Matthew Martin, MD, FACS, McRIB
@docmartin22
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Trauma/Critical Care, Bariatric, Gen Surg, Military(ret) Liberal, Heterodox, Dad to twin terrors! No patience for right-wing fascists OR left-wing totalitarians
Los Angeles, CA
Joined December 2011
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Pinned Tweet
To the twitter-atricians who criticize those treating COVID with drugs/therapies that have weak prelim data: 90% of what you do every day (no matter the specialty) has ZERO Level 1 evidence. It's a pandemic...AND....this is how medicine works. Slow crawl from darkness to light!
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Gotta take the COVID wins when you can. Our first COVID+ tracheostomy patient 4 weeks later. Ready for discharge to rehab and family. Posted with patient's permission and message "I hope this sends hope to other patients".
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COVID Lesson
#1
from past 24hrs call in NYC. Don’t intubate for low sats - tolerate sats in 80s if pt mentating and comfortable. Confirm no CO2 retention and keep the tube away!
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Happy Veteran’s Day: Was an Armor officer before becoming an Army trauma surgeon. Fired every weapon from pistol to M1A1 tank. Five tours to Iraq/Afghanistan, 15 years at Level 1 trauma centers. Tell me again about “my lane”
@NRA
?
@ThisIsOurLane
@drjudymelinek
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When you let the new intern dissect the gallbladder out of the fossa...
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In memory of 2 heroes who don't get recognized enough. CPT Maria Ortiz, our Chief Ward Nurse w the 28th CSH. Killed in 2007 in Baghdad in a mortar attack. CPT Jennifer Moreno, one of our
@MadiganSurgery
family, killed in action while aiding injured soldiers in Afghanistan 2013.
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Today's Grand Rounds: TXA in Trauma
There is no "s" in "tranexamic"
Thank you for attending. This activity is granted 0.005 CME credits.
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“The patient was brought to the operating room, intubated, and placed under general anesthesia. The abdomen was prepped and draped in standard fashion. A full preoperative timeout was held and the surgical site was confirmed.”
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Remembering those who didn't come home: Surgeons Mark Taylor, John Pryor, & Brian Allgood. Nurses Maria Ortiz and Jennifer Moreno. All killed in action while trying to care for others.
#MemorialDay
#NeverForget
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Every day should be Memorial Day for these heroes:
CPT Maria Ortiz, RN - KIA in Baghdad, 2007
MAJ John Pryor, MD - KIA in Mosul, 2008
COL Brian Allgood, MD - KIA in Baghdad, 2007
CPT Jennifer Moreno, RN - KIA in Afghanistan, 2013
LTC Mark Taylor, MD - KIA in Fallujah, 2004
All
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when the Ortho intern takes over doing compressions...
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I have a Surgery joke that no one laughed at. I blame Anesthesia
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Tanned, rested, ready, and vaccinated! Possibly some ice-cream bribery post-shots.
#SurgParenting
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@HARRlS0N_
Yes, but by the time you finish Neurosurgery training you’re only 5 years from retirement age
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Did
@JosephSakran
just add my name to a prestigious list of "reliable medical experts" started by a frozen sliced-steak vendor? Do I have to now report this as an industry association on every conflict of interest form in perpetuity?
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@erin_bsn
And then the zeolite heebitty jeebitty binds to the flux capacitor and detensifies the 5th chakra in the astral plane.
My version is demonstrably more accurate than yours.
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Honored to be in Ukraine and operating with one of my Ukrainian military surgeon colleagues. And jealous that he has a better laparoscopy tower and scope than I do at home!
#StandWithUkraine
️
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To all following the
@JVascSurg
"professionalism" paper and
#MedBikini
saga, my proposal for a "New Professionalism" that recognizes humans as humans, and fights the increasing corporatization of physicians and weaponization of "professionalism".
@MdSlutty
@TomVargheseJr
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COVID Lesson
#6
from NYC pandemic: EVERYTHING is COVID, even when it's not. Did colectomy/liver repair for GSW to abd last night. My biggest concern isn't leak, abscess, dehiscence - it's for this pt getting COVID. Horizontal transmission rampant - despite "non-COVID" wards.
