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Debbie Sorensen, CEO of the Pacific Medical Association Pasifika Medical Association Group- 'everyone coped for 3 years [during COVID] without outside help. We know we can do it. We don't need 'advice''. No more colonialism- global health requires partnership, not outside 'experts' #RACS24

"dear editor, I sent you my manuscript and cover letter and you still ain't sent the manuscript out for peer review"

The catch-ups continue at #RACS24! Wonderful to chat with like minds Nagendra Dudi-Venkata and Cameron Wells 🤗

Academics stunned

Thrilled to have won the American College of Surgeons prize at #RACS24 for our work on ‘failure to rescue’ and inequities in perioperative mortality for Māori in AoNZ - looking forward to seeing you in SF later this year! Also want to acknowledge our team - esp Prof Koea and Jason Gurney 🙏🏻

Masterclass presentation by Matt McGuinness from the ACCORD study on #watchandwait for rectal cancer - great data from STRATA #RACS24

𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 Tanya Critical Care at UniMelb Austin Health Lachlan Miles Correlation and cause - they probably had higher rates of chronic disease, Hepcidin and ferritin - blood is not benign.

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 Long Beach in 2025! 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.