C Randall Cooper, MD, FACS, FASCRS
@RandallCooperMD
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Husband, Father, Colorectal Surgeon @SummitHealthHQ, Former Chief Resident @ColumbiaSurgery, Colorectal Surgery Grad @CleveClinicFL | Following/RT≠endorsement.
Ridgewood, NJ
Joined June 2017
This sort of presentation of data is completely misleading. The low life expectancy in the US is attributable to trauma and substance abuse deaths. The high death rate for those problems relates to poor public policy and not medical care. Life expectancy in the US for medical
Life expectancy: 🇨🇭84.2 🇯🇵84.1 🇸🇪83.4 🇦🇺83.1 🇫🇷83.1 🇧🇪82.5 🇳🇱82 🇨🇦81.7 🇦🇹81.6 🇬🇧81.1 🇩🇪80.6 🇺🇸78.4 There is no reason why the richest country in the history of the world should have a lower life expectancy than every other major country on earth. Medicare for All now.
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Would add “severe or refractory disease, fistulizing perianal disease, and dysplasia/cancer” to “when to refer to surgery” Multidisciplinary care is key! @AmyLightnerMD @ASCRS_1 @MNCRSurgery @SWexner @SeanLangenfeld @HolubarStefan
🚨 New ACG Crohn’s Guidelines (2025) ▪️Scope at 6–12 mo post-op ▪️Early advanced therapy = key ▪️Anti-TNF, IL-23, JAKi > mesalamine ▪️High-risk = smoking, prior surgery, penetrating dz ▪️Surgery for abscess >2cm or strictures 🔗 https://t.co/PfEj2Rvnke
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How to close the stoma skin after stoma reversal surgery: Circular (purse-string) vs primary skin closure! Systematic review and meta analysis by @GianlucaPellino et al! @pferrada1 @SWexner @juliomayol @TomVargheseJr @CiruAndes2
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Large single institution series of pts undergoing the Deloyers technique for restoration of bowel continuity. Read more in this month's #DCRJournal: https://t.co/pmg29mfTld
@lfsobrado @drtracyhull @ClevelandClinic
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Actually the Medicare conversion factor is the boss of inflation. Hasn’t given physicians a pay raise for their work in nearly 34 yrs. 🤦🏽♂️😤 @AmerMedicalAssn
https://t.co/R66Oi8nXdI
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Interesting @AnnalsofSurgery phase II study looking at the impact of a single cycle of neoadjuvant pembrolizumab on outcomes for stage I-III MMR-deficient colon cancers. Final results from this "RESET-C" study also included as a @JCO_ASCO abstract. 84 patients received 1 cycle
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➡️ Sequential – primary first, then liver 🔄 Combined – simultaneous resection 🔁 Reverse (Liver-first) – better survival in those completing treatment ✅ #CRLM #LiverMetastases #SurgicalOncology #ColorectalCancer @SWexner @BoutrosMarylise @DCRjournal @escp_tweets #ICDS25 (2/2)
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#DCRJournal Didactic Video | Open Deloyers Procedure: https://t.co/txhqZYTDl5
@SeanLangenfeld @Neil_J_Smart @TAMISYoda @Schadi_CRS @Doc_Brown44
@slsteinmd1 @MarkSoliman @rahila_essani @JohnRTMonsonMD @juliomayol @drjamestaylor @KarasJoshua @MaloneyNell @Averywalker21 @ncairl
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One week for bacteremia!! Antibiotic Treatment for 7 versus 14 Days in Patients with Bloodstream Infections | New England Journal of Medicine
nejm.org
Bloodstream infections are associated with substantial morbidity and mortality. Early, appropriate antibiotic therapy is important, but the duration of treatment is uncertain. In a multicenter, non...
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This is why button batteries should be kept away from children 🔋⚠️
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Today my team sat down with our insurance broker. My health insurance premium for my employees went up 30% for our renewal. The government cut their pay to me and all doctors by 3.37% this year for the first two months then reduced the cut to 1.66% for the remainder of the
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Results of NICHE 2 Study. 👇🏼👇🏼 Neoadjuvant Immunotherapy in Locally Advanced Mismatch Repair–Deficient Colon Cancer @NEJM
nejm.org
Mismatch repair–deficient (dMMR) tumors can be found in 10 to 15% of patients with nonmetastatic colon cancer. In these patients, the efficacy of chemotherapy is limited. The use of neoadjuvant imm...
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locations of digestion and absorption of nutrients @ManualOMedicine #Meded #medx #Nutrition #nutrients
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Double-blinded MOBILE2-trial found that mechanical bowel preparation and oral antibiotics reduced the rate of overall morbidity, surgical site infections and anastomotic leaks compared to mechanical bowel preparation only prior anterior rectal resection. https://t.co/1mVNqwWmMx
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If you’re 45 you should get screened. If you have bleeding you should talk to a colorectal surgeon or gastroenterologist about getting a colonoscopy.
Alarming new findings offer more evidence of a puzzling rise in colorectal cancer in patients under 50 and the challenges of reaching them with timely screening. https://t.co/6LJJbjVahz
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Alarming new findings offer more evidence of a puzzling rise in colorectal cancer in patients under 50 and the challenges of reaching them with timely screening. https://t.co/6LJJbjVahz
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For any graduating students/residents thinking about buying a home versus renting, I highly encourage you to read through this white paper by Zillow: https://t.co/dd8BedURKQ
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Primary tumor resection before systemic chemotherapy in CRC with unresectable metastatic disease: no benefit. https://t.co/njRMUkufd2
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