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@WendyHassonMD
"without a moment's notice" - someone needs some remedial education 'bout the birds and the bees
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Surgeons - ok, how long did it take you to break the habit of ripping your mask off and thus ruining it for future use? Mine = 8 days
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On Sept 16, 2007 I was the Chief of Trauma at Ibn Sina Hospital in the Green Zone of Baghdad. I remember this day particularly among many horrors of that war. Erik Prince and his Blackwater thugs deserve to all share the same jail cell.
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I don't even know where to start with this one. Leave it to Ortho to figure out how to upcode for "emotional effort"! Modifier 22 - where have you been all my life??
@Skepticscalpel
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Trauma surgeons - be on lookout for most rapidly increasing injury mechanism: COVID-19 INDUCED WHIPLASH - usually secondary to daily changing guidelines and premature study publications
#COVIDWhiplash
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Another call night, and another talk in the "quiet room" telling a mother her son won't walk again due to senseless gun violence. I hate this lane, but until we have change, THIS IS OUR LANE.
@ThisIsOurLane
@DocsDemand
@EAST_TRAUMA
@ACSTrauma
@pferrada1
@rwinfield11
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Heading to San Francisco for
@AmCollSurgeons
#ACSCC2019
- why rent a scooter when you can pack and ride your own?
#SurgParenting
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Memorial Day 2020 roll call for those who didn't come back: Surgeons Mark Taylor, John Pryor, & Brian Allgood. Nurses Maria Ortiz and Jennifer Moreno. Heroes killed in action while trying to save others lives.
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The surgeon's Kobayashi Maru - how to respond to the accidental heart emoji text from your resident?
@RASACS
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COVID Lesson
#2
- real “critical care” is >90% dependent on having an ICU-trained nurse. Best intensivist in the world won’t matter - good crit care nurses are worth their weight in gold. Or platinum.
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What do you get for the doc who has everything in 2020? This sweet eye pro and face shield combo - first one that’s comfy and doesn’t fog or slip. Thanks COVID Santa!
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In honor of residency graduates across the country (and world), I think that the words of Osler should be mandatory for every graduation speech.
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Today’s Grand Rounds: Colostomies in Trauma. Surgeons whose sole justification for doing a colostomy is “so I can sleep better tonight“ should have to have a colostomy for 1 week and then tell us how well they’re sleeping. Thank you for attending. This activity is worth no CME
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An atypical 9/11 story, bear with me: Although I'll never forget that day, particularly experiencing it as an active duty soldier on a military base that went into immediate lockdown, another memory stands out even more.
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Update - the Dr. Fauci scrub caps have arrived. Deploying for use in
@mercy_trauma
OR tomorrow!
#FauciSurgery
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@domsisti
@Sarah_Mojarad
@eemoin
Not sure any of us need self-appointed standard police either though.
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@jnahmias1
@DissanaikeMD
@JJcolemanMD
@elliotthaut
@MarkSeamonMD
@traumaicurounds
@drdevirgilio
@shimulshah73
@TsengJennifer
@pferrada1
@bryanacotton1
@EAST_TRAUMA
@ClaridgeJeffrey
@bernardtrauma
@BHWilliamsMD
On how slowly I’m closing the skin - “well, it’s a race between you and the fibroblasts”
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@amoytheemd
humility? Can't have a bed without a mattress! On the way. Congrats on graduation and welcome to the club.
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As someone who scraped by on loans and ridiculous credit card debt to get thru med school, happy to pitch in to welcome new grads to this great profession!
#medgradwishlist
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Seen in the hospital today. Anyone know what this thing is?
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COVID lesson
#3
: intubation=high mortality. Intubation + renal failure = almost certain death. I think we have a short window up front to try and reverse the multi-organ damage, & after we miss that it is rearranging deck chairs on the Titanic. Props to incredible NYC docs!
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First they came for my doctor's lounge graham crackers, and I said nothing. Then the mini-can Fanta, and I said nothing. Now they've replaced my saltines with "unsalted"? Who TF would eat an unsalted saltine? It's IN THE NAME - SALT-ines!!!
#TheStruggleIsReal
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@drdrew
@P_McCulloughMD
@AskDrDrew
Of the two original hosts of Loveline, you are now the one with the least medical credibility.
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Western Trauma Association joins the call for comprehensive assault weapons ban at
#WTA2018
- unanimous vote
@JosephSakran
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Without question, the greatest honor of my life. An incredible list of previous awardees to join, and obligation to live up to John Pryor's legacy.
