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Sabalbal MD Profile
Sabalbal MD

@MaherSabalbal

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691
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A vascular surgeon posting (mostly) about vascular surgery. *my views (especially political)are mine alone and do not represent any organization I am a part of.

Windsor, Ontario
Joined December 2013
Don't wanna be here? Send us removal request.
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@MaherSabalbal
Sabalbal MD
3 years
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@MaherSabalbal
Sabalbal MD
3 years
Anatomy in action. Deep peroneal nerve, distal anterior tibial artery, then anterior vein (lateral to medial). Anterior tibial artery is "blue" because it is thrombosed #Vascular #Anatomy
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@MaherSabalbal
Sabalbal MD
1 year
16 cm AAA. Contained rupture. What's the biggest you have ever come across? Coda balloon for supraceliac control, then supra-renal clamp once anatomy delineated, LRV divided. Bifurcated graft @farkomd @AmputationSuck @AWBeckMD @cfbechara @westleyohman @thesurgerylife @VascularSVS
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@MaherSabalbal
Sabalbal MD
2 years
Proximal SFA to PT at the ankle, nothing quite like it in the presence of a satisfactory GSV.
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@MaherSabalbal
Sabalbal MD
4 years
@mfarooq45 I stood guard at this tomb 10 years ago, I stand guard against racism, defamation and hatred because I am a Canadian Muslim.
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@MaherSabalbal
Sabalbal MD
10 months
@CMA_Docs Your inability to stand alongside a humanitarian crisis, advocate against the murder of Healthcare workers, destruction of hospitals, and targeting of ambulances, is shameful and utterly disgusting. You don't represent medicine in the slightest.
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@MaherSabalbal
Sabalbal MD
2 years
Left ICA pseudoaneurysm following a baseball to the neck. Transient right hemiplegia spontaneously resolved. How would you have treated? @VascularSVS @RKTvascular @farkomd @ReidRavin @CanadianSVS #MedEd #MedTwitter
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@MaherSabalbal
Sabalbal MD
9 months
No GSV, no biggie, get groovey between the pecs and the delts. #CLTI #limbsalvage
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@MaherSabalbal
Sabalbal MD
9 months
Ruptured #aorticaneursym secondary to a chronic type B dissection. There is no such thing as an "uncomplicated dissection", they all eventually complicate. @farkomd @canuc_57 @VascularSVS @AWBeckMD @cfbechara what's ur timeline/algorithm to treat Type B's?
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@MaherSabalbal
Sabalbal MD
1 year
@QaaliHussein1 @JAMA_current Health professionals who are afraid to speak out against crimes of genocidal magnitude need to look in the mirror and ask themselves why they went into medicine. It's been despicable.
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@MaherSabalbal
Sabalbal MD
4 years
@MrAhmednurAli @uche_blackstock The further these 'muslims' are away from Islam, the more profound your statement. Muslims need to remember Bilal ibn Rabah, this is reminiscent of his struggles. Slavery in all its forms has no place in Islam, nor in any "free democracy" #GeorgeFloyd
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@MaherSabalbal
Sabalbal MD
4 years
Retrograde iliac to SMA bypass. Had to scrub out to check @Royal_College exam results. I passed, I cried, I closed the abdomen, I phoned my mom and wished her a happy birthday. What a day. Grateful. Love this job @VascularSVS @CanadianSVS
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@MaherSabalbal
Sabalbal MD
3 years
Ruptured penetrating aortic ulcer (right angle through the defect). Open repair, Tube graft, Suprarenal clamp. @VascularSVS @farkomd @SVM_tweets @CanadianSVS
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@MaherSabalbal
Sabalbal MD
8 months
Young patient with a large vertebral artery aneurysm...has anyone come across anything like this? I'm tempted to coil it...but of course worried about stroke risk. @farkomd @canuc_57 @AWBeckMD @ahmedkayssi @westleyohman @VascularSVS @_backtable
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@MaherSabalbal
Sabalbal MD
3 years
Name the nerve. The structure above it is the hypoglossal nerve. And no, it's not the ansa cervicalis 🙂. @VascularSVS @CanadianSVS @Irr_Anatomist #MedEd #MedTwitter #anatomy #vascular
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@MaherSabalbal
Sabalbal MD
3 years
Under-diagnosed, mis-managed and poorly understood. First rib resection for nTOS, need to extend surgical indication beyond just arterial. Some of my most grateful patients.
