George Tolis
@georgetolisjrMedian sternotomy, pump, Prolene, Steinway. Not certified for Cor-Knot or Atriclip.
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Every single one of these patients under 60 who underwent TAVI had a cardiac surgeon sign off on the procedure. Let’s take a look at ourselves before expressing surprise and even outrage. Just saying…
Over 50% of patients under 60 in California are getting TAVR. This is absurd! Huge shoutout to @JoChikweMD and team for exposing the alarming truth: TAVR has a 250% higher risk of death in 5 years compared to SAVR. annalsthoracicsurgery.org/article/S0003-…
Thank you very much for hosting me Dr. Koka!
A tweeter passed on an interesting aortic case that brings up a lot of questions — acclaimed surgeon @georgetolisjr graciously agreed to discuss this on @XSpaces twitter.com/i/spaces/1nAKE…
This is a hospital’s risk management office absolute nightmare, subtitles and all…
At least he had access to a doctor’s lounge.
Today in the doctor’s lounge a physician pulled out a printer from their backpack and started printing their patient notes because “connecting to hospital printers is impossible” and I think that says everything you need to know about healthcare IT. Carry on, king.
We have created a healthcare system in which there is never a shortage of opiates or Botox but where elective heart surgery is cancelled because of a nationwide shortage of IV fluids.
We have reached the point in medicine where science has exceeded the financial capabilities of our societies to deliver the care we can provide. A major redirect of resources from defense to healthcare is in order. And a revisit of meaningful care vs. pure futility.
CABG was an operation mostly for smoking-related CAD when it was first conceptualized and applied over 50 years ago. Today it is largely an operation for the effects of metabolic syndrome on the coronary arteries. Worsening short and long term outcomes are inevitable.
How many hours of free work do doctors dedicate annually to peer reviewing journal articles helping Elsevier make $2.4 billion in net profit for 2023?
New data: Most doctors take less than 3 weeks of vacation a year, and 70% work while on vacation. Both factors were associated with higher rates of burnout. We have to stop the vacation shaming and find realistic strategies for coverage without burdening our colleagues.
Cardiac surgical meetings have become pure social gatherings rather than a platform to exchange information since the topics they cover are based on the organizers’ and presenters’ connections, agendas and desire for exposure rather than the rank and file members’ true interests.
Was the donor cardiectomy done robotically too to minimize scarring?
1/4 Breakthrough: World's First Fully Robotic Heart Transplant! King Faisal Specialist Hospital in Saudi Arabia has successfully performed this groundbreaking surgery, led by Dr. Feras Khaliel. A 16-year-old patient with end-stage heart failure received a new heart in just 2.5…
The attending teaching the trainee relaxation strategies to avoid burnout.
An open thoracoabdominal aortic replacement is a two surgeon operation. It makes no sense to try to do one alone. Partnering with a colleague benefits the patient immensely.
Dr. Hermes Grillo, a pioneer tracheal surgeon at MGH used to say “I wish we had been here first” when he would try to reconstruct a botched tracheal R&R. His words ring true to me almost on a weekly basis.
Turning down high risk operations on younger viable patients who deserve a chance is a way for (some famous) programs with mediocre operators to maintain excellent quality statistics.
The worst falsehood I was told as a young surgeon is that if you do tough cases for a private referral group they will start sending you their routine cases as well. Sounds like words of wisdom but couldn’t be farther from the truth.
There are many previously reputable cardiac surgery divisions around the country that are struggling or have already sustained significant reputational damage because the operative skills of the chief they hired is not commensurate of the national exposure they had been afforded.
Isn’t an industry-sponsored study the ultimate conflict of interest?
Traveling OR nurses are the best source for surgeons interested in verifying the true skill, experience and operative practice of “experts” and “giants” that lecture the rest of us from the podium at national meetings.
The reason why “novel” procedures do not get widely adapted is because they are either not reproducible or their proponents are hiding complications.
A bad RIMA is worse than a good vein. Reproducibility is one of the most ignored factors when we recommend surgical approaches and formulate guidelines, whether the topic is BIMA, robotic mitral or MIDCAB. annalsthoracicsurgery.org/article/S0003-…
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