Recent content by droliver

I work with 4 different breast oncologists, none of them take surgery call. In community hospitals, I think Gen Surgery and Orthopedics by far have the most work associated with call even if they don't always operate on someone urgently in the middle of the night, while vascular surgery and...

My understanding is that it’s not that difficult but does require RRC application as the “4” part isn’t a special curriculum like the integrated programs are. I think a lot of programs that initially had them have mothballed them in lieu of integrated programs tho

You might test the waters on whether that's even something they would potentially consider. I think traditional programs still have the ability to early specialization "fast track" you into CTVS residency after your PGY4 general surgery year at the same institution. That was a thing a few years...

Does your HS program have a pathway to transition to CT (4+2/3) at the same place?

99% of plastics residents want nothing to do with hand surgery after residency has been my observation. Couple reasons: 1) elective hand surgery is increasingly orthopedic dominated in most markets, so it can be hard to build a sustainable hand practice 2) hand call is painful and full of...

A technology that applies to only a small handful of infrequent indications (like vena caval surgery) seems unlikely to be incorporated, much less mastered by vascular surgeons not in some super tertiary kind of practice I'd think. I just can't imagine where you get the cases. As an aside, It...

No, actually none of them were addressed. What's the "use case" for wide application of the robot in vascular surgery and where do you think people would get the hundreds of robotic cases in training to become competent? It's not analogous to the changes we saw when endovascular approaches...

I’m skeptical of the robot being widely incorporated here in vascular , similarly with some of the things being discussed with plastic surgery. There’s a few real barriers here 1) where does it offer much benefit vs existing techniques? The TOS approached from the axilla or chest would seem...

There are very few established patient visits in Derm that would meet a level 4 visit, certainly not one lasting 5 mins. It’s dishonest on it’s face

Just for context… I had 6 mos Q2 in house call at a level 1 trauma center as a PGY5. 😵‍💫

You can get a quality (enough) needle driver made in India on Amazon or Ebay for $20. Hell, you can buy lots of half a dozen for less then $50. They're not heirloom quality, but they're good enough for you.

Lol. You need to look at an EOB sometime if you want to see what things actually get paid for. Sleeves are fast and cheap to do and don't require special equipment or a robot. The GIA staple loads are probably the most expensive part of the whole case.

Includes all costs at an ASC attached to the hospital.

Cash price here for a gastric sleeve done as an outpatient procedure (by some very skilled surgeons) is just under $10,000. They do many patients in the 220-240 lb range (bmi 30-35 range) for HTN, high A1C, high cholesterol, sleep apnea.

You don't want to go near that issue on an essay.