員
• 28633 Tweets
FOURTH RUN STAR
• 27751 Tweets
10m Air Pistol Mixed Team
• 27256 Tweets
家宅捜索
• 19951 Tweets
強化プログラム
• 17085 Tweets
Gallagher
• 16837 Tweets
議員辞職
• 16120 Tweets
मीटर एयर
• 15141 Tweets
ナージャ
• 13491 Tweets
パッチノート
• 11568 Tweets
RECARO
• 11465 Tweets
#SarabjotSingh
• 11240 Tweets
#IndiaAtParis2024
• 10725 Tweets
Always best to avoid complications. When they happen, it's nice to stay safe and stay lap...
@SAGES_Updates
@CAGS_ACCG
@IHPBA
@T4UGIS
@me4_so
@CHPBAsurg
@SWexner
@hpb_so
@UofTGSx
22
98
558
This is a video of a bile duct injury happening in real time.
Optical illusion, error traps, confirmation bias.
Shows value of timeouts, landmarks, and intraop consults for
#safelapchole
@SAGES_Updates
@IHPBA
@CHPBAsurg
@me4_so
@hpb_so
@TheAhpbaPodcast
41
111
330
Clinic this week: patient anxiety level re: cancer surgery delays understandably huge
Patient: I have no choice but to wait for cancer surgery,but others can choose to not be vaccinated, fill hospitals, and deny me my chance at life?
Me:🥺
Can’t get over this, I have no words
8
62
307
A colleague at another hospital calls you with a gallbladder that looks like this. It is the middle of the night and the patient is unwell. They want to know what they should do.
99
48
291
As a person who is a chronic 2nd-place finisher, or maybe a solid Top-5…this feels pretty good. Just being honest, it’s a real honour.
Thanks
@UofTGSx
.
34
5
210
Call from OR by surgeon in a small town. Elective OR for symptomatic gallstones and US shows contacted GB with ++stones. CBD 4mm
What would you advise community surgeon…if in your OR WWYD? 🤔
#SafeChole
@SAGES_Updates
@DissanaikeMD
@EricKnauerMD
@mj_pucci
@T4UGIS
@me4_so
50
38
184
No one ever runs into trouble on lap cases in the OR right? What would you do in this situation? Why did it happen? What can be done to prevent it?
@jbconneely
@FlavioRochaMD
@SAGES_Updates
@shimulshah73
@HalletJulie
@drsuswarner
@Seanpcleary
@hpb_so
@HPB_Surgeon
@JHawksworthMD
21
29
175
@DissanaikeMD
@SAGES_Updates
@mj_pucci
@EricKnauerMD
@CAGS_ACCG
@TVASurg
@CHPBAsurg
Basically, from our soon to be published article in JACS, this is how we do it 👇🏾👍🏾
5
50
147
Excited to share that Dr. Brittany Greene will be joining
@StJoesHPB
@UnityHealthTO
@UofTSurgery
in 2024 as an HPB surgeon. So thrilled for the future of our program and our patients and learners
@CAGS_ACCG
@IHPBA
@SAGES_Updates
15
11
149
This is John, today I got to inform him that he is a 5-year survivor of
#PancreaticCancer
. He asked me to share his image and story so others can see the possibilities.
@UnityHealthTO
@HaltonHlthcare
@CHPBAsurg
@PanCancerCanada
@PanCAN
@IHPBA
@CAGS_ACCG
10
9
146
Sometimes seems
#noBDI
and
#SafeChole
seems like 2 steps forward + 2 steps back
Still too many bile duct injuries. We have work to do. Errors & decisions in video from old Tweet below still too common, as this vid shows (posted with permission)
@SAGES_Updates
@IHPBA
@CAGS_ACCG
This is a video of a bile duct injury happening in real time.
Optical illusion, error traps, confirmation bias.
