An absolute must see—start at 1:08:35 to hear @drrachelrubin share a passionate, evidence-based, and personal family testimony at an @US_FDA hearing about the dangers of an inaccurate black box warning for vaginal estrogen. Thanks, Dr Rubin, for representing Urology and patients!
The most dangerous grift in ophthalmology right now is “glasses are harmful.” People that claim diet, exercise, and a 10 part instructional webinar can help you live spectacle free! No. Stop it.
It’s not a big deal for most adults. They will lose some money before realizing that no amount of exercise and bull testicle consumption will fix their presbyopia.
But those same adults have kids. If young kids don’t get the glasses they need, their brains won’t develop normal vision. I’m talking permanent vision loss. I have seen it happen. It’s awful and entirely preventable.
🧵**Results of the 'chicken suture' experiment are in**
As my followers may recall, 6 weeks ago I started an experiment in which a chicken with 10 different surgical sutures was buried, which was to be examined at the next change in UK 🇬🇧government.
Results to follow:
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🔊 Attention to all women in surgery!
Help us uncover and address discrimination by sharing verbal micro-aggressions you've faced. Help us build a more inclusive and supportive OR environment for all
👇 Fill out the anonymous survey
docs.google.com/forms/d/e/1F…
Gosh- this advice from @uretericbud at #aua24 YU Forum is so 🎯 💯
👉story-telling w/ patients
👉enjoy procedures & tailor accordingly
👉gamify tedious tasks
👉partner w/ people w/ whom you vibe - shout out to @wandering_gu 🫶🥰
An older drawing showing why grabbing 'extra' fat and muscle when closing the fascia can lead to separation of the fascia later on.
On the next slide, we'll use simple geometry to understand why suture 'A' is not as good as suture 'B'.
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One of the lesser known holidays occurs each year at about this time:
the Chief Resident Solstice, which is when almost all residents in their final year reach a maximum in terms of f***ing being done with this s***.
Now there are more rules today about mistreating others, so sometimes people will instead direct the negative energy toward mistreating themselves. This often comes in the form of trying to amass more and more cases, or in picking up ‘leadership’ roles that one isn’t suited for.
A lot of discussions about difficult cases seem to assume the existence and availability of The Best Surgeon In The World For This, who is perhaps sitting there on the shelf in a lyophilized state, ready to be rehydrated and put into action when needed.
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We will dismantle this.
Mark my words
This is like treating a sunburn with aloe and not ever discussing sunscreen.
There is NO data. I repeat NO data to justify first line therapy be moisturizers and lubricant for GSM
🧵regarding the 'rapidly absorbable' sutures, which are used less often than other suture types, but fill specific roles in a number of different surgical specialties.
We'll go over the uses of (and differences between) Chromic, plain gut, 'fast' gut, and Vicryl Rapide.
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In parts of the world where catgut sutures (such as chromic) are prohibited due to the risk of prion disease, what do people use when they want a fast-absorbing suture that does not have to be cut out?
(need to know for a future 🧵).