Shimul A. Shah
@shimulshah73
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Chief Solid Organ Transplant. Liver surgeon focused on quality, utilization and leadership in medicine. Here to save lives, learn & make friends.
Mass General Brigham
Joined October 2013
Sorry for polical text - Our hospital is full, can’t do elective surgery and I can’t transfer in critically ill patients with ESLD. My kids can’t go to school. Yet our restaurants and bars are open. how does this make sense?? Schools and hospitals need to be #1 priority.
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#ILookLikeASurgeon All-Women Team @UCincySurg Sewing Liver in on Liver Transplant @LaSilski @cincysurgery
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What to get a mom who has everything? One son donates half his liver, the other donates his kidney…#giftoflife @transplant_u @uc_health
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The middle hepatic vein - the lock and key to liver surgery….
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Honored to lead a great team @transplant_u @UCincySurg and expect even better things as the future @uchealth is bright. Looking forward to @MGHSurgery @BrighamSurgery and exciting times ahead.
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@LouisBLouisIV @CincyHealthNews Thank you for sharing. This is an important and powerful story. Recent events bring memories of co-resident Mike Davidson who was murdered in his clinic at BWH not too long ago. That still haunts me and all who knew him.
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Teamwork - transplant/HPB, cardiac and urology….collaboration, trust and expertise @UCincySurg
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Portal vein to coronary vein varix in OLT case with bad PVT - what is your preference if thrombectomy is not an option? @HPB_Txp_Surg @JHawksworthMD @DrEmamaullee @MathurAmitK @AmarGupta_MD @theliversurgeon @AlanHawxbyMD
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@jnahmias1 @DissanaikeMD @JJcolemanMD @elliotthaut @MarkSeamonMD @traumaicurounds @drdevirgilio @docmartin22 @TsengJennifer @pferrada1 @bryanacotton1 @EAST_TRAUMA @ClaridgeJeffrey @bernardtrauma @BHWilliamsMD “Arterial bleeding is for amateurs, venous bleeding is for professionals” Paul Greig - Toronto @Seanpcleary @jbconneely @johnsealmd @BAmirSayed.
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Great shot of the middle hepatic vein. The key to liver surgery….
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Recent right lobe donor hepatectomy . how compulsive are you with resuspension of left lobe? I am with 8-10 prolenes. Thoughts? @liverserjun @hpbsurgeon1 @sonalasthana @HPB_Txp_Surg @IHPBA @AlanHawxbyMD @liveRPancSurg
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Machine perfusion leading to more organ viability for liver transplants | WKRC. 25% increase in our volume, highest transplant rate in the US. Median waiting time only 15 days. Congrats to @transplant_u @uc_health
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Congrats to @AaronDelman for his talk on improving racial and minority access to kidney transplantation #amersurg22 @UCincySurg @SyedAAhmad5 @cincysurgery @ASTSChimera @transplant_u @AnnalsofSurgery
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A life-saving gift: Man donates part of his liver to his wife - honored to be a part of our first LDLT in close to 20 years since @DougHantoMDPhD did them @UCincySurg. @uc_health
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Congrats to new members of American Surgical Association #amersurg22 @SyedAAhmad5 @jdimick1 @AnnalsofSurgery @tracyswangNYMKE @TopKniFe_B
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AHPBA 2023 Executive Council - The Future is Bright @AHPBA @Seanpcleary @MichaelDAngeli2 @JeyarajahRohan @FlavioRochaMD @drsuswarner @therealkwash @skmaithel @megimenez
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R3 Dr. Kasie Onyejekwe waiting for the stitch during liver case @cincysurgery @transplant_u @UCincySurg
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Dr. Majella Doyle talking about about the high discard rate of donor livers in the US…. only 67% utilization!!! Regardless of region. We must do better. @transplant_u #UCLiverForum. @DrLiver @theliversurgeon @davidcmulligan3 @HPB_Txp_Surg @DrEmamaullee
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Inside the Hospital Where Damar Hamlin’s Life Was Saved - The New York Times. Proud to work @uc_health
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Reflections of @AHPBA mtg. Honored to serve as Treasurer and cont to help grow this great org in footsteps of @Majeldoyle along w/ @Seanpcleary @JeyarajahRohan @megimenez Thank you all for great week and the future is bright! Got to get home & celebrate an impt 13th birthday!