Shows value of timeouts, landmarks, and intraop consults for
#safelapchole
@SAGES_Updates
@IHPBA
@CHPBAsurg
@me4_so
@hpb_so
@TheAhpbaPodcast
41
111
330
8
43
138
Cool use of ICG-NIR imaging to faciliate redo lap chole
Prior lap subtotal chole, small stone in small gallbladder remnant causing pain. ICG helped roadmap anatomy. Line of Safety helped too.
@me4_so
@hpb_so
@SAGES_Updates
@CAGS_ACCG
@OAGS1
@Cirbosque
@MISIRG1
@IHPBA
@CHPBAsurg
5
27
132
This is my patient Harry, he is a 7 year survivor of
#PancreasCancer
. He is a retired professional viola player and still travels regularly between 🇨🇦 & 🇫🇷. He allowed me to share this pic as a inspiration to other patients.
@PanCancerCanada
@PanCAN
@IHPBA
10
17
129
Mobilizing lower 1/3 of GB off cystic plate is the most underappreciated part of
#CVS
#SafeChole
This was a perf'd, gangrenous, very inflamed, tough GB. In such cases, I like to mobilize ENTIRE GB so only things left are cystic artery and cystic duct
🚫 clips w/out
#CVS
#NoBDI
13
21
124
#HPBTwitter
Whipple for cholangioCA, aberrant RPHD, margin on ❄️ keeps coming back +ive, CHD -ive
Chase higher? Resect seg 6/7? Leave it? How far do you go?
@HalletJulie
@drsuswarner
@FlavioRochaMD
@TheNotoriousHPB
@drymtn
@hpb_so
@IHPBA
@BertensK
@NirajGusani
@Shrikhande_SV
24
23
121
Nice demonstration ICG and Near Infrared Imaging of how the the Line of Safety keeps you above the biliary outflow tracts to R liver. Note the biliary hilum and Sulcus of Rouvier. Line of Safety keeps us above both.
#SafeChole
4
29
120
Beautiful demonstration of Critical View of Safety by
@UofTGSx
PGY2
@yuvreetk
#SafeChole
✅ complete clearance of fat and peritoneum from hepatocystic triangle
✅ two and only two structures enter the gallbladder
✅ lower 1/3 of GB separate from cystic plate
✅ doublet view
💪👍!
8
32
118
Once again, the Lap Liver Quick-Stitch helps in a jam
➡️ Tough non-anatomic wedge, chemo liver
➡️ Venous bleeder despite Pringle
✅ Always have 2 Quick-Stitches ready
💪 Solid hemostasis in tough-to-hold-a-stitch parenchyma
@SAGES_Updates
@CHPBAsurg
@IHPBA
6
25
119
This is my patient Perry, he is an 8y survivor after a
#Whipple
for
#PancreaticCancer
. He turned 80 today & wanted me to share this video of him waterskiing with his grandkids this past summer to help give hope to others!
@CHPBAsurg
@PanCAN
@IHPBA
@UnityHealthTO
@PanCancerCanada
4
8
122
Having dinner with my Rick. He is a 10 year survivor post Whipple for duodenal cancer. He wanted me to share this pic to help inspire others going through this massive operation. By the way, he was the inspiration for our patient care apps like
#whipple
6
6
116
My medical student asked me today if “they had already started doing lap choles” when I was a resident. 😔 it’s official...I’m a dinosaur.
7
1
104
Here’s how my wife and I are paying it forward to promote
#diversity
in Med School access. We feel fortunate to be in able to do this for Med students at our alma-mater
@SchulichMedDent
@uoftmedicine
@CMA_Docs
@UofTSurgery
@SickKidsNews
@UnityHealthTO
10
17
103
Great start to the week doing a synchronous resection HPB and Colorectal Onc case with
@tyler_chesney
. St. Joe’s and St. Mike’s teams in action together more and more often.
@UnityHealthTO
@uoftmedicine
@UofTSurgery
@UofTGSx
@maryanneaarts
@najmadoc
2
4
96
Very cool. I must confess, I am shocked I wasn’t aware of this move. We/I do a LOT of Whipples, trained at a big place, and I have never heard of this. Always interested to learn. What is everyone’s experience with this? Any pitfalls or problems? Or, does it just work?
