Ron Barbosa MD FACS @rbarbosa91
Nonuniversity level 1 trauma/critical care/general surgeon. ECMO service. PGY-25. Father of 4. Surgical instrument threads. History enthusiast. Opinions own. Portland, OR Joined November 2011-
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"Surgical critical care: Is work–life expectancy increasing? An analysis of American Board of Surgery recertification rates across subspecialties" Punch-line: probably Check out the open-access article by @ErikaPIbarra @DanielDent6 tsaco.bmj.com/content/9/1/e0… @elliotthaut…
Historic surgical "I have a comment..." moment: Richard Cattell's comment on a presentation at the Southern Surgical in 1952 in which he described what would later become known as the "Cattell-Braasch" maneuver when it was finally published in 1960, some *8 years* later. 🧐
🔥Call for applications for the social media team🔥 We are now taking applications for the next cycle of @TSACO_AAST social media interns. More people have walked on the moon 🚀 🌕than have been TSACO social media interns... Help us build something unique! Details below:
Caesar's Palace was the venue for the Hagler-Leonard fight... And the De La Hoya - Cesar Chavez fight... And the Ali - Holmes fight... These were *nothing* compared to the upcoming debate between Dr. Zaffer Qasim and @TopKniFe_B on I.O. access. 🥊 Be there at 8:30! 🔥🎆
The importance of the Push and Pull technique of Prof @rbarbosa91 to avoid tissue tears and take all the advantage of the needle curve to minimize the tissue trauma ⤵️💥⚡️🪡! #SoMe4Surgery @pferrada1 @BBASS_skills @David_ukan @Cirbosque @AmJSurgery
Followup: A percutaneous drain was placed by IR as a marker. Via a 4 cm flank incision between ribs and using a laparoscope to aid visualization, the abscess was drained and stones extracted. Imaging showed complete resolution, and there has been no recurrence in 7+ years.😎
Followup: A percutaneous drain was placed by IR as a marker. Via a 4 cm flank incision between ribs and using a laparoscope to aid visualization, the abscess was drained and stones extracted. Imaging showed complete resolution, and there has been no recurrence in 7+ years.😎 https://t.co/nTSWsvxZIS
#TCCACS2024 kicked off yesterday! If you missed it, check out Dr. Mattox’s Introductory Notes #MATTOX2024 @TCCACS @kmattox1 tsaco.bmj.com/content/9/Supp… Don't forget to tag @TSACO_AAST for all of your Mattox tweets! @elliotthaut @jnahmias1 @rbarbosa91 @lucywhatisee @JuliaColemanMD…
Failing Kidneys: RRT in the ICU by Dr. Patel. Early diagnosis is key in improving outcomes! #MATTOX2024 #TCCACS2024 @TCCACS @kmattox1 tsaco.bmj.com/content/9/Supp… @DrTanyaEgodage @pppatelmd @elliotthaut @jnahmias1 @rbarbosa91 @CPark_MD @JuliaColemanMD @lucywhatisee
A patient presents 3 months after laparoscopic cholecystectomy in which there were numerous spilled stones. CT shows a phlegmon in a very superior and posterior subphrenic location (see images). The patient is moderately septic. WWYD next? (with permission)
OTD in 1912, aspiring hernia surgeon Rose DeWitt, following the principles of hernia surgery, literally allows a man to drown in the Atlantic instead of compromising the fundamental idea of having adequate underlay in all directions.
BehindTheKnife @BehindTheKnife
31K Followers 1K Following Behind the Knife is a comprehensive surgery education platform for healthcare providers at all stages of their training & career. For educational purposes onlySAGES is in Long Beac.. @SAGES_Updates
42K Followers 2K Following Society American Gastrointestinal and Endoscopic Surgeons. Leading minimally invasive surgical society. Likes and RTs are amplification, not endorsement.Chase Surgical @ChaseSurgical
14K Followers 2K Following Surgical training made simple, and taught by enthusiasts. Focus on skills necessary to support completion of Core Surg Training. [email protected]MISIRG @MISIRG1
21K Followers 469 Following Minimally Invasive Surgery Independent Research Group #MISIRGlobalSurgeryCaroline Park MD, MPH @CPark_MD
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10 Followers 151 FollowingBehindTheKnife @BehindTheKnife
31K Followers 1K Following Behind the Knife is a comprehensive surgery education platform for healthcare providers at all stages of their training & career. For educational purposes onlyThe Modern Surgeon @modern_surgeon
21K Followers 13 Following Surgeons trying to perfect their craft, and in the process, finding the answers to what it means to be a surgeon. Views are our own. Not medical advice.SAGES is in Long Beac.. @SAGES_Updates
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129 Followers 266 Following 🩺 Trauma & Acute Care Surgeon @usfhealthmed @tghcares 🐶 Dog mom 🇨🇺🇺🇸 Latina 🌿 Plant based 🌴 Lover of all Miami sports 🏈 🏒🏀⚾️⚽️Visit Belfast @VisitBelfast
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590 Followers 640 Following Wife, mother, daughter, friend, acute care/critical care surgeon. Tweets are my own.@Ndhukwani_Light @rbarbosa91 It’s 85% of surgery in this part of the world. And the other 15% is obstetric.
