Rodrigo Gerardo, M.D. 🟧 @RodGerardo Twitter profile

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Rodrigo Gerardo, M.D. 🟧

2 years

Med students and interns - Calling for a consult can be nerve wracking. A long time ago, my chief taught me how to call a consultant and it hasn't steered me wrong yet so here is a 🧵

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

These gen z med students are so bold. Straight up asking if they can go home before the shift is over. My millennial anxiety and catholic guilt would never

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

To be honest, I don’t think I want to be a pediatric surgeon because elementary school children could show up any day in the trauma bay with bullet wounds

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

3 years

@DGlaucomflecken surgeons are doing their best, ok?! It’s a work in progress

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

3 years

It’s the little things

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

3 years

IDK who needs to hear this but you can start a family during residency

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

3 years

dear premed, not to scare you but I am a PGY4 gen surg resident studying for my in service training exam and I just got a practice question about the Kreb cycle

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

3 years

Lesson number 1 for my Med students on vascular surgery with me: how to check a signal

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

In 2013, I had just gotten into med school CONVINCED that I was gonna be a pediatrician out in practice by 2020 and now it’s 2023 and I’m in my 5th yr of gen Surg residency. Keep an open mind and things will happen the way they’re supposed to #HappyNewYear

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

Petition to let me use emojis in Epic chat

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

1 year

One of my favorite attendings from med school gave me advice that I still think about to this day. Over the past 5 years of residency, I've adjusted some items to be more applicable to a surgery resident so here is a 🧵of Dr. Touss' 5 rules of 💩 (w/ surgical modification) ...

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

if you're in an interview and they ask "what would you do if you couldn't be a doctor?" it's not a test. don't be a dork and say that you can't do anything except medicine. just talk about your other passions

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

Lectures about “careers in medicine” are alway talking about academic vs community, going into private practice, teaching med students, etc. nobody talks about how the host of American Ninja Warrior is a medical doctor. That’s a career in medicine too, bebe

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

3 years

Just now learning that pediatric surgeons can place urinary catheters LAPAROSCOPICALLY INTO A FETUS and I’m over here calling urology for full grown adult urethras

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

Tell me something that a resident should do every day to become a better attending

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

My EM resident partner: I can’t tell you how many patients I’ve diagnosed with cancer in the ED DONT SAY IT DONT SAY IT DONT SAY IT DONT SAY IT DONT SAY IT DONT SAY IT DONT SAY IT DONT SAY IT DONT SAY IT Me: Actually, you don’t because you need a biopsy to diagnose cancer

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

1 year

Surgery stuff is overrated. Dad stuff is where it’s at

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

3 years

Don’t

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

3 years

A bullet went thru my living room. A 🧵 about gun violence

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

3 years

Certainties in life: -Death -Taxes -I have to explain the process of matching into residency every time I get a haircut

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

3 years

cringe thoughts that keep me up at night: when i was an intern, i interrupted a nursing handoff to ask if the patient pooped

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

Surgery residents who don’t drink coffee, I’m just wondering about the terms of service for your deal with the god damn devil

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

3 years

Congrats to everyone who matched gen surg today! Here’s a 🧵 on how to study for a surgical intern year before July 1st!

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

1 year

🙏🏽 Honored to win the 2023 Outstanding Pediatric Surgery Resident Award! Thanks to the ped Surg department at @DaytonChildrens for everything! … and also the leadership award. But mostly the #PedSurg award tho

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

11 months

🗣️Med students and interns! Getting ready for a case can sometimes be stressful when you’re new. Here’s a thread on the 5 W’s and how I prepare 🧵

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

Oh ok so achalasia is like hirschsprung of the esophagus? Cool

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

As a junior resident, I am always in awe by my coresidents who somehow know every little detail about every patient on their service. What are your tips to getting a good handle on a long patient list?

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

1. Introduce yourself They need to know who you are and that means your name, title, and which service you are calling from. example "Hi, this is Dr. Gerardo, I'm the vascular surgery resident at X hospital tonight." With one sentence you've established a lot of info for them.

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

1 year

ICD 10 codes out here sounding like radio stations “You’re listening to J93.9 - The Pneumothorax”

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

3 years

We are ok. Our family is ok. Our neighbors are ok. But. I have never been more emboldened to do better by my future patients than I do now. #thisisourlane

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

3 years

Med students driving the laparoscope for the first time

Stig Abell

@StigAbell

3 years

It’s tough being a cameraman for the Olympics trampoline

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

Millennials: “General surgery will sign off at this time. Thank you for this interesting consult” Gen Z: “I am unsubscribing. Wheels up, king”

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

3. Ask if this is a good time to talk. You don't know what that person on the other end of the phone is doing. Are they scrubbed in a case? Are the running a code? are they eating Doritos in the resident room? example "Do you have a minute to hear about this consult?"

