Marc Osborne MD retweeted
Welcome to the @GopherCRSurgery family! @AjthorsenL @GoffredoPaolo @CJahansouz @jtlee04 @MarcOsborneMD @MeltonMeaux @UMNSurgery @pridvimd @ElliotA_MD
Marc Osborne MD retweeted
🧵 on the upcoming disappearance of Chromic and Gut sutures (at least from Ethicon). We’re told these sutures may be gone forever by September.
Only a few surgeons use these fast-absorbing sutures, but for those who do, we’ll go over an alternative.
(1/ )
Marc Osborne MD retweeted
Master talk on a life-long career in surgery by Dr. Mika Varma from @UCSFSurgery for the 2026 Goldberg lecture @AjthorsenL @GoffredoPaolo @pridvimd @UMNSurgery @ASCRS_1
I love the idea of the “alternative surgical curriculum” as the way to create a truly fulfilling surgical career. Thank you to Dr Mika Varma for an inspiring Goldberg Lectureship.
Elements of the alternative surgical curriculum: sponsorship, mentorship, professionalism, ergonomics, sleep, exercise, leaving behind the ordinary daily misery, and embracing curiosity and creativity. @GaertnerWB @MNCRSurgery @UMNSurgery @FairviewHealth
An outstanding course as always. Congratulations to Wolf and the entire team. Thanks to our sponsors including @IntuitiveSurg and @AppliedMed_CRS
Outstanding 2026 Frykman lecture by @JoshSmithMDPhD from @UTMDAnderson on the treatment of rectal cancer in 2026. So many moving parts. @GoffredoPaolo @GopherCRSurgery @UMNSurgery @MarcOsborneMD @ColonCancerDoc
Marc Osborne MD retweeted
This is the scariest and most important study you'll see today.
Colorectal cancer has officially become the #1 cause of cancer-related death among people under 50yo.
Every other cancer has shown decreased mortality over time while CRC mortality is going up.
@SoniaRamMD @CmfrielFriel
#ColorectalCancer is now the leading cause of cancer death in females and males younger than 50 years combined in the US, surpassing other cancer types over the past three decades.
️ 📽️ Watch the video and read the full article: ja.ma/3NWVUdx
Marc Osborne MD retweeted
COMMANDER: We’re fighting for freedom. And part of that freedom… is the freedom to retire with dignity. So we’re going to start accounts called 401(k)s.
SOLDIER 1: What’s a 401(k)?
COMMANDER: It’s a retirement account. You put money in, it grows tax-free, you take it out when you’re old.
SOLDIER 2: So I don’t pay taxes on it?
COMMANDER: Well, you pay taxes later. When you withdraw.
SOLDIER 2: So it’s not tax-free.
COMMANDER: It’s…tax-deferred.
SOLDIER 2: What’s the difference?
COMMANDER: You pay taxes later instead of now.
SOLDIER 1: What if I want to pay taxes now?
COMMANDER: Then you do a Roth 401(k).
SOLDIER 3: What’s a Roth?
COMMANDER: You pay taxes now, and it grows tax-free.
SOLDIER 2: That’s what I thought the first one was.
COMMANDER: No, the first one you pay taxes later.
SOLDIER 1: Which one’s better?
COMMANDER: Depends on your tax bracket in retirement.
SOLDIER 1: …How would I…know that?
COMMANDER: You don’t. You just guess.
⸻
SOLDIER 4: What if I don’t have a 401(k) through my employer?
COMMANDER: Then you open an IRA.
SOLDIER 4: What’s the difference?
COMMANDER: One’s through your job, one’s on your own.
SOLDIER 4: Can I have both?
COMMANDER: Yes.
SOLDIER 4: Should I?
COMMANDER: Maybe.
SOLDIER 3: Can I do a Roth IRA?
COMMANDER: Only if you make under a certain amount.
SOLDIER 3: What’s the limit?
COMMANDER: Changes every year.
SOLDIER 2: What if I make too much?
COMMANDER: Then you do a backdoor Roth by putting it in a Traditonal first.
SOLDIER 2: …Is that legal?
COMMANDER: Surprisingly, yes.
SOLDIER 1: What’s a backdoor Roth?
COMMANDER: You contribute to a traditional IRA, then convert it to a Roth…but watch out for “pro rata”.
SOLDIER 1: Why wouldn’t I just contribute to the Roth directly?
COMMANDER: Because you make too much money.
SOLDIER 1: But this way I can?
COMMANDER: Yes.
SOLDIER 1: That feels like a loophole.
COMMANDER: It is. But the IRS is cool with it.
⸻
SOLDIER 5: I just changed battalions. What do I do with my old 401(k)?
COMMANDER: You roll it over.
SOLDIER 5: Into what?
COMMANDER: An IRA. Or your new 401(k). Depends.
SOLDIER 5: On what?
COMMANDER: The funds. The fees. Whether your new plan accepts rollovers.
SOLDIER 5: What if I just take the money out?
COMMANDER: You’ll pay taxes plus a 10% penalty.
SOLDIER 5: What if I’m 59?
COMMANDER: Penalty.
SOLDIER 5: 59 and a half?
COMMANDER: No penalty.
SOLDIER 5: …The half matters?
COMMANDER: The half matters.
⸻
SOLDIER 3: What’s a mega backdoor Roth?
COMMANDER: Okay. So. Your 401(k) has a limit of how much you can contribute.
SOLDIER 3: Right.
COMMANDER: But the total limit including employer contributions is higher.
SOLDIER 3: Okay…
COMMANDER: So if your plan allows ~after-tax~ contributions, you can put in more, then convert that to Roth.
SOLDIER 3: Does my plan allow that?
COMMANDER: I don’t know. You have to ask Betsy.
SOLDIER 3: Will Betsy know?
COMMANDER: Probably not.
⸻
SOLDIER 2: Can I deduct my IRA contribution on my taxes?
COMMANDER: Are you covered by a retirement plan at work?
SOLDIER 2: Yes.
COMMANDER: Then only if you make under a certain amount per year.
SOLDIER 2: What’s the amount?
COMMANDER: Depends if you’re married.
SOLDIER 2: What if my wife has a plan but I don’t?
COMMANDER: Different limit.
SOLDIER 2: What if neither of us has a plan?
COMMANDER: Full deduction.
SOLDIER 2: So it’s better to not have a 401(k)?
COMMANDER: No…
⸻
SOLDIER 1: Can I just keep my money in a sock?
COMMANDER: You could. But inflation will slowly destroy it.
SOLDIER 1: What’s inflation?
COMMANDER: (sighs)…
Marc Osborne MD retweeted
Maybe next year, @BadgerFootball...but probably not. The Axe is here to stay!!!
JUMP AROUND!!!
gopherhole.com/boards/forums…
#Gophers
Marc Osborne MD retweeted
We are so happy to welcome these amazing humans to the @MNCRSurgery family! Congrats and looking forward to seeing you in Minnesota next year.
Can’t believe it’s already been 4 years. It’s bittersweet, but happy to see this memorial installed at the surgery center at HCMC. It was a project Jeff was so instrumental in building.
Marc Osborne MD retweeted
Every year at this time, I am reminded of 26 years ago when I was informed I did not match.
I took a prelim year, switched specialties, and matched the next year (as a PGY-1 *again*).
Now in my 19th year of level 1 trauma.
Remember, there is more than one way to do things.
Marc Osborne MD retweeted
26 years ago today. #NeverForget
Marc Osborne MD retweeted
Felt like a good time for an updated version of the Minnesota Sports Misery List

































