POPULARITY
Host: Denise M. Dupras, M.D., Ph.D. Guest: Heidi Nelson, M.D., Emeritus Chair of the Department of Surgery and past Chair of the Division of Colon & Rectal Surgery at Mayo Clinic in Rochester Guest: Jaeyun Sung, Ph.D., Associate Professor of Biomedical Informatics and Senior Associate Consultant II in the Department of Quantitative Health Sciences, Mayo Clinic Rochester This episode of Genes & Your Health presents the results of the Gut Microbiome Wellness Index 2 study, which examines the differences between the gut microbiomes of healthy and disease-affected populations. Drs. Nelson and Sung discussed a potential future where a stool gut microbiome profile could be used as a barometer of general gut health and outlined how the microbiome can be altered and used to predict overall health. They also covered factors that can contribute to returning the gut microbiome to healthy status after a disruption. Connect with us and learn more here: https://ce.mayo.edu/online-education/content/mayo-clinic-podcasts
Join Drs. Galandiuk, Bolshinsky, Kavalukas, and Simon, with guest Dr. Farr Nezhat, as they discuss management, surgical treatment, and outcomes of bowel endometriosis. Come with us as we learn from expert Dr. Nezhat's experience and discuss the importance of interdisciplinary approach to bowel endometriosis. Hosts: - Susan Galandiuk, University of Louisville, Louisville, KY, @DCREdInChief - Vladimir Bolshinsky, Peninsula Health, Victoria, Australia, @bolshinskyv - Sandy Kavalukas, University of Louisville, Louisville, KY, @sandykava - Hillary Simon, University of Louisville, Louisville, KY, @HillaryLSimon Guest Host: - Farr Nezhat, Nezhat Surgery for Gynecology/Oncology (Cornell/NYU), New York, NY Producer: - Manasa Sunkara MS4, University of Louisville, Louisville, Kentucky, @manasasunkara12 Learning objectives: - Review pathophysiology of endometriosis. - Understand key goals of bowel endometriosis treatment. - Discuss interdisciplinary surgical care and outcomes of bowel endometriosis. References: 1. Tsuei A, Nezhat F, Amirlatifi N, Najmi Z, Nezhat A, Nezhat C. Comprehensive Management of Bowel Endometriosis: Surgical Techniques, Outcomes, and Best Practices. J Clin Med. 2025 Feb 3;14(3):977. doi: 10.3390/jcm14030977 https://pubmed.ncbi.nlm.nih.gov/39941647/ 2. Bendifallah S, Puchar A, Vesale E, Moawad G, Daraï E, Roman H. Surgical Outcomes after Colorectal Surgery for Endometriosis: A Systematic Review and Meta-analysis. J Minim Invasive Gynecol. 2021 Mar;28(3):453-466. doi: 10.1016/j.jmig.2020.08.015. https://pubmed.ncbi.nlm.nih.gov/32841755/ 3. Erdem S, Imboden S, Papadia A, Lanz S, Mueller MD, Gloor B, Worni M. Functional Outcomes After Rectal Resection for Deep Infiltrating Pelvic Endometriosis: Long-term Results. Dis Colon Rectum. 2018 Jun;61(6):733-742. doi: 10.1097/DCR.0000000000001047. https://pubmed.ncbi.nlm.nih.gov/29664797/ 4. Nasseri Y, Ma R, Fani N, La K, Solis-Pazmino P, Xu V, Siedhoff MT, Wright KN, Schneyer R, Hamilton KM, Barnajian M, Meyer R. The impact of surgeon specialty on surgical outcomes following colorectal resection for endometriosis. Colorectal Dis. 2025 Feb;27(2):e70028. doi: 10.1111/codi.70028. https://pubmed.ncbi.nlm.nih.gov/39949080/ 5. Chua, Heidi, and Michael J Snyder. "Endometriosis.” ASCRS Textbook of Colon and Rectal Surgery, 4th ed., Springer Nature Switzerland AG, 2022. ASCRS U, www.ascrsu.com/ascrs/view/ASCRS-Textbook-of-Colon-and-Rectal-Surgery/2285036/all/Endometriosis. ***Fellowship Application Link: https://forms.gle/PQgAvGjHrYUqAqTJ9 Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen
This week on Health Matters, Courtney Allison is joined by Dr. Alessandro Fichera, chief of colon and rectal surgery at NewYork-Presbyterian and Weill Cornell Medicine. They discuss the recent rise of colorectal cancer in people under 50, and explore what might be one reason behind it—the eating habits of the typical Western diet.Dr. Fichera offers health tips for lowering cancer risk. It turns out, there are simple steps we could all take to give our hard-working guts the support they need. From eating more natural fiber to staying hydrated, Dr. Fichera explains some surprising links between the choices we make about our lifestyle and the risk of colorectal cancer.___Dr. Alessandro Fichera is Chief of the Division of Colon and Rectal Surgery at NewYork-Presbyterian and Weill Cornell Medicine. Dr. Alessandro Fichera received his medical degree from Catholic University of Rome, Italy in 1989. Since then, he has studied, practiced, and taught colorectal surgery across the United States: taking prestigious positions and leading departments of surgery in Chicago, Seattle, Dallas, and beyond. He serves on the ASCRS Executive Council and the Crohn's and Colitis Foundation National Scientific Advisory Committee.___Health Matters is your weekly dose of health and wellness information, from the leading experts. Join host Courtney Allison to get news you can use in your own life. New episodes drop each Wednesday.If you are looking for practical health tips and trustworthy information from world-class doctors and medical experts you will enjoy listening to Health Matters. Health Matters was created to share stories of science, care, and wellness that are happening every day at NewYork-Presbyterian, one of the nation's most comprehensive, integrated academic healthcare systems. In keeping with NewYork-Presbyterian's long legacy of medical breakthroughs and innovation, Health Matters features the latest news, insights, and health tips from our trusted experts; inspiring first-hand accounts from patients and caregivers; and updates on the latest research and innovations in patient care, all in collaboration with our renowned medical schools, Columbia and Weill Cornell Medicine. To learn more visit: https://healthmatters.nyp.org
You are planning to perform an APR on a patient with rectal cancer. How will you create your permanent stoma? Is there a role for prophylactic mesh? Post operatively at one year surveillance they have developed a parastomal hernia, when do you fix it and how? Join Drs. Abelson, Marcello and Aulet and special guest Dr. Paul Sturrock as they discuss key management considerations. Learning Objectives: 1. Describe the different types of parastomal hernia repairs 2. List indications for repair of parastomal hernias 3. Discuss the approach to managing parastomal hernias Articles: Steele S, et al. The ASCRS Textbook of Colon and Rectal Surgery, fourth ed. 2022. https://link.springer.com/book/10.1007/978-3-030-66049-9 J C Goligher, Extraperitoneal colostomy or ileostomy, British Journal of Surgery, Volume 46, Issue 196, September 1958, Pages 97–103, https://doi.org/10.1002/bjs.18004619602 ***SPECIALTY TEAM APPLICATION LINK: https://docs.google.com/forms/d/e/1FAIpQLSdX2a_zsiyaz-NwxKuUUa5cUFolWhOw3945ZRFoRcJR1wjZ4w/viewform?usp=sharing Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
Join Drs. Galandiuk, Bolshinsky, Kavalukas, and Simon as they discuss non-operative and operative management of enterocutaneous fistula. Come with us as we navigate through tips and tricks for preventing and managing enterocutaneous fistulas! Hosts: - Susan Galandiuk, University of Louisville, Louisville, Kentucky, @DCREdInChief - Vladimir Bolshinsky, Peninsula Health, Victoria, Australia, @bolshinskyv - Sandy Kavalukas, University of Louisville, Louisville, Kentucky, @sandykava - Hillary Simon, University of Louisville, Louisville, Kentucky, @HillaryLSimon Producer: - Manasa Sunkara MS4, University of Louisville, Louisville, Kentucky, @manasasunkara12 Learning objectives: - Review causes of enterocutaneous (EC) fistulas. - Understand EC fistula prevention and management tenets. - Discuss surgical tips and tricks for tackling EC fistulas. References: - Ellison EC, Upchurch GR, et al. Fischer's Mastery of Surgery. 8th ed, Vol 1. Philadelphia, PA: Wolters Kluwer; 2024:1175-1182. - Fazio VW, et al. Current Therapy in Colon and Rectal Surgery. 8th ed. Philadelphia, PA: Elsevier; 2017:404-411. - Mulholland MW, et al. Operative Techniques in Surgery. Vol 2. Philadelphia, PA: Wolters Kluwer; 2015:934-942. - Steele SR, et al. Illustrated Tips and Tricks in Colon and Rectal Surgery. Philadelphia, PA: Wolters Kluwer; 2021:263-269. Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen
Episode Resources:Ostomy Care Management (OCM) ProgramThe Wound, Ostomy, and Continence Nurses Society™ (WOCN®) SocietyThe American Society of Colon and Rectal Surgeons (ASCRS) About the Guests:Jan Colwell, APRN, CWOCN, FAAN, is an advanced practice nurse certified in wound ostomy and continence care. She most recently practiced at the University of Chicago Medicine providing care to patients with ostomies. She is a past president of the WOCN Society and Friends of Ostomates Worldwide USA, and has contributed to ostomy patient care by editing several ostomy care text books, participated in ostomy research projects, authored multiple ostomy based articles and is the co-section editor of the ostomy section of the Journal of Wound, Ostomy, and Continence Nursing (JWOCN®).Bethany Malone, MD, is a board-certified colon and rectal surgeon based in Fort Worth, TX. She practices broad-based colorectal surgery including screening colonoscopies and treats benign anorectal conditions, hemorrhoids, fecal incontinence, colon cancer, rectal cancer, and inflammatory bowel disease. Dr. Malone is an active member of the American Board of Colon and Rectal Surgeons, the American College of Surgeons, and the International Society of University Colon and Rectal Surgeons.Jenny Speranza, MD, attended the Rochester Institute of Technology, graduating in 1994 with her B.S. degree, Magna Cum Laude. She earned her M.D. from the School of Medicine, State University of New York at Buffalo (1999). Dr Speranza finished her surgical residency in 2004 from the State University of New York at Buffalo Consortium. In 2005, she completed a Colon and Rectal fellowship at the University of Miami. Prior to arriving at the University of Rochester, Dr. Speranza was on staff at the Cleveland Clinic Florida where she was an attending surgeon in the department of Colon and Rectal Surgery. Dr. Speranza is a member of American College of Surgeons, the American Society of Colon and Rectal Surgeons, and serves on two committees of the Society of American Gastrointestinal and Endoscopic surgeons.
As stewards of anorectal primary care, colorectal surgeons must be well-versed in treating patients with anorectal sexually transmitted infections (STIs). Join Avery, Biddy, Jon and Sam as they share stories, cases and insights on how they manage STI-related anorectal pathology. CO-HOSTS Avery Walker, MD, FACS, FASCRS El Paso, TX Avery Walker is dually board-certified in General Surgery and Colorectal Surgery. He earned his medical degree at the University of Illinois in Chicago, his General Surgery residency at Madigan Army Medical Center in Tacoma, Washington, and his Fellowship in Colon and Rectal Surgery at The Ochsner Clinic in New Orleans. A former active-duty officer in the United States Army, Dr. Walker served 13 years as a general and colorectal surgeon with his most recent duty station in El Paso, TX at William Beaumont Army Medical Center. While there he was the Chief of Colon and Rectal surgery as well as the Assistant Program Director for the general surgery residency program. He currently practices colon and rectal surgery at The Hospitals of Providence in El Paso, TX. Dr. Avery Walker is married and has two daughters aged 13 and 9. Biddy Das, MD, FACS Houston, TX (Twitter @BiddyDas) Dr. Bidhan “Biddy” Das has board certifications for both colon and rectal surgery, and general surgery. His passion for medical education and medical process improvement has resulted in book chapters and publications, and national and regional presentations on those subjects. Highlighting his medical expertise on fecal incontinence, he has been featured on patient education videos and national and international television and radio as a featured expert on these colorectal conditions. Dr Das also has a particular interest in surgeons redefining their careers -- he serves as both a software consultant and private equity consultant in Boston, New York City, and Houston. Jonathan Abelson, MD, MS Arlington, MA (Twitter @jabelsonmd) Dr. Abelson was born and raised in Scarsdale, New York in the suburbs of New York City. He has 2 older brothers and both of his parents are dentists. Dr. Abelson went to college at University Pennsylvania, took 2 years off between college and medical school to work in healthcare consulting. He then went to medical school at University of Virginia, returned to New York for general surgery residency at Weill Cornell on the upper east side of Manhattan. Dr. Abelson then did colorectal fellowship at Washington University in St. Louis and am now at Lahey clinic in Burlington, Massachusetts for my first job after training. He is 2 years into practice and has a wife and two sons. His wife works in wellness consulting and they have a dog named Foster who we adopted in St. Louis. Sam Eisenstein, MD La Jolla, CA (Twitter @DrE_UCSD) Sam Eisenstein is an Assistant Professor of Colon and rectal surgery and director of Inflammatory Bowel Disease surgery at UC San Diego Health. He has worked there for the past 8 years after graduating both residency and fellowship at The Mount Sinai Medical Center in New York. Sam is best known as the founder and organizer of the IBD-NSQIP collaborative, a large multi institutional data collaborative examining outcomes after IBD surgery, but he also is involved in several clinical trials for perianal Crohn's and has extensive experience with stem cell injections for anal fistulae. He is also on the scientific advisory board for the Crohn's and Colitis Foundation for his work on the next big IBD data collaborative, IBD-SIRQC (Surgical Innovation, Research and Quality Collaborative). Sam has a Wife and 3 kids (6,8, and 3) and spends most of his free time running around after them these days, but also enjoys traveling and getting out into nature with his family.
Is HRA a good approach to anal cancer screening? Join Alex, Avery, Biddy, Erin, Jon and Sam as they share their own case studies and perspectives regarding anal cancer screening and the use of HRA. OUR CO-HOSTS Alex Jenny Ky, MD, FACS, FASCRS New York, NY Dr. Ky has been in practice for 22 years and is one of the busiest surgeons in her hospital. She is a former president of the New York Colon and Rectal Society and currently serves as president-elect of the Chinese American Medical Society. Married for 29 years, she is the proud mom of 3 children and in her spare time she enjoys playing golf and squash. Avery Walker, MD, FACS, FASCRS El Paso, TX Avery Walker is dually board-certified in General Surgery and Colorectal Surgery. He earned his medical degree at the University of Illinois in Chicago, his General Surgery residency at Madigan Army Medical Center in Tacoma, Washington, and his Fellowship in Colon and Rectal Surgery at The Ochsner Clinic in New Orleans. A former active-duty officer in the United States Army, Dr. Walker served 13 years as a general and colorectal surgeon with his most recent duty station in El Paso, TX at William Beaumont Army Medical Center. While there he was the Chief of Colon and Rectal surgery as well as the Assistant Program Director for the general surgery residency program. He currently practices colon and rectal surgery at The Hospitals of Providence in El Paso, TX. Dr. Avery Walker is married and has two daughters aged 13 and 9. Biddy Das, MD, FACS Houston, TX (Twitter @BiddyDas) Dr. Bidhan “Biddy” Das has board certifications for both colon and rectal surgery, and general surgery. His passion for medical education and medical process improvement has resulted in book chapters and publications, and national and regional presentations on those subjects. Highlighting his medical expertise on fecal incontinence, he has been featured on patient education videos and national and international television and radio as a featured expert on these colorectal conditions. Dr Das also has a particular interest in surgeons redefining their careers -- he serves as both a software consultant and private equity consultant in Boston, New York City, and Houston. Erin King-Mullins, MD, FACS, FASCRS Atlanta, GA (Twitter @eking719) Dr. Erin King-Mullins is a double board-certified general and colorectal surgeon. She graduated summa cum laude from Xavier University of Louisiana. After obtaining her medical degree at Emory University in Atlanta, she completed her internship and residency in general surgery at the Orlando Regional Medical Center in Florida. Her fellowship training in colorectal surgery at Georgia Colon & Rectal Surgical Associates concluded with her joining the practice and serving as Faculty/Research Director for the fellowship program until her transition into private practice with Colorectal Wellness Center. She has a husband with whom she shares an amazing, blended family of 4 daughters. The kids keep them pretty busy, but their favorite times are spent on warm sunny beaches. Jonathan Abelson, MD, MS Arlington, MA (Twitter @jabelsonmd) Dr. Abelson was born and raised in Scarsdale, New York in the suburbs of New York City. He has 2 older brothers and both of his parents are dentists. Dr. Abelson went to college at University Pennsylvania, took 2 years off between college and medical school to work in healthcare consulting. He then went to medical school at University of Virginia, returned to New York for general surgery residency at Weill Cornell on the upper east side of Manhattan. Dr. Abelson then did colorectal fellowship at Washington University in St. Louis and am now at Lahey clinic in Burlington, Massachusetts for my first job after training. He is 2 years into practice and has a wife and two sons. His wife works in wellness consulting and they have a dog named Foster who we adopted in St. Louis. Sam Eisenstein, MD La Jolla, CA (Twitter @DrE_UCSD) Sam Eisenstein is an Assistant Professor of Colon and rectal surgery and director of Inflammatory Bowel Disease surgery at UC San Diego Health. He has worked there for the past 8 years after graduating both residency and fellowship at The Mount Sinai Medical Center in New York. Sam is best known as the founder and organizer of the IBD-NSQIP collaborative, a large multi institutional data collaborative examining outcomes after IBD surgery, but he also is involved in several clinical trials for perianal Crohn's and has extensive experience with stem cell injections for anal fistulae. He is also on the scientific advisory board for the Crohn's and Colitis Foundation for his work on the next big IBD data collaborative, IBD-SIRQC (Surgical Innovation, Research and Quality Collaborative). Sam has a Wife and 3 kids (6,8, and 3) and spends most of his free time running around after them these days, but also enjoys traveling and getting out into nature with his family.
As a colorectal surgeon, does you well-being take a "back seat" a little too often? Join Alex, Avery, Biddy, Jon and Sam as they share their own stories, struggles and suggestions for achieving a healthy lifestyle outside of surgery. OUR CO-HOSTS Alex Jenny Ky, MD, FACS, FASCRS New York, NY Dr. Ky has been in practice for 22 years and is one of the busiest surgeons in her hospital. She is a former president of the New York Colon and Rectal Society and currently serves as president-elect of the Chinese American Medical Society. Married for 29 years, she is the proud mom of 3 children and in her spare time she enjoys playing golf and squash. Avery Walker, MD, FACS, FASCRS El Paso, TX Avery Walker is dually board-certified in General Surgery and Colorectal Surgery. He earned his medical degree at the University of Illinois in Chicago, his General Surgery residency at Madigan Army Medical Center in Tacoma, Washington, and his Fellowship in Colon and Rectal Surgery at The Ochsner Clinic in New Orleans. A former active-duty officer in the United States Army, Dr. Walker served 13 years as a general and colorectal surgeon with his most recent duty station in El Paso, TX at William Beaumont Army Medical Center. While there he was the Chief of Colon and Rectal surgery as well as the Assistant Program Director for the general surgery residency program. He currently practices colon and rectal surgery at The Hospitals of Providence in El Paso, TX. Dr. Avery Walker is married and has two daughters aged 13 and 9. Biddy Das, MD, FACS Houston, TX (Twitter @BiddyDas) Dr. Bidhan “Biddy” Das has board certifications for both colon and rectal surgery, and general surgery. His passion for medical education and medical process improvement has resulted in book chapters and publications, and national and regional presentations on those subjects. Highlighting his medical expertise on fecal incontinence, he has been featured on patient education videos and national and international television and radio as a featured expert on these colorectal conditions. Dr Das also has a particular interest in surgeons redefining their careers -- he serves as both a software consultant and private equity consultant in Boston, New York City, and Houston. Jonathan Abelson, MD, MS Arlington, MA (Twitter @jabelsonmd) Dr. Abelson was born and raised in Scarsdale, New York in the suburbs of New York City. He has 2 older brothers and both of his parents are dentists. Dr. Abelson went to college at University Pennsylvania, took 2 years off between college and medical school to work in healthcare consulting. He then went to medical school at University of Virginia, returned to New York for general surgery residency at Weill Cornell on the upper east side of Manhattan. Dr. Abelson then did colorectal fellowship at Washington University in St. Louis and am now at Lahey clinic in Burlington, Massachusetts for my first job after training. He is 2 years into practice and has a wife and two sons. His wife works in wellness consulting and they have a dog named Foster who we adopted in St. Louis. Sam Eisenstein, MD La Jolla, CA (Twitter @DrE_UCSD) Sam Eisenstein is an Assistant Professor of Colon and rectal surgery and director of Inflammatory Bowel Disease surgery at UC San Diego Health. He has worked there for the past 8 years after graduating both residency and fellowship at The Mount Sinai Medical Center in New York. Sam is best known as the founder and organizer of the IBD-NSQIP collaborative, a large multi institutional data collaborative examining outcomes after IBD surgery, but he also is involved in several clinical trials for perianal Crohn's and has extensive experience with stem cell injections for anal fistulae. He is also on the scientific advisory board for the Crohn's and Colitis Foundation for his work on the next big IBD data collaborative, IBD-SIRQC (Surgical Innovation, Research and Quality Collaborative). Sam has a Wife and 3 kids (6,8, and 3) and spends most of his free time running around after them these days, but also enjoys traveling and getting out into nature with his family.