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@MaherSabalbal
Sabalbal MD
1 year
Distal AT cut-down. Anatomy is a surgeon's best tool. Remember to develop your plane between Tibialis anterior tendon and extensor hallicus longus @AmputationSuck @farkomd @VascularSVS #MedTwitter #VascularSurgery #Anteriortibial artery #Anatomy @Irr_Anatomist
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@MaherSabalbal
Sabalbal MD
3 years
Vascular surgery is Beautiful. Venous TOS, costoclavicular space can be a hostile one for the subclavian vein. Subclavius muscle was resected, anterior scalene was resected and the first rib was removed
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@MaherSabalbal
Sabalbal MD
9 months
Happy heart day. Take care of your arteries. #cea #carotidplaque
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@MaherSabalbal
Sabalbal MD
4 years
@JVascSurg The apology is a good start, but the medical system is broken and the surgical culture needs to be repaired. I would start with addressing the unprofessionalism junior trainees and surgical interns, especially in the US, face. This should have never passed the eyeball test.
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@MaherSabalbal
Sabalbal MD
4 years
@LianaHwang @Albertadoctors Should have read this thread in high school. I would also add: Recruiter: oh, one more thing. You don't get a pension for your service to the public. Start saving
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@MaherSabalbal
Sabalbal MD
11 months
Successfully repaired. Cadaceric SFA graft interposition Celiac trunk proximally and right hepatic distally. @farkomd @canuc_57 @AWBeckMD @VascularSVS @CanadianSVS
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@MaherSabalbal
Sabalbal MD
1 year
Healthy 71 yo. Large common + proper hepatic artery aneurysm secondary to dissection of distal celiac trunk. Treatment options? @farkomd @AmputationSuck @jmills1955 @cfbechara @westleyohman @RKTvascular @VascularSVS @thesurgerylife yes I'm asking for help 🙂
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@MaherSabalbal
Sabalbal MD
3 years
@Schadi_CRS Nicely sad bro. My children are too young to understand too, and I also hope by the time they are older positive change would have been enacted
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@MaherSabalbal
Sabalbal MD
2 years
Patient in their 50s. No know atherosclerotic risk factors. Ipdilateral MCA TIA a few months ago. @VascularSVS @VSGBI @jmills1955 @drmcumming @farkomd @CanadianSVS @Angiologist @thesurgerylife
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@MaherSabalbal
Sabalbal MD
11 months
Unfortunately, medicine is as corrupt and biased as the political sphere
@QaaliHussein1
Qaali Hussein, MD
11 months
“Not a single major medical professional organisation in the US has come out against the acute-on-chronic genocide of Palestinians in Gaza, let alone rallied their substantial lobbying power to oppose US lawmakers’ active support for it.” By @_Eric_Reinhart et al
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@MaherSabalbal
Sabalbal MD
3 years
Triple lumen through IJ front wall, then through back wall, the through proximal 1cm for right subclavian artery to its final rest place in ascending aorta. What would you have done? @CanadianSVS @VascularSVS @JVascSurg @EJVES_ESVS @SVM_tweets
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@MaherSabalbal
Sabalbal MD
3 years
Posterior approach to popliteal thrombectomy. Did a longitudinal arteriotomy in TP trunk. Peroneal and PT can be seen, AT takes off anteriorly so cannot be fully visualized. Patch repair with short saphenous vein. @CanadianSVS @farkomd @VascularSVS @EJVES_ESVS @SVM_tweets
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@MaherSabalbal
Sabalbal MD
5 years
Submitted to my PGME. @Royal_College please read and reflect, +2000 residents share these concerns amplified by @jddneary as our fearless leader.
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@MaherSabalbal
Sabalbal MD
11 months
Dr Brar, a vascular surgeon in the UK, being arrested for standing with Palestine. Society has it all backwards it seems as doctors now being arrested for standing against genocide. No words. @trklou @QaaliHussein1 @omarsuleiman504
@joti2gaza
Joti Brar
11 months
The true face of 'western democratic values'. This is the third time our comrade Dr Ranjeet Brar has been arrested as a result of his solidarity with #PalestineFree . On the two other occasions the police were eventually forced to pay damages for wrongful arrest and mistreatment
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@MaherSabalbal
Sabalbal MD
1 year
Thank you all for your tips and tricks. Tackled this CTO with a glide and a kumpe. Right slipped right through, but left needed patience and a whole lot of wire spinning. (Biggest lumbar I've ever seen..) @farkomd @vascularIR @AWBeckMD @westleyohman @thesurgerylife
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@MaherSabalbal
Sabalbal MD
2 years
Juiciest GSV I've seen in a while. CEAP 4a disease. VenaSeal should do the trick. @VascularSVS @VeinsandL @TheVeinBoss thoughts? Do you have a size threshold? Plan for ankle access in that juicy segment near the malleolus.
