Chief of Surgery at City of Hope - Chicago; colorectal surgeon researching antisense abx to treat C. difficile.

Chicago, IL
Joined January 2018
David B. Stewart, MD, MHA, FACS, FASCRS retweeted
Acting like a call decided the Georgia-Alabama game when… -UGA outgained Bama 263-122 after half whole outrushing them 157-56 - Stockton was the first away QB to go 240+ and 80%+ in T-Town in 30+ years - UGA had 59 yds and 4 points wiped out by penalties. Alabama had 0 and 0
CFB’s biggest overreaction has been ____
84
131
9
1,243
40,800
David B. Stewart, MD, MHA, FACS, FASCRS retweeted
Dear Alabama faithful, It was not the Pass Interference that sealed your fate. Sincerely, Dawgnation
218
508
26
2,550
98,979
David B. Stewart, MD, MHA, FACS, FASCRS retweeted
I’m not an archaeologist, but maybe Stockton going 18/22 for 249 without his top two X-WR’s while UGA held Keelon to 16/30 for 185 won it? Maybe UGA’s #3 and #4 RB’s going for 7 YPC won it? Perhaps UGA won because they had 7.5 yards a play and held Alabama to 5.8? Just a guess
I’d argue the missed pass interference call actually won it for Georgia.
55
149
12
1,474
34,753
David B. Stewart, MD, MHA, FACS, FASCRS retweeted
Last night could not have happened to a better group of losers. Nothing but complaints and excuses from those spoiled brats.
This Post is from a suspended account. Learn more
11
58
1
1,164
20,173
David B. Stewart, MD, MHA, FACS, FASCRS retweeted
Kirby’s post game locker room speech!!! “Incredible team win”… 😤🔥😤🔥😤🔥
83
480
66
3,787
143,033
David B. Stewart, MD, MHA, FACS, FASCRS retweeted
Game Day Eve vibes. One more sleep.
7
52
4
462
10,375
David B. Stewart, MD, MHA, FACS, FASCRS retweeted
More than one-third of older adults at extreme risk for early mortality died within 48 hours of high-risk #EGS, highlighting a substantial rate of nonbeneficial surgery. ja.ma/4iP6EYQ
3
9
19
5,494
David B. Stewart, MD, MHA, FACS, FASCRS retweeted
This episode was especially good. I've heard similar refrains from several healthcare economists (two of whom were the primary economists for large academic medical centers in the Southeast) Most hospitals lose money at Medicare rates. (They do even worse w Medicaid). It's estimated that one-third of all hospitals would immediately close if the commercial subsidies went away. Great hearing this level of macroeconomic acumen from an actual healthcare reporter.
Medicare for All is either rationing or a much bigger tax bill. Medicare rates for all wipe out the 2-4x commercial payments subsidizing it. Paying ~2.5x means raising more money. And Medicare itself is fragmented and confusing, with heavy copays. No one would design a system on it. - Journalist @RosenthalRC
2
4
8
2,086
David B. Stewart, MD, MHA, FACS, FASCRS retweeted
Dermatology is wasting your tax dollars and making it harder to get skin disease and skin cancer treated. How? By requiring residents to learn how to not be doctors. Doing botox for wrinkles isn't being a doctor. Neither is doing filler for full lips or laser for dark spots. I'm a dermatologist, and I've been saying it for years. When I ran a residency, I tried to keep it out of the curriculum. If dermatologists want to do it, have at it. It's a free country. But we shouldn't be pushing residents towards it, especially not with tax dollars. Medicine treats or prevents disease. A normal-looking person who wants to look better than normal doesn't have a disease. Nothing to treat. Nothing to prevent. Does it improve quality of life? Yes. Is it hard? Yes. Does it take real skill? Absolutely. Are there real risks? Definitely. But every bit of that is also true of tattoos. And nobody is adding tattoos to the curriculum. Nothing wrong with wanting it. Nothing wrong with being great at it. But don't confuse it with being a doctor. And if you want to do it, learn it on your own dime and your own time. Not on Medicare's.
34
22
9
301
31,845
David B. Stewart, MD, MHA, FACS, FASCRS retweeted
I’ve had more heartbreaking interactions with families than I care to recall, telling parents their kid will never wake up, or telling someone their spouse is permanently paralyzed, or that someone died in the OR. I’ll never forget the screams of a mother after I told her that her young son had died from a tragic accident. That sound haunts your dreams. Yet none of that was as hard as explaining to families that they couldn’t be with their dying loved ones because of rules I was powerless to change. Making families say goodbye over an iPad broke many of us. Those times were truly heartless.