See the faces behind the voices in this special video episode as the Gut Check co-hosts share their thoughts, experiences and reflections on the purpose and importance of Gut Check, the official podcast of the American Society of Colon and Rectal Surgeons. OUR CO-HOSTS Alex Jenny Ky, MD, FACS, FASCRS New York, NY Dr. Ky has been in practice for 22 years and is one of the busiest surgeons in her hospital. She is a former president of the New York Colon and Rectal Society and currently serves as president-elect of the Chinese American Medical Society. Married for 29 years, she is the proud mom of 3 children and in her spare time she enjoys playing golf and squash. Avery Walker, MD, FACS, FASCRS El Paso, TX Avery Walker is dually board-certified in General Surgery and Colorectal Surgery. He earned his medical degree at the University of Illinois in Chicago, his General Surgery residency at Madigan Army Medical Center in Tacoma, Washington, and his Fellowship in Colon and Rectal Surgery at The Ochsner Clinic in New Orleans. A former active-duty officer in the United States Army, Dr. Walker served 13 years as a general and colorectal surgeon with his most recent duty station in El Paso, TX at William Beaumont Army Medical Center. While there he was the Chief of Colon and Rectal surgery as well as the Assistant Program Director for the general surgery residency program. He currently practices colon and rectal surgery at The Hospitals of Providence in El Paso, TX. Dr. Avery Walker is married and has two daughters aged 13 and 9. Biddy Das, MD, FACS Houston, TX (Twitter @BiddyDas) Dr. Bidhan “Biddy” Das has board certifications for both colon and rectal surgery, and general surgery. His passion for medical education and medical process improvement has resulted in book chapters and publications, and national and regional presentations on those subjects. Highlighting his medical expertise on fecal incontinence, he has been featured on patient education videos and national and international television and radio as a featured expert on these colorectal conditions. Dr Das also has a particular interest in surgeons redefining their careers -- he serves as both a software consultant and private equity consultant in Boston, New York City, and Houston. Erin King-Mullins, MD, FACS, FASCRS Atlanta, GA (Twitter @eking719) Dr. Erin King-Mullins is a double board-certified general and colorectal surgeon. She graduated summa cum laude from Xavier University of Louisiana. After obtaining her medical degree at Emory University in Atlanta, she completed her internship and residency in general surgery at the Orlando Regional Medical Center in Florida. Her fellowship training in colorectal surgery at Georgia Colon & Rectal Surgical Associates concluded with her joining the practice and serving as Faculty/Research Director for the fellowship program until her transition into private practice with Colorectal Wellness Center. She has a husband with whom she shares an amazing, blended family of 4 daughters. The kids keep them pretty busy, but their favorite times are spent on warm sunny beaches. Jonathan Abelson, MD, MS Arlington, MA (Twitter @jabelsonmd) Dr. Abelson was born and raised in Scarsdale, New York in the suburbs of New York City. He has 2 older brothers and both of his parents are dentists. Dr. Abelson went to college at University Pennsylvania, took 2 years off between college and medical school to work in healthcare consulting. He then went to medical school at University of Virginia, returned to New York for general surgery residency at Weill Cornell on the upper east side of Manhattan. Dr. Abelson then did colorectal fellowship at Washington University in St. Louis and am now at Lahey clinic in Burlington, Massachusetts for my first job after training. He is 2 years into practice and has a wife and two sons. His wife works in wellness consulting and they have a dog named Foster who we adopted in St. Louis. Sam Eisenstein, MD La Jolla, CA (Twitter @DrE_UCSD) Sam Eisenstein is an Assistant Professor of Colon and rectal surgery and director of Inflammatory Bowel Disease surgery at UC San Diego Health. He has worked there for the past 8 years after graduating both residency and fellowship at The Mount Sinai Medical Center in New York. Sam is best known as the founder and organizer of the IBD-NSQIP collaborative, a large multi institutional data collaborative examining outcomes after IBD surgery, but he also is involved in several clinical trials for perianal Crohn's and has extensive experience with stem cell injections for anal fistulae. He is also on the scientific advisory board for the Crohn's and Colitis Foundation for his work on the next big IBD data collaborative, IBD-SIRQC (Surgical Innovation, Research and Quality Collaborative). Sam has a Wife and 3 kids (6,8, and 3) and spends most of his free time running around after them these days, but also enjoys traveling and getting out into nature with his family.
Join Professor Michael Solomon, Dr Kilian Brown and Dr Jacob Waller from Royal Prince Alfred Hospital in Sydney, Australia, for this special four part series on pelvic exenteration surgery for locally advanced and recurrent rectal cancer. Learn about these ultra-radical procedures which go beyond the traditional TME planes, that we learn during surgical training, and into all compartments of the pelvis. Episode 1 provides listeners with an overview of the principles of exenteration surgery and preoperative patient assessment and selection. Each episode in this series features a different international guest surgeon. In episode 2, the RPA team are joined by Dr Elaine Burns from St Mark's Hospital, London, UK. References and further reading: -Burns EM, Quyn A; Lexicon Collaboration of UKPEN and the ACPGBI Advanced Cancer subcommittee. The 'Pelvic exenteration lexicon': Creating a common language for complex pelvic cancer surgery. Colorectal Dis. 2023 May;25(5):888-896. doi: 10.1111/codi.16476. -Brown KGM, Solomon MJ. Decision making, treatment planning and technical considerations in patients undergoing surgery for locally recurrent rectal cancer. Seminars in Colon and Rectal Surgery. 2020;31(3):100764 -van Kessel CS, Solomon MJ. Understanding the Philosophy, Anatomy, and Surgery of the Extra-TME Plane of Locally Advanced and Locally Recurrent Rectal Cancer; Single Institution Experience with International Benchmarking. Cancers. 2022 Oct 15;14(20):5058. doi: 10.3390/cancers14205058 -PelvEx Collaborative. Contemporary Management of Locally Advanced and Recurrent Rectal Cancer: Views from the PelvEx Collaborative. Cancers (Basel). 2022 Feb 24;14(5):1161. doi: 10.3390/cancers14051161 Check out more high-yield colorectal surgery content from Behind the Knife: https://behindtheknife.org/podcast-category/colorectal/
Ready for a lively debate about the best treatment approaches for painful and debilitating patient fissures? Join Alex, Avery, Biddy, Jon and Sam as they share their own cases, approaches and disagreements regarding the best way to treat fissures. OUR CO-HOSTS Alex Jenny Ky, MD, FACS, FASCRS New York, NY Dr. Ky has been in practice for 22 years and is one of the busiest surgeons in her hospital. She is a former president of the New York Colon and Rectal Society and currently serves as president-elect of the Chinese American Medical Society. Married for 29 years, she is the proud mom of 3 children and in her spare time she enjoys playing golf and squash. Avery Walker, MD, FACS, FASCRS El Paso, TXAvery Walker is dually board-certified in General Surgery and Colorectal Surgery. He earned his medical degree at the University of Illinois in Chicago, his General Surgery residency at Madigan Army Medical Center in Tacoma, Washington, and his Fellowship in Colon and Rectal Surgery at The Ochsner Clinic in New Orleans. A former active-duty officer in the United States Army, Dr. Walker served 13 years as a general and colorectal surgeon with his most recent duty station in El Paso, TX at William Beaumont Army Medical Center. While there he was the Chief of Colon and Rectal surgery as well as the Assistant Program Director for the general surgery residency program. He currently practices colon and rectal surgery at The Hospitals of Providence in El Paso, TX. Dr. Avery Walker is married and has two daughters aged 13 and 9. Biddy Das, MD, FACS Houston, TXDr. Bidhan “Biddy” Das has board certifications for both colon and rectal surgery, and general surgery. His passion for medical education and medical process improvement has resulted in book chapters and publications, and national and regional presentations on those subjects. Highlighting his medical expertise on fecal incontinence, he has been featured on patient education videos and national and international television and radio as a featured expert on these colorectal conditions. Dr Das also has a particular interest in surgeons redefining their careers -- he serves as both a software consultant and private equity consultant in Boston, New York City, and Houston. Erin King-Mullins, MD, FACS, FASCRS Atlanta, GADr. Erin King-Mullins is a double board-certified general and colorectal surgeon. She graduated summa cum laude from Xavier University of Louisiana. After obtaining her medical degree at Emory University in Atlanta, she completed her internship and residency in general surgery at the Orlando Regional Medical Center in Florida. Her fellowship training in colorectal surgery at Georgia Colon & Rectal Surgical Associates concluded with her joining the practice and serving as Faculty/Research Director for the fellowship program until her transition into private practice with Colorectal Wellness Center. She has a husband with whom she shares an amazing, blended family of 4 daughters. The kids keep them pretty busy, but their favorite times are spent on warm sunny beaches. Jonathan Abelson, MD, MS, FASCRS Arlington, MADr. Abelson was born and raised in Scarsdale, New York in the suburbs of New York City. He has 2 older brothers and both of his parents are dentists. Dr. Abelson went to college at University Pennsylvania, took 2 years off between college and medical school to work in healthcare consulting. He then went to medical school at University of Virginia, returned to New York for general surgery residency at Weill Cornell on the upper east side of Manhattan. Dr. Abelson then did colorectal fellowship at Washington University in St. Louis and am now at Lahey clinic in Burlington, Massachusetts for my first job after training. He is 2 years into practice and has a wife and two sons. His wife works in wellness consulting and they have a dog named Foster who we adopted in St. Louis. Sam Eisenstein, MD, FASCRS La Jolla, CA (Twitter @DrE_UCSD) Sam Eisenstein is an Assistant Professor of Colon and rectal surgery and director of Inflammatory Bowel Disease surgery at UC San Diego Health. He has worked there for the past 8 years after graduating both residency and fellowship at The Mount Sinai Medical Center in New York. Sam is best known as the founder and organizer of the IBD-NSQIP collaborative, a large multi institutional data collaborative examining outcomes after IBD surgery, but he also is involved in several clinical trials for perianal Crohn's and has extensive experience with stem cell injections for anal fistulae. He is also on the scientific advisory board for the Crohn's and Colitis Foundation for his work on the next big IBD data collaborative, IBD-SIRQC (Surgical Innovation, Research and Quality Collaborative). Sam has a Wife and 3 kids (6,8, and 3) and spends most of his free time running around after them these days, but also enjoys traveling and getting out into nature with his family.
What do you do when a patient says something unexpected or inappropriate? Join Alex, Avery, Biddy, Erin and Jon as they share true stories of unexpected things patients have said and how they handled the situation. OUR CO-HOSTS Alex Jenny Ky, MD, FACS, FASCRS New York, NY Dr. Ky has been in practice for 22 years and is one of the busiest surgeons in her hospital. She is a former president of the New York Colon and Rectal Society and currently serves as president-elect of the Chinese American Medical Society. Married for 29 years, she is the proud mom of 3 children and in her spare time she enjoys playing golf and squash. Avery Walker, MD, FACS, FASCRS El Paso, TXAvery Walker is dually board-certified in General Surgery and Colorectal Surgery. He earned his medical degree at the University of Illinois in Chicago, his General Surgery residency at Madigan Army Medical Center in Tacoma, Washington, and his Fellowship in Colon and Rectal Surgery at The Ochsner Clinic in New Orleans. A former active-duty officer in the United States Army, Dr. Walker served 13 years as a general and colorectal surgeon with his most recent duty station in El Paso, TX at William Beaumont Army Medical Center. While there he was the Chief of Colon and Rectal surgery as well as the Assistant Program Director for the general surgery residency program. He currently practices colon and rectal surgery at The Hospitals of Providence in El Paso, TX. Dr. Avery Walker is married and has two daughters aged 13 and 9. Biddy Das, MD, FACS Houston, TXDr. Bidhan “Biddy” Das has board certifications for both colon and rectal surgery, and general surgery. His passion for medical education and medical process improvement has resulted in book chapters and publications, and national and regional presentations on those subjects. Highlighting his medical expertise on fecal incontinence, he has been featured on patient education videos and national and international television and radio as a featured expert on these colorectal conditions. Dr Das also has a particular interest in surgeons redefining their careers -- he serves as both a software consultant and private equity consultant in Boston, New York City, and Houston. Erin King-Mullins, MD, FACS, FASCRS Atlanta, GADr. Erin King-Mullins is a double board-certified general and colorectal surgeon. She graduated summa cum laude from Xavier University of Louisiana. After obtaining her medical degree at Emory University in Atlanta, she completed her internship and residency in general surgery at the Orlando Regional Medical Center in Florida. Her fellowship training in colorectal surgery at Georgia Colon & Rectal Surgical Associates concluded with her joining the practice and serving as Faculty/Research Director for the fellowship program until her transition into private practice with Colorectal Wellness Center. She has a husband with whom she shares an amazing, blended family of 4 daughters. The kids keep them pretty busy, but their favorite times are spent on warm sunny beaches. Jonathan Abelson, MD, MS Arlington, MADr. Abelson was born and raised in Scarsdale, New York in the suburbs of New York City. He has 2 older brothers and both of his parents are dentists. Dr. Abelson went to college at University Pennsylvania, took 2 years off between college and medical school to work in healthcare consulting. He then went to medical school at University of Virginia, returned to New York for general surgery residency at Weill Cornell on the upper east side of Manhattan. Dr. Abelson then did colorectal fellowship at Washington University in St. Louis and am now at Lahey clinic in Burlington, Massachusetts for my first job after training. He is 2 years into practice and has a wife and two sons. His wife works in wellness consulting and they have a dog named Foster who we adopted in St. Louis.
What would you do if you were being harassed, disrespected, exploited, retaliated against or reached an impasse with another in your surgical practice? Join Avery, Biddy and Erin as they share their own stories, experiences and perspectives regarding how to approach the sometimes difficult politics of surgical practice. CO-HOSTS Avery Walker, MD, FACS, FASCRS El Paso, TX Avery Walker is dually board-certified in General Surgery and Colorectal Surgery. He earned his medical degree at the University of Illinois in Chicago, his General Surgery residency at Madigan Army Medical Center in Tacoma, Washington, and his Fellowship in Colon and Rectal Surgery at The Ochsner Clinic in New Orleans. A former active-duty officer in the United States Army, Dr. Walker served 13 years as a general and colorectal surgeon with his most recent duty station in El Paso, TX at William Beaumont Army Medical Center. While there he was the Chief of Colon and Rectal surgery as well as the Assistant Program Director for the general surgery residency program. He currently practices colon and rectal surgery at The Hospitals of Providence in El Paso, TX. Dr. Avery Walker is married and has two daughters aged 13 and 9. Biddy Das, MD, FACS Houston, TX (Twitter @BiddyDas) Dr. Bidhan “Biddy” Das has board certifications for both colon and rectal surgery, and general surgery. His passion for medical education and medical process improvement has resulted in book chapters and publications, and national and regional presentations on those subjects. Highlighting his medical expertise on fecal incontinence, he has been featured on patient education videos and national and international television and radio as a featured expert on these colorectal conditions. Dr Das also has a particular interest in surgeons redefining their careers -- he serves as both a software consultant and private equity consultant in Boston, New York City, and Houston. Erin King-Mullins, MD, FACS, FASCRS Atlanta, GA (Twitter @eking719) Dr. Erin King-Mullins is a double board-certified general and colorectal surgeon. She graduated summa cum laude from Xavier University of Louisiana. After obtaining her medical degree at Emory University in Atlanta, she completed her internship and residency in general surgery at the Orlando Regional Medical Center in Florida. Her fellowship training in colorectal surgery at Georgia Colon & Rectal Surgical Associates concluded with her joining the practice and serving as Faculty/Research Director for the fellowship program until her transition into private practice with Colorectal Wellness Center. She has a husband with whom she shares an amazing, blended family of 4 daughters. The kids keep them pretty busy, but their favorite times are spent on warm sunny beaches. Jonathan Abelson, MD, MS Arlington, MA (Twitter @jabelsonmd) Dr. Abelson was born and raised in Scarsdale, New York in the suburbs of New York City. He has 2 older brothers and both of his parents are dentists. Dr. Abelson went to college at University Pennsylvania, took 2 years off between college and medical school to work in healthcare consulting. He then went to medical school at University of Virginia, returned to New York for general surgery residency at Weill Cornell on the upper east side of Manhattan. Dr. Abelson then did colorectal fellowship at Washington University in St. Louis and am now at Lahey clinic in Burlington, Massachusetts for my first job after training. He is 2 years into practice and has a wife and two sons. His wife works in wellness consulting and they have a dog named Foster who we adopted in St. Louis.
From MMR/MSI and Neoadjuvant Therapy to "Watch and Wait" and ctDNA, special guests Dr. Al Benson and Dr. Samantha Hendren join the co-hosts for a conversation about the latest NCCN rectal cancer guidelines. CO-HOSTS Avery Walker, MD, FACS, FASCRS El Paso, TX Avery Walker is dually board-certified in General Surgery and Colorectal Surgery. He earned his medical degree at the University of Illinois in Chicago, his General Surgery residency at Madigan Army Medical Center in Tacoma, Washington, and his Fellowship in Colon and Rectal Surgery at The Ochsner Clinic in New Orleans. A former active-duty officer in the United States Army, Dr. Walker served 13 years as a general and colorectal surgeon with his most recent duty station in El Paso, TX at William Beaumont Army Medical Center. While there he was the Chief of Colon and Rectal surgery as well as the Assistant Program Director for the general surgery residency program. He currently practices colon and rectal surgery at The Hospitals of Providence in El Paso, TX. Dr. Avery Walker is married and has two daughters aged 13 and 9. Biddy Das, MD, FACS Houston, TX (Twitter @BiddyDas) Dr. Bidhan “Biddy” Das has board certifications for both colon and rectal surgery, and general surgery. His passion for medical education and medical process improvement has resulted in book chapters and publications, and national and regional presentations on those subjects. Highlighting his medical expertise on fecal incontinence, he has been featured on patient education videos and national and international television and radio as a featured expert on these colorectal conditions. Dr Das also has a particular interest in surgeons redefining their careers -- he serves as both a software consultant and private equity consultant in Boston, New York City, and Houston. Erin King-Mullins, MD, FACS, FASCRS Atlanta, GA (Twitter @eking719) Dr. Erin King-Mullins is a double board-certified general and colorectal surgeon. She graduated summa cum laude from Xavier University of Louisiana. After obtaining her medical degree at Emory University in Atlanta, she completed her internship and residency in general surgery at the Orlando Regional Medical Center in Florida. Her fellowship training in colorectal surgery at Georgia Colon & Rectal Surgical Associates concluded with her joining the practice and serving as Faculty/Research Director for the fellowship program until her transition into private practice with Colorectal Wellness Center. She has a husband with whom she shares an amazing, blended family of 4 daughters. The kids keep them pretty busy, but their favorite times are spent on warm sunny beaches. Jonathan Abelson, MD, MS Arlington, MA (Twitter @jabelsonmd) Dr. Abelson was born and raised in Scarsdale, New York in the suburbs of New York City. He has 2 older brothers and both of his parents are dentists. Dr. Abelson went to college at University Pennsylvania, took 2 years off between college and medical school to work in healthcare consulting. He then went to medical school at University of Virginia, returned to New York for general surgery residency at Weill Cornell on the upper east side of Manhattan. Dr. Abelson then did colorectal fellowship at Washington University in St. Louis and am now at Lahey clinic in Burlington, Massachusetts for my first job after training. He is 2 years into practice and has a wife and two sons. His wife works in wellness consulting and they have a dog named Foster who we adopted in St. Louis.