Congratulations to
@docmartin22
for receiving the John Pryor Award. Well deserved.
@EAST_TRAUMA
#EAST2019
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Okay, guys. Crisis brings opportunity. Proposal to simplify the ridiculously complicated ICD-10 system. What do you think?
@CMSGov
@Skepticscalpel
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Resident: "Patient is prepped and draped"
Attending:
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Surgery attending taking the intern through their first laparoscopic case
@me4_so
@SAGES_Updates
@BehindTheKnife
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Thank you! My final words at my retirement ceremony to all of our young military surgeons: “I hope that all of you get as much out of your military career as I have.”
@docmartin22
, Thank you for your service in the Army and for what you've done for military medicine. Truly a great leader and pioneer.
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COVID Lesson
#5
from
#JacobiNYC
: Incredible staff rises to the occasion, but the bedrock of this response has been the interns/residents. Hard working, dedicated, doing every and any job, and fearless. Need to protect them at all costs & never forget.
@RASACS
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RIP Dr. Don Trunkey - a trauma legend and tireless friend to military surgeons. Will never forget the surprise of seeing Dr. Trunkey (front 2nd from left) walking off a plane in Kandahar, Afghanistan. Longest trip to speak at a trauma conference that I know of!
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For today - remembering some of our own who didn't come home, and who all died trying to help others:
CPT Maria Ortiz RN, MAJ John Pryor MD, COL Brian Allgood MD, LTC Mark Taylor MD, and CPT Jennifer Moreno RN
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COVID Lesson
#9
from NYC: This experience has many parallels with high-volume combat deployments. I fear one of them will be the long tail of PTSD & mental health issues among providers. This often won't manifest now - it will be when we "get back to normal". Watch your people!
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Mike Sise says “tradition is just peer-pressure from dead people” - discussing modern surgical training paradigms at
#TCCACS2021
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And I complain about my back hurting? Pregnant doc w her child on her back, doing c-section to save a mom/baby in Kenya
#ILookLikeASurgeon
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@ThatClinical
Patient: “you do robotic surgery but you don’t know how to stop this alarm (iv pump)”??
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A handful of some of the best "losers and suckers" that I've had the pleasure to serve with.
#Vote
#EnoughIsEnough
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The
#Surgery
community lost a GREAT one today. Dr. Eric Johnson - surgeon, friend, soldier, combat veteran, husband, father, skydiver, base jumper, leader, educator, and so much more.
RIP my friend, I miss you already. Keep on "slingin that hash"!
@AmCollSurgeons
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@RUBraveEnough
18 years ago I walked in and started a preop for a kidney/pancreas transplant. When I got to the consent she said “absolutely not” and kicked me out of her room. Turns out I was in the wrong room, and she was there for a hysterectomy.
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Congrats to
@pferrada1
on promotion to full Professor! She exemplifies the true “quadruple threat” academic surgeon and teacher. So well deserved
@EAST_TRAUMA
@traumadoctors
@ACSTrauma
@JTraumAcuteSurg
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Just when you think you’ve clearly won the Pelvic Binders pro/con debate, your opponent
@traumaicurounds
shows up decked out in MAST pants!
#USC_TraumaSymposium2021
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Blunt trauma with transected pancreas - going to OR for distal pancreatectomy/splenectomy. What would you do with the left kidney?
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@kari_jerge
I would say you have about equal chances of getting a bad CRNA vs a bad anesthesiologist. For military, after 5 deployments, if I had to put together the “all-star” team of people I’ve worked with, my top 3 for anesthesia would all be CRNAs.
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@DissanaikeMD
@BehindTheKnife
Or at least adopt a more useful classification system. I prefer the Artemiev classes for describing intraoperative bleeding.
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To all trauma personnel on call for New Year’s Eve - we salute you!
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Dear Reviewer 3, your peer review is now 4 days overdue. We rely on timely manuscript reviews and would appreciate your immediate attention to this matter. If you are unable to complete this in a timely manner we will need to reassign your responsibility to Puerto Rico.
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Finally - results from the RESCUE-ASDH Trial are out in
@NEJM
. Study of patients with acute traumatic subdural hematoma requiring surgical evacuation, randomized to either standard craniotomy versus craniectomy. So what did they find?
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@DerrickArthor
@RyanMarino
@Rusticus17761
pick any video in the operating room and it includes doctors handling fentanyl - and living to tell the tale
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