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@MaherSabalbal
Sabalbal MD
4 years
So my @Royal_College exam is on my wife's birthday...in the hotel where we got married...suuuuuper weird. Good luck to everyone writing this week. We got this!
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@MaherSabalbal
Sabalbal MD
8 months
Left gonadal vein transposition is my go-to for #Nutcrackersyndrome . Hit 2 birds with 1 anastomosis. @farkomd @AWBeckMD @JVSVL @VenousForum @canuc_57 @VascularSVS @westleyohman @ahmedkayssi . What's yours?
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@MaherSabalbal
Sabalbal MD
1 year
64 yo bilateral disabling claudication and heavy smoker. What do you see? What do you? @farkomd @jmills1955 @AWBeckMD @cfbechara @thesurgerylife @VascularSVS @csvs @canuc_57
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@MaherSabalbal
Sabalbal MD
4 years
To all the @jddneary 's out there, thank you.
@LMelvinMD
Lindsay Melvin
4 years
I pursued a career in GIM in no small part due to inspiration by the amazing @jddneary . He remains an inspiration today, showing true leadership & fierce advocacy at the @Royal_College special meeting to discuss spring examinations
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@MaherSabalbal
Sabalbal MD
1 year
So remember this case? Decided to.proceed with aorto-bi-profunda bypass. This is the infrainguinal anatomy. What's what? What's this peculiar vessel (blue loop) coursing medially? What about the red loops? @farkomd @canuc_57 @AmputationSuck @AWBeckMD @MichaelSConteMD @VascularSVS
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@MaherSabalbal
Sabalbal MD
1 year
64 yo bilateral disabling claudication and heavy smoker. What do you see? What do you? @farkomd @jmills1955 @AWBeckMD @cfbechara @thesurgerylife @VascularSVS @csvs @canuc_57
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@MaherSabalbal
Sabalbal MD
9 months
@farkomd @canuc_57 @VascularSVS @AWBeckMD @cfbechara Right groin puncture, Coda balloon and proximal control obtained in minutes. Laparotomy, retroperitoneum opened, L renal vein divided, renal arteries controlled, aortic sac entered/decompressed, suprarenal clamp placed, supraceliac Coda balloon deflated.
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@MaherSabalbal
Sabalbal MD
1 year
I'll give it a shot!
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@MaherSabalbal
Sabalbal MD
11 months
@uOttawaPHPM What's so complex about a Dr advocating against a genocide?
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@MaherSabalbal
Sabalbal MD
4 years
Is it not a HUGE red flag that not a single graduating resident (to my knowledge anyways) has supported the way the @Royal_College has handled this? Or are they patting each other on the back for it behind closed doors thinking "we know best". Or they simply don't care?
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@MaherSabalbal
Sabalbal MD
5 years
Thank @Royal_College CEO for reaching out to us, but we need more support @smoffattbruce1
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@MaherSabalbal
Sabalbal MD
3 years
@QaaliHussein1 If we can't, as physicians stand against oppression of the most blatant kind, I feel bad for our patients who im sure are oppressed everyday
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@MaherSabalbal
Sabalbal MD
5 years
So it IS doable @Royal_College Someone, some where important has to REALLY care first I guess
@jddneary
John Neary
5 years
Province of Ontario is delivering online examinations for university students. Certification exams for @Royal_College are much more urgent. No reason they cannot be delivered using a similar platform @ConcResidents
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@MaherSabalbal
Sabalbal MD
2 years
"Daddy you're home early!" Exclaims my 5 yo as I walk in the door at 6 pm after a 7 am start (inpatient rounds then clinic). Something didn't quite feel right about that 😕 #vascularlife #vascularsurgery #medtwitter
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@MaherSabalbal
Sabalbal MD
11 months
@SalSpadafora1 @RitikaGoelTO @yipengGe @OttawaU You should have stopped at "I don't know the details" and stray away from conjecture
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@MaherSabalbal
Sabalbal MD
4 years
@MichaelChaikof @Royal_College @smoffattbruce1 Thank you Michael for eloquently phrasing the thoughts, fears, concerns, anxieties of the graduating cohort. I'm at a loss for words at this point. This meeting was done to appease, and say "look, we tried". Clearly that is not true, no amount of apology will right this.