Have you ever struggled choosing which type of stoma to mature in an anatomically or medically challenging patient? What about wrestled with the associated postoperative complications? Join Drs. Galandiuk, Bolshinsky, Kavalukas, and Simon as they discuss ostomy creation and management of stoma complications. Hosts: - Susan Galandiuk MD, University of Louisville, Louisville, Kentucky, @DCREdInChief - Vladimir Bolshinsky MD, Peninsula Health, Victoria, Australia, @bolshinskyv - Sandy Kavalukas MD, University of Louisville, Louisville, Kentucky, @sandykava - Hillary Simon DO, University of Louisville, Louisville, Kentucky, @HillaryLSimon Producer: - Manasa Sunkara MS3, University of Louisville, Louisville, Kentucky, @manasasunkara12 Learning objectives: - Review pre-operative stoma marking and ostomy education. - Understand “bail-out” ostomy creation options in medically and anatomically challenging patients. - Discuss common postoperative ostomy complications and management. - Review common peristomal skin pathology and treatment options. Video References: - Colwell, Janice C. A.P.R.N., C.W.O.C.N.1; Williams, Toyia M.S.N., R.N.2. Management of the Patient With a Prolapsed Ileostomy. Diseases of the Colon & Rectum 65(12):p e1073, December 2022. | DOI: 10.1097/DCR.0000000000002605 https://www.youtube.com/watch?v=Wx83CpRLkqk Non-operative management of stoma prolapse/reduction - Colwell, Janice C. A.P.R.N.. Management of the Patient With a Retracted Loop Ileostomy Located in a Crease. Diseases of the Colon & Rectum 65(3):p e182-e183, March 2022. | DOI: 10.1097/DCR.0000000000002367 https://www.youtube.com/watch?v=mc6o7nG1fsQ Management of a retracted stoma, in a crease, with peristomal skin breakdown - Watanabe, Kazuhiro M.D., Ph.D.; Kohyama, Atsushi M.D., Ph.D.; Suzuki, Hideyuki M.D., Ph.D.; Kajiwara, Taiki M.D., Ph.D.; Karasawa, Hideaki M.D., Ph.D.; Ohnuma, Shinobu M.D., Ph.D.; Kamei, Takashi M.D., Ph.D.; Unno, Michiaki M.D., Ph.D.. Slug Method: A Technique for Stoma Prolapse Reduction Using High Osmolality of the 50% Glucose Solution. Diseases of the Colon & Rectum 63(12):p e565, December 2020. | DOI: 10.1097/DCR.0000000000001798 https://cdn-links.lww.com/permalink/dcr/b/dcr_1_1_2020_09_01_watanabe_20-00282_sdc1.mp4 Osmotic reduction Other References: - Baker ML, Williams RN, Nightingale J.. Causes and management of a high-output stoma. Colorectal Dis. 2011;13(2):191–197. doi: 10.1111/j.1463-1318.2009.02107.x. - Behrenbruch, C., Carr, G., Johnston, M. and Woods, R. (2019), Three-point stapled fixation technique to manage ileostomy spout retraction. ANZ Journal of Surgery, 89: 423-424. doi: 10.1111/ans.15006 - O'Brien, Stephen J. M.B. B.Ch., B.A.O.; Ellis, C. Tyler M.D., M.S.C.R.. The Management of Peristomal Pyoderma Gangrenosum in IBD. Diseases of the Colon & Rectum 63(7):p 881-884, July 2020. | DOI: 10.1097/DCR.0000000000001701 - Paquette IM, Solan P, Rafferty JF, Ferguson MA, Davis BR.. Readmission for dehydration or renal failure after ileostomy creation. Dis Colon Rectum. 2013;56(8):974–979. doi: 10.1097/DCR.0b013e31828d02ba - Steele S, Hull Tracy, Hyman N, Maykel J, Read T, and Whitlow C. The ASCRS Textbook of Colon and Rectal Surgery. 4th Edition. Volume II. Springer, Switzerland AG, 2022. Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out other recent Colorectal Surgery Episodes here: https://behindtheknife.org/podcast-category/colorectal/
What's the best way to mentor trainees and provide autonomy in the operating room while you're still figuring out your own practice? Join Alex, Avery, Biddy, Jon and Sam as they share their perspectives, practices and insights ranging from early to advanced career stage. OUR CO-HOSTS Alex Jenny Ky, MD, FACS, FASCRS New York, NY Dr. Ky has been in practice for 22 years and is one of the busiest surgeons in her hospital. She is a former president of the New York Colon and Rectal Society and currently serves as president-elect of the Chinese American Medical Society. Married for 29 years, she is the proud mom of 3 children and in her spare time she enjoys playing golf and squash. Avery Walker, MD, FACS, FASCRS El Paso, TXAvery Walker is dually board-certified in General Surgery and Colorectal Surgery. He earned his medical degree at the University of Illinois in Chicago, his General Surgery residency at Madigan Army Medical Center in Tacoma, Washington, and his Fellowship in Colon and Rectal Surgery at The Ochsner Clinic in New Orleans. A former active-duty officer in the United States Army, Dr. Walker served 13 years as a general and colorectal surgeon with his most recent duty station in El Paso, TX at William Beaumont Army Medical Center. While there he was the Chief of Colon and Rectal surgery as well as the Assistant Program Director for the general surgery residency program. He currently practices colon and rectal surgery at The Hospitals of Providence in El Paso, TX. Dr. Avery Walker is married and has two daughters aged 13 and 9. Biddy Das, MD, FACS Houston, TXDr. Bidhan “Biddy” Das has board certifications for both colon and rectal surgery, and general surgery. His passion for medical education and medical process improvement has resulted in book chapters and publications, and national and regional presentations on those subjects. Highlighting his medical expertise on fecal incontinence, he has been featured on patient education videos and national and international television and radio as a featured expert on these colorectal conditions. Dr Das also has a particular interest in surgeons redefining their careers -- he serves as both a software consultant and private equity consultant in Boston, New York City, and Houston. Jonathan Abelson, MD, MS Arlington, MADr. Abelson was born and raised in Scarsdale, New York in the suburbs of New York City. He has 2 older brothers and both of his parents are dentists. Dr. Abelson went to college at University Pennsylvania, took 2 years off between college and medical school to work in healthcare consulting. He then went to medical school at University of Virginia, returned to New York for general surgery residency at Weill Cornell on the upper east side of Manhattan. Dr. Abelson then did colorectal fellowship at Washington University in St. Louis and am now at Lahey clinic in Burlington, Massachusetts for my first job after training. He is 2 years into practice and has a wife and two sons. His wife works in wellness consulting and they have a dog named Foster who we adopted in St. Louis. Sam Eisenstein, MD La Jolla, CA Sam Eisenstein is an Assistant Professor of Colon and rectal surgery and director of Inflammatory Bowel Disease surgery at UC San Diego Health. He has worked there for the past 8 years after graduating both residency and fellowship at The Mount Sinai Medical Center in New York. Sam is best known as the founder and organizer of the IBD-NSQIP collaborative, a large multi institutional data collaborative examining outcomes after IBD surgery, but he also is involved in several clinical trials for perianal Crohn's and has extensive experience with stem cell injections for anal fistulae. He is also on the scientific advisory board for the Crohn's and Colitis Foundation for his work on the next big IBD data collaborative, IBD-SIRQC (Surgical Innovation, Research and Quality Collaborative). Sam has a Wife and 3 kids (6,8, and 3) and spends most of his free time running around after them these days, but also enjoys traveling and getting out into nature with his family.
From ureteral injury to ureteral stents to urologists, join Alex, Avery, Biddy, Jon and Sam as they share case stories and explore the how, when and why of ureteral stents. OUR CO-HOSTS Alex Jenny Ky, MD, FACS, FASCRS New York, NY Dr. Ky has been in practice for 22 years and is one of the busiest surgeons in her hospital. She is a former president of the New York Colon and Rectal Society and currently serves as president-elect of the Chinese American Medical Society. Married for 29 years, she is the proud mom of 3 children and in her spare time she enjoys playing golf and squash. Avery Walker, MD, FACS, FASCRS El Paso, TXAvery Walker is dually board-certified in General Surgery and Colorectal Surgery. He earned his medical degree at the University of Illinois in Chicago, his General Surgery residency at Madigan Army Medical Center in Tacoma, Washington, and his Fellowship in Colon and Rectal Surgery at The Ochsner Clinic in New Orleans. A former active-duty officer in the United States Army, Dr. Walker served 13 years as a general and colorectal surgeon with his most recent duty station in El Paso, TX at William Beaumont Army Medical Center. While there he was the Chief of Colon and Rectal surgery as well as the Assistant Program Director for the general surgery residency program. He currently practices colon and rectal surgery at The Hospitals of Providence in El Paso, TX. Dr. Avery Walker is married and has two daughters aged 13 and 9. Biddy Das, MD, FACS Houston, TXDr. Bidhan “Biddy” Das has board certifications for both colon and rectal surgery, and general surgery. His passion for medical education and medical process improvement has resulted in book chapters and publications, and national and regional presentations on those subjects. Highlighting his medical expertise on fecal incontinence, he has been featured on patient education videos and national and international television and radio as a featured expert on these colorectal conditions. Dr Das also has a particular interest in surgeons redefining their careers -- he serves as both a software consultant and private equity consultant in Boston, New York City, and Houston. Jonathan Abelson, MD, MS Arlington, MADr. Abelson was born and raised in Scarsdale, New York in the suburbs of New York City. He has 2 older brothers and both of his parents are dentists. Dr. Abelson went to college at University Pennsylvania, took 2 years off between college and medical school to work in healthcare consulting. He then went to medical school at University of Virginia, returned to New York for general surgery residency at Weill Cornell on the upper east side of Manhattan. Dr. Abelson then did colorectal fellowship at Washington University in St. Louis and am now at Lahey clinic in Burlington, Massachusetts for my first job after training. He is 2 years into practice and has a wife and two sons. His wife works in wellness consulting and they have a dog named Foster who we adopted in St. Louis. Sam Eisenstein, MD La Jolla, CA Sam Eisenstein is an Assistant Professor of Colon and rectal surgery and director of Inflammatory Bowel Disease surgery at UC San Diego Health. He has worked there for the past 8 years after graduating both residency and fellowship at The Mount Sinai Medical Center in New York. Sam is best known as the founder and organizer of the IBD-NSQIP collaborative, a large multi institutional data collaborative examining outcomes after IBD surgery, but he also is involved in several clinical trials for perianal Crohn's and has extensive experience with stem cell injections for anal fistulae. He is also on the scientific advisory board for the Crohn's and Colitis Foundation for his work on the next big IBD data collaborative, IBD-SIRQC (Surgical Innovation, Research and Quality Collaborative). Sam has a Wife and 3 kids (6,8, and 3) and spends most of his free time running around after them these days, but also enjoys traveling and getting out into nature with his family.
From non-competes and relocation to compensation thresholds and parental leave, negotiating your contract can be complicated. Join Alex, Avery, Biddy, Erin, Jon and Sam as they share their stories, insights and strategies regarding the ins and outs of navigating your contract. OUR CO-HOSTS Alex Jenny Ky, MD, FACS, FASCRS New York, NY Dr. Ky has been in practice for 22 years and is one of the busiest surgeons in her hospital. She is a former president of the New York Colon and Rectal Society and currently serves as president-elect of the Chinese American Medical Society. Married for 29 years, she is the proud mom of 3 children and in her spare time she enjoys playing golf and squash. Avery Walker, MD, FACS, FASCRS El Paso, TX Avery Walker is dually board-certified in General Surgery and Colorectal Surgery. He earned his medical degree at the University of Illinois in Chicago, his General Surgery residency at Madigan Army Medical Center in Tacoma, Washington, and his Fellowship in Colon and Rectal Surgery at The Ochsner Clinic in New Orleans. A former active-duty officer in the United States Army, Dr. Walker served 13 years as a general and colorectal surgeon with his most recent duty station in El Paso, TX at William Beaumont Army Medical Center. While there he was the Chief of Colon and Rectal surgery as well as the Assistant Program Director for the general surgery residency program. He currently practices colon and rectal surgery at The Hospitals of Providence in El Paso, TX. Dr. Avery Walker is married and has two daughters aged 13 and 9. Biddy Das, MD, FACS Houston, TX (Twitter @BiddyDas) Dr. Bidhan “Biddy” Das has board certifications for both colon and rectal surgery, and general surgery. His passion for medical education and medical process improvement has resulted in book chapters and publications, and national and regional presentations on those subjects. Highlighting his medical expertise on fecal incontinence, he has been featured on patient education videos and national and international television and radio as a featured expert on these colorectal conditions. Dr Das also has a particular interest in surgeons redefining their careers -- he serves as both a software consultant and private equity consultant in Boston, New York City, and Houston. Erin King-Mullins, MD, FACS, FASCRS Atlanta, GA (Twitter @eking719) Dr. Erin King-Mullins is a double board-certified general and colorectal surgeon. She graduated summa cum laude from Xavier University of Louisiana. After obtaining her medical degree at Emory University in Atlanta, she completed her internship and residency in general surgery at the Orlando Regional Medical Center in Florida. Her fellowship training in colorectal surgery at Georgia Colon & Rectal Surgical Associates concluded with her joining the practice and serving as Faculty/Research Director for the fellowship program until her transition into private practice with Colorectal Wellness Center. She has a husband with whom she shares an amazing, blended family of 4 daughters. The kids keep them pretty busy, but their favorite times are spent on warm sunny beaches. Jonathan Abelson, MD, MS Arlington, MA (Twitter @jabelsonmd) Dr. Abelson was born and raised in Scarsdale, New York in the suburbs of New York City. He has 2 older brothers and both of his parents are dentists. Dr. Abelson went to college at University Pennsylvania, took 2 years off between college and medical school to work in healthcare consulting. He then went to medical school at University of Virginia, returned to New York for general surgery residency at Weill Cornell on the upper east side of Manhattan. Dr. Abelson then did colorectal fellowship at Washington University in St. Louis and am now at Lahey clinic in Burlington, Massachusetts for my first job after training. He is 2 years into practice and has a wife and two sons. His wife works in wellness consulting and they have a dog named Foster who we adopted in St. Louis. Sam Eisenstein, MD La Jolla, CA (Twitter @DrE_UCSD) Sam Eisenstein is an Assistant Professor of Colon and rectal surgery and director of Inflammatory Bowel Disease surgery at UC San Diego Health. He has worked there for the past 8 years after graduating both residency and fellowship at The Mount Sinai Medical Center in New York. Sam is best known as the founder and organizer of the IBD-NSQIP collaborative, a large multi institutional data collaborative examining outcomes after IBD surgery, but he also is involved in several clinical trials for perianal Crohn's and has extensive experience with stem cell injections for anal fistulae. He is also on the scientific advisory board for the Crohn's and Colitis Foundation for his work on the next big IBD data collaborative, IBD-SIRQC (Surgical Innovation, Research and Quality Collaborative). Sam has a Wife and 3 kids (6,8, and 3) and spends most of his free time running around after them these days, but also enjoys traveling and getting out into nature with his family.
Ever worry about the risk of intervention versus the risk of recurrence when facing challenges in patients with Perianal Crohn's Disease? Join Alex, Avery, Biddy, Jon, and Sam as they weigh in and discuss their own stories, perspectives and approaches. Conflict of Interest Disclosure/s for this episode: Dr. Sam Eisenstein is a consultant with Takeda and receives research and grant support from the Crohn's and Colitis Foundation. OUR CO-HOSTS Alex Jenny Ky, MD, FACS, FASCRS New York, NY Dr. Ky has been in practice for 22 years and is one of the busiest surgeons in her hospital. She is a former president of the New York Colon and Rectal Society and currently serves as president-elect of the Chinese American Medical Society. Married for 29 years, she is the proud mom of 3 children and in her spare time she enjoys playing golf and squash. Avery Walker, MD, FACS, FASCRS El Paso, TXAvery Walker is dually board-certified in General Surgery and Colorectal Surgery. He earned his medical degree at the University of Illinois in Chicago, his General Surgery residency at Madigan Army Medical Center in Tacoma, Washington, and his Fellowship in Colon and Rectal Surgery at The Ochsner Clinic in New Orleans. A former active-duty officer in the United States Army, Dr. Walker served 13 years as a general and colorectal surgeon with his most recent duty station in El Paso, TX at William Beaumont Army Medical Center. While there he was the Chief of Colon and Rectal surgery as well as the Assistant Program Director for the general surgery residency program. He currently practices colon and rectal surgery at The Hospitals of Providence in El Paso, TX. Dr. Avery Walker is married and has two daughters aged 13 and 9. Biddy Das, MD, FACS Houston, TXDr. Bidhan “Biddy” Das has board certifications for both colon and rectal surgery, and general surgery. His passion for medical education and medical process improvement has resulted in book chapters and publications, and national and regional presentations on those subjects. Highlighting his medical expertise on fecal incontinence, he has been featured on patient education videos and national and international television and radio as a featured expert on these colorectal conditions. Dr Das also has a particular interest in surgeons redefining their careers -- he serves as both a software consultant and private equity consultant in Boston, New York City, and Houston. Jonathan Abelson, MD, MS Arlington, MADr. Abelson was born and raised in Scarsdale, New York in the suburbs of New York City. He has 2 older brothers and both of his parents are dentists. Dr. Abelson went to college at University Pennsylvania, took 2 years off between college and medical school to work in healthcare consulting. He then went to medical school at University of Virginia, returned to New York for general surgery residency at Weill Cornell on the upper east side of Manhattan. Dr. Abelson then did colorectal fellowship at Washington University in St. Louis and am now at Lahey clinic in Burlington, Massachusetts for my first job after training. He is 2 years into practice and has a wife and two sons. His wife works in wellness consulting and they have a dog named Foster who we adopted in St. Louis. Sam Eisenstein, MD La Jolla, CA Sam Eisenstein is an Assistant Professor of Colon and rectal surgery and director of Inflammatory Bowel Disease surgery at UC San Diego Health. He has worked there for the past 8 years after graduating both residency and fellowship at The Mount Sinai Medical Center in New York. Sam is best known as the founder and organizer of the IBD-NSQIP collaborative, a large multi institutional data collaborative examining outcomes after IBD surgery, but he also is involved in several clinical trials for perianal Crohn's and has extensive experience with stem cell injections for anal fistulae. He is also on the scientific advisory board for the Crohn's and Colitis Foundation for his work on the next big IBD data collaborative, IBD-SIRQC (Surgical Innovation, Research and Quality Collaborative). Sam has a Wife and 3 kids (6,8, and 3) and spends most of his free time running around after them these days, but also enjoys traveling and getting out into nature with his family.
For over 20 years, Dr. Lynn M. O'Connor has made it her mission to provide patients with the foremost treatment, technology, and information related to preventative public health issues and colon and rectal health.Dr. O'Connor's passion and dedication to promoting a healthy lifestyle drives her work alongside her patients to help them achieve this goal. Dr. O'Connor also shares her knowledge to form a better community of medical protocols and practices. She has given hope and inspiration to her colleagues while empowering her patients and educating the public.Along with helping her patients, Dr. O'Connor is a noted lecturer, speaking nationally on advanced techniques related to minimally invasive colorectal surgery, colon cancer screening, and colorectal health.She has published multimedia and peer-reviewed journal articles and has been featured in many media outlets, including NBC News, Sirius/XM, TodayShow.com, and Men's Health Magazine.CONNECT - LOConnor@CRSNewYork.comWEBSITEPRESS MEDIAIGLINKEDINFACEBOOKYOUTUBEThe expert guest was booked via: Exclusive+PRReceive 40% OFF at ThriveMarket.comFollow Us FacebookInstagram
If Anastomotic Leaks keep you up and night, this episode is for you. Join Avery, Biddy and Jon for an honest and insightful conversation about one of the complications colorectal surgeons fear the most. CO-HOSTS Avery Walker, MD, FACS, FASCRS El Paso, TXAvery Walker is dually board-certified in General Surgery and Colorectal Surgery. He earned his medical degree at the University of Illinois in Chicago, his General Surgery residency at Madigan Army Medical Center in Tacoma, Washington, and his Fellowship in Colon and Rectal Surgery at The Ochsner Clinic in New Orleans. A former active-duty officer in the United States Army, Dr. Walker served 13 years as a general and colorectal surgeon with his most recent duty station in El Paso, TX at William Beaumont Army Medical Center. While there he was the Chief of Colon and Rectal surgery as well as the Assistant Program Director for the general surgery residency program. He currently practices colon and rectal surgery at The Hospitals of Providence in El Paso, TX. Dr. Avery Walker is married and has two daughters aged 13 and 9. Biddy Das, MD, FACS Houston, TXDr. Bidhan “Biddy” Das has board certifications for both colon and rectal surgery, and general surgery. His passion for medical education and medical process improvement has resulted in book chapters and publications, and national and regional presentations on those subjects. Highlighting his medical expertise on fecal incontinence, he has been featured on patient education videos and national and international television and radio as a featured expert on these colorectal conditions. Dr Das also has a particular interest in surgeons redefining their careers -- he serves as both a software consultant and private equity consultant in Boston, New York City, and Houston. Jonathan Abelson, MD, MS Arlington, MADr. Abelson was born and raised in Scarsdale, New York in the suburbs of New York City. He has 2 older brothers and both of his parents are dentists. Dr. Abelson went to college at University Pennsylvania, took 2 years off between college and medical school to work in healthcare consulting. He then went to medical school at University of Virginia, returned to New York for general surgery residency at Weill Cornell on the upper east side of Manhattan. Dr. Abelson then did colorectal fellowship at Washington University in St. Louis and am now at Lahey clinic in Burlington, Massachusetts for my first job after training. He is 2 years into practice and has a wife and two sons. His wife works in wellness consulting and they have a dog named Foster who we adopted in St. Louis.