@ihpba
Peritoneal patch 🩹 after venous resection for PDAC on the uncinate process 😮
26
47
410
16
9
99
This is Orlyn, I got to inform her she is a 5y survivor of
#PancreaticCancer
. She had chemo-en-bloc Whipple/Rhemicolectomy/SMV Recon-chemo: now active and thriving. She wanted me to share this pic to give hope to others
@PanCAN
@PanCancerCanada
@CHPBAsurg
@UnityHealthTO
3
11
97
@ChamoGui
@SAGES_Updates
@IHPBA
@CHPBAsurg
@me4_so
@hpb_so
@TheAhpbaPodcast
Or just stop at beginning and ask why there in the first place. Sometimes it’s best to live to fight another day. That said, for all my experience I live by the code in this algorithm:
3
29
96
A couple of our amazing nurses, Meghan and Kayleigh, on 2LS
@StJoesHPB
@UnityHealthTO
came up with this awesome Valentines Day memento. Enjoy
#MedTwitter
@CHPBAsurg
@IHPBA
@CAGS_ACCG
@CAGS_Residents
@AHPBA
@EAHPBA
1
12
93
Well, that was fun!
✅ was able to🗣through total lap chole using our schema👇🏽
❌ need to give hard time, they are in tough!
✅ do what they can with resources available. If lacking confidence/help/resources ok to temporize and ship ➡️
#safechole
❌BDI
3
24
92
#MedTwitter
, what info do you give your patients re:
#LapChole
? We don’t just have pathway web apps for oncologic ORs
@StJoesHPB
, check out our app for gallbladder patients:
@SAGES_Updates
@SWexner
@juliomayol
@EricKnauerMD
@CAGS_ACCG
@mj_pucci
@rbarbosa91
11
32
86
Strive for complete dissection in every
#Whipple
. Does this extent of dissection help with: prognosis? staging? just cause wicked diarrhea? Other? Pic marked for students. Thoughts please
@hpb_so
@FlavioRochaMD
@mkatzmd
@MarcBesselink
@PancreasVerona
@TheNotoriousHPB
@CHPBAsurg
5
7
82
This is the face of a man who has started his last 24h day/night of his last week on service w/ Acute Care Gen Surg. The ACS service at St. Joe’s has been a great way to help patients in our community, teach the students and residents, and grow as a surgeon and person. 1/3 👇🏽
11
4
83
45 yo Child-Pugh A cirrhotic w/ portal hypertension. Presented w/ cholecystitis & C-tube inserted at another hospital. Many weeks later, c-gram 👀👇🏽. What would you do? Who should do it?
@SAGES_Updates
@IHPBA
@CHPBAsurg
@CAGS_ACCG
@OAGS1
32
15
83
Pleased to welcome the newest member of the Toronto Jayaraman family. Introducing: Whiskey!
10
1
83
This was a very difficult lap subtotal chole in a patient with factors that made converting to open a VERY bad idea. Many of the landmarks and tricks we use described.
@SAGES_Updates
@DissanaikeMD
@mj_pucci
@EricKnauerMD
@CAGS_ACCG
@TVASurg
@CHPBAsurg
8
24
79
What....is....this? Any takers?
@SAGES_Updates
@HalletJulie
@DrNCoburn
@FlavioRochaMD
@AHPBA
@Seanpcleary
@NirajGusani
@mebdixon
@PeterLearnMD
@CHPBAsurg
@CAGS_ACCG
32
14
83
Ahem, name that structure. You know, the big thingy to the right of the midline.
@EricKnauerMD
@SAGES_Updates
@mj_pucci
34
12
78
⚠️Beware the “top-down” approach for lap chole and look 👀👇🏽at this elegant and simple diagram and explanation as to why.
