@TheLancet

@TheLancet

Most recents (13)

Great to see the results of JCOG0802 published in @TheLancet. This is a practice changing trial (for at least some parts of the world) of lobectomy vs. segmentectomy for peripheral stage I lung cancer </=2cm. #lcsm #tssmn

The authors suggest that segmentectomy should now be the standard surgical procedure for these patients.

The results are truly outstanding with 5 year overall survival >90% in both arms, new standards for early stage lung cancer.

Read 11 tweets

Matthew Katz, MD 🇺🇸💜

@subatomicdoc

@ClinOncology

Can we improve how we treat cancer with stereotactic radiation? Yes, we can.

Here’s a @ClinOncology editorial with Drs. @MichaelTMilano & Alina Mihai on including clinical treatment volumes (CTVs) for microscopic disease.
authors.elsevier.com/a/1eVwJ3K%7E8R…
#radonc #medphys 1/

Radiation therapy (RT) can non-invasively treat microscopic disease. In curative settings, RT complements or competes w/ surgery to improve cancer care and patient outcomes.

I’ll discuss how matters using curative lung cancer and metastatic disease as examples. 2/

Stereotactic RT lets us give very high doses safely. Advances in medical physics & computer programming, matched w/ clinical trials, show we can improve tumor control & decrease central “in-field” failures. Its evolution initially required ignoring microscopic disease. 3/

Read 27 tweets

Jessica G.Y. Luc, MD

@JessicaLuc1

@MountSinaiNYC

Great talk by Dr. John Puskas from @MountSinaiNYC on #OPCAB at the @STS_CTsurgery Chinese Minimally Invasive Cardiovascular Surgery meeting! #TSSMN #CTSurgery

https://twitter.com/JessicaLuc1/status/1451695711490244610

https://twitter.com/JessicaLuc1/status/1451695711490244610

https://twitter.com/JessicaLuc1/status/1451697562428215298

https://twitter.com/JessicaLuc1/status/1451697562428215298

Read 19 tweets

Biniam Kidane

@biniamkidaneMD

@DrAlexLouie

1/ i was afraid you were hanging your argument on this calculation from @DrAlexLouie (of whom I’m a fan) but this is irrelevant to our current discussions...for so many reasons. Most importantly, these numbers are for clinical stage 1 #lungcancer not our 6cm cN0 mass #tssmn

https://twitter.com/drewmoghanaki/status/1340813506036330496

2/all cancers meeting guideline criteria for invasive mediastinal staging are usually not clinical stage 1 & thus your numbers (even if we accept them as being valid) do not apply. #tssmn

3/most importantly however, these patients with N2 disease are not allowed to get best therapy for their stage upfront (ie systemic therapy). Mediastinal staging is all about how to get #lungcancer patients to the best first therapy (ie neoadjuvant vs upfront local Rx) #tssmn

Read 5 tweets

Biniam Kidane

@biniamkidaneMD

https://twitter.com/DrewMoghanaki/status/1340496253545820161

1/Sorry, my friend. I’m not seeing the logical connection between your question/premise & the evidence you quoted. Can you please clarify?
Your premise is that cN0 patients should not get invasive mediastinal staging. Your evidence focuses on benefits of adjuvant therapy. #tssmn

https://twitter.com/DrewMoghanaki/status/1340496253545820161

2/the whole point of invasive med staging is to ensure that patients with ⬆️likelihood of having N2 disease are directed towards upfront/definitive systemic therapy rather than non-SOC upfront/definitive local therapy. Thus, evidence should focus on Neoadjuvant therapy #tssmn

@MaldonadoFabien

3/consider this :
do you think it’s ok to go directly to surgery or #SBRT for 6cm highly PET-avid #lungcancer which is cN0 on PET/CT, without EBUS?
@MaldonadoFabien @DanSteinfort @OtisBRickman @PulmCCM @IASLC @thoracic @ThoracicsCanada #tssmn

Read 4 tweets

Jessica G.Y. Luc, MD

@JessicaLuc1

@AATSHQ

So incredibly honored to have the opportunity to speak at the @AATSHQ Member for a Day program this year!

Thank you to all organizers and speakers for making this session possible.