Indecisive when it comes to asking for help in advance of complicated cases or when complications arise? Get ready for a fresh perspective as Avery, Biddy, and Jon share their personal stories and approaches to asking for help with complicated cases as well as responding to requests from colleagues for help. CO-HOSTS Avery Walker, MD, FACS, FASCRS El Paso, TXAvery Walker is dually board-certified in General Surgery and Colorectal Surgery. He earned his medical degree at the University of Illinois in Chicago, his General Surgery residency at Madigan Army Medical Center in Tacoma, Washington, and his Fellowship in Colon and Rectal Surgery at The Ochsner Clinic in New Orleans. A former active-duty officer in the United States Army, Dr. Walker served 13 years as a general and colorectal surgeon with his most recent duty station in El Paso, TX at William Beaumont Army Medical Center. While there he was the Chief of Colon and Rectal surgery as well as the Assistant Program Director for the general surgery residency program. He currently practices colon and rectal surgery at The Hospitals of Providence in El Paso, TX. Dr. Avery Walker is married and has two daughters aged 13 and 9. Biddy Das, MD, FACS Houston, TXDr. Bidhan “Biddy” Das has board certifications for both colon and rectal surgery, and general surgery. His passion for medical education and medical process improvement has resulted in book chapters and publications, and national and regional presentations on those subjects. Highlighting his medical expertise on fecal incontinence, he has been featured on patient education videos and national and international television and radio as a featured expert on these colorectal conditions. Dr Das also has a particular interest in surgeons redefining their careers -- he serves as both a software consultant and private equity consultant in Boston, New York City, and Houston. Jonathan Abelson, MD, MS Arlington, MADr. Abelson was born and raised in Scarsdale, New York in the suburbs of New York City. He has 2 older brothers and both of his parents are dentists. Dr. Abelson went to college at University Pennsylvania, took 2 years off between college and medical school to work in healthcare consulting. He then went to medical school at University of Virginia, returned to New York for general surgery residency at Weill Cornell on the upper east side of Manhattan. Dr. Abelson then did colorectal fellowship at Washington University in St. Louis and am now at Lahey clinic in Burlington, Massachusetts for my first job after training. He is 2 years into practice and has a wife and two sons. His wife works in wellness consulting and they have a dog named Foster who we adopted in St. Louis.
Looking for ways to optimize your compensation and better understand how other colorectal surgeons are compensated? Join Avery, Biddy, Jon and Sam as they share their personal stories, perspectives and tips regarding colorectal surgeon compensation. CO-HOSTS Avery Walker, MD, FACS, FASCRS El Paso, TXAvery Walker is dually board-certified in General Surgery and Colorectal Surgery. He earned his medical degree at the University of Illinois in Chicago, his General Surgery residency at Madigan Army Medical Center in Tacoma, Washington, and his Fellowship in Colon and Rectal Surgery at The Ochsner Clinic in New Orleans. A former active-duty officer in the United States Army, Dr. Walker served 13 years as a general and colorectal surgeon with his most recent duty station in El Paso, TX at William Beaumont Army Medical Center. While there he was the Chief of Colon and Rectal surgery as well as the Assistant Program Director for the general surgery residency program. He currently practices colon and rectal surgery at The Hospitals of Providence in El Paso, TX. Dr. Avery Walker is married and has two daughters aged 13 and 9. Biddy Das, MD, FACS Houston, TXDr. Bidhan “Biddy” Das has board certifications for both colon and rectal surgery, and general surgery. His passion for medical education and medical process improvement has resulted in book chapters and publications, and national and regional presentations on those subjects. Highlighting his medical expertise on fecal incontinence, he has been featured on patient education videos and national and international television and radio as a featured expert on these colorectal conditions. Dr Das also has a particular interest in surgeons redefining their careers -- he serves as both a software consultant and private equity consultant in Boston, New York City, and Houston. Jonathan Abelson, MD, MS Arlington, MADr. Abelson was born and raised in Scarsdale, New York in the suburbs of New York City. He has 2 older brothers and both of his parents are dentists. Dr. Abelson went to college at University Pennsylvania, took 2 years off between college and medical school to work in healthcare consulting. He then went to medical school at University of Virginia, returned to New York for general surgery residency at Weill Cornell on the upper east side of Manhattan. Dr. Abelson then did colorectal fellowship at Washington University in St. Louis and am now at Lahey clinic in Burlington, Massachusetts for my first job after training. He is 2 years into practice and has a wife and two sons. His wife works in wellness consulting and they have a dog named Foster who we adopted in St. Louis. Sam Eisenstein, MD La Jolla, CA Sam Eisenstein is an Assistant Professor of Colon and rectal surgery and director of Inflammatory Bowel Disease surgery at UC San Diego Health. He has worked there for the past 8 years after graduating both residency and fellowship at The Mount Sinai Medical Center in New York. Sam is best known as the founder and organizer of the IBD-NSQIP collaborative, a large multi institutional data collaborative examining outcomes after IBD surgery, but he also is involved in several clinical trials for perianal Crohn's and has extensive experience with stem cell injections for anal fistulae. He is also on the scientific advisory board for the Crohn's and Colitis Foundation for his work on the next big IBD data collaborative, IBD-SIRQC (Surgical Innovation, Research and Quality Collaborative). Sam has a Wife and 3 kids (6,8, and 3) and spends most of his free time running around after them these days, but also enjoys traveling and getting out into nature with his family.
Treatment for colon and rectal cancer has vastly improved in the past decade or so, according the FPG Medical Director of Colon and Rectal Surgery, Samir Agarwal, MD. Learn more about the risks of colorectal cancers and the benefits of the new, minimally-invasive surgical techniques.You can also watch the video recording on our YouTube channel here.For more health tips & news you can use from experts you trust, sign up for Sarasota Memorial's monthly digital newsletter, Healthe-Matters.YouTubeCheck out our other interviews with SMH experts at smh.com/podcast.
From "watch and wait" to resection, determining the best approach for high stakes recurrent rectal cancer cases is no easy task. Join Avery, Biddy, Jon, and Sam as they share their personal stories, perspectives and approaches to recurrent rectal cancer. CO-HOSTS Avery Walker, MD, FACS, FASCRS El Paso, TXAvery Walker is dually board-certified in General Surgery and Colorectal Surgery. He earned his medical degree at the University of Illinois in Chicago, his General Surgery residency at Madigan Army Medical Center in Tacoma, Washington, and his Fellowship in Colon and Rectal Surgery at The Ochsner Clinic in New Orleans. A former active-duty officer in the United States Army, Dr. Walker served 13 years as a general and colorectal surgeon with his most recent duty station in El Paso, TX at William Beaumont Army Medical Center. While there he was the Chief of Colon and Rectal surgery as well as the Assistant Program Director for the general surgery residency program. He currently practices colon and rectal surgery at The Hospitals of Providence in El Paso, TX. Dr. Avery Walker is married and has two daughters aged 13 and 9. Biddy Das, MD, FACS Houston, TXDr. Bidhan “Biddy” Das has board certifications for both colon and rectal surgery, and general surgery. His passion for medical education and medical process improvement has resulted in book chapters and publications, and national and regional presentations on those subjects. Highlighting his medical expertise on fecal incontinence, he has been featured on patient education videos and national and international television and radio as a featured expert on these colorectal conditions. Dr Das also has a particular interest in surgeons redefining their careers -- he serves as both a software consultant and private equity consultant in Boston, New York City, and Houston. Jonathan Abelson, MD, MS Arlington, MADr. Abelson was born and raised in Scarsdale, New York in the suburbs of New York City. He has 2 older brothers and both of his parents are dentists. Dr. Abelson went to college at University Pennsylvania, took 2 years off between college and medical school to work in healthcare consulting. He then went to medical school at University of Virginia, returned to New York for general surgery residency at Weill Cornell on the upper east side of Manhattan. Dr. Abelson then did colorectal fellowship at Washington University in St. Louis and am now at Lahey clinic in Burlington, Massachusetts for my first job after training. He is 2 years into practice and has a wife and two sons. His wife works in wellness consulting and they have a dog named Foster who we adopted in St. Louis. Sam Eisenstein, MD La Jolla, CA Sam Eisenstein is an Assistant Professor of Colon and rectal surgery and director of Inflammatory Bowel Disease surgery at UC San Diego Health. He has worked there for the past 8 years after graduating both residency and fellowship at The Mount Sinai Medical Center in New York. Sam is best known as the founder and organizer of the IBD-NSQIP collaborative, a large multi institutional data collaborative examining outcomes after IBD surgery, but he also is involved in several clinical trials for perianal Crohn's and has extensive experience with stem cell injections for anal fistulae. He is also on the scientific advisory board for the Crohn's and Colitis Foundation for his work on the next big IBD data collaborative, IBD-SIRQC (Surgical Innovation, Research and Quality Collaborative). Sam has a Wife and 3 kids (6,8, and 3) and spends most of his free time running around after them these days, but also enjoys traveling and getting out into nature with his family.
Looking for fresh perspectives regarding the personal financial side of being a colorectal surgeon? From medical school loans to financial adivsors, Avery, Biddy, Erin, and Jon share their own stories and perspectives regarding medical school debt and money. Avery Walker, MD, FACS, FASCRS El Paso, TXAvery Walker is dually board-certified in General Surgery and Colorectal Surgery. He earned his medical degree at the University of Illinois in Chicago, his General Surgery residency at Madigan Army Medical Center in Tacoma, Washington, and his Fellowship in Colon and Rectal Surgery at The Ochsner Clinic in New Orleans. A former active-duty officer in the United States Army, Dr. Walker served 13 years as a general and colorectal surgeon with his most recent duty station in El Paso, TX at William Beaumont Army Medical Center. While there he was the Chief of Colon and Rectal surgery as well as the Assistant Program Director for the general surgery residency program. He currently practices colon and rectal surgery at The Hospitals of Providence in El Paso, TX. Dr. Avery Walker is married and has two daughters aged 13 and 9. Biddy Das, MD, FACS Houston, TXDr. Bidhan “Biddy” Das has board certifications for both colon and rectal surgery, and general surgery. His passion for medical education and medical process improvement has resulted in book chapters and publications, and national and regional presentations on those subjects. Highlighting his medical expertise on fecal incontinence, he has been featured on patient education videos and national and international television and radio as a featured expert on these colorectal conditions. Dr Das also has a particular interest in surgeons redefining their careers -- he serves as both a software consultant and private equity consultant in Boston, New York City, and Houston. Erin King-Mullins, MD, FACS, FASCRS Atlanta, GADr. Erin King-Mullins is a double board-certified general and colorectal surgeon. She graduated summa cum laude from Xavier University of Louisiana. After obtaining her medical degree at Emory University in Atlanta, she completed her internship and residency in general surgery at the Orlando Regional Medical Center in Florida. Her fellowship training in colorectal surgery at Georgia Colon & Rectal Surgical Associates concluded with her joining the practice and serving as Faculty/Research Director for the fellowship program until her transition into private practice with Colorectal Wellness Center. She has a husband with whom she shares an amazing, blended family of 4 daughters. The kids keep them pretty busy, but their favorite times are spent on warm sunny beaches. Jonathan Abelson, MD, MS Arlington, MADr. Abelson was born and raised in Scarsdale, New York in the suburbs of New York City. He has 2 older brothers and both of his parents are dentists. Dr. Abelson went to college at University Pennsylvania, took 2 years off between college and medical school to work in healthcare consulting. He then went to medical school at University of Virginia, returned to New York for general surgery residency at Weill Cornell on the upper east side of Manhattan. Dr. Abelson then did colorectal fellowship at Washington University in St. Louis and am now at Lahey clinic in Burlington, Massachusetts for my first job after training. He is 2 years into practice and has a wife and two sons. His wife works in wellness consulting and they have a dog named Foster who we adopted in St. Louis.
Interview season is over! There's just one last hurdle in this residency application process to overcome- ranking and matching! Join our education fellow, Dr. Jessica Millar, and Dr. Charles Friel as they pull back the curtain on the ranking process and discuss how tooptimize your success in the match! Guest: Charles Friel, MD- Professor of Colorectal Surgery, Surgical Director - Digestive Center of Excellence, Chief - Section of Colon & Rectal Surgery, and General Surgery Residency Program Director- University of Virginia, Charlottesville, VA “How the NRMP Matching Algorithm Works”: https://www.youtube.com/watch?v=kvgfgGmemdA&list=PLr0LH_NifZSpvQTwTqXVYn9jXfUKOTFN6&index=11 Important Dates 1. Ranking opens 2/1 at 12PM 2. Rank lists are due 3/1 at 9PM 3. Match status available 3/13 at 10AM 4. Match day results available 3/17 at 12PM EST Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out the rest of our “Dominate the Match Series” here: https://behindtheknife.org/podcast-series/medical-student-and-intern-survival-guide/
Do you wonder what it's really like for your patients to live long term with a stoma? Join Avery, Biddy, Erin, and Jon as they meet long term ostomy patient Vanessa DiMaio to hear about her difficult yet inspiring journey and discuss what it's really like to live with a stoma. SPECIAL GUEST Vanessa DiMaio Avery Walker, MD, FACS, FASCRS El Paso, TXAvery Walker is dually board-certified in General Surgery and Colorectal Surgery. He earned his medical degree at the University of Illinois in Chicago, his General Surgery residency at Madigan Army Medical Center in Tacoma, Washington, and his Fellowship in Colon and Rectal Surgery at The Ochsner Clinic in New Orleans. A former active-duty officer in the United States Army, Dr. Walker served 13 years as a general and colorectal surgeon with his most recent duty station in El Paso, TX at William Beaumont Army Medical Center. While there he was the Chief of Colon and Rectal surgery as well as the Assistant Program Director for the general surgery residency program. He currently practices colon and rectal surgery at The Hospitals of Providence in El Paso, TX. Dr. Avery Walker is married and has two daughters aged 13 and 9. Biddy Das, MD, FACS Houston, TXDr. Bidhan “Biddy” Das has board certifications for both colon and rectal surgery, and general surgery. His passion for medical education and medical process improvement has resulted in book chapters and publications, and national and regional presentations on those subjects. Highlighting his medical expertise on fecal incontinence, he has been featured on patient education videos and national and international television and radio as a featured expert on these colorectal conditions. Dr Das also has a particular interest in surgeons redefining their careers -- he serves as both a software consultant and private equity consultant in Boston, New York City, and Houston. Erin King-Mullins, MD, FACS, FASCRS Atlanta, GADr. Erin King-Mullins is a double board-certified general and colorectal surgeon. She graduated summa cum laude from Xavier University of Louisiana. After obtaining her medical degree at Emory University in Atlanta, she completed her internship and residency in general surgery at the Orlando Regional Medical Center in Florida. Her fellowship training in colorectal surgery at Georgia Colon & Rectal Surgical Associates concluded with her joining the practice and serving as Faculty/Research Director for the fellowship program until her transition into private practice with Colorectal Wellness Center. She has a husband with whom she shares an amazing, blended family of 4 daughters. The kids keep them pretty busy, but their favorite times are spent on warm sunny beaches. Jonathan Abelson, MD, MS Arlington, MADr. Abelson was born and raised in Scarsdale, New York in the suburbs of New York City. He has 2 older brothers and both of his parents are dentists. Dr. Abelson went to college at University Pennsylvania, took 2 years off between college and medical school to work in healthcare consulting. He then went to medical school at University of Virginia, returned to New York for general surgery residency at Weill Cornell on the upper east side of Manhattan. Dr. Abelson then did colorectal fellowship at Washington University in St. Louis and am now at Lahey clinic in Burlington, Massachusetts for my first job after training. He is 2 years into practice and has a wife and two sons. His wife works in wellness consulting and they have a dog named Foster who we adopted in St. Louis.
From choosing the right practice to referral strategies and liability insurance, Alex, Avery, Biddy, Erin, and Sam share all the things they wish they had known their first year out of training. OUR CO-HOSTS Alex Jenny Ky, MD, FACS, FASCRS New York, NY Dr. Ky has been in practice for 22 years and is one of the busiest surgeons in her hospital. She is a former president of the New York Colon and Rectal Society and currently serves as president-elect of the Chinese American Medical Society. Married for 29 years, she is the proud mom of 3 children and in her spare time she enjoys playing golf and squash. Avery Walker, MD, FACS, FASCRS El Paso, TXAvery Walker is dually board-certified in General Surgery and Colorectal Surgery. He earned his medical degree at the University of Illinois in Chicago, his General Surgery residency at Madigan Army Medical Center in Tacoma, Washington, and his Fellowship in Colon and Rectal Surgery at The Ochsner Clinic in New Orleans. A former active-duty officer in the United States Army, Dr. Walker served 13 years as a general and colorectal surgeon with his most recent duty station in El Paso, TX at William Beaumont Army Medical Center. While there he was the Chief of Colon and Rectal surgery as well as the Assistant Program Director for the general surgery residency program. He currently practices colon and rectal surgery at The Hospitals of Providence in El Paso, TX. Dr. Avery Walker is married and has two daughters aged 13 and 9. Biddy Das, MD, FACS Houston, TXDr. Bidhan “Biddy” Das has board certifications for both colon and rectal surgery, and general surgery. His passion for medical education and medical process improvement has resulted in book chapters and publications, and national and regional presentations on those subjects. Highlighting his medical expertise on fecal incontinence, he has been featured on patient education videos and national and international television and radio as a featured expert on these colorectal conditions. Dr Das also has a particular interest in surgeons redefining their careers -- he serves as both a software consultant and private equity consultant in Boston, New York City, and Houston. Erin King-Mullins, MD, FACS, FASCRS Atlanta, GADr. Erin King-Mullins is a double board-certified general and colorectal surgeon. She graduated summa cum laude from Xavier University of Louisiana. After obtaining her medical degree at Emory University in Atlanta, she completed her internship and residency in general surgery at the Orlando Regional Medical Center in Florida. Her fellowship training in colorectal surgery at Georgia Colon & Rectal Surgical Associates concluded with her joining the practice and serving as Faculty/Research Director for the fellowship program until her transition into private practice with Colorectal Wellness Center. She has a husband with whom she shares an amazing, blended family of 4 daughters. The kids keep them pretty busy, but their favorite times are spent on warm sunny beaches. Sam Eisenstein, MD La Jolla, CA Sam Eisenstein is an Assistant Professor of Colon and rectal surgery and director of Inflammatory Bowel Disease surgery at UC San Diego Health. He has worked there for the past 8 years after graduating both residency and fellowship at The Mount Sinai Medical Center in New York. Sam is best known as the founder and organizer of the IBD-NSQIP collaborative, a large multi institutional data collaborative examining outcomes after IBD surgery, but he also is involved in several clinical trials for perianal Crohn's and has extensive experience with stem cell injections for anal fistulae. He is also on the scientific advisory board for the Crohn's and Colitis Foundation for his work on the next big IBD data collaborative, IBD-SIRQC (Surgical Innovation, Research and Quality Collaborative). Sam has a Wife and 3 kids (6,8, and 3) and spends most of his free time running around after them these days, but also enjoys traveling and getting out into nature with his family.
Get ready for a lively debate as Alex, Avery, Biddy, Erin, and Sam share their personal thoughts, experiences, and preferences when it comes to robotic vs. laparoscopic surgery. OUR CO-HOSTS Alex Jenny Ky, MD, FACS, FASCRS New York, NY Dr. Ky has been in practice for 22 years and is one of the busiest surgeons in her hospital. She is a former president of the New York Colon and Rectal Society and currently serves as president-elect of the Chinese American Medical Society. Married for 29 years, she is the proud mom of 3 children and in her spare time she enjoys playing golf and squash. Avery Walker, MD, FACS, FASCRS El Paso, TXAvery Walker is dually board-certified in General Surgery and Colorectal Surgery. He earned his medical degree at the University of Illinois in Chicago, his General Surgery residency at Madigan Army Medical Center in Tacoma, Washington, and his Fellowship in Colon and Rectal Surgery at The Ochsner Clinic in New Orleans. A former active-duty officer in the United States Army, Dr. Walker served 13 years as a general and colorectal surgeon with his most recent duty station in El Paso, TX at William Beaumont Army Medical Center. While there he was the Chief of Colon and Rectal surgery as well as the Assistant Program Director for the general surgery residency program. He currently practices colon and rectal surgery at The Hospitals of Providence in El Paso, TX. Dr. Avery Walker is married and has two daughters aged 13 and 9. Biddy Das, MD, FACS Houston, TXDr. Bidhan “Biddy” Das has board certifications for both colon and rectal surgery, and general surgery. His passion for medical education and medical process improvement has resulted in book chapters and publications, and national and regional presentations on those subjects. Highlighting his medical expertise on fecal incontinence, he has been featured on patient education videos and national and international television and radio as a featured expert on these colorectal conditions. Dr Das also has a particular interest in surgeons redefining their careers -- he serves as both a software consultant and private equity consultant in Boston, New York City, and Houston. Erin King-Mullins, MD, FACS, FASCRS Atlanta, GADr. Erin King-Mullins is a double board-certified general and colorectal surgeon. She graduated summa cum laude from Xavier University of Louisiana. After obtaining her medical degree at Emory University in Atlanta, she completed her internship and residency in general surgery at the Orlando Regional Medical Center in Florida. Her fellowship training in colorectal surgery at Georgia Colon & Rectal Surgical Associates concluded with her joining the practice and serving as Faculty/Research Director for the fellowship program until her transition into private practice with Colorectal Wellness Center. She has a husband with whom she shares an amazing, blended family of 4 daughters. The kids keep them pretty busy, but their favorite times are spent on warm sunny beaches. Sam Eisenstein, MD La Jolla, CA Sam Eisenstein is an Assistant Professor of Colon and rectal surgery and director of Inflammatory Bowel Disease surgery at UC San Diego Health. He has worked there for the past 8 years after graduating both residency and fellowship at The Mount Sinai Medical Center in New York. Sam is best known as the founder and organizer of the IBD-NSQIP collaborative, a large multi institutional data collaborative examining outcomes after IBD surgery, but he also is involved in several clinical trials for perianal Crohn's and has extensive experience with stem cell injections for anal fistulae. He is also on the scientific advisory board for the Crohn's and Colitis Foundation for his work on the next big IBD data collaborative, IBD-SIRQC (Surgical Innovation, Research and Quality Collaborative). Sam has a Wife and 3 kids (6,8, and 3) and spends most of his free time running around after them these days, but also enjoys traveling and getting out into nature with his family.