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@MaherSabalbal
Sabalbal MD
8 months
No. In fact, this study showed that patients who were not shunted had a lower risk of stroke. Is shunting necessary ever? No. Others will disagree, but I will die in on this hill until I see real evidence to the contrary. @farkomd @canuc_57 @ahmedkayssi @VascularSVS
@EJVES_ESVS
EJVES
8 months
4 - Is Shunting Necessary in Patients with Contralateral Carotid Occlusion undergoing Carotid Endarterectomy? @ManarKhashram
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@MaherSabalbal
Sabalbal MD
2 years
@TMitrosilis As a surgeon, being patient, present and deliberate is what it's all about. Amazing thread. Thank you.
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@MaherSabalbal
Sabalbal MD
5 years
Residents and THEIR FAMILIES make great sacrifices to 1. Compete their residency, and 2. Even more so to buckle down for the exam of their lifetime. Please factor that into any equation @Royal_College . It is not right to put ourselves and families through studying for this 2..3x
@alana_mcevoy
Alana McEvoy
5 years
Amazing how much value Ontario puts into postgrad students during this time, but @Royal_College still can’t find a way to certify trained physicians in an online format when we need it most. We need #allthedoctors now.
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@MaherSabalbal
Sabalbal MD
3 years
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@MaherSabalbal
Sabalbal MD
5 years
@cpso_ca Why does the CPSO require a license with supervision, but the CPSA is willing to issue full independent license that expires June 30, 2021? Why the disparity? Why make our lives unnecessarily difficult? Why put up roadblocks during a global pandemic instead of easing your rules?
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@MaherSabalbal
Sabalbal MD
2 years
Future of Vascular wound care?
@Innov_Medicine
The Innovation | Medicine
2 years
Doctors are now using fish skin to heal burn wounds.(GiGadgets) #HealthTech #MedTwitter
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@MaherSabalbal
Sabalbal MD
2 years
Into the bucket it goes. We have failed as a group in managing patients with TOS. Neurogenic in particular have been dismissed and labeled for far too long. @VascularSVS @csvs #thoracicoutletsyndrome #inthebucket
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@MaherSabalbal
Sabalbal MD
2 years
Preop left ICA pseudoaneurysm.
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@MaherSabalbal
Sabalbal MD
1 year
Among giants. Look who I ran into at CSVS annual meeting! @CanadianSVS @canuc_57 @farkomd @VascularSVS
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@MaherSabalbal
Sabalbal MD
3 years
@DGlaucomflecken Vascular surgeon here ... What's a blepharoplasty? Is that like an angioplasty of the eyelids?
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@MaherSabalbal
Sabalbal MD
2 years
There's something about leaving the hospital after rounds in the morning just as everyone else is walking in that gives a sense of accomplishment to the day, and for moat, the day hasn't even started yet.
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@MaherSabalbal
Sabalbal MD
2 years
Important for surgeons to do these to avoid chronic back pain.
@mythoughtfood
Alex Bernier
2 years
The Ten Posture Commandments:
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@MaherSabalbal
Sabalbal MD
1 year
@Bernadotte22 { لَا یُقَـٰتِلُونَكُمۡ جَمِیعًا إِلَّا فِی قُرࣰى مُّحَصَّنَةٍ أَوۡ مِن وَرَاۤءِ جُدُرِۭۚ بَأۡسُهُم بَیۡنَهُمۡ شَدِیدࣱۚ تَحۡسَبُهُمۡ جَمِیعࣰا وَقُلُوبُهُمۡ شَتَّىٰۚ ذَ ٰ⁠لِكَ بِأَنَّهُمۡ قَوۡمࣱ لَّا یَعۡقِلُونَ } [Surah Al-Ḥashr: 14]
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@MaherSabalbal
Sabalbal MD
4 years
How I see myself walking out of @Royal_College exam on Friday...
@kingkielbasa22
Tasty McGrady
4 years
@RexChapman Somebody get the light switch for me.
