Andrea Merrill, MD FACS
@AndreaLMerrill
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@mghsurgery / @osusurgery alum; @BMCsurgery surg onc. Passionate about breast/endocrine dz, women in surgery, ergonomics, promoting trainees and art/creativity!
Boston, MA
Joined April 2013
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Pinned Tweet
What do Taylor Swift and surgeons have in common? Read my latest essay here on
@kevinmd
#taylorswift
#ilooklikeasurgeon
#itsmehiimthesurgeonitsme
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Dear
@Delta
, I just assisted in a medical emergency in the air. Your medical kits need a glucometer, epi pen, and automatic blood pressure cuffs- it’s impossible to hear with a disposable stethoscope in the air. Please improve this for passenger safety!
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Please confirm for me that these shoes are amazing and that I should definitely wear them to clinic! (Aka someone in my household did not approve 😂)
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I have brought my inner medical nerd to a whole other level 🤓🍓🍇🥑🍌🍉
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Maybe instead of celebrating women some random day every year, we could instead every day pay them what they’re worth,listen to them when they speak, not touch them at work, believe them when they report sexual harassment, focus on their ideas & not their wardrobe & so much more.
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Today was one of my worst as a surgeon. I had to call some of my cancer pts to tell them we have to delay their operation due to COVID. Omicron may be milder but it is wreaking havoc on the medical system. Please get boosted, wear a mask,& avoid the ED for minor medical problems.
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Dear hospitals, can we maybe suspend those require online training modules about HIPAA, TB, hospital acquired infections etc until after this Omicron surge? Not great use of our time now. Xoxo, healthcare providers everywhere
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Had a physical therapist come to the OR recently to do an ergonomics assessment. One of the most helpful things she did was take photos of my body positioning! Wonder why my neck hurts so much? 🤔
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Had the best OR team today and the nurse even had time to draw this amazing sketch of me operating!!!!
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You know you’re a surgeon (who also loves food and art) when a wall in your apartment looks like this
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Surgeon: It’s a quick case, should only take an hour 🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩
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@MsPinkBehavior
@theamwalsh
@Delta
Luckily we didn’t need it but I was asking about what we had and they do not have epi pens on board.
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@jeremyfaust
@plumandmustard
@Delta
Yes, but the point is that we shouldn’t have to be dependent on another passenger having these in case of emergency.
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Anyone else have a really hard time switching over to calling attendings by their first name once you become an attending? 🙋🏻♀️
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Not only do we have an all women team operating today but we are all named Andrea! And we all have size 6 gloves! The A team is curing cancer today at
@BMCSurgery
!
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@CharlesHarperDO
@Delta
You can’t hear anything with those disposable stethoscopes in a doctors office! Impossible on a plane!
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Today in the OR just before the timeout, the circulating nurse paged overhead for “Dr. Merrill to come to the OR for the timeout”...I had been there for 10 minutes helping her with the patient and we had worked together before 🤦🏻♀️
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Of all my publications, this may be the 1 I’m most proud of. It’s hard to describe the feeling of being a surgery attending & many don’t talk about the worry/anxiety. This is my attempt to normalize talking about it. Thx
@AnnalsofSurgery
for publishing!
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I have a lot of anxiety as a new attending over not being a good surgeon/doctor and a patient today told me she wishes I could be her doctor for everything. I hope she knows she made my day/week/everything!
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Just officially cancelled my 4 person Thanksgiving with my parents because I love them.
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CDC says you can now stop writing “thank you for this interesting consult” on all your consult notes
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This makes me so angry. We are cancelling surgeries and they can’t close the beaches for the good of the country????
#COVID2019
#closethebeaches
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First year of being an attending is kinda like being an intern all over again. You know a lot more but every decision is so hard to make!
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Wearing this hat for all the women surgeons who have been called “bossy”, “mean”, or a “b&tch” for having high standards. Wearing it because we need to constantly repeat ourselves and work extra to be heard.
#imspeaking
#werespeaking
cc
@1001cuts
@WomenSurgeons
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Last official day of surgery training! Thank you
@MGHSurgery
@OSUSurgery
for the amazing training and guidance and the opportunity to learn from the best! I can’t wait to join
@BMCSurgery
in September as a surgical oncologist! 📷:
@mhnguyen88
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@Delta
called me to follow up on the medical emergency per protocol. Found out they are switching to automated bp cuffs & real 🩺 in Aug! I directed them to the thread of amazing comments below for more suggestions for improvements. Will consider glucometer if can store @ gate.
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Cannot wait to hang this new piece of art in my office from
@lyonroadart
! Beautiful artwork highlighting the ergonomics of surgery!
@SocSurgErgo
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This is what I call the surgeon ERAS protocol. Make sure to wash down with some black coffee for maximal GERD!
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@harlemedic
@AshleyGWinter
@Delta
I was going to write to them- sad to hear they don’t seem to care.
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The more I understand parathyroid disease, the less I understand parathyroid disease
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Last week I had one of those new attending weeks of imposter syndrome & doubt. Then a Med student emailed me to spend more time w/me bc she enjoyed learning from me. Made me realize I was doing at least 1 thing right. Med students- you really make a big difference in our lives!
