Josh Tyler (@joshuatylermd) 's Twitter Profile
Josh Tyler

@joshuatylermd

Dad, colorectal surgeon. Robot enthusiast, rural surgery/LMIC advocate. Passionate about all things FSU.

ID: 776861468650266624

calendar_today16-09-2016 19:13:02

7,7K Tweet

2,2K Followers

1,1K Following

Josh Tyler (@joshuatylermd) 's Twitter Profile Photo

Prior open Hartmann procedure, followed by open colostomy reversal. Now with endoscopically unresectable ascending colon polyp with HGD. 3 trocars for adhesiolysis to place ports for R colectomy. 3 hr console time, POD1 discharge w/ 1 dose of narcotic. There is value in robotics.

Prior open Hartmann procedure, followed by open colostomy reversal. Now with endoscopically unresectable ascending colon polyp with HGD. 3 trocars for adhesiolysis to place ports for R colectomy. 3 hr console time, POD1 discharge w/ 1 dose of narcotic. There is value in robotics.
@OSHS Powerlifting (@oshspowerlift) 's Twitter Profile Photo

South State Day! Best of Luck to our remaining 7 Boys trying to qualify and punch their ticket to the State Championships April 1st! 💪🏽

South State Day!
Best of Luck to our remaining 7 Boys trying to qualify and punch their ticket to the State Championships April 1st! 💪🏽
Josh Tyler (@joshuatylermd) 's Twitter Profile Photo

This 👇. Fighting insurance and small town GI docs not well versed in IBD is insufferable. GI fellows need a rotation with colorectal surgery in their fellowship to guide understanding and decision-making.

Josh Tyler (@joshuatylermd) 's Twitter Profile Photo

Spot on. Even in peer to peer for prior auth I ask "ok cool, what's your training background for you to deny imaging X or procedure Y for this complex colorectal surgery disease?". Answer: "Oh I'm a pediatrician".🤦‍♂️

IBDHorizons (@ibdhorizons) 's Twitter Profile Photo

✂️#SpeakerSpotlight✂️ 🥼Dr Feza Remzi joins us for Gulf Coast’s #IBDHorizons23 6th session in Austin!! 🎤Guide to Discussing #IBD Surgery 🔗Don’t miss: ibdhorizons.org 🎸Nov 18 🔁Tell a friend #MedEd #Crohns #UlcerativeColitis #IBDHorizons #Gastroenterology #GITwitter

✂️#SpeakerSpotlight✂️

🥼<a href="/FezaRemziMD/">Dr Feza Remzi</a> joins us for Gulf Coast’s #IBDHorizons23 6th session in Austin!!
🎤Guide to Discussing #IBD Surgery

🔗Don’t miss: ibdhorizons.org

🎸Nov 18

🔁Tell a friend

#MedEd #Crohns #UlcerativeColitis #IBDHorizons #Gastroenterology #GITwitter
Dr Feza Remzi (@fezaremzimd) 's Twitter Profile Photo

I dropped 2 words in my practice; never, ever. If I may there are 3 cirmcumstances that impacts the procedure of choice in perforated diverticulitis surgery. 1-Patient’s level of sepsis 2-Surgeon’s experience 3- Hospital Infrastructure

Josh Tyler (@joshuatylermd) 's Twitter Profile Photo

Great point @DissanaikeMD. IMO true debate is less about Hartmann as being useful, and more how we teach our trainees/future surgeons how to address the pathology w/o compromising future reversal (don't get in TME plane, minimal mobilization, etc). Would be difficult study to do

Josh Tyler (@joshuatylermd) 's Twitter Profile Photo

Fair points, for both you and Sameh Emile, MD, FACS . Must be interpreted in reality, especially in the US and LMICs. Most surgeons aren't out here changing practice on what's published. We change how we train residents/fellows is how we change practice....