Shimul A. Shah
@shimulshah73
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Professor/Chief Solid Organ Transplant. Liver surgeon focused on quality, utilization and leadership in medicine. Here to save lives, learn & make friends.
University of Cincinnati College of Medicine
Joined October 2013
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Sorry for polical text - Our hospital is full, can’t do elective surgery and I can’t transfer in critically ill patients with ESLD. My kids can’t go to school. Yet our restaurants and bars are open...how does this make sense?? Schools and hospitals need to be
#1
priority.
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2K
15K
#ILookLikeASurgeon
All-Women Team
@UCincySurg
Sewing Liver in on Liver Transplant
@LaSilski
@cincysurgery
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What to get a mom who has everything? One son donates half his liver, the other donates his kidney…
#giftoflife
@transplant_u
@uc_health
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The middle hepatic vein - the lock and key to liver surgery….
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@LouisBLouisIV
@CincyHealthNews
Thank you for sharing. This is an important and powerful story. Recent events bring memories of co-resident Mike Davidson who was murdered in his clinic at BWH not too long ago. That still haunts me and all who knew him.
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Teamwork - transplant/HPB, cardiac and urology….collaboration, trust and expertise
@UCincySurg
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Portal vein to coronary vein varix in OLT case with bad PVT - what is your preference if thrombectomy is not an option?
@HPB_Txp_Surg
@JHawksworthMD
@DrEmamaullee
@MathurAmitK
@AmarGupta_MD
@theliversurgeon
@AlanHawxbyMD
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@jnahmias1
@DissanaikeMD
@JJcolemanMD
@elliotthaut
@MarkSeamonMD
@traumaicurounds
@drdevirgilio
@docmartin22
@TsengJennifer
@pferrada1
@bryanacotton1
@EAST_TRAUMA
@ClaridgeJeffrey
@bernardtrauma
@BHWilliamsMD
“Arterial bleeding is for amateurs, venous bleeding is for professionals” Paul Greig - Toronto
@Seanpcleary
@jbconneely
@johnsealmd
@BAmirSayed
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Recent right lobe donor hepatectomy . how compulsive are you with resuspension of left lobe? I am with 8-10 prolenes. Thoughts?
@liverserjun
@hpbsurgeon1
@sonalasthana
@HPB_Txp_Surg
@IHPBA
@AlanHawxbyMD
@liveRPancSurg
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Machine perfusion leading to more organ viability for liver transplants | WKRC. 25% increase in our volume, highest transplant rate in the US. Median waiting time only 15 days. Congrats to
@transplant_u
@uc_health
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Congrats to
@AaronDelman
for his talk on improving racial and minority access to kidney transplantation
#amersurg22
@UCincySurg
@SyedAAhmad5
@cincysurgery
@ASTSChimera
@transplant_u
@AnnalsofSurgery
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A life-saving gift: Man donates part of his liver to his wife - honored to be a part of our first LDLT in close to 20 years since
@DougHantoMDPhD
did them
@UCincySurg
.
@uc_health
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9
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AHPBA 2023 Executive Council - The Future is Bright
@AHPBA
@Seanpcleary
@MichaelDAngeli2
@JeyarajahRohan
@FlavioRochaMD
@drsuswarner
@therealkwash
@skmaithel
@megimenez
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Congrats to new members of American Surgical Association
#amersurg22
@SyedAAhmad5
@jdimick1
@AnnalsofSurgery
@tracyswangNYMKE
@TopKniFe_B
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R3 Dr. Kasie Onyejekwe waiting for the stitch during liver case
@cincysurgery
@transplant_u
@UCincySurg
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Dr. Majella Doyle talking about about the high discard rate of donor livers in the US…..only 67% utilization!!! Regardless of region. We must do better.
@transplant_u
#UCLiverForum
.
@DrLiver
@theliversurgeon
@davidcmulligan3
@HPB_Txp_Surg
@DrEmamaullee
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Inside the Hospital Where Damar Hamlin’s Life Was Saved - The New York Times. Proud to work
@uc_health
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Reflections of
@AHPBA
mtg. Honored to serve as Treasurer and cont to help grow this great org in footsteps of
@Majeldoyle
along w/
@Seanpcleary
@JeyarajahRohan
@megimenez
Thank you all for great week and the future is bright! Got to get home & celebrate an impt 13th birthday!
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LDLT with cryo preserved vein for V5. What is your choice for conduit and why?
@HPB_Txp_Surg
@KimOlthoff
@Eric_Vibert
@MAbouljoud
@transplant_u
@AmarGupta_MD
@BenSamstein
@pdline
@dbalci
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Tribute to Paul Greig who has touched thousands of lives and careers. His impact has been tremendous on so many of us.
