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Innovation cannot happen if you only pay attention to textbooks, dogma, and currently published data.
Great work today @OSHS_Greyhounds! Proud of y'all!
Fair points, for both you and @dr_samehhany81 . Must be interpreted in reality, especially in the US and LMICs. Most surgeons aren't out here changing practice on what's published. We change how we train residents/fellows is how we change practice....
Replying to @dr_samehhany81 @nirhoresh @nlavellaneda @SWexner @MarkSoliman @debby_keller @CleveClinicFL @AnnalsofSurgery @ZGaroufalia @mikifreund @RachellGefen
I think that paradigm has gone. The resuscitate overnight and operate in the morning went about 15 years ago in the UK. CCrISP teaches that patients don't magically get better between 4 and 8am. Operate at 4am. Waiting = MOF & ⬆️✝️
💯. I always tell my graduating residents, their final training is their first 2-3 years as an attending.
Real clinical growth as a physician begins when formal training ends.
Agree?🤔
#MedTwitter
#lifelonglearner
#GrowthMindset
Great point @DissanaikeMD. IMO true debate is less about Hartmann as being useful, and more how we teach our trainees/future surgeons how to address the pathology w/o compromising future reversal (don't get in TME plane, minimal mobilization, etc). Would be difficult study to do
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Josh Tyler retweeted
I dropped 2 words in my practice; never, ever. If I may there are 3 cirmcumstances that impacts the procedure of choice in perforated diverticulitis surgery.
1-Patient’s level of sepsis
2-Surgeon’s experience
3- Hospital Infrastructure
Hartmann’s operation 100 years later: Time to think and stop?
#ColorectalSurgery @SWexner @Neil_J_Smart @MarkSoliman @nirhoresh @debby_keller sciencedirect.com/science/ar…
Spot on. Even in peer to peer for prior auth I ask "ok cool, what's your training background for you to deny imaging X or procedure Y for this complex colorectal surgery disease?". Answer: "Oh I'm a pediatrician".🤦♂️
This 👇. Fighting insurance and small town GI docs not well versed in IBD is insufferable. GI fellows need a rotation with colorectal surgery in their fellowship to guide understanding and decision-making.
Dear @BCBSTX, my patient with a new diagnosis of perianal Crohn's disease who has blood/stool soaked underwear every night due to his condition needs standard therapy - ie: not immunomodulator first (step) therapy - to help treat his disease. Please contact me. @CrohnsColitisFn
Honored to be featured on Nole Edge. Many thanks to @FSUartssciences for the invite!
In this episode of Nole Edge we're joined by Joshua Tyler, an #FSU2002 graduate from @fsubio & #FSUafrotc, and the chief of colon & rectal surgery & director of robotic surgery at Merit Health. Tune in to learn about his time at @FloridaState & @FSUAlumni. bit.ly/3lsZkXI
Josh Tyler retweeted
South State Day!
Best of Luck to our remaining 7 Boys trying to qualify and punch their ticket to the State Championships April 1st! 💪🏽
Proud of you bud! On to South State! @OSSDAthletics @OSHSPowerlift
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Prior open Hartmann procedure, followed by open colostomy reversal. Now with endoscopically unresectable ascending colon polyp with HGD. 3 trocars for adhesiolysis to place ports for R colectomy. 3 hr console time, POD1 discharge w/ 1 dose of narcotic. There is value in robotics.
Many congratulations my friend! Excited for your new chapter
Excited to Join @orlandohealth 2023 as chief of Colon & Rectal Surgery. Always indebted to 🇨🇦 @epipatelmd @MichaelOtt_MD @ChrisSchlachta @Schadi_CRS @RobbieLevac & 🌎 mentors @SWexner @juliomayol @AntoniodeLacy @ManishChandSurg @patsyllamd @KnolJoep @rapinilla @
Josh Tyler retweeted
The Summer 2022 issue of Spectrum Magazine is out now! Dive into Spectrum, the official magazine of @FSUartssciences, for an in-depth look at the inspiring stories of @floridastate alumni, students, faculty, and researchers: artsandsciences.fsu.edu/spec…
Thank you to @FSUartssciences for the feature in Spectrum. Honored to share the spotlight with such talented individuals! We need to keep telling the amazing stories from our alma mater. @FSUAlumni @floridastate artsandsciences.fsu.edu/spec…
Josh Tyler retweeted
🚨Drew Tyler @DrewTyler2023
🎓2023
🏈DT
🚹5'10" 245lbs
⏲️5.7" 40
💪295lbs bench ▪️ 465lbs squat
📍Ocean Springs High School, MS
📚3.96 GPA ▪️ 28 ACT
📋NCSA Coach: @coach_wwright
🎦Film & Transcript: recruit-match.ncsasports.org…
No one will out work this kid. Don't care who you are. @odellhaggins @coach_wwright
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After 7 years of @FSUFootball camps with @odellhaggins, my son @DrewTyler2023 just had his last one. Everyone knows Coach to be one of the greatest DL coaches ever and has mentored so many into the league. His impact is far larger than anyone will ever know. Thank you Coach.






