Actually we chose to wear our short coats for this photo in honor of the tradition of our program as it ushers in a new era under MGB. Trainees in our department can wear whatever length coat they want. We wanted to pay one last respect to MGH as we knew it.
When I do a lap chole I rarely use reverse Trendelenburg, maybe 10% of the time (or less). Arms out, routine IOC Thank you for coming to my talk today! #safechole @VNikolian @rbarbosa91 @CPark_MD @EzraTeitelbaum @MBosleyMD @SAGES_Updates @Cirbosque @FilipinoSurgeon
@rbarbosa91 @TSACO_AAST @ErikaPIbarra @DanielDent6 When I did my @AmBdSurg critical care recert, I was chair of the @EAST_TRAUMA guidelines committee. When people used to ask what to study for that test, I used to say just read all those PMGs. @LisaKodadek @gkasot @johnjcomo east.org/education-reso…
"Surgical critical care: Is work–life expectancy increasing? An analysis of American Board of Surgery recertification rates across subspecialties" Punch-line: probably Check out the open-access article by @ErikaPIbarra @DanielDent6 tsaco.bmj.com/content/9/1/e0… @elliotthaut…
Save the Date for #SAGES2025 March 12-15 in lovely Long Beach, CA! sages2025.org What can you expect from a SAGES meeting? 🧵 1 of 9
@rbarbosa91 Traditionally, trauma surgery has been felt to be an integral part of general surgery training, and a critical care fellowship really doesn’t provide any general surgery experience. Do you feel that these 1-year fellowship + residency is insufficient for trauma?
@rbarbosa91 Is this really different than say… Hernia surgery?
@rbarbosa91 This unfortunately was a big part of my residency training and a small reason I chose to do thoracic surgery. I also love thoracic surgery and managing thoracic disease.
Trauma surgery is unique among the surgical specialties in that 85% of the daily work could be done by others. It’s that last 15% where the true value of the specialty lies, and it’s the whole point for our existence. Often this isn’t understood, and trauma becomes undervalued.
@ericpaulimd @rbarbosa91 I was gonna say, replace trauma with hernia and it still makes sense
@rbarbosa91 Lot of value in the 85% too... ACS surgeons can usually take out a GB quite a bit better than the average hernia or colorectal surgeon who hasn't taken one out since residency.
@rbarbosa91 you said everything there is nothing to add congratulations 👏🏼👏🏼
@rbarbosa91 True. Took me a while to realize it, but absolutely true. Maybe also true with extremes of other specialties? 85% of general spine can be done by all, but the really hard stuff is where you bring real value
Our biweekly reminder that we have a stellar incoming partner joining #OHSUHernia. Congratulations @MBosleyMD on yet another award recognizing your hard work and dedication to education. @AzarowKen @tsikitis @OHSUsurgery @OrensteinSean
@rbarbosa91 It is not undervalued on this part of the world.
Happy to pass the torch to @traumamd1 who I know will do a great job as Interim Chair! Very glad to leave the dept in the capable hands of someone who will continue the progress & mission we've all worked hard for 😊
We’re excited to announce our Interim Chair, Dr Ariel Santos @traumamd1 who will assume his role in July following Dr Dissanaike @DissanaikeMD. Thank you Dr Dissanaike for your service and we look forward to welcoming Dr Santos! 🎉
Just in case you needed another reason to come to @asgbi congress, did you know being an active member of a society can reduce burnout and depression? Let's build our community and see you there! #WellbeingWednesday facs.org/for-medical-pr…
Incisional hernia after TAAA repair. eTEP access and unilateral TAR. Retromuscular dissection to accommodate 26x30 cm heavy weight mesh and have the patient home the next morning. #OHSUHernia #HerniaGeeks Full video with narration: youtu.be/AXqkV8XwB-Q