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@arghavan_salles
@Dr_Stepheny
Don’t forget us breast surgeons 🙋🏻♀️ mostly women operating on almost all women.
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The best and fastest surgeons don’t make things look fast, they make it look easy.
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Looks like it’s official! Looking forward to starting at
@BMCSurgery
Sept 1! (Thank you
@OSUSurgery
for the personalized card holder!)
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I love learning about the creative sides of surgeons outside the OR so I created a new website called “Scrubbed Out” to highlight the amazing humans of surgery!
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Can we do away with the mandatory chair LOR for residency applicants? Some chairs do a great job with these letters but many others just write a brief cursory overview that adds nothing to an application.
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Feeling very loved by my surgical oncology APP team! Time to celebrate officially being board certified in surgical oncology!
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@mahad_minhas
Unless it is due to something egregious the resident did in last month, it would raise serious 🚩 of that program/PD. If there truly has been an issue, program should have intervened far earlier to hopefully identify areas for improvement and support the resident.
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Medical/surgical residents (I.e. doctors with years of training and lots of debt) get paid less than what President Trump writes off for his hairstyling fees
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@MikeScribe
@Delta
Actually did not think this tweet would get this much attention! Also, have you ever tried to call Delta before without a long wait time? And they routinely don’t reply to emails/online inquiries. I’m on vacation so tweet was easier but will follow up with them after vacation.
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Our study on ergonomics in pregnant surgeons is online now in
@AmJSurgery
! This is such important work! Thank you Connie Wang &
@meghal_shah1
for including me along with
@EmilyCerier
@JuliaBethMD
@GMBadalato
!
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Can we all just agree to suspend mandatory workplace compliance modules right now? Our hospitals are overwhelmed but hold on, let me complete my annual TB training module 🤦🏻♀️
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On my way to work today a man remarked to me “you walk fast for a short girl” to which I corrected him “I’m a surgeon” 😷👩🏻⚕️🔪
#ILookLikeASurgeon
#DontCallMeGirl
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I don’t understand health insurance in the US. Why does my breast cancer patient need a prior authorization from her PCP’s office for the operation that I’m doing?!?!
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Never thought a cartoon could bring bring so much emotion. This week’s
@NewYorker
cover
#happynationaldoctorsday
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New loupes, who dis? I promise I didn’t get them just because they’re pink! (Actually got them because they have a steeper angle to help with neck pain cc
@SurgErgoGroup
)
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On my 1 year workiversary at
@BMCSurgery
I got to work with this amazing all women surgery team today!!! MS3, intern, and chief resident! (And yes, I was the shortest of the group)
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I also stand with a very narrow stance and tend to roll onto the edge of my shoes. Trying to work with the OR now to get a longer and wider step to encourage me to take a wider and more staggered stance when I operate which can alleviate pressure on the back.
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Vaccinated today to protect my family, friends, colleagues, and cancer patients!
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I’m on call for Christmas Eve/Day (my duty as a Jew!) and I emailed my colleagues to remind them of the holiday schedule. Several replied back that they are also around if I need any help! So lucky to have joined an amazing place like
@BMCSurgery
where I feel truly supported!
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New yoga mat for the office so I can stretch and do exercises in between or after cases! How amazing would it be if the OR had a training room nearby (like athletes do) for us to use in between cases for this purpose?
@SocSurgErgo
@GeetaLalMD
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The endocrine surgeon waiting for that rapid PTH to come back
The anesthesiologist when it’s Friday afternoon and they let the med student close
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Tips for succeeding “be strategic in your yes’s and definitive in your no’s...every yes is a no to something in your life” ~
@AmaliaCochranMD
#MWSC17
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Thought I’d relax a little after getting my 1st attending case under my belt. But nope, woke up @ 2AM worrying about all the things I maybe forgot to do in OR, billing, dictation! Btw- thanks
@mcassidymd
for moral support on 1st case! Choose a job where colleagues have your back!
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It is such a great feeling to be able to walk a resident through a case no matter how simple or complex! Most of the credit goes to the resident but also shows me that I’m becoming more comfortable as an attending.
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How is it the middle of October and healthcare workers still don’t have easy access to rapid COVID-19 testing 7 days a week?
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My latest narrative essay is out today in
@JAMA_current
featuring my personal struggle as an agnostic Jew when religion coincides with medicine, especially when they seem to be at odds with one another.
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But seriously, when I was a gymnast, we used to record my practice sessions so I could watch and learn from them. Maybe we should be doing this for surgeons too!
@SurgErgoGroup
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Pro tip: save a paper from fellowship to submit on your first day as attending so that you feel somewhat productive! 💃🏻
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When you accidentally match with your favorite endocrine surgery mentor
@priyaknows
for the
@TheAAES
meeting! Now I just need some amazing pink glasses!
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Not only does my bf make me pour over coffee every morning before work but today he knew exactly which mug I needed to start off what’s likely to be another crazy week in US politics.
#rbglegacy
#rbg
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Sitting here sobbing. This was the most powerful talk I have ever heard. If you are in medicine, you need to listen to
@lubitz_carrie
raw emotion and courage. This will resonate with everyone on some level. Thank you so much for your extreme bravery in sharing your story.
