#GenSurg
In case you're wondering what it looks like on the backend when you're trying to filter exclusive cardiology content out of a list of cardiologists.
November 15, 2024 at 8:02 PM
#MedTwitter is popping off right now with #GenSurg #Match2025! Follow us for high-yield tips for navigating the match!
November 16, 2024 at 11:29 AM
Seeking CCFPs with #ESS #OSS & General Surgeons for locum opportunities in Inuvik, NWT. O.R., obstetrical and clinic work, flexible terms, $20K recurrent locum incentive*, travel support, and premium August rates.
📧 PracticeNWT@gov.nt.ca🔗 https://ow.ly/OhqY50Zxfsl #FRCSC #GenSurg

August 21, 2026 at 4:01 PM
I’m going to be a Surgeon! Excited and anxious for Friday to figure out where I’ll be training for the next 5-7 years! #Match2020 #gensurg
November 16, 2024 at 11:59 AM
First day of intern year ✅ Considering that I’m still smiling, I’ll consider it a success #medtwitter #gensurg
November 16, 2024 at 11:13 AM
Can’t believe it, but research years are finally here 🙌🏼

Cheers to my amazing coresidents and our loved ones who supported us these last 3 years! #gensurg #residency #surgedfellow @ColumbiaSurgery @ColumbiaSurgRes
November 16, 2024 at 10:18 AM
now that I think about it the resident must have been gensurg on a heart block of some kind idk
November 17, 2024 at 2:45 AM
After the family meeting and the calls to IR/GenSurg, I returned to check on the patient. The RN asked me how much ascitic fluid to drain. What would you say?
December 4, 2024 at 7:51 AM
we would try to decrease the rate of blood loss but that I doubted we could stop it completely without a surgical or IR intervention. I still had to talk to our IR and GenSurg to see if there is something to “offer” but if they could not help,
December 4, 2024 at 7:33 AM
(Please ignore Hb/K values in blood gas. Not accurate). After pt is lined, catecholaminized & transfused, almost always you will have to talk to IR/GI/GenSurg. Include ALL of them in the same message to save time & to have everybody on the same page. IR next:
November 18, 2024 at 11:49 PM
This is a common scenario; the surgeon (or the interventionalist, eg GI) wants the patient to be "stable" but in some cases this cannot be achieved without surgery. Common sense discussions between ICU & GenSurg usually lead to the appropriate course of action
November 18, 2024 at 2:04 PM
the lactate was still 2.8 & thought pt is "under-resuscitated". You repeated POCUS (things looked same) & kept the pt off maintenance fluids. The creat jumped a little from 1.2 to 1.6; GenSurg consulted Renal. Somehow pt received a dose of mannitol & 40 mg of lasix without major
November 18, 2024 at 2:04 PM
Obviously, GenSurg consulted (don't bother GI for perf viscus). Pt arrived to the ICU on norepi 0.4 & vaso 0.05. Already received 1 dose of ampicillin/sulbactam in the ED & total 4 lt of NS. Surgeon wants the patient to be "more stable" before taking him to OR. What do you do?
November 18, 2024 at 1:47 PM
Same night, pt's uop dropped twice to 20 cc/h. Received 500 cc albumin & 1 l NS & for a couple of h each time, uop was 30-35 cc/h. Sunday am, you return to the ICU: pressor needs have improved by 50%. The GenSurg attending had rounded at 6:30 am & gave another liter of LR because
November 18, 2024 at 1:47 PM
Patient was extubated. For the next 5 days ascites was getting larger. GenSurg wanted IR to tap the ascites but IR not available in the facility. Eventually, patient crashed & went to OR for emergent exp-lap. The operative note & the blood gas at the time of surgery are attached:
November 18, 2024 at 11:39 AM
but managed to PCI/stent the RCA. Unfortunately, two days later, pt developed abd pain & CT A/P revealed perforated viscus. Very quickly, pt required norepi 0.5 + vasopressin 0.04 to maintain BP 91/38. It would be at least 2-3 hours before Anesth/GenSurg take the pt to the OR
November 18, 2024 at 3:24 AM
I hope my friends in GenSurg have a sense of humor
November 17, 2024 at 6:11 PM
Rand Paul went thru Residency Duke starting'88. He did 3mon Med,then 9 mon GenSurg wards before flopping to Opth. No ID.
As MICU nurse,he turfed sick patients to us.
35 yrs ago.N95 masks weren't invented. Evidence Based Practice was begining.
He didn't impress me then & certainly not now.
November 23, 2024 at 3:46 AM