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@MaherSabalbal
Sabalbal MD
4 years
I have a vascular surgery joke but it might be too unprofessional
@gradydoctor
Kimberly D. Manning, MD, MACP
4 years
I have a health equity joke but only certain people would get it.
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@MaherSabalbal
Sabalbal MD
10 months
@picardonhealth @yipengGe @CMA_Docs There was nothing controversial about his posts. You are revealing your true colors
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@MaherSabalbal
Sabalbal MD
2 years
With the ant. Scalene gone, the trunks of the brachial plexus are free. Patients often get symptoms that can be traced back to the inferior trunk, this is why. @VascularSVS @VesSurgery @JVascSurgCIT @CanadianSVS #tos #thoracicoutletsyndrome #medtwitter @DGlaucomflecken
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@MaherSabalbal
Sabalbal MD
2 years
One of my favorite operations, open repair of a 4 cm CFA aneurysm,.followed by antegrade access and repair of pop aneurysm with a Viahbahn. @VascularSVS #aneurysmrepair @CanadianSVS
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@MaherSabalbal
Sabalbal MD
1 year
Healthy 71 yo. Large common + proper hepatic artery aneurysm secondary to dissection of distal celiac trunk. Treatment options? @farkomd @AmputationSuck @jmills1955 @cfbechara @westleyohman @RKTvascular @VascularSVS @thesurgerylife yes I'm asking for help 🙂
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@MaherSabalbal
Sabalbal MD
2 years
@OGdukeneurosurg Shout/yell: never. Surgeons who do this are compensating for defects in their skills and/or personality. Showing emotion is human. Stay away from the surgeon that lacks emotion.
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@MaherSabalbal
Sabalbal MD
4 years
"nearly anyone can withstand adversity, but if you want to test a [person's] character, give them power" - Abraham Lincoln. No degrees beside his name. Education is self-taught, not granted. The ultimate form of power is the one over your own vices. Control it. Channel it.
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@MaherSabalbal
Sabalbal MD
2 years
Severe rest pain right leg. Couldnt even have it up for a minute for me to examine him properly. An aortobifemoral would have been...challenging in this patient. Instead, CERAB and home same day. Love this job. 😀 #aortaed @VascularSVS @csvs @_backtable #vascularsurgery
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@MaherSabalbal
Sabalbal MD
4 years
@MichaelChaikof @Royal_College @smoffattbruce1 I only hope we can do better for our future colleagues as future voting members, and possibly, as members of the executive committee. I look forward to it. For now, I must suck it up and deal with the harsh reality thrown our way
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@MaherSabalbal
Sabalbal MD
5 years
Thank you @Royal_College and @smoffattbruce1 for listening, and adapting. We know it's a big deal to scrap the oral exam. Thank you for allowing us to realign our priorities. We still need to study, but seems like we have at least 5 months to ace this thing!
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@MaherSabalbal
Sabalbal MD
4 years
Nicely succinct visual summary of the indication to treat visceral artery aneurysms
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@MaherSabalbal
Sabalbal MD
3 years
Final answer: superior laryngeal nerve. This nerve will divide into internal (sensory) and external (motor to cricothyroid) branches. It should be preserve. If you can't name it, don't cut it!
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@MaherSabalbal
Sabalbal MD
4 years
7 yo: daddy what will happen if you fail your exam, will we have to go back to Calgary and be poor people? Me: 😶
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@MaherSabalbal
Sabalbal MD
2 years
56 yo with retained IVC filter. Percutaneous attempts at retrieval have failed. He has been anticoagulated with Warfarin for thromboprophylaxis due to the retained filter. He has not experiences any filter related complications. Remove surgically or leave in place and follow?
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@MaherSabalbal
Sabalbal MD
3 years
I shall die on this hill...who's with me?! If anyone refuses IV contrast on one of my patients they have to read this for homework.
