
surgery PGY-2 @ubsurgery • Interested in vascular • Medical Innovation • 🏳️🌈
Joined January 2014
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It was great to meet up with some amazing vascular surgery mentors at #ACSCC26
The @AmCollSurgeons #ACSCC26 started out vascular surgery heavy! Great networking session followed by moderating Vascular Surgery session 1 with @AnnaBoniakowski. Great talks from basic science to health disparity.
Brian Foresi, MD, MBA retweeted
Short video on robotic Renal Vein Transposition
youtube.com/watch?v=97UizkDF…
Brian Foresi, MD, MBA retweeted
The more matches the merrier! Congratulations to our PGY-4 Residents, Drs. Lan Le and Ali Awan on their vascular surgery fellowship matches! 🎉
Brian Foresi, MD, MBA retweeted
“In 2021, vascular surgeons produced an average of $1.6 million per full-time equivalent, ranking as the fourth-highest revenue-producing specialty in the health care system.” And that is for the obvious, billable services, not for everything else…. beckershospitalreview.com/st…
Brian Foresi, MD, MBA retweeted
The framing for this has always seemed strange to me.
Surgery has a 0% failure rate at preventing recurrent appendicitis (yes if done well) and antibiotics a 44% failure rate.
Unless surgery is strongly contraindicated, appendectomy seems like the right choice.
In adults with uncomplicated #appendicitis, 44% treated with antibiotics required appendectomy within 10 years, but complication rates were lower and quality of life similar to surgery.
ja.ma/3NU446Z
Brian Foresi, MD, MBA retweeted
Primary care doctors being happy about specialists getting a pay cut is why doctors are so ineffective.
We would rather settle grudges than work together.
If I wanted to keep doctors perpetually at each others' throats, I'd design a system exactly like the RBRVS.
unavailable
Brian Foresi, MD, MBA retweeted
Now that everyone is an expert on curing pancreatic cancer in mice, not rats - I want to add some context that goes beyond the headline.
You will want to read this.
Cancer is cured in mice all the time.
Thousands of times. ~90% of those “cures” fail in humans.
Why?
Because mice are:
Genetically simpler.
Treated earlier.
Short-lived.
Not humans.
Mice are a filter - not a finish line.
Yes, this study matters. It comes from the Spanish National Cancer Research Centre.
Yes, it’s pancreatic cancer - one of the deadliest there is. Yes, full tumor regression is impressive.
But here’s what it actually means:
“This approach is now good enough to risk years, trials, and millions of euros on.”
Not:
“Cancer is solved.”
What happens next?
More animal work.
Toxicology.
Phase I (safety).
Phase II (maybe works).
Phase III (beats standard care?).
Maybe 8-10 years if everything goes right.
The real damage isn’t failed drugs.
It’s failed expectations.
Every “cured cancer in mice” headline trains the public to believe:
Cures are being hidden.
Progress should be fast.
Scientists are lying when reality hits.
That’s how trust erodes.
Bottom line:
This is how real cancer progress looks.
Messy. Slow. Risky. Incremental.
Not miracles.
Not conspiracies.
Just science - doing the hard work.
Brian Foresi, MD, MBA retweeted
My Neutral Martian take of the CREST 2 trial of asymptomatic carotid vascular disease. On @Sensible__Med
Yet another medical reversal. Wow.
sensible-med.com/p/a-major-m…
Brian Foresi, MD, MBA retweeted
Presented at #SVIN25:
CREST-2: In high-grade asymptomatic carotid stenosis, addition of stenting to medical therapy led to a lower risk of stroke over a 4-year period. Endarterectomy did not lead to a significant benefit. Full results: nej.md/3LK9kst
Editorial: Managing Asymptomatic Carotid Stenosis nej.md/482XjG1
@svinsociety
Brian Foresi, MD, MBA retweeted
#OnlineFirst: Tubular single-port endoscope-assisted surgery for fetal myelomeningocele repair.
thejns.org/pediatrics/view/j…
Brian Foresi, MD, MBA retweeted
In patients with subdural hematoma and an indication for surgical evacuation, middle meningeal artery embolization plus surgery led to a lower risk of reoperation for recurrence or progression within 90 days than surgery alone. Full EMBOLISE trial results: nej.md/3Zhbmol
Brian Foresi, MD, MBA retweeted
#neurotip The NASCIS II & III studies showed no clear benefit of steroids in the acute management of spinal cord injury. #neuroscience #spinalcord #neurotrauma
Brian Foresi, MD, MBA retweeted
Yesterday we kicked off the morning with the LGBTQIA+WINS Breakfast at #2024CNS! Inspiring discussions on inclusion, diversity, & elevating all voices in #neurosurgery. Together, we’re building a stronger, more inclusive community. #WINSx2024CNS @CNS_Update @pridensgy
Brian Foresi, MD, MBA retweeted
Empowering neurosurgeons to be well rounded leaders through CNS Leadership Institute with @nsurgchick as the perfect example of a true leader @CNS_Update #2024CNS @HenryFordNeuro @ASSFNeurosurg @WomenInNSGY
Brian Foresi, MD, MBA retweeted
.@WomenInNSGY President Dr Maryam Rahman, @UFHealth @UFMedicine neurosurgeon, at the podium of General Scientific Session of @CNS_Update Meeting introducing the WINS Trailblazer Award to @grosseaumd #CNS2024
So excited to finally meet one of my most favorite mentors @DrPannullo @CNS_Update in person she is truly a visionary and happy to be pushing the boundaries of neurosurgery DEI along side her @pridensgy @WomenInNSGY #Neurosurgery #DEI 🏳️🌈🧠
Brian Foresi, MD, MBA retweeted
I’m a proud new member of @pridensgy! Exciting LGBTQIA+ @WomenInNSGY breakfast this morning @CNS_Update. It felt special to be in that room. More work to do for our patients and trainees! 🧠 👩🏼⚕️🏳️🌈🏳️⚧️
Brian Foresi, MD, MBA retweeted
Tom et al @MDAndersonNews showed sLITT with radiotherapy is an effective minimally invasive treatment approach for thoracic metastatic epidural spinal cord compression. #JNO
Read more: ow.ly/J3hm50Tw3zp
Had a great time at Ohio State Neurological Society annual meeting #neurosurgery #brain #spine @OhioHealth






































