Barb Miller
@EndoSurgBSM
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Endocrine surgeon #adrenal, #thyroid, #parathyroid, #NET. @TheAAES Secretary
Joined April 2015
Helping patients quit smoking = saving lives. The Beyond ASK initiative is making it easier for cancer programs to boost smoking cessation support. A big win for #CancerCare and #QualityImprovement. #ACSCancerPrograms
https://t.co/zDsfGmOLKF
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Need some bariatric surgeons to weigh in... who at your hospital is normally putting the bougie in from above during bariatric surgery? Pros/cons to anesthesia vs. surgery? Any training for anesthesia providers if so? @SAGES_Updates @AcademicSurgery
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This first national effort to standardize the technical quality of cancer surgery highlights both progress and challenges, with CoC accreditation now tied to adherence. https://t.co/az2mlW8UpP
journals.lww.com
ast cancer (operative standards 5.3 and 5.4), wide local excision for melanoma (5.5), colectomy for colon cancer (5.6), proctectomy for rectal cancer (5.7), and pulmonary resection for lung cancer...
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Addendum: Lots of other great talks about thyroid topics on this TIRO @YouTube channel.
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As I make my way through the new @AmThyroidAssn cancer guidelines, I ran across this excellent preview of the ATA thyroid nodule guidelines coming out in 2026. So much to read! Lots of changes that make good sense. Can't wait to employ the app in clinic. https://t.co/qJliIgRWVI
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Great to see these guidelines from @AmThyroidAssn on management of differentiated thyroid cancer published and available for all! https://t.co/8K8kTBkFyE
@TheAAES
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Have to say I am loving the Milwaukee @HiltonHotels at the @BairdCenter. Hotel has two dogs and the bar is called #MillerTime. #AAES2025
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'The lesson is not to underestimate any chance you have, even if small, to hone your skills of challenging the status quo for the greater good. Train your “courage for challenging convention” muscle consistently, so that it’s ready when needed.'
Four key mindsets that can help individuals spur growth in their organizations.
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Everyone knows about bullying, but too often, nothing is done about it. This inaction leaves victims feeling helpless and empowers the bullies. Breaking the silence around academic harassment 👇 https://t.co/1cdyMenK2Q
febs.onlinelibrary.wiley.com
It is time to hold every member of the scientific community responsible and ‘response able’ in addressing/reporting academic harassment. Stop applauding academic stars on the podium prior to checki...
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Correct. '... we won’t just face a staffing crisis. We’ll face a wisdom crisis.' Stop sweeping issues under the rug and hoping things get better. The gaps in the Swiss cheese are becoming larger.
Part 4: We’ve talked about the loss of seasoned physicians. We’ve shown why it matters—how we’re not just losing staff but losing clinical wisdom, intuition, and fluid intelligence that takes decades to develop. Now the question is: what do we do about it? Here’s the
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Primary aldosteronism is characterized by dysregulated and relatively nonsuppressible aldosterone production that persists independent of its dominant regulators, renin and angiotensin II (termed “renin-independent aldosterone production”). This pathologic aldosterone
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Deadline extended! There is still time to share the survey on CoC Standards 5.3-5.8 with the surgical residents and surgical oncology fellows in your circle.
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a blast working with these @TheAAES experts and trainees on this thyroid, parathyroid, adrenal, & GI neuroendocrine illustrated quick reference guide for students & residents rotating on endocrine surgery @CUEndoSurg @MGHSurgery @SpringerClinMed
https://t.co/muOjXnNaJV
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Drawbacks: not a quick entry although I have skipped rib removal during an emergency. Limited working space. No good self-retaining retractor. Not a good approach when ACC is a possibility to follow Operative Standards techniques or when multivisceral resection is necessary.
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For your toolbox of approaches. Only us old folks remember this one.😉Open posterior ADX remains relevant when: an anterior approach will be difficult due to scar tissue, unfavorable anatomy for retro MIV approach, or bleeding needing conversion during posterior MIV ADX. @TheAAES
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@TheAAES @AmCollSurgeons @Carmensolcar @gmdoherty @tracyswangNYMKE Having trouble exposing the adrenal? Multiple options. In this video, I review a few and share some tips. Take the time to mobilize the liver to do a safer medial dissection. Adjust the extent of deployment of the paddle retractor. @theaaes @SAGES_Updates
https://t.co/lmcPvvF28d
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@TheAAES @AmCollSurgeons @Carmensolcar @gmdoherty @tracyswangNYMKE Having trouble exposing the adrenal? Multiple options. In this video, I review a few and share some tips. Take the time to mobilize the liver to do a safer medial dissection. Adjust the extent of deployment of the paddle retractor. @theaaes @SAGES_Updates
https://t.co/lmcPvvF28d
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https://t.co/LQoIvvj3ow. Unsustainable. 2.83% CMS physician pay cut 2025, 1.25% cut 2024 (3.4% less than 2023) - 5 years in a row. AND CPI up 3.4% 2024, 8.8% y-o-y increase in investment to support a practice, 82% increase in supply cost, per full-time employee 2013-2022.
beckersasc.com
"Physicians face continued decline in pay as reimbursements are cut and costs rise, leading to concerns about the future of healthcare. Find out the numbers beh
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