Debora Fox-McClary, MD, speaks with us about serving in the US Navy. Dr. Fox-McClary grew up in western Washington state, serving in the US Navy out of high school as a hospital corpsman and later continuing service in the U.S. Navy Reserve as a Lieutenant Commander in the Medical Corps. She attended college in Ellensburg, WA, and medical school at the University of Washington School of Medicine in Seattle, WA. She completed residency training in General Surgery at the Mayo Clinic in Rochester, MN, then went on to complete subspecialty training in Colon and Rectal Surgery in Rochester, MN. Dr. Fox-McClary completed her MBA at Grand Canyon University. Dr. Fox-McClary maintains boarding in both specialties of General Surgery and Colon and Rectal Surgery. She specializes in robotics, colostomy avoidance, and minimally invasive surgery. Connect with Dr. Fox-McClary through the Surgical Group of Arizona. About the show: Hosted and produced by John McElligott. Arizona Physician magazine and podcast are brought to you by Maricopa County Medical Society. This episode is sponsored by Bahbah Sobers Wealth Management and FirstNet, built with AT&T. Music by Blue Dot Sessions.
Feeling burnt out? You're not alone. Take a break and join Alex, Avery, Biddy, and Jon as they share their own stories of burnout as well as proven tips, strategies, and plenty of fresh perspective to help you regain control of your day, your career, and your life outside the operating room. OUR CO-HOSTS Alex Jenny Ky, MD, FACS, FASCRS New York, NY Dr. Ky has been in practice for 22 years and is one of the busiest surgeons in her hospital. She is a former president of the New York Colon and Rectal Society and currently serves as president-elect of the Chinese American Medical Society. Married for 29 years, she is the proud mom of 3 children and in her spare time she enjoys playing golf and squash. Avery Walker, MD, FACS, FASCRS El Paso, TXAvery Walker is dually board-certified in General Surgery and Colorectal Surgery. He earned his medical degree at the University of Illinois in Chicago, his General Surgery residency at Madigan Army Medical Center in Tacoma, Washington, and his Fellowship in Colon and Rectal Surgery at The Ochsner Clinic in New Orleans. A former active-duty officer in the United States Army, Dr. Walker served 13 years as a general and colorectal surgeon with his most recent duty station in El Paso, TX at William Beaumont Army Medical Center. While there he was the Chief of Colon and Rectal surgery as well as the Assistant Program Director for the general surgery residency program. He currently practices colon and rectal surgery at The Hospitals of Providence in El Paso, TX. Dr. Avery Walker is married and has two daughters aged 13 and 9. Biddy Das, MD, FACS Houston, TXDr. Bidhan “Biddy” Das has board certifications for both colon and rectal surgery, and general surgery. His passion for medical education and medical process improvement has resulted in book chapters and publications, and national and regional presentations on those subjects. Highlighting his medical expertise on fecal incontinence, he has been featured on patient education videos and national and international television and radio as a featured expert on these colorectal conditions. Dr Das also has a particular interest in surgeons redefining their careers -- he serves as both a software consultant and private equity consultant in Boston, New York City, and Houston. Jonathan Abelson, MD, MS Arlington, MADr. Abelson was born and raised in Scarsdale, New York in the suburbs of New York City. He has 2 older brothers and both of his parents are dentists. Dr. Abelson went to college at University Pennsylvania, took 2 years off between college and medical school to work in healthcare consulting. He then went to medical school at University of Virginia, returned to New York for general surgery residency at Weill Cornell on the upper east side of Manhattan. Dr. Abelson then did colorectal fellowship at Washington University in St. Louis and am now at Lahey clinic in Burlington, Massachusetts for my first job after training. He is 2 years into practice and has a wife and two sons. His wife works in wellness consulting and they have a dog named Foster who we adopted in St. Louis.
After growing up in Northern Wisconsin raised by a single mom and riding his snowmobile to school during harsh Winters, Dr. Scott Steele found his medical calling at West Point Academy and developed his passion for colorectal surgery over multiple combat tours in Iraq and Afghanistan. Join Alex, Avery, Biddy, and Jon for a special conversation with Dr. Scott Steele to hear more about his life and career journey. OUR GUEST Scott R. Steele, MD, MBA, FACS, FASCRS, FPSCRS (Hon) is the Rupert B. Turnbull MD Endowed Chair in Colorectal Surgery and Chairman of Colorectal Surgery at Cleveland Clinic in Cleveland, OH. A graduate of the United States Military Academy at West Point, NY, he was an active duty Army officer for over 20 years, serving as the Chief of Colorectal Surgery at Madigan Army Medical Center, Fort Lewis, WA. He has served 4 combat tours in Iraq and Afghanistan, being awarded the Bronze Star and Combat Medical Badge, amongst others. He is on the editorial board for multiple national surgical journals including Annals of Surgery, Cochrane Collaboration, and had served as the Colon & Rectal Surgery Community Editor for the American College of Surgeons. He is also an Editor for Surgery, Co-Editor for Diseases of the Colon & Rectum, and the Editor-in-Chief for Clinics in Colon and Rectal Surgery. Additionally, he is a reviewer for over 30 peer-reviewed journals. He has also been appointed to the American Board of Colon and Rectal Surgery for the last several years, and currently serves as the President. His contributions to the medical literature include over 300 peer-reviewed articles, 110 invited reviews and book chapters, 30 national practice parameters, guest editor for 5 volumes dedicated to colorectal disease, and currently is an editor on 12 textbooks in colorectal surgery. He also received his MBA from Case Western University Weatherhead School of Business and Management in 2018, graduating with honors. OUR CO-HOSTS Alex Jenny Ky, MD, FACS, FASCRS New York, NY Dr. Ky has been in practice for 22 years and is one of the busiest surgeons in her hospital. She is a former president of the New York Colon and Rectal Society and currently serves as president-elect of the Chinese American Medical Society. Married for 29 years, she is the proud mom of 3 children and in her spare time she enjoys playing golf and squash. Avery Walker, MD, FACS, FASCRS El Paso, TXAvery Walker is dually board-certified in General Surgery and Colorectal Surgery. He earned his medical degree at the University of Illinois in Chicago, his General Surgery residency at Madigan Army Medical Center in Tacoma, Washington, and his Fellowship in Colon and Rectal Surgery at The Ochsner Clinic in New Orleans. A former active-duty officer in the United States Army, Dr. Walker served 13 years as a general and colorectal surgeon with his most recent duty station in El Paso, TX at William Beaumont Army Medical Center. While there he was the Chief of Colon and Rectal surgery as well as the Assistant Program Director for the general surgery residency program. He currently practices colon and rectal surgery at The Hospitals of Providence in El Paso, TX. Dr. Avery Walker is married and has two daughters aged 13 and 9. Biddy Das, MD, FACS Houston, TXDr. Bidhan “Biddy” Das has board certifications for both colon and rectal surgery, and general surgery. His passion for medical education and medical process improvement has resulted in book chapters and publications, and national and regional presentations on those subjects. Highlighting his medical expertise on fecal incontinence, he has been featured on patient education videos and national and international television and radio as a featured expert on these colorectal conditions. Dr Das also has a particular interest in surgeons redefining their careers -- he serves as both a software consultant and private equity consultant in Boston, New York City, and Houston. Jonathan Abelson, MD, MS Arlington, MADr. Abelson was born and raised in Scarsdale, New York in the suburbs of New York City. He has 2 older brothers and both of his parents are dentists. Dr. Abelson went to college at University Pennsylvania, took 2 years off between college and medical school to work in healthcare consulting. He then went to medical school at University of Virginia, returned to New York for general surgery residency at Weill Cornell on the upper east side of Manhattan. Dr. Abelson then did colorectal fellowship at Washington University in St. Louis and am now at Lahey clinic in Burlington, Massachusetts for my first job after training. He is 2 years into practice and has a wife and two sons. His wife works in wellness consulting and they have a dog named Foster who we adopted in St. Louis.
Have you ever had that moment when a patient or colleague said something subtly or not-so-subtly offensive that you weren't sure how to respond? Join Avery, Biddy, Erin, Jon and Sam as they share their own stories, insights, and approaches to confronting bias in surgery. CO-HOSTS Avery Walker, MD, FACS, FASCRS El Paso, TXAvery Walker is dually board-certified in General Surgery and Colorectal Surgery. He earned his medical degree at the University of Illinois in Chicago, his General Surgery residency at Madigan Army Medical Center in Tacoma, Washington, and his Fellowship in Colon and Rectal Surgery at The Ochsner Clinic in New Orleans. A former active-duty officer in the United States Army, Dr. Walker served 13 years as a general and colorectal surgeon with his most recent duty station in El Paso, TX at William Beaumont Army Medical Center. While there he was the Chief of Colon and Rectal surgery as well as the Assistant Program Director for the general surgery residency program. He currently practices colon and rectal surgery at The Hospitals of Providence in El Paso, TX. Dr. Avery Walker is married and has two daughters aged 13 and 9. Biddy Das, MD, FACS Houston, TXDr. Bidhan “Biddy” Das has board certifications for both colon and rectal surgery, and general surgery. His passion for medical education and medical process improvement has resulted in book chapters and publications, and national and regional presentations on those subjects. Highlighting his medical expertise on fecal incontinence, he has been featured on patient education videos and national and international television and radio as a featured expert on these colorectal conditions. Dr Das also has a particular interest in surgeons redefining their careers -- he serves as both a software consultant and private equity consultant in Boston, New York City, and Houston. Erin King-Mullins, MD, FACS, FASCRS Atlanta, GADr. Erin King-Mullins is a double board-certified general and colorectal surgeon. She graduated summa cum laude from Xavier University of Louisiana. After obtaining her medical degree at Emory University in Atlanta, she completed her internship and residency in general surgery at the Orlando Regional Medical Center in Florida. Her fellowship training in colorectal surgery at Georgia Colon & Rectal Surgical Associates concluded with her joining the practice and serving as Faculty/Research Director for the fellowship program until her transition into private practice with Colorectal Wellness Center. She has a husband with whom she shares an amazing, blended family of 4 daughters. The kids keep them pretty busy, but their favorite times are spent on warm sunny beaches. Jonathan Abelson, MD, MS Arlington, MADr. Abelson was born and raised in Scarsdale, New York in the suburbs of New York City. He has 2 older brothers and both of his parents are dentists. Dr. Abelson went to college at University Pennsylvania, took 2 years off between college and medical school to work in healthcare consulting. He then went to medical school at University of Virginia, returned to New York for general surgery residency at Weill Cornell on the upper east side of Manhattan. Dr. Abelson then did colorectal fellowship at Washington University in St. Louis and am now at Lahey clinic in Burlington, Massachusetts for my first job after training. He is 2 years into practice and has a wife and two sons. His wife works in wellness consulting and they have a dog named Foster who we adopted in St. Louis. Sam Eisenstein, MD La Jolla, CA Sam Eisenstein is an Assistant Professor of Colon and rectal surgery and director of Inflammatory Bowel Disease surgery at UC San Diego Health. He has worked there for the past 8 years after graduating both residency and fellowship at The Mount Sinai Medical Center in New York. Sam is best known as the founder and organizer of the IBD-NSQIP collaborative, a large multi institutional data collaborative examining outcomes after IBD surgery, but he also is involved in several clinical trials for perianal Crohn's and has extensive experience with stem cell injections for anal fistulae. He is also on the scientific advisory board for the Crohn's and Colitis Foundation for his work on the next big IBD data collaborative, IBD-SIRQC (Surgical Innovation, Research and Quality Collaborative). Sam has a Wife and 3 kids (6,8, and 3) and spends most of his free time running around after them these days, but also enjoys traveling and getting out into nature with his family.
What's the strangest rectal foreign bodies case you've ever handled? Avery, Biddy, Erin, Jon, and Sam share their own true stories, techniques, and tips for patient care, interaction, and education. CO-HOSTS Avery Walker, MD, FACS, FASCRS El Paso, TXAvery Walker is dually board-certified in General Surgery and Colorectal Surgery. He earned his medical degree at the University of Illinois in Chicago, his General Surgery residency at Madigan Army Medical Center in Tacoma, Washington, and his Fellowship in Colon and Rectal Surgery at The Ochsner Clinic in New Orleans. A former active-duty officer in the United States Army, Dr. Walker served 13 years as a general and colorectal surgeon with his most recent duty station in El Paso, TX at William Beaumont Army Medical Center. While there he was the Chief of Colon and Rectal surgery as well as the Assistant Program Director for the general surgery residency program. He currently practices colon and rectal surgery at The Hospitals of Providence in El Paso, TX. Dr. Avery Walker is married and has two daughters aged 13 and 9. Biddy Das, MD, FACS Houston, TXDr. Bidhan “Biddy” Das has board certifications for both colon and rectal surgery, and general surgery. His passion for medical education and medical process improvement has resulted in book chapters and publications, and national and regional presentations on those subjects. Highlighting his medical expertise on fecal incontinence, he has been featured on patient education videos and national and international television and radio as a featured expert on these colorectal conditions. Dr Das also has a particular interest in surgeons redefining their careers -- he serves as both a software consultant and private equity consultant in Boston, New York City, and Houston. Erin King-Mullins, MD, FACS, FASCRS Atlanta, GADr. Erin King-Mullins is a double board-certified general and colorectal surgeon. She graduated summa cum laude from Xavier University of Louisiana. After obtaining her medical degree at Emory University in Atlanta, she completed her internship and residency in general surgery at the Orlando Regional Medical Center in Florida. Her fellowship training in colorectal surgery at Georgia Colon & Rectal Surgical Associates concluded with her joining the practice and serving as Faculty/Research Director for the fellowship program until her transition into private practice with Colorectal Wellness Center. She has a husband with whom she shares an amazing, blended family of 4 daughters. The kids keep them pretty busy, but their favorite times are spent on warm sunny beaches. Jonathan Abelson, MD, MS Arlington, MADr. Abelson was born and raised in Scarsdale, New York in the suburbs of New York City. He has 2 older brothers and both of his parents are dentists. Dr. Abelson went to college at University Pennsylvania, took 2 years off between college and medical school to work in healthcare consulting. He then went to medical school at University of Virginia, returned to New York for general surgery residency at Weill Cornell on the upper east side of Manhattan. Dr. Abelson then did colorectal fellowship at Washington University in St. Louis and am now at Lahey clinic in Burlington, Massachusetts for my first job after training. He is 2 years into practice and has a wife and two sons. His wife works in wellness consulting and they have a dog named Foster who we adopted in St. Louis. Sam Eisenstein, MD La Jolla, CA Sam Eisenstein is an Assistant Professor of Colon and rectal surgery and director of Inflammatory Bowel Disease surgery at UC San Diego Health. He has worked there for the past 8 years after graduating both residency and fellowship at The Mount Sinai Medical Center in New York. Sam is best known as the founder and organizer of the IBD-NSQIP collaborative, a large multi institutional data collaborative examining outcomes after IBD surgery, but he also is involved in several clinical trials for perianal Crohn's and has extensive experience with stem cell injections for anal fistulae. He is also on the scientific advisory board for the Crohn's and Colitis Foundation for his work on the next big IBD data collaborative, IBD-SIRQC (Surgical Innovation, Research and Quality Collaborative). Sam has a Wife and 3 kids (6,8, and 3) and spends most of his free time running around after them these days, but also enjoys traveling and getting out into nature with his family.
Do you ever feel like there aren't enough hours in the day to be a great colorectal surgeon, a great spouse/partner, and a great parent? If so, you're not alone and this episode is for you. Join Avery, Biddy, Erin, and Jonathan for personal stories, insights, and ideas on how to build a surgical career and family at the same time. OUR CO-HOSTS Avery Walker, MD, FACS, FASCRS El Paso, TXAvery Walker is dually board-certified in General Surgery and Colorectal Surgery. He earned his medical degree at the University of Illinois in Chicago, his General Surgery residency at Madigan Army Medical Center in Tacoma, Washington, and his Fellowship in Colon and Rectal Surgery at The Ochsner Clinic in New Orleans. A former active-duty officer in the United States Army, Dr. Walker served 13 years as a general and colorectal surgeon with his most recent duty station in El Paso, TX at William Beaumont Army Medical Center. While there he was the Chief of Colon and Rectal surgery as well as the Assistant Program Director for the general surgery residency program. He currently practices colon and rectal surgery at The Hospitals of Providence in El Paso, TX. Dr. Avery Walker is married and has two daughters aged 13 and 9. Biddy Das, MD, FACS Houston, TXDr. Bidhan “Biddy” Das has board certifications for both colon and rectal surgery, and general surgery. His passion for medical education and medical process improvement has resulted in book chapters and publications, and national and regional presentations on those subjects. Highlighting his medical expertise on fecal incontinence, he has been featured on patient education videos and national and international television and radio as a featured expert on these colorectal conditions. Dr Das also has a particular interest in surgeons redefining their careers -- he serves as both a software consultant and private equity consultant in Boston, New York City, and Houston. Erin King-Mullins, MD, FACS, FASCRS Atlanta, GADr. Erin King-Mullins is a double board-certified general and colorectal surgeon. She graduated summa cum laude from Xavier University of Louisiana. After obtaining her medical degree at Emory University in Atlanta, she completed her internship and residency in general surgery at the Orlando Regional Medical Center in Florida. Her fellowship training in colorectal surgery at Georgia Colon & Rectal Surgical Associates concluded with her joining the practice and serving as Faculty/Research Director for the fellowship program until her transition into private practice with Colorectal Wellness Center. She has a husband with whom she shares an amazing, blended family of 4 daughters. The kids keep them pretty busy, but their favorite times are spent on warm sunny beaches. Jonathan Abelson, MD, MS Arlington, MADr. Abelson was born and raised in Scarsdale, New York in the suburbs of New York City. He has 2 older brothers and both of his parents are dentists. Dr. Abelson went to college at University Pennsylvania, took 2 years off between college and medical school to work in healthcare consulting. He then went to medical school at University of Virginia, returned to New York for general surgery residency at Weill Cornell on the upper east side of Manhattan. Dr. Abelson then did colorectal fellowship at Washington University in St. Louis and am now at Lahey clinic in Burlington, Massachusetts for my first job after training. He is 2 years into practice and has a wife and two sons. His wife works in wellness consulting and they have a dog named Foster who we adopted in St. Louis.
