Enjoyed 4 days in #LA with my middle son. Had a good time and a lot to like. I have been very fortunate to never, ever have a commute more than 15 minutes. Personally this would be a deal breaker for me.

Got off LAX flight to find my connection to JAX cancelled. Directed to delta app, which is nonfunctional on hold with delta for 130 mins, physical line is length of terminal. No rental cars or hotels. Got home at 4AM. My next child's name, regardless of sex, will be Kawsy.

Couldn’t figure out why a patient sent me a sad face cookie. 😢Someone told me I was holding it upside down. 🤦‍♂️🤭

100+K matched pts JAMA Oncology Contralateral breast cancer 0.3%/yr. 20yr mortality 16.3% lumpectomy, 16.7% uni mastectomy, 16.7% bil mastectomy. Contralateral breast CA ⬆️mortality. CPM did not ⬆️OS Bilateral Mastectomy and Breast Cancer Mortality - PubMed (nih.gov)

"Peace of Mind" is the most common reason I hear for women with breast cancer desiring bil mastectomy. Unfortunately, a rigorous review by Rachel Adams Greenup Safraz Hamid AnnalsSurgOncology, it doesn't appear to work that way. 95% of studies reported no difference based on type of surgery

Very interesting. Low risk thyroid cancer ⬇️anxiety w observation compared w surgery. 100% survival at 7yrs. Throughout the 7yrs of the study no patients enrolled in active surveillance developed evidence of metastasis, and <4% experienced any sort of meaningful tumor growth

Great reasons to choose Mayo Clinic Florida General Surgery Program Interns indeed operate and scrub beginning with 1st rotation, not infrequently as the only resident.

Putting local restaurants into airports as opposed to big franchise has been a great trend. If you’re at JAX and hungry check out Angie's Subs

See you tomorrow night. Still time to register.

Honored to be lead for the breast scope of this award. 20% of patients undergoing breast-conserving surgery have +microscopic margins requiring a 2nd operation in 2024 should not be acceptable. We are optimistic this partnership w University of Illinois can allow us to do better

What I heard F3 Nation Expansion this morning. How will you spend your 50cents? You can spend it as 50 pennies, 10 nickels, 5 dimes, 2 quarters. We are pulled in numerous directions: Are we spread too thin? Where will you spend your $0.50. (spoiler, cents=time)

As an early adopter, investing 7yrs on this trial, trust me, I did not set out to have a -study. In our hands ALND+ILR did not ⬇️lymphedema rates. There are likely technical aspects, high quality ILR not always possible, -impact of RNI on 0.5mm lymphatic. rdcu.be/dMzDz

Masterclass on how NOT to enter the ocean with a surf/SUP board: 1 Stand at shore break with decent size waves at beach you’ve never been to 2 Place board in front of U parallel with the shoreline 3 Get demolished 4 Have some nice lady recover your paddle 5 Have sand everywhere

Grand Rounds QotW Welcome to Mayo Clinic Florida General Surgery Program Dr Thea Price, wound care ACS extraordinaire. Which component of codfish skin grafts helps to create bacterial resistance for 60 hours and protects tendons from scarring, thus promoting retained range of motion?

Such a high quality meeting with phenomenal engaging speakers at an AMAZING location. Sorry I will miss it. Kauai is soooo beautiful.

Ask the Expert: Surgical Management of Melanoma Melanoma Research Foundation now available youtu.be/_iaXkfsqfRk?fe… via YouTube

Omega 3 polyunsaturated fatty acids

In Minneapolis -Middle son left for LA. Just 2 dudes driving cross country -Ran 10 beautiful lake miles of my eldest son's 15, he is training for Milwaukee marathon -Moving in my youngest today up to the 3rd floor of a house he’s sharing with 6 other guys Solid extended weekend

Continued progress. Genomic profiling of 135 malignant phyllodes tumors. Actionable mutations with FDA approved drugs not infrequently identified. 36% NF1 20% PIK3CA 19% PTEN 17% EGFR 8% NRAS 7% BRAF 1% BRCA2 LauraRosenbergerMD Dr Sarah Sammons Dutch Phyllodes Group /Contactgroep Phyllodes doi.org/10.1093/oncolo…

FYI Amy Oxentenko MD “Double decker couch” in the boys family room. Love the little step. At least somebody in the house is handy w power tools. You and Shawn were missed.