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Simon Ash Profile picture
@OBsleepmerchant
May 5 • 40 tweets • 39 min read Twitter logo Read on Twitter
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Dr Vernon Ross begins Fred Hehre Lecture at #SOAPAM2023
The first African American to do so. ImageImage
The Fred Hehre story 1.
#SOAPAM2023 ImageImageImageImage
The Fred Hehre story 2.
#SOAPAM2023 ImageImageImageImage
The Fred Hehre story 3. He did also enjoy his pipe 😉
#SOAPAM2023 ImageImageImageImage
Learning objectives of Fred Hehre Lecture at #SOAPAM2023 Image
A little history of Vernon Ross: Willie Mays a legend. #SOAPAM2023 ImageImageImage
Dr Ross has seen ladders climbed before his eyes, and yet the struggle continues. #SOAPAM2023 ImageImageImageImage
Major inspirations - grew up in the civil rights era. Memories of Montgomery Bus Boycott. #SOAPAM2023 ImageImageImageImage
Desegregation #SOAPAM2023 ImageImage
Freedom Bus Rides #SOAPAM2023 ImageImageImage
James Meredith. Kennedy. George Wallace. #SOAPAM2023 ImageImageImageImage
Kennedy and Civil Rights Act. Desegregation of US Hospitals. #SOAPAM2023 ImageImageImageImage
Desegregation of US Hospitals. MLK #SOAPAM2023 ImageImage
Acknowledging the lift up from his parents and family. 1970’s still advising Black students not to pursue medicine. He ran. #SOAPAM2023 ImageImageImageImage
Pushing to keep contact. Early encouragement and role models. HBCU cap ON. #SOAPAM2023 ImageImageImageImage
Fisk University. Mohammed Ali. Warriors won 1st Championship in 1975. We’ll leave the graduation pic where it is. Meharry Medical College (cap change) #SOAPAM2023 ImageImageImageImage
Meharry trained majority of Black physicians. Flexner Report closed all HBCU but two: Howard and Meharry #SOAPAM2023 ImageImageImageImage
Married (remained so). Howard for residency (cap change). Dr Dan founded first Black Hospital. Dr Charles Drew - excellence bypasses barriers of man #SOAPAM2023 ImageImageImageImage
Early mentors toward #AnyAnes #SOAPAM2023 ImageImageImage
Life time @SOAPHQ members, #OBAnes direction. @NationalMedAssn annual convention in #NOLA #SOAPAM2023 ImageImage
@NationalMedAssn. First black female anesthesiologist in US. AMA apology 2008 #SOAPAM2023 ImageImageImage
@ASALifeline. @SOAPHQ. @NationalMedAssn. #SOAPAM2023 ImageImageImage
Around 9/11, joined @WakeAnesthesia. #SOAPAM2023 ImageImageImage
Larry Hopkins. Dr Larry Hopkins. Leadership mentor. #SOAPAM2023 ImageImageImage
Twin City Medical Society. Old North State Medical Society. #SOAPAM2023 Image
@MedgeOwenMD. Ghana. @KybeleWorldwide. A labour of love. #SOAPAM2023 ImageImageImageImage
Changing the world. #OBAnes changes lives, communities, more #SOAPAM2023 ImageImageImage
A big legacy. I see you @Ron_George. #SOAPAM2023 ImageImageImageImage
Paying it forward. @PalomaToledoMD. @Eltonchris. @caitlindsutton #SOAPAM2023 ImageImageImageImage
Doctors back to school. If you see it you can be it? #SOAPAM2023 ImageImageImageImage
And it continues today… #SOAPAM2023 ImageImageImage
Arthur Ashe. #SOAPAM2023 ImageImage
Memorable cases. Some happy some sad. #SOAPAM2023 ImageImageImageImage
Memorable cases continued. #SOAPAM2023 ImageImageImage
@SOAPHQ has a special place in his heart. Looking forward to joining the distinguished previous Fred Hehre Lecturers. Stevie Wonder. #SOAPAM2023 ImageImageImageImage
Once ladder has been placed, how do we keep climbing? #SOAPAM2023 ImageImage
History will judge us, on both deeds and silence. #SOAPAM2023 ImageImage
Farewells & thank you’s. @SOAPHQ @KybeleWorldwide family, @WakeAnesthesia family. Mom and Dad Always. #SOAPAM2023 ImageImageImage
Kindness knows no shame - Stevie Wonder #SOAPAM2023 ImageImageImage
@threadreaderapp unroll please #SOAPAM2023

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More from @OBsleepmerchant

Simon Ash Profile picture
May 6
@hnixon147 presents a very important topic - Optimizing Intraoperative Anesthesia: What can we do to improve care? #OBAnes #SOAPAM2023 ImageImage
A case: “Jennifer” 37 week primup, for induction. Receives epidural, works well for 10h, then requires top-up which is successful.