Ever wonder if you're giving the right advice to your colorectal patients regarding healthy eating? Join Avery, Biddy, Erin, and Jonathan for a lively conversation about the do's and don'ts. OUR CO-HOSTS Avery Walker, MD, FACS, FASCRS El Paso, TXAvery Walker is dually board-certified in General Surgery and Colorectal Surgery. He earned his medical degree at the University of Illinois in Chicago, his General Surgery residency at Madigan Army Medical Center in Tacoma, Washington, and his Fellowship in Colon and Rectal Surgery at The Ochsner Clinic in New Orleans. A former active-duty officer in the United States Army, Dr. Walker served 13 years as a general and colorectal surgeon with his most recent duty station in El Paso, TX at William Beaumont Army Medical Center. While there he was the Chief of Colon and Rectal surgery as well as the Assistant Program Director for the general surgery residency program. He currently practices colon and rectal surgery at The Hospitals of Providence in El Paso, TX. Dr. Avery Walker is married and has two daughters aged 13 and 9. Biddy Das, MD, FACS Houston, TXDr. Bidhan “Biddy” Das has board certifications for both colon and rectal surgery, and general surgery. His passion for medical education and medical process improvement has resulted in book chapters and publications, and national and regional presentations on those subjects. Highlighting his medical expertise on fecal incontinence, he has been featured on patient education videos and national and international television and radio as a featured expert on these colorectal conditions. Dr Das also has a particular interest in surgeons redefining their careers -- he serves as both a software consultant and private equity consultant in Boston, New York City, and Houston. Erin King-Mullins, MD, FACS, FASCRS Atlanta, GADr. Erin King-Mullins is a double board-certified general and colorectal surgeon. She graduated summa cum laude from Xavier University of Louisiana. After obtaining her medical degree at Emory University in Atlanta, she completed her internship and residency in general surgery at the Orlando Regional Medical Center in Florida. Her fellowship training in colorectal surgery at Georgia Colon & Rectal Surgical Associates concluded with her joining the practice and serving as Faculty/Research Director for the fellowship program until her transition into private practice with Colorectal Wellness Center. She has a husband with whom she shares an amazing, blended family of 4 daughters. The kids keep them pretty busy, but their favorite times are spent on warm sunny beaches. Jonathan Abelson, MD, MS Arlington, MADr. Abelson was born and raised in Scarsdale, New York in the suburbs of New York City. He has 2 older brothers and both of his parents are dentists. Dr. Abelson went to college at University Pennsylvania, took 2 years off between college and medical school to work in healthcare consulting. He then went to medical school at University of Virginia, returned to New York for general surgery residency at Weill Cornell on the upper east side of Manhattan. Dr. Abelson then did colorectal fellowship at Washington University in St. Louis and am now at Lahey clinic in Burlington, Massachusetts for my first job after training. He is 2 years into practice and has a wife and two sons. His wife works in wellness consulting and they have a dog named Foster who we adopted in St. Louis.
Welcome to Gut Check, the ASCRS Podcast. In this episode you'll meet and learn more about Alex, Avery, Biddy, Erin, Jonathan, and Sam... your Gut Check Co-Hosts! OUR CO-HOSTS Alex Jenny Ky, MD, FACS, FASCRS New York, NY Dr. Ky has been in practice for 22 years and is one of the busiest surgeons in her hospital. She is a former president of the New York Colon and Rectal Society and currently serves as president-elect of the Chinese American Medical Society. Married for 29 years, she is the proud mom of 3 children and in her spare time she enjoys playing golf and squash. Avery Walker, MD, FACS, FASCRS El Paso, TXAvery Walker is dually board-certified in General Surgery and Colorectal Surgery. He earned his medical degree at the University of Illinois in Chicago, his General Surgery residency at Madigan Army Medical Center in Tacoma, Washington, and his Fellowship in Colon and Rectal Surgery at The Ochsner Clinic in New Orleans. A former active-duty officer in the United States Army, Dr. Walker served 13 years as a general and colorectal surgeon with his most recent duty station in El Paso, TX at William Beaumont Army Medical Center. While there he was the Chief of Colon and Rectal surgery as well as the Assistant Program Director for the general surgery residency program. He currently practices colon and rectal surgery at The Hospitals of Providence in El Paso, TX. Dr. Avery Walker is married and has two daughters aged 13 and 9. Biddy Das, MD, FACS Houston, TXDr. Bidhan “Biddy” Das has board certifications for both colon and rectal surgery, and general surgery. His passion for medical education and medical process improvement has resulted in book chapters and publications, and national and regional presentations on those subjects. Highlighting his medical expertise on fecal incontinence, he has been featured on patient education videos and national and international television and radio as a featured expert on these colorectal conditions. Dr Das also has a particular interest in surgeons redefining their careers -- he serves as both a software consultant and private equity consultant in Boston, New York City, and Houston. Erin King-Mullins, MD, FACS, FASCRS Atlanta, GADr. Erin King-Mullins is a double board-certified general and colorectal surgeon. She graduated summa cum laude from Xavier University of Louisiana. After obtaining her medical degree at Emory University in Atlanta, she completed her internship and residency in general surgery at the Orlando Regional Medical Center in Florida. Her fellowship training in colorectal surgery at Georgia Colon & Rectal Surgical Associates concluded with her joining the practice and serving as Faculty/Research Director for the fellowship program until her transition into private practice with Colorectal Wellness Center. She has a husband with whom she shares an amazing, blended family of 4 daughters. The kids keep them pretty busy, but their favorite times are spent on warm sunny beaches. Jonathan Abelson, MD, MS Arlington, MADr. Abelson was born and raised in Scarsdale, New York in the suburbs of New York City. He has 2 older brothers and both of his parents are dentists. Dr. Abelson went to college at University Pennsylvania, took 2 years off between college and medical school to work in healthcare consulting. He then went to medical school at University of Virginia, returned to New York for general surgery residency at Weill Cornell on the upper east side of Manhattan. Dr. Abelson then did colorectal fellowship at Washington University in St. Louis and am now at Lahey clinic in Burlington, Massachusetts for my first job after training. He is 2 years into practice and has a wife and two sons. His wife works in wellness consulting and they have a dog named Foster who we adopted in St. Louis. Sam Eisenstein, MD La Jolla, CA Sam Eisenstein is an Assistant Professor of Colon and rectal surgery and director of Inflammatory Bowel Disease surgery at UC San Diego Health. He has worked there for the past 8 years after graduating both residency and fellowship at The Mount Sinai Medical Center in New York. Sam is best known as the founder and organizer of the IBD-NSQIP collaborative, a large multi institutional data collaborative examining outcomes after IBD surgery, but he also is involved in several clinical trials for perianal Crohn's and has extensive experience with stem cell injections for anal fistulae. He is also on the scientific advisory board for the Crohn's and Colitis Foundation for his work on the next big IBD data collaborative, IBD-SIRQC (Surgical Innovation, Research and Quality Collaborative). Sam has a Wife and 3 kids (6,8, and 3) and spends most of his free time running around after them these days, but also enjoys traveling and getting out into nature with his family.
Personal Statements and Letters of Recommendations- two things that can make or break any residency or fellowship application. Join our education fellow, Dr. Jessica Millar, Dr. David Hughes, and Dr. Gifty Kwakye as they discuss what makes a truly great personal statement and how to compile a strong team for your letters of recommendation. Guests: David Hughes, MD- Clinical Associate Professor of Endocrine Surgery, General Surgery Residency Program Director- University of Michigan GIfty Kwakye, MD, MPH- Clinical Assistant Professor of Colon and Rectal Surgery, Surgical Clerkship Director- University of Michigan Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out our Medical Student and Intern Survival Guide here: https://behindtheknife.org/podcast-series/medical-student-and-intern-survival-guide/
You get consulted on a 34-year-old with ileocolic Crohn's disease on Humira. You determine he needs surgery for recurrent partial obstructions. When do you do the surgery? How long should he be off his biologic medication? When to restart it post op? Join Drs. Abelson, Marcello and Aulet as they take us through two articles to help us figure it out! Learning Objectives: 1. Describe the complications of biologic medications in the peri-operative period 2. List the different classifications of medications for Crohn's disease 3. Discuss the approach to managing timing of surgery for patients with crohn's disease Articles: Cohen BL, Fleshner P, Kane SV et al. Prospective Cohort Study to Investigate the Safety of Preoperative Tumor Necrosis Factor Inhibitor Exposure in Patients With Inflammatory Bowel Disease Undergoing Intra-abdominal Surgery. Gastroenterology. 2022 Apr 10;S0016-5085(22)00359-6. doi: 10.1053/j.gastro.2022.03.057. Online ahead of print. Brouquet A, Maggiori L, Zerbib P, Lefevre JH, Denost Q, Germain A, Cotte E, Beyer-Berjot L, Munoz-Bongrand N, Desfourneaux V, Rahili A, Duffas JP, Pautrat K, Denet C, Bridoux V, Meurette G, Faucheron JL, Loriau J, Guillon F, Vicaut E, Benoist S, Panis Y; GETAID chirurgie group. Anti-TNF Therapy Is Associated With an Increased Risk of Postoperative Morbidity After Surgery for Ileocolonic Crohn Disease: Results of a Prospective Nationwide Cohort. Ann Surg. 2018 Feb;267(2):221-228. doi: 10.1097/SLA.0000000000002017. PMID: 29300710. Steele S, et al. The ASCRS Textbook of Colon and Rectal Surgery, fourth ed. 2022. https://link.springer.com/book/10.1007/978-3-030-66049-9 Please visit behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
Today we continue our interview with Tom Rusing MD on his experience in the war-ravaged Ukraine. In this part, we discuss his journey from Lviv to Kyiv. How he stayed there, what he saw, and how he helped the people that needed his help. Retired General Surgeon Tom Rusing MD just recently returned from spending over 30 days in Ukraine. There was much chaos going on in Ukraine and we discuss Tom's experience there and what made him go there in the first place. We go deep into his experience there, the discussion took quite some time. So, this is part 2 of our discussion. Do check out the first part that was released last week. Go to www.thestandard.academy/getmagazine to become one of the first to get my digital magazine for free that'll help you create a kick-ass life. Tom is a Retired General Surgeon from Prescott Arizona. He got his undergraduate degree in Chemistry from the University of Arizona in 1974. Tom graduated from the University of Arizona Medical School in 1978. And did a residency in General Surgery at the University of Texas San Antonio from 1978 - 1983. He did a Fellowship in Colon and Rectal Surgery at the University of Minnesota Affiliated Hospitals from 1983 - 1984. Tom was Medical Director at Tumu Tumu Hospital in Kenya from 10/1984 - 3/31/1985. Tom spent a short while in a General Surgery Practice in Tucson Arizona 1985 - 1986. And then moved to Prescott Arizona where he had a General Surgery Practice from 1986 till he retired on 12/31/2017. Tom provided medical care in Haiti for 2 weeks after the earthquake. He also provided medical care in Nepal for 2 weeks after the earthquake. He worked at the Gallup (New Mexico) Indian Medical Center for 1 month during the peak of the COVID outbreak. He was a volunteer in Ukraine from 3/13/2022 to 4/15/2022. He is married to his wife of Cathey and has grown kids. Tom is a classmate of mine from Brophy College Prep in Phoenix Arizona. A bit about me (Dr. Orest Komarnyckyj): Dr. Orest Komarnyckyj enjoyed a prestigious career as a periodontal regenerative surgeon moving to a new passion in June 2018. He retired after a 33-year career to pursue new passions. At 69 Dr. Orest has taken on a new role as an Interviewer, Podcaster and government-certified Old Guy. He streams from his new home in Las Vegas, NV. He lives with his wife of 29 years, Oksana. His status as an empty-nesters with two out of college-employed children has left him with time and energy to share decades of successes, failures, and wisdom. Connect with Tom at: email: tomrusing@gmail.com phone no: 9287133736 Timestamps: 00:00 - Precap 00:49 - Intro 01:57 - The risk of death 02:38 - Getting into Kyiv 03:50 - Spending the night in the train station 04:31 - Whether in Kyiv 04:56 - Accommodation in Kyiv 06:44 - Getting to the hospital 07:33 - Airraid sirens 09:50 - How far east did you go? 11:36 - Objective of the hospital I worked in 15:05 - Did you see any evidence of atrocities? 20:20 - What motivated me to go to Ukraine 21:32 - Commercial 22:05 - Commercial ends/Did you see any bodies or people who have been shot, or anything like that? 24:10 - Atrocities are just unbelievable 29:10 - What are your plans now? 36:10 - Closing statements 38:43 - Outro
WAR! Just this word alone can run chills down the spine for most of us. But there are people like today's guest who would do anything they can to make a difference for the good even if it means endangering their life. Retired General Surgeon Tom Rusing MD just recently returned from spending over 30 days in Ukraine. Between all the chaos that it's going through and we discuss his experience there and what made Tom go there in first place. We go deep into it hence, the discussion took quite some time. So we split the interview in two parts. Here's part 1 of our discussion. Tune in next week for part 2. Till then, enjoy this episode. Go to www.thestandard.academy/getmagazine to become one of the first to get my digital magazine for free that'll help you create a kick-ass life. Tom is a Retired General Surgeon from Prescott Arizona. He got his undergraduate degree in Chemistry from the University of Arizona in 1974. Tom graduated from the University of Arizona Medical School in 1978. And did a residency in General Surgery at the University of Texas San Antonio from 1978 - 1983. He did a Fellowship in Colon and Rectal Surgery at the University of Minnesota Affiliated Hospitals from 1983 - 1984. Tom was Medical Director at Tumu Tumu Hospital in Kenya from 10/1984 - 3/31/1985. Tom spent a short while in a General Surgery Practice in Tucson Arizona 1985 - 1986. And then moved to Prescott Arizona where he had a General Surgery Practice from 1986 till he retired on 12/31/2017. Tom provided medical care in Haiti for 2 weeks after the earthquake. He also provided medical care in Nepal for 2 weeks after the earthquake. He worked at the Gallup (New Mexico) Indian Medical Center for 1 month during the peak of the COVID outbreak. He was a volunteer in Ukraine from 3/13/2022 to 4/15/2022. He is married to his wife of Cathey and has grown kids. Tom is a classmate of mine from Brophy College Prep in Phoenix Arizona. A bit about me (Dr. Orest Komarnyckyj): Dr. Orest Komarnyckyj enjoyed a prestigious career as a periodontal regenerative surgeon moving to a new passion in June 2018. He retired after a 33-year career to pursue new passions. At 69 Dr. Orest has taken on a new role as an Interviewer, Podcaster and government-certified Old Guy. He streams from his new home in Las Vegas, NV. He lives with his wife of 29 years, Oksana. His status as an empty-nesters with two out of college-employed children has left him with time and energy to share decades of successes, failures, and wisdom. Connect with Tom at: email: tomrusing@gmail.com phone no: 9287133736 Timestamps: 00:00 - Precap 00:40 - Intro 01:51 - Guest introduction 04:55 - What's the most important thing you've done today? 05:27 - What made you decide to go to Ukraine? 09:13 - Did you go with a group, or as a private individual? How did you get into the country? 12:25 - Commercial 12:58 - Commercial ends/What was the first place in Ukraine that you end up in? Take us a little bit through your travels, what you were first going to do. 21:40 - What was different this time? Risk management 23:00 - Getting into Lviv 28:12 - Decision to go to Kyiv 28:01 - Outro
Dear Life Warriors, Dr. Marsha Harris is originally from Jamaica, West Indies and migrated to the United States at the age of 4 where she grew up in Jamaica, Queens, New York. She attended the College of Arts and Sciences at New York University where she majored in Chemistry and minored in Mathematics. While attending New York University, she was an All-American women's basketball player and won a national championship in her junior year. She later earned her medical degree from New York University's School of Medicine and completed her general surgery residency training there as well. At the Colon and Rectal Clinic of Orlando, University of Florida, she completed her fellowship training in colon and rectal surgery.Over the last 12 years she has been in private practice at Colon and Rectal Surgery ofManhattan, P.C. while holding an academic appointment as a clinical assistant professor ofSurgery in the department of colon and rectal surgery at NYU. She has practiced earnestly inthe field with special interests in minimally invasive surgery for colon and rectal cancer,diverticulitis, and colon motility disorders. She has worked extensively with patients withanorectal diseases, rectal prolapse, pilonidal disease and pelvic floor dysfunction.Dr Harris is a board-certified general surgeon and colon and rectal surgeon. She has beenrecertified by the American Board of Surgeons as well as the American Board of Colon andRectal Surgeons. She has earned recognition as Castle Connolly Regional Top Doctor andreceived Vitals Compassionate Doctor award, Vitals Patient Choice award, and HealthgradesHonor Roll.Dr. Harris is a member and fellow of the American Society of Colon and Rectal Surgeons. She is also a member and fellow of the American College of Surgeons. She has publications inDiseases of Colon and Rectum. She is the owner of a private colon and rectal surgery practice,Park Avenue Colon and Rectal Surgery, PLLC, in Manhattan, New York.Purchase Char's Journal: https://www.amazon.com/30-DAYS-NEW-YOU-JOURNAL/dp/0578726572Subscribe to the show on YouTube: https://www.youtube.com/c/DearLifeWarriorsABOUT DEAR LIFE WARRIORS (DLW): Dear Life Warrior's mission is to empower people of color with unyielding tenacity to hang on until destiny is fulfilled. Our vision is that everyone that watches Dear Life Warriors will have a great understanding that the Journey of Life is a process, and if a process is to be fruitful it will take determination to reach completion.#dearlifewarriors #mentalhealthatwork #leadershipdevelopment #lifecoachingtips #lifecoach #softskillstraining #professionaldevelopment
Kristen Benavides BSN, RN, CWOCN interviewing S. Joga Ivatury, MD, MHA, Chief of Colon and Rectal Surgery at Dell Medical School and currently practices at Dell Seton Medical Center at the University of Texas in Austin. They will discuss the important role a Certified Wound Ostomy Continence nurse has in both the inpatient and outpatient setting providing essential support and education to patients.
Dr. Pat Sylla (https://twitter.com/patsyllamd?s=20&t=_w5QG96wjQE-0ttVJJaUmw) is a minimally invasive and colorectal surgeon at Mount Sinai Hospital in New York. She is a world famous innovator and was the first surgeon in the world to perform a transanal total mesorectal excision for rectal cancer. We caught up with her in-person (!) at the recent Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) annual meeting. Shout out to SAGES for putting on a great conference! Links: 1. Pat Sylla talk on Truths, Half-Truths, Fake News about taTME https://www.youtube.com/watch?v=ahWOaKa5WeQ 2. Sylla P, Rattner DW, Delgado S et al. NOTES transanal rectal cancer resection using transanal endoscopic microsurgery and laparoscopic assistance. Surg Endosc 2010;24:1205–10. https://pubmed.ncbi.nlm.nih.gov/20186432/ 3. Urethral Injury and Other Urologic Injuries During Transanal Total Mesorectal Excision: An International Collaborative Study. https://pubmed.ncbi.nlm.nih.gov/31567502/ 4. Consensus on structured training curriculum for transanal total mesorectal excision (TaTME). https://pubmed.ncbi.nlm.nih.gov/28462478/ 5. SAGES 2022 Presidential Address with Dr. Liane Feldman: https://vimeo.com/showcase/9362041/video/689727749 6. SAGES 2022 Gerald Mark Lecture by KMarie King: https://vimeo.com/showcase/9362041/video/689071108 7. SAGES 2022 General Session on Worldwide Variation in TME. Dr. Sylla is one of the panelists: https://vimeo.com/showcase/9362041/video/689468095 Bio (from https://www.mountsinai.org/profiles/patricia-sylla) Dr. Sylla has been a leader in developing minimally invasive approaches to the surgical treatment of colon and rectal cancer. She joins Mount Sinai from Massachusetts General Hospital, where she practiced for seven years within the Division of General and Gastrointestinal Surgery and was an Assistant Professor of Surgery at Harvard Medical School. While there, Dr. Sylla developed a research and clinical program using Natural Orifice Translumenal Endoscopic Surgery (NOTES). NOTES represents an innovative approach to transanal surgery, which may allow for faster recovery and fewer operative complications. In 2009, Dr. Sylla performed the first-ever rectal cancer surgery on a human using this approach. She has since extended this in a pilot study and is helping train surgeons in this technique. Dr. Sylla's clinical interests include laparoscopic and robotic surgery for colon and rectal cancer, diverticulitis, rectal prolapse, ulcerative colitis and Crohn's disease, transanal endoscopic microsurgery (TEM), and treatment of benign anorectal disorders. Dr. Sylla received a Bachelor of Science degree Cum Laude in Biology from Georgetown University. She earned a Doctor of Medicine from Weill Cornell Medical College. Dr. Sylla completed residency training in Surgery at Columbia University Medical Center. Subsequently, she completed two fellowship training programs; Colon & Rectal Surgery at The Mount Sinai Hospital and Minimally Invasive Surgery at Massachusetts General Hospital. Furthermore, Dr. Sylla has is highly trained and experienced in treating rectal prolapse and performing transanal endoscopic surgery.
Henry talks with Nancy Baxter, a Canadian surgeon and public health researcher. She is the Head of Melbourne University's School of Population and Global Health, while continues to maintain her appointment as Professor of Surgery in the Department of Surgery and the Institute of Health Policy, Management and Evaluation at the University of Toronto. [1] She is a scientist with the Li Ka Shing Knowledge Institute[2] and is a Senior Scientist in the Cancer Theme Group with the Institute for Clinical Evaluative Sciences (ICES). Baxter has achieved board certifications through the American Board of Surgery (2000) and the American Board of Colon and Rectal Surgery (2002). She is a Fellow of both the American College of Surgeons and the Royal College of Physicians and Surgeons of Canada. She served as the Associate Dean, Academic Affairs[3] at the Dalla Lana School of Public Health from 2016 to 2020. She was Provincial GI Endoscopy Lead[4] for Ontario at Cancer Care Ontario from 2013 to 2020. This conversation was originally broadcast on 3SER's 97.7FM Casey Radio in March 2022. It was produced by Rob Kelly.