#safechole
#NoBDI
@SAGES_Updates
@me4_so
@juliomayol
@SWexner
@CAGS_ACCG
Bile Duct Injury in “𝗧𝗼𝗽-𝗗𝗼𝘄𝗻”cholecystectomy
𝗥𝗲𝗳:Mastery of Endoscopic & Laparoscopic Surgery
2
35
150
5
27
78
This is a life threatening emergency, lap or open isn’t really important IMO. Stay safe use landmarks, top-around, consider subtotal early.
Must remove all stones and as much gallbag as you safely can. If that happens to be all of it and lap, great.
Surgical management of Acute cholecystitis. Laparoscopic vs. open procedure?
19
15
82
9
9
72
Need patient education material for recovery from
#WhippleProcedure
? We’ve got an App for that:
2
21
72
When sewing the bilioenteric recon, putting the scope through a port in R flank/side so helpful. Gives very natural view and logical set up for suturing. This is a Duodeno-Jej after excision of a choledochal cyst 1/3
5
13
70
Ok
#SurgTwitter
: lap chole at another centre, bile from a small hole, they suture it closed with 5-0, JP drain, ERCP stent postop. Sent to HPB (me) and sinogram 6wk later shows this. Prompt filling, location of hole unclear, 300mL/day. WWYD?
@IHPBA
@SAGES_Updates
@me4_so
@hpb_so
32
19
74
Just wrapped
@UofTGSx
#CaRMS2022
interviews by Zoom. Looking forward to doing it next year in person…I hope…but at home by Zoom has its advantages!
6
0
71
Dr. Bill Wall is a legend who helped so many patients and pioneered multi organ transplant and the concept of a multi-D unit in 🇨🇦. Here he is in retirement, continuing to make an impact.
@SchulichMedDent
@western_gensurg
@CAGS_ACCG
@AST_info
@TrilliumGift
@OAGS1
@IHPBA
4
15
68
Rising 🌟 Alert
This is Dr. Lev Bubis, he has been on staff as an
#HPB
Surgeon
@StJoesHPB
@UnityHealthTO
@UofTSurgery
for the last year. He will be starting on Faculty
@umanitoba
. He is an incredible surgeon, partner, scholar, teacher and friend.
3
4
66
BEST CONVO w/ 15yo daughter EVER:
15yo: Hey Daddy, you do Whipple Procedures right?
Me: Yes (all impressed that she knows what I do)
15yo: Would you say you do as many as Meredith Grey?
Me: 👇🏽
#Burntrap
#Teenagegirls
7
6
61
Deciding to abort OR case can be the toughest thing for a surgeon to do.
Would you persist, or was it wise to abort 🤔? How would you coach if called in OR, or now after. Video link below. Was BDI/other injury high risk? Shared with permission and consent
32
15
60
@SAGES_Updates
@IHPBA
@Cirbosque
@me4_so
@CAGS_ACCG
@CHPBAsurg
Well, this is how it went. Safe and definitive...and lap.
Landmarks, Line of Safety, minimal cautery, mostly suction dissection really helped set up for CVS. Having a stent in common duct also very helpful for tactile feedback. Will post to YouTube at some point.
4
10
60
What’s going on? Why is it going on? What would you do?
@SAGES_Updates
@IHPBA
@me4_so
@hpb_so
@CAGS_ACCG
@Cirbosque
7
6
59
Lap Subtotal Chole at another hospital. Bile leak controlled by JP drain, they do ERCP and stent…still leaking.
👇🏾sinogram via JP shows mobile stones, GB remnant decent size. How would you approach this?
@SAGES_Updates
@IHPBA
@Cirbosque
@me4_so
@CAGS_ACCG
@CHPBAsurg
23
14
56
@savbrar
You are 100% correct. That and per capital less Govt investment in healthcare than anywhere else in Ont. Results of systematic discrimination and lack of affordability of GTA all in one.