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Honored to work with these superstars and leaders…on to 2024-2025 and the future of
@AHPBA
@JeyarajahRohan
@Seanpcleary
@TaraSotskyKent
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12-15yo now eligible for vaccinations. Get your kids vaccinated...
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Congrats to
@LeeTiffanyC
and all
@UCincySurg
graduates. Highest honor to toast (roast) you on your way to MIS fellowship!
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Transection complete…do add any product on cut surface?
@motazqadan
@FlavioRochaMD
@AmarGupta_MD
@cutitoutPODCAS1
@liveRPancSurg
@DrEmamaullee
@RSnyder_MD
@vz_surgery
@timnewhook19
@transplant_u
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@sapisochin
highlighting the current advances for transplant for metastatic colon cancer
@AHPBA
@JennaWhitrockMD
@ASTSChimera
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Good friends, lots of memories (minus the debate)
@FlavioRochaMD
@Maker_MD
@DrJashDatta
Mike D’Angelica
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Future of the
@AHPBA
is in great hands….congrats to all and of course to
@Seanpcleary
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12
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Congrats and good luck to Dr. Ahmad Mirza leaving after 2 great years of transplant/HPB fellowship
@UCincySurg
. Joining growing leadership
@DanielAlboMDPhD
@MCG_AUG
@cincysurgery
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You are about to transplant this kidney...how do you manage the cyst?
@MathurAmitK
@kristinalemon22
@anjiwall
@LaSilski
@jgaronzikwang
@Quesobear
@LevineTxpSurg
@UM_TREE
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Always an honor to be considered "most prolific tweeter" 😳
#proudestmoment
Last but not least, today we want to introduce you to our fearless leader (and most prolific tweeter), Dr. Shimul Shah
@shimulshah73
, The James & Catherine Orr Endowed Chair in Liver Transplantation, Professor of Surgery, & Director of the Division of Transplantation here at UC.
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@SyedAAhmad5
@TheNotoriousHPB
@NirajGusani
@JBMatthews
@SWexner
@TsengJennifer
@mkatzmd
@DenboJw
"Shah's Rules" - Take everything an HPB surgeon tells you about their complications and double it. Take everything an HPB surgeon tells you about their volume and 1/2 it.
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Both shots done. Please take your vaccine when offered. FYI - No “gun” shots today so I don’t get insulted again by
@RSnyder_MD
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Path to transplant oncology by
@CutlerQuillin
This is the future of cancer care for selected cases.
@ASTSChimera
@transplant_u
@VatcheAgopianMD
@sapisochin
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Who’s your driving buddy?
#surgdogs
@debby_keller
@Laparoscopes
@HPB_Txp_Surg
@JBMatthews
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Our recent work on opioid minimization after liver transplant. 20% went home narcotic free (tylenol/gabapentin). What are you doing for pain?
@HPB_Txp_Surg
@anjiwall
@jgaronzikwang
@DrEmamaullee
@Paulo_MartinsMD
@BenSamstein
@VatcheAgopianMD
@Quesobear
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@UCincySurg
at
@AHPBA
#ahpba
@SyedAAhmad5
@JennaWhitrockMD
@afkassam
@APriceMD
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Lets continue the closure discussion -
Subcostal hockey stick incision - do you close the rectus in 2 layers? I do everytime....
@drymtn
@RSnyder_MD
@VautheyMD
@NirajGusani
@MathurAmitK
@HPB_Txp_Surg
@rbarbosa91
@FlavioRochaMD
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The Stunning Comeback of a Top Transplant Surgeon Who Got a New Heart at His Own Hospital - leapsmag
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@justinmaykel
@KnolJoep
@SWexner
@MichelAdamina
@juliomayol
@patsyllamd
@JohnRTMonsonMD
@SAGES_Updates
@BehindTheKnife
@olympusamericas
@ASCRS_1
Spend some time on the transplant service….maximally invasive
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Was at an AWS Med Student mixer and was asked a question I didn't know the answer: "How did you know you could operate?"
My response (after thinking) was that surgery is 90% brains, 10% hands....so technical is not that important. Thoughts?
@jdimick1
@HPB_Txp_Surg
@NirajGusani
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Farewell to a legend Dr. Rino Munda. Pioneer in kidney & pancreas transplant and vascular access. Retirement after 48 years in practice!
@UCincySurg
@transplant_u
@LaSilski
@eswMD
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Impressive results using NMP for liver transplants by
@MathurAmitK
Leading the field….
@ASTSChimera
@MCNguyenMD
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@jnahmias1
@JJcolemanMD
@DissanaikeMD
@jdimick1
@docmartin22
@elliotthaut
@drdevirgilio
@traumaicurounds
@TsengJennifer
@MarkSeamonMD
@BKendallMD
@fourmiracles101
@carriesims20
@rwinfield11
@Jasosamd
Mine is still our current divisional practice - we hold hands scrubbed during the timeout so that everyone is engaged and taking the timeout seriously and we respect the privilege of helping the patient who is asleep. If a transplant we honor the donor as well.
