Husband, father, and vascular surgeon.
Cleveland, OH
Joined November 2008
- Tweets1.3K
- Following466
- Followers736
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#CLIFighters, in light of BEST-CLI results, what is your approach to this patient with first toe gangrene? Assume suitable vein and reasonable candidate for endo or open.
Every patient with #CLTI should undergo vein mapping in addition to ABI/TBI as part of a comprehensive workup towards revascularization. #PADed
nejm.org/doi/full/10.1056/NE…
Do you remember when you joined Twitter? I do! #MyTwitterAnniversary
14 yrs of twitter addiction. Any tips on quitting?
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Dear #radiology, could you please refrain from adding permanent annotations right on top of the area of interest? Impossible to get a full view of the vessel now.
Congrats Jane! @UHVascular fellow!
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@EbertzDavid presenting our study on optimal anticoagulation for below-knee bypass in #PAD @SCVS1969
⚠️Trigger warning⚠️ - suction thrombectomy for cardiogenic embolism. My advice - Go big (12) or use a knife. #AcuteLimbIschemia #VascularSurgery
Yes I did fasciotomies. Pt was reasonable candidate for open or endovascular.
A classic #VascularSurgery board case (and not so classic answer): Elderly obese patient with afib, stopped DOAC due to GIB 3 wks prior. Transferred with R2A LLE #Acutelimbischemia
CTA one leg runoff (😱) showed focal left CFA bifur occlusion with recon of SFA/PFA. To the hybrid room for endo attempt via contra CFA access (open setup on standby in case things need to be done #WithAKnife #callvascular #fulltoolbox #comprehensivevascularcare)
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Attention #MedTwitter: CTA unilateral lower extremity is never the answer. This patient got 150cc contrast for one leg CTA. Wish I could see the contralateral CFA ☹️
@caresource has failed (yet again) to pre-approve my patient for an urgent procedure (booked 5 days out) in a timely fashion, forcing the patient to resort to coming through the ER for care. @caresource please consider giving a shit about people's lives and limbs.
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#MedTwitter what did you do on a golden weekend in residency? How nice of his chief to give him Monday off 😅
Jordan Tropf, an orthopedic surgery resident at Walter Reed, runs three marathons in three days
On Saturday — 2:27:23 in Baltimore
On Sunday — 2:31:54 in Chicago
Today — 2:32:13 in Boston
Unreal.
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Knowing I'm not irradiating my brain and killing my back absolutely improves daily wellness factor @StemRad
#wellness at #VAM2021 takes many forms. Seen here: @NATSYDINC and @onepeloton keeping us healthy, radiation free, and happy! Growing crowd of fellow exoskeleton-pelotoners @BenColvard @MurrayShames @TomMaldonadoMD @BruceZwiebel @farkomd @JeanBismuth who am I missing??
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Strong work Justin!
Dr. Justin Smith presenting @ #VAM great job!!! @VascularSVS @UHhospitals @UHVascular @BenColvard @VikKashyapMD @MatthewJankoMD @FutureVascSurgn
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