1
5
49
How do we help each other as surgeons? We believe coaching is a vital tool to help surgeons get over and prevent severe complications like
#BDI
Our latest👇🏾📖 small pilot series. More to come
@acsJACS
@SAGES_Updates
@ihpba
@CAGS_ACCG
@DanaTelem
@CapriceGreenber
@lianefeldman
Cool study by
@cutitoutPODCAS1
& colleagues in
@AmCollSurgeons
on coaching after CBD injury.
Lovely idea to actually try to get someone thru a professionally devastating event rather than abandoning them & treating them as pariahs
0
13
55
4
16
55
I’ve been resisting tweeting about the vaccination void in Ontario but I can’t help it anymore. What are we waiting for? l’m a random surgeon and I’ll vaccinate people, recruit me to vaccinate, recruit my friends, let’s get going!
@fordnation
Vaccine doses should not be sitting in freezers!
I am already on call for the next 7 days--and would GLADLY take a night shifts administering vaccines!
@fordnation
@celliottability
@DoctorAndySmith
@KevinSmithUHN
8
17
124
2
12
52
👋 This is Frank. He is a 5-year survivor of
@PanCAN
. He had severe complications w/
#Whipple
5 years ago (leak and GDA stump🩸) He and his family allowed me to share this pic to inspire other patients and care teams.
@PanCancerCanada
@CHPBAsurg
1
5
54
The liver is such an amazing organ:
R hepatic lobar atrophy secondary to chronic biliary obstruction from Hilar cholangioCA with L lobar compensatory hypertrophy. Amazing!
@HalletJulie
@DrNCoburn
@FlavioRochaMD
@PeterLearnMD
@GarethEeson
@JadAbouKhalil
@BertensK
@Seanpcleary
3
1
55
PTCD so helpful in BDI repair
➡️ 👀 anatomy and find/feel duct
➡️ target to split liver and core out some cystic and hilar plate around duct to hold suture for recon without further damaging duct
➡️ provides well positioned stent
#SafeChole
#NoBDI
@SAGES_Updates
@AHPBA
@IHPBA
4
9
50
When was the last time you shook someone’s hand? Great job
@carolinajimenez
on a perfect handsewn GJ!
@UofTGSx
@CAGS_Residents
@SIGUofT
4
4
49
Amazing podium presentation
@AHPBA
2021 meeting by rising star PGY1
@UofTGSx
’s own Dr.
@iAliceZhu
She shared our work on peer coaching in bile duct injury. Pretty awesome for PGY6weeks. Too bad us 🇨🇦 peeps couldn’t make it
#AHPBA2021
@IHPBA
@CAGS_ACCG
@UofTSurgery
@uoftmedicine
4
7
49
As a surgeon, and as a person of Indian origin…I love this
0
12
48
@UofTGSx
is an incredible place to train. We are blessed with world-class faculty like Transplant & HPB ⭐️
@shwaartz
who designed a hands-on vascular anastomosis course for our PGY5s. This will be a year long curriculum. More to come!
@savbrar
@CAGS_Residents
@CAGS_ACCG
#CaRMS
2
12
48
First vacay in too long with wife and kiddos. This is the view in Northern Quebec. Peace out Twitter Peeps.
#vacationmode
#StaySafe
#Offgrid
5
1
49
So true! If bleeding encountered during
#lapchole
must avoid blindly firing clips. If converting, likewise need to be cautious with clamps.
How do you handle significant bleeders at LC?
@EzraTeitelbaum
@mj_pucci
@EricKnauerMD
@SAGES_Updates
@DissanaikeMD
@BradleyNori
@kellynvogt
7
15
49
Post remote lap subtotal chole, 250mL/day bile leak controlled by perc drain. Ambulatory pt. Fully covered metal stent....still leaking What’s going on? What would you do? Sinogram ordered..what will it show?
@SAGES_Updates
@hpb_so
@me4_so
@CAGS_ACCG
@AHPBA
12
11
45
I think this an amazing development and we have used it in appropriately selected patients with great success.
That said, I believe if the patient still has their gallbladder, and they are fit for OR, LapCBDE with chole is the way to go.