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

2. Say what you want and how urgent it is. If it's a consult, say that up front - don't beat around the bush. If it's a question about a shared patient - tell them which one and give them a minute to look at their notes/chart. example "I have a urgent/nonurgent consult for you"

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

4. Give the punch line first. Start with your assessment and working diagnosis. This will give the consultant an immediate idea of which buzzwords you're going to say that will guide further w/u and treatment. example "this is a 55 yom with acute cholecystitis"

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

5. The 15 second elevator pitch You have a really short amount of time to convince this person about the diagnosis you said in #4 . Keep it brief and stick with the critical pieces of info. This is a skill that needs practice. example "RUQ pain, US shows stones and thicc GBW ..."

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

At a coresident’s wedding and a bridesmaid comes up to me and asks “hey are you the groom’s friend who was in Hamilton?” Me: … yes.

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

5 months

Last week, I went unmatched for pediatric surgery fellowship. It was probably one of the worst days of my life. I’ve spent 7 days meeting with mentors, friends, and family to figure out how I got here and what to do. All said and done, I’ll be ok. Refueling for the next journey

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

The most common thing that I see/hear is a resident jumping from 1 to 5. That might be hard for someone to follow on the phone if they are busy with their hands or in the middle of another task. As a surgery resident, 3 is really important because my hands might be sterile

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

Got a lot of new friends today so I’ll take a minute to reintroduce myself. My name is Rod Gerardo. I’m a gen Surg resident coming back to clinical residency after 2 yrs of dedicated ped Surg research. Im here here for the medical comedy, education, & 🔫 violence advocacy 👋🏽

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

Why do surgeons love history so much?

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

3 years

Some of the finest academic institutions in the country don’t take care of their own neighborhoods. Socioeconomic status is tied to health is tied to geography. On top of that:

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

1 year

My intern year, we bought a house and I planted this little apple tree. Now, going into my 6th year of gen surg residency, we’re finally starting to see fruits. I’m certain there’s a metaphor here but I’m too tired to write it.

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

Any other tips on how to make these phone calls more efficient? What do you do when you call? What do you like to hear?

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

3 years

I’m a 7, thank you very much hand 🖐

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

3 years

Since some people seem to be (understandably) unimpressed by a gen surg father, the mother depicted here is an MD PhD EM resident so please clap for that part

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

6. Answer their questions Try to anticipate what they will ask you about. Have the info ready even though you didn't say it all in #5 .

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

3 years

We are fortunate/privileged enough to move immediately and with the help of friends and family, we can continue to work and eat. Many of our patients don’t have that luxury. They have to stay and live in fear in the back of their home as my own neighbors explained to me.

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

Follow me for more tips on how to start unnecessary arguments

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

3 years

@fleming_ii With full out health benefits, dental, vision, opt out mental health services, child care, and free chicken nuggets at the children’s hospital

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

Peds hospitals are just nicer than adult hospitals. I’m sorry. I don’t make the rules

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

In the US, your child is more likely to die from a gun than a cancer or a car accident. That’s it. That’s the tweet.

NRA

@NRA

2 years

If you want to ban AR-15s, you are an enemy of the Second Amendment. That’s it. That’s the tweet.

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

Palming instruments is built on LIES S/o @rbarbosa91 for the history lesson

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

1 year

“Talking about your research is like talking about your kids. You are so excited to talk about it but nobody else is” — my attending

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

Pediatric surgery should be about stuff like making new buttholes and putting together an esophagus. Not gun violence surgery #ThisIsOurLane

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

1 year

4) Don't be a little 💩 Resident culture praises those who "block consults" but consider the alternative: Someone is calling you because they don't know what to do with a patient. Take the time to help, trust me - you'll need another specialty's help in due time. and lastly ...

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

1 year

1) Give a 💩 You've worked hard to gain the privilege of getting to heal people in their most vulnerable moments with surgical procedures that would blow Dr. Halsted's mind. Take pride in that fact and let it fuel your work ethic. Very few people get to do what we do 💪🏽

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

1 year

5) 💩 happens Even with our best efforts - the worst outcomes can happen. That's nobody's fault. Don't blame yourself for everything because at the end of the day, if you did your best, that's all we can ask for. Learn from the bad situations but don't let them weigh you down

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

Some days, I feel like the best resident ever. And other days you get ABSITE results that show I increased my PERCENT correct but decreased my PERCENTILE and that’s pretty much what residency is like

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

Trust me. I’m a surgeon

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

3 years

We go get food. While we were gone, a stray bullet went into the front of our home, thru our living room, blasted thru our banister, in landed in our wall.

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

3 years

If the Match was like the NFL draft

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

3 years

Never thought that as a resident I would become an editor for a major surgical journal but here we are! @jpedsurg

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

Residents of twitter, when is the last time you went to the dentist?

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

Oh, so you think you have good bedside manner? Ok well have you ever built patient rapport by ranking paw patrol characters?!