She chuffs along but eventually stalls. A section is called.

In OR, pinprick and Alice test passed. However, she quickly becomes +++ anxious.… twitter.com/i/web/status/1… ImageImage
The patient is a physician, in same hospital. Feedback given. 9months post partum STILL having flashbacks, PTSD: #OBAnes #SOAPAM2023 ImageImageImage
Read 30 tweets
Simon Ash Profile picture
May 5
#SolShnider track begins with Dr Tiffany Angelo introducing @bscottsegal to start the protocolization in #OBAnes debate vs @HansSviggum at #SOAPAM2023 Image
@bscottsegal will lead off with the PRO argument for protocolization in #OBAnes #SOAPAM2023 ImageImage
The early years - ICU is where it started, treating critically ill patients (no #OBAnes yet) #SOAPAM2023 ImageImageImage
Read 16 tweets
Simon Ash Profile picture
May 5
@MedgeOwenMD introduces Dr Vernon Ross for the Fred Hehre Lecture. #SOAPAM2023 #OBAnes Image
Fact 1. Family Man - in person, at @WakeAnesthesia and at @KybeleWorldwide #SOAPAM2023 ImageImageImage
Fact 2. His mom’s uterus endowed him with sports knowledge. #SOAPAM2023 ImageImageImageImage
Read 5 tweets
Simon Ash Profile picture
May 5
Dr Brian Bateman moderates the #SOAPAM2023 Gertie Marx Research Competition. #OBAnes Image
Number 1. @LilianeErnstMD presents The ED90 of Hyoerbaric Bupivacaine for Cesarean Delivery in Super Obese Patients #OBAnes #SOAPAM2023 Image
Background. Pre-pregnancy obesity increasing across racial groups. A large percentage in grade 3 obesity, racial differences. Super Obese patients more likely to have cesarean section. High block was more common in BMI > 50. #SOAPAM2023 #OBAnes ImageImageImageImage
Read 22 tweets
Simon Ash Profile picture
May 5
@Chronotrope presents on using pEEG for sedation at #RAUK23

Now it only took the first slide (next tweet) to draw my full attention, and mean that I will be catching up with recordings later. This raises VERY important questions for #OBAnes in light of recent #SOAPAM2023 chats ImageImage
Neuraxial anesthesia as a sedative…

Sensory deafferentation dependent sedation - an example of a full stomach being sedated that #OBAnes do routinely @VeenaGraffMD (oh wait it gets better)
#RAUK23 #SOAPAM2023

@GongGasGirl have you heard of this? Anyone at #ASM23SYD? Image
Patient age and sensory block level significantly affect relationship between propofol Ce and sedation (I added the graphs from Roh et al’s study). Regional techniques dynamically reduce neural traffic. #RAUK23 #SOAPAM2023 ImageImageImage
Read 11 tweets
Simon Ash Profile picture
May 5
@LondonAllergy presents on a topic we don’t hear much about (follow her & @LouiseSavic for fascinating insights): LOCAL ANESTHETIC ALLERGY at #RAUK23

Topic equally important to #OBAnes audience (@OAAinfo @noolslucas - #OAA3dc?) and I’m sure #SOAPAM2023 audience will enjoy! ImageImage
The allergist team are ready and waiting for your referral, poised to leap into action with different testing modalities. When would they do a drug challenge? To test cross reactivity, exclude allergy and confirm diagnosis #RAUK23 ImageImageImage
Skin testing (a positive latex allergy) includes a negative spot (saline to rule out dermographia) & a positive histamine spot to check for antihistamines in system)

Intradermal testing uses low dilutions for specific drugs. Here a 1:10,000 dilution of sugammadex illicited a… twitter.com/i/web/status/1… ImageImageImageImage
Read 12 tweets

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