The 2023 AAS Presidential Address - Removing the Mask by
@lubitz_carrie
is now available for viewing.
Go to the AAS web site () or view directly on Vimeo and Youtube:
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I’m seeing more advanced cancers because patients haven’t been able to get proper screening/care due to covid. We are already behind in treating these patients. Please wear a mask and social distance so we don’t have to cancel their cases and delay their urgently needed care!
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I have a parathyroid joke but I can’t find it.
I have a medicine joke, and I have to admit it because nobody else will. 😉
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Reading this book about women surgeons by an anthropologist in the 1990s- amazing how most of her observations would still be true today.
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My idea of wellness! (Also celebrating 120 PSLF payments and an early birthday)
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Surgical Instrument Designers and Inventors-Where are the Women? This is something
@SocSurgErgo
is actively trying to address!
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Operating with residents is even better when you have matching hats. Hats designed by
@BMCSurgery
superstar resident (and future breast surgery fellowship applicant)
@GearyMd
#savetheboobees
🐝
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Our paper “The role of gender-concordant mentorship in women pre-medical students’ perception and pursuit of surgical careers” is out in
@JSurgEduc
now! Great collaboration with
@WomenSurgeons
@BUmedical
@varnicabajaj
@BitaNaimi
@judywangworks
@vlitlemd
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Really sad I’m not operating today and can’t listen to
@taylorswift13
midnights all day on repeat.
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Genius idea to design laparoscopic instruments by glove size! Keynote talk by Dr. Adrian Park at
@SurgErgoGroup
#SSE2022
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I suppose since it is a social media committee, I should announce it on Twitter 😛 Excited to join a great group lead by
@SyedAAhmad5
and serve on the
@AnnSurgOncol
social media committee!
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Surgeons are finally getting it! Helen Pass highlighting vaginal estrogen use for breast cancer as one of the best papers of the year at
@ASBrS
#ASBrS24
cc
@drrachelrubin
@AshleyGWinter
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Christmas Eve tacos! Bf put a whole habanero and multiple Chiles de arbol in the salsa- please pray for my Jewish stomach!
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The best and most badass lady co-chiefs I could ask for
#ILookLikeaSurgeon
@WomenSurgeons
@CorneliaLG
@_sonia_begonia_
@MGHSurgery
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This is a
@F_ThurstonDrake
appreciation post. I’ve had a few big/challenging cases lately and Thurston has graciously blocked off whole days to assist me. Not everyone is lucky to have a partner like you! We are so happy to have you back safely at
@BMCSurgery
!
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@IEMcElroy
I signed up to treat patients, specifically cancer patients, which I can’t currently do because we have no beds and more importantly, no staff. We did not sign up for the world to mock us as we work our @$$’s off in a broken system.
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@icreatelife
To go with an essay I wrote about how being a new surgeon feels a bit like free soloing a steep cliff.
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Sad to have missed ACS convocation and my initiation as a fellow of the college but thankful I had the opportunity to spend an amazing 2 weeks in Italy! Hope to see everyone at ACS next year!
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The newest Scrubbed Out post is up featuring the very talented aspiring urologist and artist
@ysaralee
! Check out her beautiful art and children’s anatomy book! These make great gifts for physician friends with kids!
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Loving all the
#MatchDay2021
posts today! And especially loving the support and advice for those brave enough to share that they did not match.
#MedTwitter
at its best!
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Had the most restorative night meeting up with my old
@MGHSurgery
chief class. These are bonds for life! Very lucky that most of us stayed in Boston!
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Starting as new attending in 2020 has challenges but I have lots to be grateful for. Thank you to my patients for putting your trust in me as a surgeon. Thank you to my amazing
@The_BMC
@BMCSurgery
colleagues for their support, esp
@mcassidymd
! Happy 🦃 day & please stay safe! 😷
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@arghavan_salles
@Dr_Stepheny
@ASBrS
has published some studies- mostly highlighting disparities between male and female breast surgeon compensation. I’d have to do more digging to find more numbers but I can tell you the RVU per case is super low.
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Sometimes a quick 2 minute phone call can save 20 emails!
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A resident in a procedural specialty contacted me b/c her program doesn’t carry her glove size (5.5). We need to support/advocate for trainees to make sure they get proper sized equipment! Many may not speak up b/c they don’t want to be a “bother”.
@SurgErgonomics
@SurgErgoGroup
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So proud to walk with my patient Dorothy today at the
@AmericanCancer
breast cancer walk to celebrate her kicking cancer’s @$$!!!
@BMCSurgery
@The_BMC
loves our incredible patients!
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If you are a surgeon with a creative side (painting, photography, singing, writing, knitting, etc) and want to be featured on my new website, DM me!
I love learning about the creative sides of surgeons outside the OR so I created a new website called “Scrubbed Out” to highlight the amazing humans of surgery!
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Great message from Monica Morrow- not everyone will run RCTs or be surgeon-scientists but many questions can be answered without an RCT. Find a way to study what you’re interested in and create your research theme path.
#SSO2019
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