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@MaherSabalbal
Sabalbal MD
2 years
Healthy patient in his 50s. Worsening abdominal pain since June, especially post-prandial. Weight loss. No change in extent of dissection CTA 3 mo apart. SAM? Open or endo? Medical mx? @farkomd @AWBeckMD @VascularSVS @jmills1955 @VascSurgMD
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@MaherSabalbal
Sabalbal MD
10 months
@yipengGe @CMA_Docs Dr Ge, you have the support of many of your colleagues who fought against the systemic oppression and bigotry that has gone rampant in our healthcare system. Your resignation letter sends a clear message to those who elevate their political biases over the sanctity if human life
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@MaherSabalbal
Sabalbal MD
3 years
@VascularSVS @laurelhadley @malas_mahmoud @VouyoukaAgeliki @TL_Forbes @farkomd I really thought the last question was going to be to shunt or not to shunt 😠
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@MaherSabalbal
Sabalbal MD
5 years
Dear @Royal_College I'm at loss for words. You must do better...we have worked too long and too hard for you to put our life on hold. If you want us to contribute to patient care during this crisis, delaying our exams accomplishes the opposite. Please re-consider
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@MaherSabalbal
Sabalbal MD
5 years
@MichelleOnlock Neglected is how I feel. No one from @Royal_College college has taken the time to assess how this has affected us at a personal level. I spent 5 years training for this, I'm ready. My wife has a PhD and has put her life on hold for me to finish so she can look after our 3 kids..
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@MaherSabalbal
Sabalbal MD
4 years
I experienced all 4 a few nights ago...it got lonely very fast. Miss my sensei
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@MaherSabalbal
Sabalbal MD
2 years
Patient with neurogenic TOS (consented to pics). Note the tight scalene triangle, which is a common finding in patients with TOS. There is no space between the two muscles where the trunks of the brachial plexus run @VascularSVS @CanadianSVS @JVascSurgVI @JVascSurgCIT
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@MaherSabalbal
Sabalbal MD
3 years
Becareful dividing the IMV in open aortic procedures, especially in someone with occlusive disease. Something treacherous may be lurking beside it...Moskowitz would be very upset with you. Mind the meandering mesenteric artery!
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@farkomd
frank arko
3 years
The inferior mesenteric artery is pretty important in this angiogram
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@MaherSabalbal
Sabalbal MD
4 years
To stop myself from going insane 7 days before my Royal College exam I will be creating exam-studying riddles. Here we go: I'm young, idiopathic and never ulcerate. I have normal nails. What am I? #medtwitter
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@MaherSabalbal
Sabalbal MD
1 year
Alveena Ahmed, MS4 and vascular surgery gunner, representing Windsor @WRHospital and @SchulichMedDent on a National stage at @CanadianSVS 2023 annual meeting. And represent she did! Well done Alveena. @larry_jacobs1 @J_Landau @WesternU
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@MaherSabalbal
Sabalbal MD
5 years
Quite a disappointing 'update' from the @Royal_College today. We have been eagerly anticipating a big announcement of some sort so we can prioritize our life. Instead, we receive an update that we will be updated in 2 weeks by @smoffattbruce1 .
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@MaherSabalbal
Sabalbal MD
5 years
@Royal_College There is nothing positive about this. Positive means we can be recognized for sacrificing family time, physical and mental health, and overall well-being while putting in 10 hour days for the past 4-6 months to be certified. Not to mention the 2-7 years of training. Certify us.
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@MaherSabalbal
Sabalbal MD
1 year
@canuc_57 @saherssabri @jmills1955 @drcostantino1 @ReneLizola @farkomd @AmputationSuck @BEST_CLI @MichaelSConteMD @UCSFvascular @VASCevidence @BCM_Surgery 💯. Have done 4 in 2 months. This shouldn't be reserved for "large volume" vascualr programs, this is bread and butter vascular surgery
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@MaherSabalbal
Sabalbal MD
5 years
@latdizzler @Royal_College @phdhpe @ConcResidents @cpsbc_ca @cpso_ca @jddneary @CBC This is heartbreaking, @Royal_College you need to do better for countless others like him to help us help our nation in this dire time. Give us our exam and/or straight up certify us. You serve the public? Show us how.
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@MaherSabalbal
Sabalbal MD
8 months
This is what surgical collaboration looks like. Lifesaving surgery and beautiful anatomy
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@MaherSabalbal
Sabalbal MD
5 years
@Ronindoc @DrDanica @Royal_College We are not beginners doc. We were trained to thrive and to support our community during crises. We will never 'thank you later'
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@MaherSabalbal
Sabalbal MD
2 years
Post scalenectony. inferior trunk was buried deep in the wound, explaining why most patients present with ulnar neuropathy
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@MaherSabalbal
Sabalbal MD
2 years
Patient with neurogenic TOS (consented to pics). Note the tight scalene triangle, which is a common finding in patients with TOS. There is no space between the two muscles where the trunks of the brachial plexus run @VascularSVS @CanadianSVS @JVascSurgVI @JVascSurgCIT
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