Dr. Abby Crume is our guest for this episode of Mountain Land Pelvic Health Podcast. She attended medical School at the Texas College of Osteopathic Medicine, University of North Texas, Fort Worth, TX followed by her Residency at the Maine Medical Center, Portland, Maine and her Fellowship at St. Mark's Hospital Colon and Rectal Surgery. She has board certifications in both surgery and colon and rectal surgery. Dr. Crume serves… The post Colorectal Conditions & Procedures first appeared on Mountain Land Physical Therapy & Rehabilitation.
Advances in Colon and Rectal Surgery with guest Dr. Ira Leeds December 5, 2021 Yale Cancer Center visit: http://www.yalecancercenter.org email: canceranswers@yale.edu call: 203-785-4095
Advances in Colon and Rectal Surgery with guest Dr. Ira Leeds December 5, 2021 Yale Cancer Center visit: http://www.yalecancercenter.org email: canceranswers@yale.edu call: 203-785-4095
Advances in Colon and Rectal Surgery with guest Dr. Ira Leeds December 5, 2021 Yale Cancer Center visit: http://www.yalecancercenter.org email: canceranswers@yale.edu call: 203-785-4095
Dr. Alan Herline is chief of Colon and Rectal Surgery for Memorial Healthcare System. He received his medical degree from the Medical College of Georgia. He then went on to complete a residency in general surgery from Vanderbilt and a fellowship in Colon and Rectal Surgery from the Lahey Clinic. In the episode, we discuss challenges in continuous improvement in surgery as well as the success of the Enhanced Recovery after Surgery program. Link to claim CME credit: https://www.surveymonkey.com/r/3DXCFW3 (https://www.surveymonkey.com/r/3DXCFW3) CME credit is available for up to 3 years after the stated release date Contact CEOD@bmhcc.org if you have any questions about claiming credit.
Ulcerative colitis surgery is sometimes viewed as the last stop for treatment but it can be a good option to treat inflammatory bowel disease (IBD). Dr. Vikram Reddy, Division Chief of Yale Medicine, Colon and Rectal Surgery, answers questions about j-pouch surgery including how patients feel about it, how he manages his patients after surgery, what complications might occur, and why surgery for ulcerative colitis is complicated and nuanced. Transcript and more information at: https://bit.ly/AIBD103 Concepts discussed on this episode include: Yale New Haven Health Digestive Health Service What's It Like To Have A J-Pouch? Do You Need A Colorectal Surgeon or Gastroenterologist? Overview of J-Pouch Surgery Ulcerative Colitis Surgery Find Vikram B. Reddy, MD, PhD at Yale Colon and Rectal Surgery. Find Yale New Haven Hospital at Twitter, Instagram, and Facebook, and Yale New Haven Hospital. Find Amber J Tresca at AboutIBD.com, Verywell, Facebook, Twitter, Pinterest, and Instagram. Credits: Mix and sound design is by Mac Cooney. Theme music, "IBD Dance Party," is from ©Cooney Studio.
Is intercessory prayer more or less effective than lasix? These seemingly random questions are the “rabbit holes” that keep Dr. Wayne Rosen up at night. Dr. Rosen is a colorectal surgeon at the Peter Lougheed Centre in Calgary, Alberta. Dr. Rosen has long delighted the calgary surgical community with his entertaining and thoughtful critiques of a whole host of philosophical and bioethical concepts, ranging from evidence based medicine to how we might ration surgical resources in a pandemic like COVID. We recorded this conversation back in May 2021. We would love to hear your thoughts on any of the topics we discussed on this week's episode on twitter @canjsurg or by email at podcast.cjs@gmail.com. Links: 1. Dr. Rosen's website: http://www.limitsofebm.org/ 2. Cochrane review on intercessory prayer: https://www.cochrane.org/CD000368/SCHIZ_intercessory-prayer-for-the-alleviation-of-ill-health#:~:text=Intercessory%20prayer%20is%20one%20of,in%20some%20kind%20of%20need. 3. Doing Right by Hebert and Rosen: https://www.amazon.ca/Doing-Right-Practical-Trainees-Physicians/dp/0199031339 Bio (from colondoc.ca): Dr. Wayne Rosen did his undergraduate degree in the arts at Queens' University in Kingston, Ontario. After this he studied in Europe for two years and returned to Canada to study medicine. Dr. Rosen graduated in 1991 from Queens University Medical School in Kingston, Ontario, and completed his General Surgery training at the University of Calgary in 1997. He subsequently worked in overseas for three months and practiced briefly in Calgary, and then at the North York General Hospital in Toronto for almost two years. Starting in 2000, Dr. Rosen completed a fellowship in Colorectal Surgery at the University of Texas in Houston, under the mentorship of Dr. H. Randolph Bailey. Following this, he joined the faculty of the Department of Surgery at the University of Calgary at the Peter Lougheed Hospital in 2001. For 10 years he shared a clinical practice with Dr. Doug Johnson until moving out on his own in the summer of 2011. His clinical practice is now situated at the Peter Lougheed Centre and is primarily in the area of colon and rectal surgery. Dr. Rosen is a Fellow of the Royal College of physicians and Surgeons of Canada (FRCS). He is also board certified in both general and colorectal surgery in the United States. He is also a Fellow of the American Society of Colon and Rectal Surgery. In addition to his clinical practice, Dr. Rosen is active as a teacher and instructor with both residents and medical students at the University of Calgary. He is the Chair of the Medical Skills Course at the University of Calgary Medical School and he co-chairs the undergraduate medical students bioethics course with Dr. Ian Mitchell. He regularly lectures and gives seminars on topics related to colon and rectal surgery, as well as bioethics. He has an active interest in biomedical ethics, with a particular interest in areas related to informed consent, resource allocation, medicine and law, and ethical issues in research. Most recently he is interested in the challenges and limits of Evidence-Based Medicine. He has a Masters in Medical Science (MSc Bioethics). Dr. Rosen is a clinical assistant professor in the department of surgery at the University of Calgary.
Colon and Rectal Surgery with guest Dr. Amit Khanna June 6, 2021 Yale Cancer Center visit: http://www.yalecancercenter.org email: canceranswers@yale.edu call: 203-785-4095
Colon and Rectal Surgery with guest Dr. Amit Khanna June 6, 2021 Yale Cancer Center visit: http://www.yalecancercenter.org email: canceranswers@yale.edu call: 203-785-4095
Colon and Rectal Surgery with guest Dr. Amit Khanna June 6, 2021 Yale Cancer Center visit: http://www.yalecancercenter.org email: canceranswers@yale.edu call: 203-785-4095
Join Maryland Oncology Hematology host Vivek Patil, MD as he interviews special guest from Adventist Healthcare Laurie Herscher, MD. Dr. Herscher grew up in Los Angeles, CA. She obtained her undergraduate degree from Stanford University and her medical degree from George Washington University in Washington. D.C. She did her residency training in Radiation Oncology at the National Cancer Institute of the National Institutes for Health in Bethesda, Maryland. She is currently practicing radiation oncology and is the Medical Director of the Integrative Medicine Program at the Aquilino Cancer Center at Shady Grove Medical Center in Rockville. Your Host, Dr. Vivek Patil received his bachelor's degree in Biology and his medical doctorate from Georgetown University in Washington, D.C. He completed six years of surgical training including a fellowship in Colon and Rectal Surgery which is his sole focus of practice. While in his residency, he participated in surgical research and received the John O. Vieta, MD award for Surgical Excellence and Compassionate Care. He is board-certified in both general and colorectal surgery and a Fellow of both the American College of Surgeons and American Society of Colon and Rectal Surgeons. Prior to starting his current practice, Dr. Patil had been in practice with Johns Hopkins in the Washington metropolitan area for five years. He serves as Chairman of Colorectal Surgery at Suburban Hospital in Bethesda and has consistently been named one of Washingtonian Magazine's “Top Doctors.”Dr. Patil has extensive experience with minimally-invasive surgery including laparoscopy and robotic surgery to treat benign and malignant conditions of the colon and rectum. His special interests also include anorectal conditions, inflammatory bowel disease, and pelvic floor disorders.
Dr. Marcus Burnstein is a colorectal surgeon at St. Michael's Hospital in Toronto, Ontario. In this episode, we ask him to break down his approach to patients presenting with anal pain, perianal abscess, and perianal fistula. We also hear about the famous "circle of love"! Check out the CAGS seminar on perianal disease on April 1 at 7 pm ET! Register here: https://cags-accg.member365.ca/public/event/details/1c1d9fd96fc1866649258c9aee3cff283c4c2fe4/1 Also, check out the CAGS video library for all previously recorded CAGS webinars: https://cags-accg.member365.ca/sharingnetwork/education/videolibrary Bio (from U of T website): Dr. Burnstein is a graduate of the Faculty of Medicine, Dalhousie University. He trained in General Surgery at the University of Toronto and in Colon and Rectal Surgery at the University of Toronto and the Lahey Clinic Medical Centre in Burlington, Massachusetts. Dr. Burnstein began his career at Dalhousie University in 1986. He was the Program Director of the General Surgery Residency Program at Dalhousie University from 1989 – 1992. In 1992, Dr. Burnstein joined the Department of Surgery at the University of Toronto, where he has been the Program Director of the General Surgery Residency Program (1994 – 2001) and Head, Division of General Surgery, St. Michael's Hospital (1996 –2003). He was the Program Director of the University of Toronto Residency Program in Colon and Rectal Surgery from 1996 - 2011. Dr. Burnstein is a Member of the Board of Directors of the American Board of Colon and Rectal Surgery and is an Examiner for the American Board. He has served as an Associate Editor of Diseases of the Colon and Rectum and an Associate Editor of the Canadian Journal of Surgery. He has served as the President of the Canadian Society of Colon and Rectal Surgeons and as the Chair of the Royal College of Canada Specialty Committee for Colon and Rectal Surgery. Dr. Burnstein is an Associate Professor of Surgery at the University of Toronto, and practices at St. Michael's Hospital.
It’s our pleasure to start off the new year with an episode on social media and surgery! In this episode, we were joined by Dr. Sean Langenfeld (https://twitter.com/seanlangenfeld). Dr. Langenfeld is a colorectal surgeon at the University of Nebraska and has spent a long time doing research and thinking about social media and surgery. We talk about the concept of “professionalism” on social media, the infamous “medbikini” incident, and online reputation management. Links: 1. An assessment of unprofessional behavior among surgical residents on Facebook: a warning of the dangers of social media. https://pubmed.ncbi.nlm.nih.gov/24981657/ 2. The Glass Houses of Attending Surgeons: An Assessment of Unprofessional Behavior on Facebook Among Practicing Surgeons. https://pubmed.ncbi.nlm.nih.gov/26276300/ 3. CNN article on #MedBikini: https://www.cnn.com/2020/07/25/cnn10/medbikini-backlash-and-apologies-trnd/index.html 4. RETRACTED: Prevalence of unprofessional social media content among young vascular surgeons. https://www.jvascsurg.org/article/S0741-5214(19)32587-X/fulltext 5. Social Dilemma documentary. https://www.netflix.com/ca/title/81254224 6. ASCRS Facebook group. https://www.facebook.com/fascrs/groups/ Bio (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4755771/): Dr. Sean Langenfeld is a staff colon and rectal surgeon at the University of Nebraska Medical Center in Omaha, NE. Sean received his undergraduate and medical school training at St. Louis University in St. Louis, MO, and performed his General Surgery Residency training at the University of Kansas School of Medicine, Wichita, KS. Following this, Sean completed his Colon and Rectal Surgery residency at the University of Texas, in Houston, TX. Since that time he has been at the University of Nebraska where he is an Associate Professor of Surgery, Chief of Colon and Rectal Surgery and Associate Program Director for the General Surgery Residency. He is also the Director, Endoscopic Simulation at the University of Nebraska Medical Center. Sean remains a busy active clinician and academic surgeon, teaching residents on a daily basis. He is an active researcher and has several ongoing projects on the use of social media in surgery and simulation training in the era of the modern residency. He is an active participant in multiple surgical societies and serves on several national committees of the American Society of Colon and Rectal Surgeons. Sean and his wife, Elizabeth, have three children, and live in Omaha, NE. When not working, Sean enjoys playing in a men's soccer league, watching all Creighton Bluejays' sports teams, and is a huge Nebraska Cornhusker football fan.
This episode provides an over view of colon and rectal surgery as well as a little bit of the anatomy of the colon and rectum
Recorded on 05/29/2020 at the East Brunswick Public Library. In this multidisciplinary talk conducted virtually, Drs. Merkel, Maloney Patel, Pepek and Salwitz will discuss the impact of the coronavirus pandemic on the diagnosis, treatment and management of colon cancer during the COVID-19 pandemic. Topics include: Addressing who is at risk The connection between polyps and colon cancer Determining the goals of care Postponing diagnosis during COVID, when early diagnosis saves lives Evaluating stages and treatment concepts Screening colonoscopy vs. diagnostic colonoscopy Choosing between types of surgery The role of chemotherapy and new treatments The role of radiotherapy for rectal cancer Speakers: Dr. Ira Merkel, Gastroenterologist, Digestive Disease Center of New Jersey, Associate Clinical Professor of Medicine, Rutgers Medical School Dr. Nell Maloney Patel, Surgeon, Associate Professor of Surgery, Section of Colon and Rectal Surgery, Rutgers Robert Wood Johnson Medical School Dr. Joseph Pepek, Radiation Oncologist, Princeton Radiation Oncology Dr. James Salwitz, Medical Oncologist, Regional Cancer Care Associates, Central Jersey, Clinical Professor, Rutgers Medical School,
SSO President, David L. Bartlett, MD speaks with SSO Colorectal Disease Site Work Group Chair, George J. Chang, MD, MS. Dr. Chang is the Deputy Department Chair, Department of Surgical Oncology, Division of Surgery, Chief, Section of Colon and Rectal Surgery at The University of Texas MD Anderson Cancer Center, Houston, TX.
Author: Dave Rosenberg, MD Educational Pearls: Nothing by mouth (NPO) status routinely used before surgery to reduce the theoretical risk of aspiration However, surgery poses a large physiological stress. Calories and fluid are needed to overcome stresses like these Patients who drank 1/2 strength Gatorade up to 2 hours before surgery did better than those who did not References Alyssa Cheng-Cheng Zhu, Aalok Agarwala, Xiaodong Bao. Perioperative Fluid Management in the Enhanced Recovery after Surgery (ERAS) Pathway. Clinics in Colon and Rectal Surgery 2019; 32(02): 114-120. DOI: 10.1055/s-0038-1676476 Summarized by Will Dewispelaere, MS3 | Edited by Erik Verzemnieks, MD
Episode 68: Dr. Jason Hall Jason Hall, MD, is the chief of Colon and Rectal Surgery at Boston University School of Medicine. Dr. Hall is also the director of Dempsey Center for Digestive Disorders at Boston Medical Center. Dr. Hall visited Madison in February to give a Grand Rounds talkon diverticulitis. It was an amazing talk. Turns out, a lot of what we thought we knew about this common digestive disorder isn’t exactly accurate.
Dr. Erica Sneider is a community Colon and Rectal Surgeon who joins me today to discuss why she loves her specialty and traits that make a great surgeon!
Cancer Grand Rounds Lectures from the Norris Cotton Cancer Center Podcasts
Norris Cotton Cancer Center Grand Rounds presented on February 20, 2018 Srinivas Joga Ivatury, MD, MHA Division Chief of Colon and Rectal Surgery; Chair of NCCC Rectal Cancer Multidisciplinary Team; Assistant Professor of Surgery
Join host Chevonna Johnson Monday November 20, 2017 @ 8:00pm/EST as we welcome Dr. Lynn O'Connor/Oncologist as we discuss healthy options for the holidays and how we should eat to take care of our bodies to help them function properly and lose weight. Call in to ask questions or make a comment: 516-453-9957 Dr. Lynn O’Connor is a highly respected colorectal surgeon. Her mission is to provide women with the foremost treatment, technology and information related to preventive public health issues and colon and rectal health. She is outspoken about declining health patterns due to lack of exercise, growing obesity and the rates of colon and rectal cancer in the U.S. population. Dr. O'Connor is the Director of the Women’s Colorectal Care Program, at ProHealth Care Associates, division of Colon and Rectal Surgery, a New York based group of Board Certified physicians who specialize in the advanced treatment of all colorectal problems. Dr. O’Connor is a sought after speaker, lecturing nationally on advanced techniques related to colorectal therapeutic considerations. She has not only excelled in academia, but garnered many honors and awards throughout the years, making her an influential leader in colorectal medicine.Dr. O'Connor's education includes: Colon & Rectal Fellowship, Georgia Colon & Rectal Surgical Clinic Atlanta, GAGeneral Surgery Residency, Union Memorial Hospital Baltimore, MDRadiation Oncology Fellowship, Johns Hopkins Hospital, Baltimore, MDMD, Temple University School of Medicine Philadelphia, PAMPH, Yale University, New Haven, CTB.S. Biology, Rutgers University, New Brunswick, NJ
Today we resume our discussion of neoadjuvant therapy for rectal cancer. In this episode we welcome on special guests, Dr. Matt Silviera, Assistant Professor of Surgery in the Section of Colon and Rectal Surgery and Dr. Paragh Parikh, Associate Professor of Radiation Oncology, both at Washington University in St. Louis School of Medicine.