Kicking off now and the program looks amazing! #TSSMN

https://twitter.com/maraantonoff/status/1325091721638711296?s=20

https://twitter.com/maraantonoff/status/1325091721638711296?s=20

@AATSHQ

Program welcome to the @AATSHQ Member for a Day program

Read 83 tweets

Jessica G.Y. Luc, MD

@JessicaLuc1

@SCC_CCS

2pmEST today! #CCCongress @SCC_CCS @SCC_CCS_Trainee @SCC_CCS_CEO @cscs_sccc #TSSMN

Panel discussion of cardiac surgery 2020 vs 2030 discussing:

1. Cardiac surgery workforce + women in cardiac surgery
2. Career planning + Myth busting
3. Landscape of the future of the specialty

1/ Phenomenal panel to discuss cardiac surgery 2020 vs. 2030. Thank you to all speakers, co-chairs, and attendees. #CCCongress

@soreabg

/2 Dr. @soreabg starting us off on a discussion of the cardiac surgery workforce #CCCongress @SCC_CCS @SCC_CCS_Trainee @cscs_sccc

Read 32 tweets

Jessica G.Y. Luc, MD

@JessicaLuc1

@SCC_CCS

Happening soon in 5 minutes! Join us for our workshop on the "Changing Landscape: Innovations in #MedEd to Adapt to the New Reality of Competency Based #MedEd and #COVID19 #CCCongress @SCC_CCS @SCC_CCS_Trainee @SCC_CCS_CEO

/1 Such an honor to present at this panel #CCCongress

@nthibodeaujarry

/2 Dr. @nthibodeaujarry presenting on simulation and the teaching and evaluation of non-technical skills during CBME and #COVID19 #CCCongress

Read 44 tweets

TSRA

@TSRA_official

Our August Newsletter is out, with important information on resources and educational opportunities that can enhance your #CTSurgery during the new academic year!

Full Newsletter: tsranet.org/wp-content/upl…

@TSRA_official

The @TSRA_official Clinical Scenarios in Cardiothoracic Surgery 2nd Edition has officially been published with lots of new content!

Editors include Drs. @clauden_louis, Watson, @AlexBresciaMD @JordanBloomMD @CoyanGarrett

Purchase your copy here today: amazon.com/TSRA-Clinical-…

@TSRA_official

Save the date for the upcoming @TSRA_official Webinar “Finding a Job in the COVID Era.”

Date: Tuesday September 8th 7-8PM EST

Panelists include Drs. Sundt, @medwards_md, Arnold, @AhmetKilicMD, @cllaucll2y, and @VinodThourani

#CTCareers #TSSMN #MedEd #FOAMEd #SoMe #Match2021

Read 21 tweets

Michael J Schwabe, MD

@michael22joseph

@AubriWasHerName

Hey @AubriWasHerName, I’m going to respond publicly because I think you ask a great question that others may want answered as well: can you have a family in #Surgery, particularly #CTSurgery? Short answer: yes! But I’ll say more.

1/X

@jschwabe

So first, a bit of my background: I’m an incoming gen surg resident and will pursue a CT fellowship. I have 2 kids, a 6yo stepson and a 2mo old. I was raised by a female CT surgeon who had 4 kids in gen surg residency (shoutout @jschwabe). My wife is a hospitalist attending.

2/X

Surgery has gotten much friendlier to work/life balance, but training will be very hard no matter what. Your husband will be working 80+ hrs/week for 5-8 years. That’s challenging. But doable! Having a support system is CRUCIAL.

3/X

Read 12 tweets

Jessica G.Y. Luc, MD

@JessicaLuc1

@CTSnetorg

@CTSnetorg Global #COVID19 Grand Rounds starting at 8amPST!

Moderated by Drs. @tomcnguyen @BrianMitzman Chikwe

Featuring Drs. @igeorge1975 @vinodthourani @TomMihaljevicMD et al

Zoom: zoom.us/j/559438750
Hashtag: #CTSNetLive

Live tweet thread to follow below

/2 The #COVID19 pandemic continues to challenge healthcare. In times of unknown, we need to rely on the collective experience of our #CTSurgery community.

Lets learn together rather than apart #CTSNetLive #TSSMN

@CTSNet

/3 Make sure to also check out all the fantastic #COVID19 resources compiled by #CTSNetLive @CTSNet ctsnet.org/article/covid-…

Read 75 tweets

Jessica G.Y. Luc, MD

@JessicaLuc1

Thank you to everyone for contributing to the phenomenal #TSSMN #TweetChat last night on how we can support #CTSurgery during the #COVID19 pandemic.

For those who have not already - please answer the following polls to gain perspective and elicit discussion on issues faced /1