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Congrats to
@KevinTurnerMD
for outstanding
#ihpba
plenary session talk on TIAPT
@SyedAAhmad5
@GregWilson152
@UCincySurg
@cincysurgery
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@DenboJw
@AHPBA
@JeyarajahRohan
@mary_dillhoff
@HPB_Surgeon
@SocSurgOnc
Here are some slide handouts. 1. Know your anatomy and varients. 2. Importance of understanding how important drainage is with LDLT 3. What to do if you get into trouble
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Large congested acute necrotic liver...how would you take it out?
@LevineTxpSurg
@anjiwall
@MathurAmitK
@Eric_Vibert
@VerranDeborah
@HPB_Txp_Surg
@TxpDoc
@hpbsurgeon1
@dbalci
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LDLT pioneer Abhi Humar from Pittsburgh visiting
@transplant_u
as our Annual Heekin Lecturer. Convincing us a living donor graft is the ideal liver graft.
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Honored to have Prof Pierre A. Clavien as our annual Heekin Lecturer
@transplant_u
@UCincySurg
Inspiring talk on ex vivo liver perfusion…the future of transplant and HPB surgery
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@DenboJw
@AmCollSurgeons
@AnnalsofSurgery
@NirajGusani
@SyedAAhmad5
@juliomayol
@SocSurgOnc
@TsengJennifer
@UTSWSurgeryLife
@ProfW_edinsurg
@MarkSoliman
Attending for sure. It’s my name on the chart and patient’s life as my responsibility. 16 years in as an attending…still have anxiety and it is appropriate. Stay humble. When you get overconfident bad shit happens….(and it has)
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#HPBTwitter
- ext r. hepatectomy, bile duct resection, left roux for hilar cholangio - we discussed drains but do you leave NGT? I think many will so NO but I always do. i don't like an ileus affecting my limb and causing a leak. Myth or reality? What do you do?
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@JennaWhitrockMD
presenting excellent talk on expedited allocation in liver transplant
@transplant_u
@UCincySurg
#ahpba2023
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#livertwitter
Case: Young woman with multiple liver lesions likely adenomatosis. Biopsy of one reveals HCC. Are they others adenomas or HCC? How do we know and how do you manage?
@VerranDeborah
@HPB_Txp_Surg
@sapisochin
@Eric_Vibert
@hpbsurgeon1
@FlavioRochaMD
@transplant_u
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It’s my honor and duty.
#staysafe
.
@kinger8885
How many transplant surgeons take over and hour out of their day to talk to over 100 transplant patients about how to avoid Covid-19? Answer=1 Grateful to
@shimulshah73
#bestsurgeoninus
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SAAS2020
@AsianAcadSurg
Top of Diamondhead
@SyedAAhmad5
@NbmerchantMD
@DrPandalai
@DrJashDatta
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So honored to have
@lizpomfret
join as this week. Incredibly moving and important talks on resiliency and burnout
@cincysurgery
@transplant_u
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#transplanttwitter
how do you handle portal veins of markedly different sizes? Here is small donor portalz. we did a v-plasty to put it to larger recipient portal vein. Any other options?
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Great turnout and meeting. Congrats to
@AHPBA
@Maker_MD
@timpawlik
So great to have personal interaction and discussions!
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Best part of
#ahpba2023
. Reconnecting with old pals from residency
@BrighamSurgery
@AHPBA
@FlavioRochaMD
@TClancyMD
Maker
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Congrats to
@UCincySurg
MS2 Austin Hammaker for presentation
#asc2022
with
@AlexCortezMD
as senior author
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#SAAS2022
under way. First plenary talk
@AsianAcadSurg
@SoCalYuman
@SyedAAhmad5
@AshGosain
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Future of gaming...I think some applicability to surgery and patient care
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#HPBDailyread
Day 11. Thanks
@FlavioRochaMD
Gonna go in a different direction to mix it up. Many of you have probably know these but it is critical and interested in hear your favorites. Simone's Maxims.
I tag
@EmilyWinslow4
#some4hpb
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4
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Honor to stand and kneel for White Coats for Equality and Justice
@uc_health
@UCincySurg
@Prez_Pinto
@LaSilski
@DrBethS1
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2
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Brilliant talk by Dr. Kate Singer
@UCincySurg
Grand Rounds highlighting gender disparities in training and surgical life in general. Biggest threat - safety during pregnancy!
@cincysurgery
@dgerber6
@SyedAAhmad5
@LaSilski
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