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Going to say it again… 1998 conversion factor for doctors - $36.68 2024 conversation factor for doctors - $33.29 1999 Insurance premiums - $6k 2024 Insurance premiums - $24k When you pay more for healthcare, it’s not coming from private, independent doctors no matter what

Secondary analysis of high-risk populations from a recent multicenter RCT further supports the use of aspirin as an alternative to low-molecular weight in the prevention of VTE after trauma. @DeSantis_A_J Shock Trauma Shock Trauma Center Critical Care Fellowship

If hospitals can own physicians, why can't physicians own hospitals? Asking for 1 million physicians!

“You did a 3-port cholecystectomy?”

This is really thought provoking. I’m not sure we have reached this point yet, but it isn’t far off. Gene therapy, curative medical devices, etc are increasing exponentially to the point where cost will become THE limiting factor for health. How do we handle that reality? 🤔

Such a great meeting!

Be sure to make plans & join us in Sonoma and submit your original research to be showcased at #SWSC25! Submit Abstract: tinyurl.com/ymp6y57h

Deadline Approaching! 📢📢 Submit original research & be featured at #SWSC25! Submit Here: tinyurl.com/ymp6y57h

So proud of these 2 residents and chief Kristen Payne who won the N. Texas jeopardy, but was getting married during the ACS! Incredible surgeons and even better people! Come train with the cool kids at Medical City Plano! AAST SAGES is in Tampa in 2026! SWSC APDS surgery

Attn junior surgeons, senior people have career setbacks too: Found out recently that I will not be promoted to exec committee after 6 years on the SAGES is in Tampa in 2026! board. Hard to get passed over after years of hard work for the society, but it happens!! Maybe next time.

This will also save you *so* much frustration and, most importantly, your patients will benefit too. I can’t tell you how many times I’ve been told “we don’t have that” about something I really NEEDED for the best patient outcome. Scrub out, go get said item=Win for the patient.

I laughed. Having spent a few years under Dr. Cooley I would pay 💰to see this and he was the most docile of that trio. They would have burned the hospital to the ground before they put up with the stuff we do. Honestly, I’m not sure if that’s a criticism of them or us!

This is spot on!

This dichotomy in medicine needs to be worked on. No reason for there to be such divergent recommendations.

Finally some sanity is being injected in this process again. We need MORE data points to make good decisions and minimize the risk of a couple of high stakes exams, not fewer and qualitative! 👏🏻

Go frogs! The Anne Burnett Marion School of Medicine at TCU

Let’s all be honest… who is the most likely to put the patient first? 1) physician 2) insurance company 3) private equity 4) Wall Street Now ask yourself which of those four are banned from owning hospitals and see if your answer is the same as the first question Questions?

I know this might sound crazy, but people who have real direct patient care experience should own and operate our healthcare system.

Last but not least: state data analysis by Pei-Wen Lim MD MS-HPEd FACS | 林佩雯 Zhi Ven Fong, MD MPH DrPH of 5446 patients undergoing bailout for severe cholecystitis showed conversion to open had the highest bile duct injury rate (4.4%) vs subtotal cholecystectomy (0.5%) or cholecystostomy tube (0.2%) #AmerSurg25

I made this a part of our residency book club because I believe it’s a book every surgeon should read. 👏🏻