Rich Lesperance
@RichLesperance
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Trauma Surgeon (PGY-19), husband, father. Student of trauma care for 34 years now. Former US Army 61J, 18D, 11B
Bozeman, MT
Joined April 2015
Republicans are not “Nazis.” Democrats are not “evil.” Democrats are not responsible for the murder of Charlie Kirk. Republicans are not responsible for the murder of Melissa Hortman. Opponents are not enemies. We’re Americans.
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💊 Dexmedetomidine: promising in theory, but not in practice? A RCT in ICU trauma patients with rib fractures found no reduction in opioid use, pain scores, or pulmonary complications. Nearly 1/2 stopped the drug early. Read here⬇️ 🔗 https://t.co/GHfaha0RLn
#CWISmemberresearch
pubmed.ncbi.nlm.nih.gov
ClinicalTrials.gov Identifier: NCT05321121.
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We've been in our new house in Bozeman for just under a month. I have not yet hooked up our TV. My children could really use your thoughts and prayers during this difficult time of trial....
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I have to agree with this. It’s about pandering to your base.
So let me get this straight… Under Pete Hegseth’s leadership, the Army is rolling out a policy that could kick out Black men for razor bumps—a medical condition that disproportionately affects us. Meanwhile, white troops who refused the COVID vaccine? They got waivers.
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Colonel Jen Gurney receives the Honorary Viking of the Year award at @theTHORnetwork 2025 - very well deserved, and fitting!
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Great presidential address @CWISociety by Dr. Babak Sarani - Passion with compassion, and how a servant leader brings their team to the core of the focus, not themselves…. A good address should inspire all of us to be better, and this one hit the mark.
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Title of the presentation was “is non-operative management safer?” Spoiler: it was not. 50% mortality benefit in her case-matched series! Nice presentation! @CWISociety
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Dr. @JosephSakran giving the @CWISociety Donald Trunkey Keynote address about Leadership outside of the OR and even the hospital. #thisisourlane
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Kickoff to one of my absolute favorite medical meetings - @CWISociety chest wall injury summit. Hands on lab yesterday was great as well. Looking forward to a great meeting!
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Nixon was very popular in 1972. He won 49 states in his reelection. You know what happened. Eight years after that reelection, the more classically liberal and constitutionalist Reagan was elected. Things can change quickly.
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The number of times I saw non-American flag draped coffins in Afghanistan was not insignificant. The ignorance some display on X regarding what allies have done for the U.S. is embarrassing.
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This is the side of #WTA2025 that I haven’t been tweeting about… Almost as important as the science 😁 @WesternTrauma #fellowshipofthesnow
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Great study from U of U Maybe all related to peri & intra-op hypotension? Regardless - limit surgical time as much as possible! #WTA2025 #fellowshipofthesnow
Happening *NOW*: The effect of extracranial surgery on 6-month functional recovery in patients with traumatic brain injury: a CENTER-TBI secondary analysis #WTA2025 #fellowshipofthesnow
@UofUSurgery
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Another nice paper from UT Houston Prehospital blood saves lives. #wta2025
#fellowshipofthesnow
Next abstract! Prehospital Blood Products and Survival #WTA2025
#Fellowshipofthesnow
@bryanacotton1
@MikeVanGent1
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Nice presentation from UT Houston group on patients who refused randomization for their previous SSRF RCT in non-flail rib fxs No benefit to SSRF But - no pain or resp dysfunction component to pt selection. Don’t choose just on anatomy? #wta2025
@WesternTrauma @CWISociety
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WTA panel discussion on “what’s you exit strategy” As part of the focus this year on wellness and balance, some of the most well-known @WesternTrauma luminaries talking about a difficult topic that many surgeons avoid. What do we do “after”? And when is that? #WTA2025
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