@IHPBA
@me4_so
@CAGS_ACCG
@SAGES_Updates
7
6
45
Every operative note from every bile duct injury case I fix describes successfully obtaining a Critical View of Safety. We have a lot of work to do
#SafeChole
How do we move the needle ➡️ better understanding of CVS and other safe strategies when hepatocystic🔺hostile?🤷🏽♂️
Critical View of Safety
#CVS
in
#LapChole
: intraoperative photos document CVS & bile duct injuries
-1532 CVS photos
-Blind CVS rating
-Satisfactory CVS in just 23.1% of cohort
👉CVS used since 1995 but still not well understood or disseminated
@Hpbjournal
1
18
48
10
11
46
@StJoesHPB
#team
@UnityHealthTO
@uoftsurgug
Thank you Dr. Chris Habbel for being an incredible inaugural HPB Fellow Welcome to the team as staff for a year before you return to 🇩🇪
@LevBubis
, thank you for elevating our program! ⭐️ 💪
0
3
44
Lap subtotal Chole late Nov 2020 in remote area. In and out of hospital since. Bili 110 umol/L (6.43 mg/Dl). What now?
@SAGES_Updates
@IHPBA
@CAGS_ACCG
@mavros_m
@mj_pucci
@DrNCoburn
@jmosko29
@DrSam_E
@GarethEeson
@EricKnauerMD
@FlavioRochaMD
@TheNotoriousHPB
@HalletJulie
22
9
44
Day 1 of Bile Duct Injury prevention course in Mexico City hosted by
@domcai777
Prof. Mercado &
@incmnszmx
faculty. Teaching young surgeons
#safechole
always,
#noBDI
@IHPBA
@AHPBA
@CAGS_ACCG
@UnityHealthTO
@UofTSurgery
4
3
46
Thank you
@domcai777
for the invite to Mexico City. Exciting pilot course for
#SafeCholecystectomy
,
#noBDI
&
#SurgicalCoaching
, looking forward to future collaborations and coaching projects .
@CAGS_ACCG
@UnityHealthTO
@AHPBA
@IHPBA
@SAGES_Updates
.
What’s next!?
2
5
44
You know when you watch a parody of something and you have an awkward laugh/cry moment?
@DGlaucomflecken
, spot on 😆 😢
The only phrase I would’ve added is “sleep when you’re dead”
@DGlaucomflecken
#SurgTwitter
our self-deprecating wait is finally over
34
257
1K
0
1
42
Excited to share our experiences with coaching after bile duct injury. We believe this is important for patients, surgeons, and health systems.
@T4UGIS
@SAGES_Updates
@IHPBA
@DanaTelem
@lianefeldman
@mj_pucci
TUGS HPB and TUGS Journal Club - join us for a discussion on common bile duct injury after cholecystectomy.
Saturday, 2 Oct 2021 at 2 PM London.
You can register for this free event using this link:
More information on this event in the attachments.
5
24
56
0
16
42
Bilioenteric stricture after bile duct injury repair is a major issue for patients
👉🏽first repair is the best repair
That said, if stricture happens, we try to manage endoscopic or percutaneous, consider Hutson loop for high risk for stricture injuries.
2
9
44
Amazing visit to Universite de Montreal to talk about Peer-to-Peer Coaching in Bile Duct Injury. Thank you for the opportunity and the CHUM hospital must be the most beautiful and modern hospital in the country.
@theGaberlee
@eve_simoneau
@CAGS_ACCG
@UofTGSx
@UnityHealthTO
@AHPBA
4
2
44
@laarhoven_stijn
@T4UGIS
@asgbi
@Augishealth
@IHPBA
“The 6 Hemoclip Rule” ...This is a great old paper in
@CanJSurg
by my mentors Dr. Wall and Dr. Passi
@westernuSurgery
from the early days of lap chole. We teach this as a part of our safe lap chole strategy
@UofTGSx
@StJoesHPB
.