6 years ago, my wife had a miscarriage. And I wasn’t allowed to be beside her when she found out. Because of COVID restrictions. @JennyErikson was ten weeks pregnant. We already had seven kids between us, but we couldn’t get enough. We had been to nearly EVERY ultrasound together for our other kids, but nope: “Only the technician and the patient can be in the room! Can’t be too careful!” So I stayed home with the other kids. Then I got the text. Our baby had stopped developing at seven weeks. We cried, talked through the options, and chose an outpatient procedure. But first, she needed a COVID test. She spent another three to four days waiting for the result, carrying the body of our baby inside her. Grieving. Unable to sleep. Waiting. When the procedure finally happened, I wasn’t allowed beside her then, either. Somehow, Jenny still found a way to make me laugh on the drive over. She was the one going through all of this, and she was keeping our spirits up. You can see why I love her. Since then, we’ve been blessed with two more children. And at some point, I’ll tell you about having a child in a hospital during COVID. That’s a story of its own. But I still remember that text. Those days of waiting. My wife going through something heartbreaking while I was forbidden from being there. The people who made those rules moved on. Families still carry the memories. Never forget what they took from you. Never let it happen again.
17
23
6
213
22,246
David B. Stewart, MD, MHA, FACS, FASCRS retweeted
This lady had been a psychologist at Sandy Hook elementary school for 18 years. She loved her children. When the gunman came in, she ran toward him doing all she could to stop him. She gave her life for the children she loved. There are many teachers and educators that would do the same, They need to be remembered. Her full story is in comments.
30
96
5
649
5,456
David B. Stewart, MD, MHA, FACS, FASCRS retweeted
Imagine a chef employed at a restaurant that charges $100 for a hamburger. One day he gets sick of his institution ripping off customers, so he goes across the street and opens a shop with $5 hamburgers. Now the hamburger loving people are better off. Competition drives down prices and increases quality. The original restaurant, angry over the lost business, gets a law passed that bans chefs from owning restaurants. Everyone would recognize this as a corrupt, protectionist law. And yet, in healthcare, with skyrocketing costs, we still outlaw physician owned hospitals.
ICYMI: Congress put a spotlight on physician-owned hospitals today. During a House Judiciary Committee field hearing on competition in health care, Brian Miller, MD, MBA, MPH, highlighted the federal restrictions that prevent new POHs from participating in Medicare and existing facilities from expanding. His testimony cited 30 years of research showing that POHs can deliver higher-quality care, and called on policymakers to reconsider federal policies that restrict physician-led competition. 👏 The AANS and CNS have long advocated for removing these barriers and expanding opportunities for POHs. 🎥 Watch the hearing: judiciary.house.gov/committe… @physicianhosp @DrBrian4Health @spinesection @
113
2,928
33
23,780
955,607
David B. Stewart, MD, MHA, FACS, FASCRS retweeted
Hoy mandé a una aseguradora el electrocardiograma de un paciente con fibrilación auricular. El ECG: fibrilación auricular. El Holter: fibrilación auricular. El diagnóstico: fibrilación auricular. El motivo de hospitalización: fibrilación auricular. Respuesta de la aseguradora: Se requieren más estudios para confirmar el diagnóstico.... No ma.... al parecer, para algunas aseguradoras el electrocardiograma ya no es suficiente para diagnosticar una arritmia que está ocurriendo EN EL ELECTROCARDIOGRAMA. Próximamente enviaré también una foto del corazón, una carta firmada por las aurículas y dos testigos que confirmen que efectivamente están fibrilando. La medicina basada en evidencia ha evolucionado a medicina basada en trámites.
62
225
5
1,361
50,829
David B. Stewart, MD, MHA, FACS, FASCRS retweeted
Video shows Flock walking police through how to monitor a No Kings protest in real time. I do not have to agree with a single sign at that protest to say this plainly: Surveillance aimed at your political opponents today will be aimed at you tomorrow.
Ruh roh. Here is a leaked webinar hosted by Flock demonstrating to police how to track individuals in real time involved in the no kings protests. Maybe you’re thinking “so what?! I don’t go to those and don’t agree with those who did.” Let me remind you, a digital dragnet built to target your political opponents today will be used against you tomorrow. Once the surveillance state is turned on, it watches everyone.
723
8,956
277
56,795
2,323,596
David B. Stewart, MD, MHA, FACS, FASCRS retweeted
Send yourself email reminders for a few months away. Don't let Hee Haw fade out like Peanut did. Do not rest until that POS has paid the proper price. And each of us gets to decide what that price is. Took me about half a second.