Session 36 Dr. Scott Steele is an academic Colorectal Surgeon and Chairman of the Colorectal Surgery Department at Cleveland Clinic. We discuss his love of the specialty. He has now been practicing outside of his fellowship for twelve years now. Dr. Steele also hosts his own podcast called Behind the Knife. Check it out as well as a host of all our other podcasts on the MedEd Media Network. [01:17] His Interest in Colorectal Surgery Scott knew he wanted to do surgery from the first time he got his clinical years and did some primary care. He also considered orthopedics since he likes sports. But colorectal surgery dawned on him when he met some mentors. Not being a sexy topic, he didn't really give it much time. But he found a mentor when he was in residency. Towards the end of his second year, going into his third year and on his fourth year, he began thinking about colorectal surgery. He hung around them and went to the meeting which he found an incredible experience. He thought they did both great in surgery and academics. They take care of patients that have diseases that he likes. They do some outpatient and inpatient surgeries, colonoscopies, and major oncological reconstructions. So it was something he was interested in. He initially thought about doing heart surgery but he thought he wanted a little bit more of variety. He knew he didn't want to do orthopedics in medical school after he did one rotation at the University of Wisconsin. Although he likes orthopedics and how it's related with sports, it just didn't trigger him. "I was more in the process of easily ruling things out." So Scott did this process of ruling things out. Surgical oncology is okay but colorectal did great cancer operations as well. Surgical oncology tend to not do the wide breadth of people. They tend to serve old people, a lot of them are dying in a lot of cases. It was something he didn't want to do. Minimally invasive surgery was a burgeoning fellowship at that time and it was its own fellowship. But he thought colorectal also does minimally invasive surgery. In fact, now minimally invasive surgery is a standard component of any particular field. So it's not in and of itself. So he made the jump from heart surgery to colorectal surgery. Scott was a general surgeon. He was in the military and he spent a year after his residency at Fort Hood, Texas where he practiced general surgery. So he basically did the vast bread and butter of general surgery. But growing up in a small town in northern Wisconsin that had amazing surgeons. And as a general surgeon, he didn't want to get pigeon-holed in being the hernia guy or the bowel obstruction guy or the lap chole person. He knew he wanted to do academics. He knew he wanted to do a subspecialty. So the more and more he went into colorectal surgery, the more he realized it fit his personality. It fit all the things he was looking for in a career. "The more I went into colorectal surgery, the more I realized it fit my personality. It fit all the things I was looking for in a career." [06:03] Traits that Lead to Becoming a Good Colorectal Surgeon Scott says that it's more on how we are as people. But what he found with colorectal surgeons is that they don't take themselves so seriously in broad, sweeping strokes. They have a ton of fun. They are generally good people. But they also have a side where they're really busy clinical surgeons in the community and academic centers. And for those that did academics, it was great medicine. There was basic science research and others did hard core epidemiological research. He adds that when you walk into a clinic and pick up a chart or log on the EMR and see what they're doing, patients have a special part of their body. They may not even tell their spouses of many years about what's going on with them. It tends to be something that's very intimate and very personal. It bleeds or itches. They feel something and that patient in many cases think they have cancer or they think something's wrong. If your arm itched or bled or you felt something, you'd look at it. But that part of the body is so hard to look at. So patients have an extreme amount of trust in you. Within five minutes of talking to them, you're asking them to pull down their pants and look at their back side. A lot of things can be in that person's mind. And in all of those aspects, you have to be able to go in and establish patient rapport right off the bat. Make them understand that despite their misconceptions, it's okay. It's very routine. And many people experience the same type of symptoms they're experiencing. So you need to keep it a little bit light. Let them know you take their symptoms seriously and that you're going to walk them through the process. Keep in mind that in the United States alone, colorectal cancer is the second or third leading cause of cancer-related deaths every year. It's something we don't talk that much about. Scott says it's something they can intervene and interact with that given how serious the topic is, you don't yourself too seriously. "Colorectal cancer is the second or third leading cause of cancer-related deaths every year." [09:51] Types of Patients As a colorectal surgeon, you see all age ranges and a mix of benign and malignant diseases. Scott is the lead editor of The ASCRS Textbook of Colon and Rectal Surgery and in the book, they talk about how they organize colorectal diseases. The organize it into six folds. First, is endoscopy. It's a large percentage of what they do. They use scopes and they're able to do a lot of advanced procedures through it. Second, they see the plethora of anorectal disease such as hemorrhoids, fissures, fistulas, etc. It's the routine but stuff they do and a big part of the practice. Third subset is they see the malignancy - anal cancer, rectal cancer, colon cancer. Those are the major operations you can do minimally invasive procedures. You can use laparoscopy and open surgery. You can do robotics and all the different neat tools and tricks you do. Fourth, is they get to see a lot of the benign disease which includes a lot of the inflammatory diseases such as IBD, the Crohn's disease, ulcerative colitis, and diverticulitis. Fifth is you also get to see pelvic floor disorders. Those are the patients with obstructive defecations and those with rectal prolapse or fecal incontinence. And last is your miscellaneous type. But the first five types mentioned by Scott are the ones where when you talk about colorectal disease, you can break each of those down. You can see how you have all the plethora and combine that with scopes where you can do things endoscopically. They have one person in their department who is a very gifted and technical surgeon. He was able to take off early cancers through the colonoscopy and save people from having to go major surgery. It's that wide breadth of patient variety, ages, outpatient, inpatient, scopes, major operations that is the unique part of colorectal surgery. Contrast that with things like surgical oncology or cardiac surgery and that's what drew Scott into the field. “It's that wide breadth of patient variety, ages... scopes, major operations that is the unique part of colorectal surgery.” [13:20] A Typical Week For Scott, he spends his Mondays in the operating room. He has all-day clinic on Tuesdays. Wednesday is his admin day as the Chairman of the Department. He typically has a lot of meetings. Thursday is an operating day and Friday, he does scopes and some afternoon meetings. This is a pretty standard week for people where you have a mixture of clinics and other things. The person who started Relay for Life, Gordy Klatt, was a colorectal surgeon. He died a couple of years ago. He was a community colorectal surgeon and one of the last independent providers. Scott covered for him for seven years. Scott was in the military and would take some vacation and cover for him. He had a much different practice. He saw clinic a half a day everyday. He would operate on most days as well. The admin days are part of many private practices but it wasn't part of his. He ran his own business with his wife being his business manager. He would have major operating days maybe three days a week. And he would do colonoscopy on a certain day of the week. He would also always come back to his clinic. So there is a wide variety depending on where you're at and what is the practice you're in. If you have a big group practice or a multispecialty clinic such as the polyclinic in Seattle or if you're working at an academic medical center like the Cleveland Clinic. It has a very busy high volume center. "Depending on what your niche is and what you'll be able to do really would determine your practice." Somebody in his department that does pelvic floor may see a little bit more clinic than somebody who's an IBD specialist who may have a mixture of clinic and operating days. So this varies according to the individual unique practice that you want to set up. [16:00] Operations and Calls Scott says they treat colorectal disease. And as a part of that, the referral pattern you're in would determine a lot of how much medical management has already been done. Many pelvic floor disorders, for example, need medical therapy or workup. Fecal incontinence in many cases can be treated with bulking agents and some Imodium and some pelvic floor retraining. So they won't need an operation anymore. There's also a study that 50% of hemorrhoid consults are not hemorrhoids alone. Or there's something that never needs an operation. Diverticulitis can be treated with antibiotics. So you can see that a lot of these disease processes are treated with multispecialty type approach that medical management is a major part of it. So on a typical clinic, not accounting your post-ops or your follow-ups, anywhere between 20% or 30% depending on your individual practice may require surgery. But all of them have some semblance of needs for the colorectal surgeon to treat either surgically or medically. "They look at you as an "expert" of the hindgut to treat whatever is going on so you do have to know your medicine." With regard to calls, Scott says they vary more than anything else. It depends on who takes the call and how many people are there in the practice. It also depends if you're asked to do general surgery and colorectal or just colorectal surgery alone. It also depends if you have acute care surgery or you have fellows and residents. Scott thinks that they're one of the largest colorectal departments, if not, the largest in the United States and maybe in the world. They have well over 20 colorectal surgeons. So for them, call is busy. But they can be extremely busy when you're on call because it's a major referral center. At their clinic, they get patients all over from the northeast Ohio to Kentucky, West Virginia, and all over the world. So a lot of the diseases that can happen that affect the colon in such a busy hospital. They have fellows and residents. It's a very busy fellowship and a very busy residency. Scott says they are up all night long. It's a busy call but they're not crushed with calls. He has been on call a lot more in other places that he has worked. Additionally, you have to determine that as a subspecialist, especially a subspecialist branching out from general surgery. This could include bariatrics or minimally invasive surgeon, surgical oncologists, colorectal surgery. In each of these, you're oftentimes asked to take general surgery call. When he was in the military, his call was colorectal surgery and also general surgery call. That mixes in your bowel obstructions, cholecystitis, appendectomies, hernias, etc. That can drastically change your call in terms of the number and the types of patients you see. Some people want to do that. Scott did general surgery call for seventeen years. But he doesn't do it anymore and he doesn't do trauma anymore. He's fine with that. But other people are looking for jobs as a part of their colorectal practice that they can still do a little bit of general surgery. Unless you're going to a major medical center where it's a colorectal call only, you may be asked to do some general surgery calls. And that has its pluses and minuses. Some of their east side hospitals take a bit of general surgery call. That's part of the institution you're working at. People primarily at the outer institutions away from the main campus take general surgery calls. But that's part of the hospital they're a part of. They also have other jobs in the hospital. You're working with people and you get to know the fellow doctors you're working with. You help out. You cover for them and vice versa. So that's a unique aspect of that. Scott took general surgery call because he liked it. At times it's rough. But he can say that especially earlier in your career and especially if you're going to a community based setting, don't be surprised that you're going to be taking some general surgery call. "If you're going to a community based setting, don't be surprised that you're going to be taking some general surgery call." [22:45] Work-Life Balance Scott explains that time is the most precious commodity that you have. That's why you need to prioritize. Really determine what do you want to do in life and what do you want to be. What are your goals? Regardless of your specialty, you have to prioritize and figure out what type of practice you have. What type of priorities do you have and where do you go? Earlier in his career, he knew he wanted to do academics. So he had a very hard time saying no. Anybody would ask him to write a chapter and he would do it. Or they'd ask him to review an article or travel or teach a course or cover a call, he'd do it. Being in the military, he started being deployed. And then he got deployed for a number of times. The next thing he knew, he has one daughter, grew up and realized he's missing a lot of her life. You're going to be busy. If you want to do academics, there's never enough time for academics. There's no such thing as protected time. And even for those who have "protected" time, everything else impinges on it. So you have to really set aside time to decide what you're going to do. Scott has had friends who started on academic career and did a bunch of stuff. Then they felt they didn't have the passion for it. So they stepped back from it or did it selectively. And that's great because it works for them. Scott likes academics a lot and says that unfortunately, you have to find time. He reviews for a number of journals and serves as an editor for several textbooks. He has traveled the world and has met wonderful people. He has operated in places he never thought he would operate on. He would have never thought he'd see some of those places and had the unique experiences. "Academic surgery has been a very fulfilling and wonderful career. " But Scott knew he wanted to be the guy who wants to be involved in the journal and the textbooks. He wanted to be involved in teaching fellows and residents. So when he sits down with fellows, he asks them who they want to be. Training is funny especially in medical school and residency. You constantly have people come up to you and say how you could chose this profession and that. You feel this angst that you can't talk bad about. Or you can't say what you really want to do. Especially when you're training in academic institutions, you feel this push to say that you don't want to be a community based surgeon but that's what you want to do. Scott believes over half of their specialty is made up of community colorectal surgeons. That's the socio-economics we have. That's the demographics and the geopolitical aspect we have. It's a big land mass. Many general surgeons cover a lot of things. Colorectal people may find themselves clustered or be in an independent town working on their own. When Scott went into his first week of surgical residency, he knew he wanted to be a program director. As he progressed along his residency, he knew he wanted to do academics. And he knew he wanted to be the chairman one day. He feels like he's the luckiest person in the world to be the chairman of colorectal surgery at the clinic. He finds it a really great job at a wonderful institution with extremely talented people in and our of his department. He has many other friends at other institutions that are lifelong friends outside of medicine. But he knew those are all he wanted to do. He knew he wanted to do the complex cases. And one of his best friends don't want to do it. He wants to be the guy that just does the bread and butter thing and take care of patients. He just wants to be a very busy person and get home at five so he can teach his kids softball. Now, Scott has the opportunity to do much more of this. But it's a matter of how you want to prioritize. His advice to people is to be true to yourself. There's going to be people telling you do this and that. They're going to fade in and out of your life as time goes on depending on those relationships. But you have to be happy. "The worst you can make is find yourself in a career that you never wanted to be in the first place." [27:42] Mentorship and the Path to Residency and Fellowship As a colorectal, you start out in the communities. This is the reason you see a lot of the major colorectal training programs are community-based clinics (Asher Clinic, Mayo Clinic, Lahey Clinic. University of Minnesota, where Scott trained, was one of the few universities that had a major training program. A lot of the university centers felt general surgeons could do it all and they didn't have the need for a colorectal surgeon. As medicine has changed as well as life in general, they have found there is a call for subspecialists. The call for having subspecialists, not always in every place, is a need. So the subspecialization in many cases has got a positive and negative effect on it. For example, you have people that think they're going to learn everything they want to learn in their fellowship. So they can just coast through their residency. But Scott disagrees with this. Their goal in fellowship is to refine and retrain people, not to teach them from the basics. The subspecialization has become a bit more prominent, And as colorectal surgery has really taken off and now found a niche, not only in the community but also in major academic centers, now they can go everywhere. Scott is proud to say that for the last several years, they've been one of the most highly competitive and sought after matches. That's when you consider the programs, slots available to the number of applicants that apply. "For the last several years, they've been one of the most highly competitive and sought after matches." Scott says when you look at some of these kids that come through and you see their CV's, you'd be surprised to see what they've done. You will hear many colorectal surgeons that if they had to apply now, they won't know if they'd get a spot. The point is that the field is now becoming more competitive. Scott's advice to those who want to get any fellowship, including colorectal surgery, it's important to plan ahead. It's important that you now have some research and have good board scores. It's important to have good mentors in life. Moreover, Scott says the best part about medicine is we never stop learning. Technology continues to evolve. Disease processes and what we know about them continue to evolve. "Link up with a mentor. Find out what they do. And you get a lot out of a mentor-mentee relationship." Depending on the general surgery you have, it usually involves five years of clinical time plus or minus research. Most programs are one clinical year. A few would be research year of colorectal and then a clinical year after that. Then post-training is one or two years. In many cases, they have a clinical associate year. It's like a super-fellow where after finishing your fellowship year, you spend another dedicated one-year training or six months doing reoperative surgery for example. But only a few selected institutions have that. [32:53] Bias Against DOs Scott notices that any bias has changed over time. He doesn't know if the MD versus DO is as prominent as it used to be. He recalls during training that there were programs that won't accept a DO student even no matter how great they were. He was in the military for a long time and they had both MD and DO residents. Some of the best kids he has trained were osteopathic students. He also had a roommate in Iraq. He is a DO ER doctor and toxicologist and he describes him as the one of the brightest physicians he has ever met. Ultimately, you have them in both sides of the fence. Scott went to Madigan Army Medical Center and he's proud to be in the military and trained in the military. But comparing it to training at Cleveland Clinic, he knew he had to distinguish himself. He had to be much better. So what he tells DO residents is that they have to be real. There still may be a stigma associated with going to an osteopathic school for medical training. And because of that, you may not get the interview or they may look at you as someone who should blow their socks off. So your scores have to be that much better. Your publication should be that much better. That doesn't mean you're not better than the person next to you. But take that stigmatism out of it will blow their socks off. Scott adds that if in a program somebody comes to you and has an automatic bias against you, then maybe that's not the program you want to train in anyway. Surgical residency is a fun time and it's a lot of growth. "Put yourself in a good position where you almost force them to take a solid look at you and put everything else aside." [37:45] Subspecialty Opportunities and Working with Primary Care and Other Specialities At Cleveland Clinic, they have teams. It's not all they do but they have a focus of things. They have a cancer team, an IBD team, and a pelvic floor team. They have a team of hard core basic science researchers who also still maintain a clinical practice. They run labs. Scott says you can make yourself and find your niche and do that. You can both that in an academic medicine as well as in the community. That's the unique aspect about medicine and about surgery, specifically, colorectal surgery. Another unique aspect of being a colorectal surgeon is you can transition into teaching or mentoring type program. You can also transition into primarily endoscopy only. Or you can do just outpatient surgery and focus on anorectal type of disease. You can also do mentoring and teaching medical students. Scott says that's the cool thing about colorectal surgery because there's such a wide range of patients and such a wide range of disease processes that you can take care of. It really fits at all stages of your surgical career. "That's the cool thing about colorectal surgery...it really fits at all stages of your surgical career." Scott explains that you become a doctor when you know more about walking in other people's shoes. You see what they do and get a feel for their care path or how they treat patients. It just allows them to be better care providers. This is especially true for primary care providers being the frontline care providers. The more they know about subspecialists, it saves the patient a lot of grief when they come and see them with rectal bleeding but they've never been treated with fiber. Or they have hemorrhoids but they've never been truly treated with a medical therapy. Patients come to him and they automatically think they need surgery. So Scott's advice to primary care providers is to take a look if their institutions have those and learn about them via algorithmic textbook. You're never too old to take a look at just a textbook and look at rectal bleeding. You could have been trying something else all along that could either help the symptom or conversely rule it out. So you can then move on to the next step of therapy. You mostly see this in the anorectal type of processes and disease states in colorectal surgery. Hemorrhoids are the classic ones. the anatomy can be confusing to people. Nobody is expecting you to be a subspecialist or to treat complex disease. But you need to understand the very basics about certain health problems. Other specialties Scott works the closest with include medical oncology and radiation oncology. They also work with pathology and radiology as part of the multidisciplinary team report. They also work with urogynecologists on pelvic floor disorders. They also work with general surgeons specializing in abdominal wall reconstruction. Other specialties they work with are urology, plastic surgery, neurosurgery, gynecology, and gastrologist. "We're all in this fight together to take care of patients. We all want our patients to have good outcomes." Scott's advice to students is for them to understand and appreciate what doctors do and the disease processes they treat and the tremendous amount of hard work they do. As you get older, these are the patients that refer patients to you. So have that good referral relationship because patients are your lifeline. So you realize they're not your enemies but your colleagues who have gone through a lot of training as well. [47:25] What He Wished He Knew About Colorectal Surgery Scott explains that at the end of the day, it comes down to patients. It's about understanding the degree of what a patient is going through. The medical journey is extremely fulfilling. You can do anything you want to from being a busy clinical colorectal surgeon to being a hard core academician. And colorectal surgery, like a lot of other things, provides you that. What's neat too is you get to mature as a physician. But if you've ever been sick or you've known somebody close to you as sick, sometimes you lose that perspective where you're in a job on a day-to-day basis. You forget that the person sitting next to you has so many things going on. "Keep in mind that that's a person there and not a case number or a sticky." Scott says it's easy to lose sight of this but keep all under perspective and it makes your job even much more fulfilling. What he likes most about being a colorectal surgeon is being able to operate. He loves the ability to do something. He tells his students there's no more intimate relationship you'll ever have than having the trust of somebody allowing you to cut into their bodies and operate on them. Somebody's entrusting to you that they're going to sleep. You're cutting into them. You're taking out the cancer. You can't get more intimate than that. You'll be inside somebody else's body. So it's an incredible amount of trust they have that you will hopefully take care of them. Understand that you're human and you're fallible. There are complications that can come up. On the flip side, what Scott likes the least about being a colorectal surgeon is the amount of time you have in medicine in charting. He likes seeing patients but the amount of time physicians have to do this is becoming less and less. Combine that with charting and EMR. Then you lose sight of the fact that you had a great interaction with the patient. This can somehow get diminished or lost in the shuffle. Scott finally says that time is probably the most precious commodity that we have in all things. It's something everybody needs to take a better look at. Realize what you want to do. How do you want to spend it in the most effective and efficient manner that you can? [52:45] Major Changes in Colorectal Surgery Scott explains that technology always changes and always drives. People have a curious mind and they will continue to drive. They see a problem. They think about a problem and try to find something to fix it. Some of those things revolutionize medicine and others fall by the wayside. Right now, the hottest thing is pushing the limits of endoscopic therapies for different types of diseases and minimally invasive surgery. As we go more towards natural orifice surgery, they try to decrease that. Finally, when asked whether he still would have have chosen colorectal surgery if he had to do it again, his answer was an absolute yes. All he can say is that it's a wonderful career. It's extremely rewarding. And he looks forward to doing it for a long time to come. His advice to premeds or medical students getting started on this journey is to find a mentor. Find somebody that can sit down and tell you the ropes and guide you a bit. You can read a textbook or listen to a podcast such as this or his podcast Behind the Knife. The information is out there and you have to have fundamental basic knowledge. But there's nothing that beats relationships and has that ability to have somebody guide you through that process. Have great board scores. Do research in the field you want to go into. And you have to be competitive. You have to have the baseline minimum. "Find a mentor. Find somebody that can sit down and tell you the ropes and guide you a bit." But the more fulfilling part of life is having and building those relationships and finding out what makes people tick and what makes the specialty so great. That's where the mentor-mentee relationship comes into play. Meet other people and truly get to know them. [58:15] Final Thoughts If you're interested in colorectal surgery, follow Dr. Steele's advice. Find a mentor. Find a colorectal surgeon out there that's doing what you want to do. And start connecting with those people. Don't forget to check out Dr. Steele's podcast, Behind the Knife. Links: MedEd Media The ASCRS Textbook of Colon and Rectal Surgery R elay for Life Cleveland Clinic Madigan Army Medical Center Dr. Scott Steele's podcast Behind the Knife
Dr. Marcello is a leader in colorectal surgery. He had a large part in advancing laparoscopic surgery and is now advancing the field of laparoendoscopic surgery. He gives a very practical interview that is entertaining, and inspiring. Enjoy! Please welcome guest host Avery Walker, who is about to start a fellowship at Ochsner Clinic in colorectal surgery. Dr. Peter Marcello is an Assistant Professor of Surgery, Tufts University School of Medicine and a Staff Surgeon at the Lahey Clinic, Burlington, Massachusetts. Peter was born in Boston, Massachusetts and received an M.D. degree from the Boston University School of Medicine. His general surgery training was conducted at the Deaconess–Harvard Surgical Service in Boston. This included a 1-year research fellowship at Lahey Clinic. His clinical fellowship in colon and rectal surgery was also performed at the Lahey Hitchcock Clinic, and this was followed by a 1-year Pelvic Floor Research Fellowship at Lahey. He then joined the colon and rectal surgery staff at the Cleveland Clinic Foundation in Cleveland, Ohio. After 2 years at Cleveland, Peter returned to the Colon and Rectal Surgery Department at Lahey. He is board certified in General Surgery and Colon and Rectal Surgery.
Host: Lee Freedman, MD Patients with ulcerative colitis often need to take multiple medications to achieve and sustain remission. But there is a pionering surgical approach, the laparoscopic J-pouch procedure, that can not only cure patients from this disease, but also eliminate risk of future colorectal cancer. Dr. Najia Mahmoud, Chief of the Division of Colon and Rectal Surgery and Associate Professor of Surgery at the Hospital of the University of Pennsylvania, joins Dr. Lee Freedman to discuss the risks and benefits of this procedure for patients with ulcerative colitis.
Host: Lee Freedman, MD Patients with ulcerative colitis often need to take multiple medications to achieve and sustain remission. But there is a pionering surgical approach, the laparoscopic J-pouch procedure, that can not only cure patients from this disease, but also eliminate risk of future colorectal cancer. Dr. Najia Mahmoud, Chief of the Division of Colon and Rectal Surgery and Associate Professor of Surgery at the Hospital of the University of Pennsylvania, joins Dr. Lee Freedman to discuss the risks and benefits of this procedure for patients with ulcerative colitis.
Interview with Robert R. Cima, MD, MA, author of Technical Proficiency in Hand-Assisted Laparoscopic Colon and Rectal Surgery