2
10
41
This feels like a long OR case with adhesiolysis where the new adhesions form as you lyse the old ones…
#shovel
#surgtwitter
@CAGS_ACCG
@SAGES_Updates
@Seanpcleary
@FlavioRochaMD
@acute_care_doc
@GarethEeson
1
2
41
We are hiring a new HPB surgeon
@StJoesHPB
@UnityHealthTO
@UofTSurgery
. Looking to grow our special team in a great city.
If are interested or have any questions please email or DM me! Check the post:
0
12
41
Our latest on the Warshaw Technique. Nothing earth-shattering, but great and meticulous work by
@UofTGSx
PGY2
@iAliceZhu
. Warshaw seems safe, and fast.
@CAGS_ACCG
@IHPBA
@SAGES_Updates
2
13
41
Prof Blumgart was a legend in many ways. I feel honoured to be a part of his “HPB family tree” and cherish the chance I had to learn from him. He was a pioneer and visionary. I also remember him for his kindness & and grace during tough personal times. Rest In Peace Dr. Blumgart
It with great sadness that we say goodbye to Professor Leslie H Blumgart, a true legend of
#HPB
surgery who developed the field around the 🌍 Many of us remember his dedication to the teaching of
@MSKCancerCenter
surgical fellows who proudly carry on his legacy.
@SurgeryLegends
1
8
97
3
3
39
@TheNotoriousHPB
@ErinBaker_MD
@sepideh_gholami
@drsuswarner
@HoggNDMD
@DrNCoburn
@HalletJulie
@DrEmamaullee
@MinterWiscSurg
@RSnyder_MD
@EmilyWinslow4
@wei_ac
@AHPBA
@IHPBA
Change doesn’t happen without leaders by example:
Invite: would you like to speak/chair?
Male invitee: is the speaker list diverse?
Invite: no
Male invitee: no thank you, may I suggest the following highly qualified panelists/speakers/chairs
This and other strategies help
3
14
37
Beyond honoured to visit Oslo to meet leaders and interact with open minded community of Norwegian general surgeons. Take home points: Take care of the patients, take care of our peers in bile duct injury, Thank you
@AAFretland
🇨🇦 ♥️ 🇳🇴 💪
@IHPBA
@SAGES_Updates
@UnityHealthTO
Thank you
@cutitoutPODCAS1
,
@RoesokMD
,
@xtofero
,
@FUNK_ungkir
and all who contributed to today’s symposium on bile duct injury at the Norwegian Surgical Week by
@KirurgenNO
. We must help both the patient and the surgeon to recover from BDI. Shaming does not help recovery.
1
2
18
1
8
41
You know…they say you learn something new everyday. This is the best development since Hawaiian pizza and pizza scissors.
4
7
41
@drterrysimpson
@SAGES_Updates
@jbconneely
@FlavioRochaMD
@shimulshah73
@HalletJulie
@drsuswarner
@Seanpcleary
@hpb_so
@HPB_Surgeon
@JHawksworthMD
You mean like this?
3
5
39
Honoured to meet
#SAGES2023
Prez
@jmellinger58
and share ideas on the value of peer-to-peer coaching and support after bile duct injury.
@SAGES_Updates
@iAliceZhu
@StJoesHPB
@CAGS_ACCG
0
4
39
Surgery can be very humbling.
#VARD
is a great operation in the right cases, but it isn’t always easy. Here are some lessons learned with the VARD
@SAGES_Updates
@CAGS_ACCG
@IHPBA
@Cirbosque
@pancreatitis_nl
@SWexner
@MarcBesselink
@ProfG_Edinsurg
9
9
38
Cirrhotic/Portal htn patient w/ platelets 40 post subtotal lapchole elsewhere. ERCPs and stents + more/bigger/different stents for persistent bile leak ~150mL/day now 6 weeks out. WWYD?
@SAGES_Updates
@SSATNews
@CAGS_ACCG
@CHPBAsurg
@IHPBA
10
7
36