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LDLT with cryo preserved vein for V5. What is your choice for conduit and why? @HPB_Txp_Surg @KimOlthoff @Eric_Vibert @MAbouljoud @transplant_u @AmarGupta_MD @BenSamstein @pdline @dbalci
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12-15yo now eligible for vaccinations. Get your kids vaccinated.
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Honored to work with these superstars and leaders…on to 2024-2025 and the future of @AHPBA @JeyarajahRohan @Seanpcleary @TaraSotskyKent
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Tribute to Paul Greig who has touched thousands of lives and careers. His impact has been tremendous on so many of us.
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Congrats to @LeeTiffanyC and all @UCincySurg graduates. Highest honor to toast (roast) you on your way to MIS fellowship!
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Transection complete…do add any product on cut surface? @motazqadan @FlavioRochaMD @AmarGupta_MD @cutitoutPODCAS1 @liveRPancSurg @DrEmamaullee @RSnyder_MD @vz_surgery @timnewhook19 @transplant_u
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@sapisochin highlighting the current advances for transplant for metastatic colon cancer @AHPBA @JennaWhitrockMD @ASTSChimera
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Good friends, lots of memories (minus the debate) @FlavioRochaMD @Maker_MD @DrJashDatta Mike D’Angelica
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You are about to transplant this kidney. how do you manage the cyst? @MathurAmitK @kristinalemon22 @anjiwall @LaSilski @jgaronzikwang @Quesobear @LevineTxpSurg @UM_TREE
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Congrats and good luck to Dr. Ahmad Mirza leaving after 2 great years of transplant/HPB fellowship @UCincySurg. Joining growing leadership @DanielAlboMDPhD @MCG_AUG @cincysurgery
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Always an honor to be considered "most prolific tweeter" 😳 #proudestmoment.
Last but not least, today we want to introduce you to our fearless leader (and most prolific tweeter), Dr. Shimul Shah @shimulshah73, The James & Catherine Orr Endowed Chair in Liver Transplantation, Professor of Surgery, & Director of the Division of Transplantation here at UC.
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@SyedAAhmad5 @TheNotoriousHPB @NirajGusani @JBMatthews @SWexner @TsengJennifer @mkatzmd @DenboJw "Shah's Rules" - Take everything an HPB surgeon tells you about their complications and double it. Take everything an HPB surgeon tells you about their volume and 1/2 it.
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Both shots done. Please take your vaccine when offered. FYI - No “gun” shots today so I don’t get insulted again by @RSnyder_MD
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Path to transplant oncology by @CutlerQuillin This is the future of cancer care for selected cases. @ASTSChimera @transplant_u @VatcheAgopianMD @sapisochin
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Our recent work on opioid minimization after liver transplant. 20% went home narcotic free (tylenol/gabapentin). What are you doing for pain?..@HPB_Txp_Surg @anjiwall @jgaronzikwang @DrEmamaullee @Paulo_MartinsMD @BenSamstein @VatcheAgopianMD @Quesobear.
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Congrats to #lucasernani for completion of multi-organ transplant fellowship @transplant_u @UCincySurg Now on to work @UF Transplant @tbeduschi @gru6n
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Lets continue the closure discussion - .Subcostal hockey stick incision - do you close the rectus in 2 layers? I do everytime. @drymtn @RSnyder_MD @VautheyMD @NirajGusani @MathurAmitK @HPB_Txp_Surg @rbarbosa91 @FlavioRochaMD.
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The Stunning Comeback of a Top Transplant Surgeon Who Got a New Heart at His Own Hospital - leapsmag
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Farewell to a legend Dr. Rino Munda. Pioneer in kidney & pancreas transplant and vascular access. Retirement after 48 years in practice! @UCincySurg @transplant_u @LaSilski @eswMD
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Was at an AWS Med Student mixer and was asked a question I didn't know the answer: "How did you know you could operate?" .My response (after thinking) was that surgery is 90% brains, 10% hands. so technical is not that important. Thoughts? @jdimick1 @HPB_Txp_Surg @NirajGusani.