16
358
1
1,357
13,106
David B. Stewart, MD, MHA, FACS, FASCRS retweeted
I avoided commenting on the Lindsay Clancy trial because its nuanced and emotional but the implications are enormous so I am going to say something now. A lot of people are calling that one juror who wouldn't join the other eleven irrational. But, that juror is probably the only one asking the right questions imo: where is the evidence that she lacked the capacity to know it was wrong or to stop herself? And, maybe, where do we draw the line on what an ostensibly insane person is allowed to do when the doubt the defense manufactured rests on nothing in the record before the killings? It seems that the entirety of the defense position rests on improbable probabilities and that's a low bar for such a heinous act. 1. Postpartum psychosis is rare, and almost always happens in the first 4 weeks. The idea that some psychiatrists extend the postpartum window to a year is true, but for depression and anxiety. The evidence isn't strong for psychosis, and its latching on to improbability 2. The strongest risk factor for postpartum psychosis is preexisting bipolar disorder or a prior psychotic episode. She had neither before her third child. The real time evidence from her doctors/providers indicate this. The bipolar label that showed up was after significant polypharmacy, and any good psychiatrist will tell you that you cannot diagnose primary disease when multiple drugs could be offending agents. Drug-induced psychosis would show better temporal correlations with her medications and should be a mitigation argument at sentencing. Again, very improbable alignment 3. The proxy for intent is planning, and she clearly planned... she sent her husband to some restaurant they don't normally go to, checked the drive time, texted a specific order at 5:07 pm... she killed her children in sequence. That's demonstrating real time decision making. I don't understand how they circumvented this. Again, very improbable that she was able to make decisions up until it becomes a liability 4. This idea of a "voice" that commanded her is so post-hoc as a defense. The ltierature on command hallucinations show most people don't obey them and the compliance occurs when the voice is familiar. This was a first time voice she only ever reported 2 weeks after killing her kids. And this first time voice asked her to... kill all her children AND she listened to this unfamiliar voice? Again... very improbable The improbability is so stark that it's almost undeniably a sympathy verdict from the jurors conflated with a misunderstanding of postpartum disease. The easiest way to demonstrate this is to take a father with the same chart, months of documented depression, insomnia, suicidal ideation but no psychosis then strangles his kids after arranging for his wife to be away from the house. 100% guilty. Everyone knows postpartum disease is real and important. Everyone knows she's sick and needed help, possibly much better management. You can even argue she is insane. What I see to be the most important is where we draw the line of what we allow under the "insanity" rule. Massachusetts forces a binary verdict of guilty or not criminally responsible but this is a case for the third that other states have and which is guilty but mentally ill. We have a responsibility to speak for the unheard voices of these children and future children and say we draw the line at murdering children.
604
2,710
258
15,321
1,818,506
David B. Stewart, MD, MHA, FACS, FASCRS retweeted
Milo Yiannopoulos: My green card was “cancelled without telling me.” Notices were sent to an address “they knew I didn’t live at anymore.” “They had previously cancelled my work permit without telling me, they excluded my lawyer, and the ICE agents who arrested me in Louisiana told me this.” What is going on, @DHSgov? – at London, England
792
293
122
2,138
865,430
David B. Stewart, MD, MHA, FACS, FASCRS retweeted
NIH study sections are highly formulaic about what a proposal must contain to receive funding. They select for consensus about the best way to do science, producing boilerplate proposals that are redundant, predictable, and highly incremental. The result is billions of dollars funding overlapping projects while entire fields travel down the same narrow paths. The system rewards research that looks familiar to a committee, not necessarily research that produces important discoveries.
After reading a lot of grant proposals, I have a theory for why the valley of death in translational research exists: 1. You can make it exciting to propose doing X-omics or testing role of process Y on a disease, even if its the 10th omics study and the 20th process tested…
9
13
1
92
11,055
David B. Stewart, MD, MHA, FACS, FASCRS retweeted
The cognitive dissonance of socialists might implode into a singularity at this rate. He's not a 'class traitor', he's a spoiled rich kid who lied about his background, never had a job, and won't give up the comforts provided by his CEO landlord daddy while leading an organization supposedly dedicated to the exact opposite of that. If he had given up his wealth in solidarity with his cause, or signed over his trust fund to the DSA, or turned his Brooklyn townhouse into a squat for other revolutionaries, THEN he'd be a class traitor. He'd still be an idiot, but at least he'd have credibility. He didn't do any of that though. He pretended to be a 'union electrician' while living in a mansion paid for by his father and displacing working-class New Yorkers. And no, we don't consider billionaire's wealth to be disqualifying if they're speaking about, for instance, how to create wealth.
Replying to @createcraig
Being a class traitor makes him look better. You know that, right? Notice how they never consider billionaire’s wealth to be a disqualifying matter regarding economic policy
14
126
3
529
11,079
David B. Stewart, MD, MHA, FACS, FASCRS retweeted
It’s not that his family benefits from capitalism, it’s that HE continues to directly benefit from capitalism, a system his own ideology and the organization he leads believes to be intrinsically evil and exploitive. He COULD sign his trust over. He COULD live in a small modest apartment he pays for himself. He COULD refuse help from his parents. He COULD live on the $95k salary the DSA pays him. He doesn’t though. He maintains an obviously sizable trust and lives in a mansion his parents bought him with his dad’s CEO money. He even displaced working people to do so. By the standards of the DSA he is a capitalist exploiter. Yet they don’t care. Which says it all.
Interesting thread about DSA. It does miss that: - Gordillo must have known it was an issue if he went to those length to lie to NYT - He wants to tear down capitalism despite him and his family directly benefiting from it
25
289
3
1,338
30,417