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

3 years

This brings up 2 issues. First, gun violence. I’ve seen it first hand in the trauma bay and at it’s worst during the Dayton shooting. Guns don’t discriminate and with worse luck, they could’ve taken my life. Second,

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

1 year

2) Know your 💩 Don't let your lack of knowledge result in poor surgical care. Take the time to look up the patient's previous op reports, read about how to manage that rare diagnosis, watch that SAGES video of the procedure (interns, lookin at you 👀)

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

3 years

Being a millennial over 30 is so strange. Like I’m super stoked about air frying stuff and that’s my Saturday

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

1 year

3) You don't have to feel like 💩 Burn out is real. It affects more residents than we know. If you find your empathy waning and your patience is short - consider the fact that you may be over worked and underslept. Find a way to relax. Vent w/ coresidents. And find a therapist

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

3 years

It’s been a year since I left clinical gen surg residency for my 2 dedicated research years and it’s crazy how soft I’ve become. Like now I put oatmilk in my morning coffee

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

3 years

Silver lining: Jan 2022 I’ll be halfway thru my 7 years of general surgery residency so that’s something

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

3 years

“Hey, I got another add on…”

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

After 2 yrs of research, I’ve published a lot, had podiums at per Surg meetings, wrote book chapters, even got medical device patents. But those are CV lines. When a trainee from another country tells me how much they appreciate my podcast or YouTube video - that is impact

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

Sometimes I feel confident because I did a case by myself but then I think about this attending who once told me “ya know how a toddler thinks they’re getting themself dressed but really you held the sleeve out straight for them to put their arm in perfectly? That’s assisting”

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

3 years

Doing basic math in the trauma bay

ESPN

@espn

3 years

Name something that 𝙞𝙨𝙣'𝙩 an Olympic sport, but 𝙛𝙚𝙚𝙡𝙨 like an Olympic sport 🤔

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

I was working with a gen Surg resident from another program and he honestly did not know that the leading cause of death in children is now gun related injury so here I am saying it again

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

3 years

Can someone tell me what PM&R does? Seriously

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

3 years

“Hey, which service are you on?! Hand?! Ok nvmnd”

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

Hey so do y’all say umbilicus or umbilicus?

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

3 years

Hey, are you the gen surg resident? I kno this isn’t your patient but could you drop an NGT on him for us? 🚩 🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

Parents, please be careful with your kids trick or treat candy this year. I just found a trauma alert hidden in a chocolate bar

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

3 years

We usually live near academic hospitals. Multiple people warned us about this neighborhood but we’ve lived in similar areas without issue. Found a recently flipped house 5 min from her main hospital of work. Fast forward to last week. We pick up the girls from daycare and

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

3 years

The intelligent and badass @MarieCWalters matched into a competitive EM residency in a big Midwest city. I’m still working from home doing ped surg research so I was excited to move with her to this new town. We like living close to work, for us that means

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

3 years

Hear me out. Uber eats but it’s hospital cafeteria food and they take it to wherever you’re writing notes

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

3 years

This is how I wake up @DGlaucomflecken in the middle of the night

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

3 years

Love all the CDC and AHA shade today. Residents, know 👏🏽your👏🏽worth👏🏽(which equates to minimum wage for 80 hr work weeks during a deadly global pandemic)

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

@grahamwalker Also June 1, patient wrestled a gun from a security guard before shooting the guard 5 times, shooting at doctors in the ED, and then shooting himself

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

3 years

Damn. I really learned mitosis in high school, college, and again in Med school just so I can answer “The stage most vulnerable to radiation therapy is the M phase” on my ABSITE

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

Nobody: … ABSITE: 65yom with history of fem-pop bypass presents with leg pain and the CT imaging below. What is the mechanism of action for the drug to reverse the drug needed for initial management of this diagnosis?

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

3 years

this is not an ad for Sketchy but I'm telling you right now that I still get practice ABSITE questions correct because of those stupid drawings

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

@BrooketheOstomy Bruh. We get so much free food. Like $300 per month and free food from the attending’s lounge. Free snacks throughout the day. Free parking. Free consults at 2am

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

3 years

Even though I am given a due date for abstract submission months in advance, without fail I will submit hours before it’s due. Every. Damn. Time.

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

#gensurgmatch2023 applicants, you should not be getting interview invites before October 26th. The program directors agreed to a holistic approach which requires them to actually read your apps. If you got an invite early, that’s kinda suss - proceed carefully

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

1 year

Transitioning into the role as a senior surgery resident has a lot of growing pains. Over the past few months, I’ve been lucky enough to work with phenomenal interns and R2s that make my life easier. Here’s a 🧵 on their habits that I’ve noticed 👀…

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

@Doctor_Eric_B Lmao “hey has anyone ever seen this thing that every hospital has a protocol for preventing with blood thinners?”

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

3 years

Ultra 🔊 for breakfast

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

Say it in rounds

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

Me: and last question, do you have any stairs in your home? Boomers on warfarin:

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

2 years

Happy birthday to this MD, PhD baddie who runs anything from emergent airways to our chaotic 2 resident household. If you ask me, today only has one holiday 🙌🏽

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Rodrigo Gerardo, M.D. 🟧

@RodGerardo

3 years

Both a Med student and a chief resident can present a patient

Maxime Bernier

@MaximeBernier

3 years

Both the vaccinated and unvaccinated can spread the virus.

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