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Congrats to @KevinTurnerMD for outstanding #ihpba plenary session talk on TIAPT @SyedAAhmad5 @GregWilson152 @UCincySurg @cincysurgery
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Impressive results using NMP for liver transplants by @MathurAmitK Leading the field….@ASTSChimera @MCNguyenMD
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@jnahmias1 @JJcolemanMD @DissanaikeMD @jdimick1 @docmartin22 @elliotthaut @drdevirgilio @traumaicurounds @TsengJennifer @MarkSeamonMD @BKendallMD @fourmiracles101 @carriesims20 @rwinfield11 @Jasosamd Mine is still our current divisional practice - we hold hands scrubbed during the timeout so that everyone is engaged and taking the timeout seriously and we respect the privilege of helping the patient who is asleep. If a transplant we honor the donor as well.
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@justinmaykel @KnolJoep @SWexner @MichelAdamina @juliomayol @patsyllamd @JohnRTMonsonMD @SAGES_Updates @BehindTheKnife @olympusamericas @ASCRS_1 Spend some time on the transplant service….maximally invasive.
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@DenboJw @AHPBA @JeyarajahRohan @mary_dillhoff @HPB_Surgeon @SocSurgOnc Here are some slide handouts. 1. Know your anatomy and varients. 2. Importance of understanding how important drainage is with LDLT 3. What to do if you get into trouble
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Two giants in living donor liver transplant and robotic approach. Sharing their approach and innovation in both the donor and recipient. Professors Rela and Broring
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Large congested acute necrotic liver. how would you take it out? @LevineTxpSurg @anjiwall @MathurAmitK @Eric_Vibert @VerranDeborah @HPB_Txp_Surg @TxpDoc @hpbsurgeon1 @dbalci
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LDLT pioneer Abhi Humar from Pittsburgh visiting @transplant_u as our Annual Heekin Lecturer. Convincing us a living donor graft is the ideal liver graft.
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@uc_health Very proud of our center and team. Many lives saved but always more work to do to help our patients and community. Median waiting of 15 days we are very proud of. @transplant_u @cincysurgery
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Honored to have Prof Pierre A. Clavien as our annual Heekin Lecturer @transplant_u @UCincySurg Inspiring talk on ex vivo liver perfusion…the future of transplant and HPB surgery
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@DenboJw @AmCollSurgeons @AnnalsofSurgery @NirajGusani @SyedAAhmad5 @juliomayol @SocSurgOnc @TsengJennifer @UTSWSurgeryLife @ProfW_edinsurg @MarkSoliman Attending for sure. It’s my name on the chart and patient’s life as my responsibility. 16 years in as an attending…still have anxiety and it is appropriate. Stay humble. When you get overconfident bad shit happens….(and it has).
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#HPBTwitter - ext r. hepatectomy, bile duct resection, left roux for hilar cholangio - we discussed drains but do you leave NGT? I think many will so NO but I always do. i don't like an ileus affecting my limb and causing a leak. Myth or reality? What do you do?.
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@JennaWhitrockMD presenting excellent talk on expedited allocation in liver transplant @transplant_u @UCincySurg #ahpba2023
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#livertwitter Case: Young woman with multiple liver lesions likely adenomatosis. Biopsy of one reveals HCC. Are they others adenomas or HCC? How do we know and how do you manage? @VerranDeborah @HPB_Txp_Surg @sapisochin @Eric_Vibert @hpbsurgeon1 @FlavioRochaMD @transplant_u
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SAAS2020 @AsianAcadSurg Top of Diamondhead @SyedAAhmad5 @NbmerchantMD @DrPandalai @DrJashDatta
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So honored to have @lizpomfret join as this week. Incredibly moving and important talks on resiliency and burnout @cincysurgery @transplant_u
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It’s my honor and duty. #staysafe. @kinger8885.
How many transplant surgeons take over and hour out of their day to talk to over 100 transplant patients about how to avoid Covid-19? Answer=1 Grateful to @shimulshah73 #bestsurgeoninus.
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Best part of #ahpba2023. Reconnecting with old pals from residency @BrighamSurgery @AHPBA @FlavioRochaMD @TClancyMD Maker
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Brilliant talk by Dr. Kate Singer @UCincySurg Grand Rounds highlighting gender disparities in training and surgical life in general. Biggest threat - safety during pregnancy! @cincysurgery @dgerber6 @SyedAAhmad5 @LaSilski
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Great turnout and meeting. Congrats to @AHPBA @Maker_MD @timpawlik So great to have personal interaction and discussions!
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#transplanttwitter how do you handle portal veins of markedly different sizes? Here is small donor portalz. we did a v-plasty to put it to larger recipient portal vein. Any other options?
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