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Another person hurt by unfounded fears surrounding IV contrast for CT scans. Diagnostic errors due to hesitancy surrounding IV contrast remain stubbornly common.

Mark Bagnall PhD FRCS Pratik Roy Leeds Institute of Emergency General Surgery Leeds Teaching Hospitals Abdominal Medicine & Surgery ASGBI Reducing negative appendicectomy rates requires predominantly culture change and the abolition of diagnostic laparoscopy, which should be reserved for persistent symptoms after negative cross sectional imaging in my humble opinion

“I’m sure next month will be less busy” Next month:

relatable

These are all called the “you should have ordered a CT scan” sign.

"More people die within 30 days of surgery annually than from all causes related to HIV, malaria, and tuberculosis combined." The central tenant of an operation or a whole surgical system should be safe surgery. Surgery is a risky process and dying after it is a disaster for

If I have another person tell me that we can't use contrast for a clinically indicated scan where contrast is necessary to answer the question because of fear of "contrast nephropathy" I am going to explode 𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊

Dr Jason Gurney leading authority 4 health inequity AoNZ. Health care is already race based - it is just that it is Pakeha race based. As soon as we try to address issues that impact Māori and Pacifica people more - we are being "racist". The hypocrisy is killing our people.

Doctors: use vignettes! 🧵 You’ve done a gazillion exams and what do all patient-based questions have? That’s right, a clinical vignette. Heres a secret in medicine: you can use the “skill of the vignette” to get what you want and to communicate better than ever.

1/ This week in JAMA Surgery work by Dr. Katie Wagner, MD MSc w/Karen Joynt Maddox identify underlying mechanisms for sex-disparities after surgery: "male & female patients experience ~% of complications, but female patients with complications were more likely to die" jamanetwork.com/journals/jamas…

The ANZ contingent got a snap with outgoing American College of Surgeons President Henri R. Ford, MD, MHA, FACS, FRCS(Eng), FAAP! Thank you Henri for your warm welcome to the International Scholars and Members. Dr Sarah Aitken, Cameron Wells, Dr Leisel Porrett, and Dr Hoang Ngoc Ha. #ACSCC24

Vahagn C. Nikolian, MD Ron Barbosa MD FACS Caroline Park MD, MPH Eric Pauli Eleah Porter MD Sharon Bachman, MD SAGES is in Tampa in 2026! Ian S Soriano 🇵🇭 Omar M Ghanem Ankit Patel Elliot Servais, MD, FACS You know I’ve had grandpa Simpson slides in both of my recent SAGES talks.

Congrats to these stars of Auckland Surgery, taking out BOTH the PhD prizes at #NAASC2024!!

GI Surgeons of Twitter: recurrent diverticulitis after elective sigmoid colectomy should be RARE. Most modern studies report a rate <5%, and in my anecdotal experience it's probably closer to 1%. The biggest predictor of recurrence is retained distal sigmoid colon with a

Douglas G. Adler MD, FASGE, FACG, AGAF Sad state of affairs that lap chole with common bile duct exploration didn't even make the poll... Far and away the best option for patient (assuming they still have a gallbladder...)

When the Aortic dissection call turns out to be ascending and not descending #aortaed

Our friend Neil Smart has given his final lecture, the apprentices learning from his wise words, great times, & hard work - patients getting the very best. Legacy exists in the actions of those that follow & the stories continuing to be told & yes mate, “You did good” RIP

Neil was the best of us. He was everything you would want in a colleague, mentor, faculty member, surgeon, friend. He gave his time and knowledge freely. He will be missed, but he will not be forgotten. A toast (and no vegetables) in his honor. x.com/americanhernia…

Neil’s passing at such a young age is tremendous profound tragedy beyond words. His absence leaves a global void; Everyone who knew him is well aware of his incredible surgical prowess, impeccable judgment, innovative creative mind, keen wit, and engaging demeanor. Those people