That one creepy frame from The Ring or endoanal ultrasound?

I learned today that when you inject anesthetic under the skin/mucosa/whatever, its called raising a WHEAL not a WHEEL 😮

Seahorse. Wait… what was the question again?

I have the best Halloween costume idea but its too colorectal-niche for me to wear anywhere: nervous tic, but like tic as in diverticuli 🙈

Now that I’m becoming a colorectal surgeon, I want the title of the biopic based on my autobiography to be called “The Bottom Line.”

Whats the word for the mutual feeling of being super happy for somebody but also blind with jealousy about it? I’ve been following that Argentinian hockey player’s love fairytale with that Dutch politician and I feel that, whatever the word is for it.

Fine, I’ll say it, the smell of the ascetic acid we use to find HPV lesions on anorectal exam makes me crave sea salt and vinegar chips real bad

I don’t acknowledge patients on the street (bc HIPAA) unless they acknowledge me first, but sometimes I feel like they’re not acknowledging me bc I’m not acknowledging them and they think I don’t remember them but I do!!

Something I didn’t expect to miss so much breaking up after a long term relationship, is the mundane ritual of telling them about my day. Its not that I don’t have friends who wouldn’t want to listen about my day… but its just not the same

People are always like “sucks you have to see butts all day” in colorectal clinic, but our clinic is right next to vascular clinic and let me tell you I’d rather see butts than those vascular feet

Maybe the fistulas were the friends we made long the way

Its always a little funny to me when patients get kinda flustered when I ask them to tell me how they’re pooping. You came to colorectal clinic, what did you think we were gonna talk about??

Google scholar tells me one of my surg ed papers from residency just got its 10th citation, bumping my h-index to 10 ☺️ (which really doesn’t matter to anyone but its kinda neat anyway)

A month into colorectal fellowship & I’m learning folks are very ambitious (& a little bit delusional) as to how well they’re going to feel post hemorrhoidectomy. Everyone thinks they’re going to be up for working once the propofol wears off & I gotta tell them how mistaken they are about that 🙈

I saw Goody Proctor using chatgpt

I’m biased as a colorectal fellow, but the anus is the most intelligent sphincter in the human body.

Thinking about how dangerous it will be if more people turn to ChatGPT for medical advice as more and more people lose health insurance and healthcare access in the US. We need more public education on the limits of AI as well as ensuring everyone has access to the healthcare they need!

Officially started fellowship!

Question banks are just a learning tool

One of my favorite papers that I wrote during my research time in residency finally reached 20 citations on google scholar! This one paper led to like 3-4 other ones, got me invited onto a med med podcast, and also to write an editorial 🥰

Not me trying to use the WashU Manual of Surgery Podcast for board prep but getting misty hearing the voices of my former attendings and co-residents 🥹

I finished residency! Its true what they say, the days are long but the years are short. I’m so grateful to the countless people that made this possible: family, friends, patients, hospital staff, and everyone at WashU Surgery. On to the next big thing: colorectal fellowship at Mt Sinai!

Congrats to Dr Sathe who recently had a paper published in Surgery with updated outcomes for our surgical prehab program SPAR, which decreases mortality, rate of discharge to acute care facility and length of stay. Here's the link to the paper: doi.org/10.1016/j.su...

7 years in the making, but I'm finally weeks away from finishing my surgical residency at WashU. As such, I got to give my chief talk this past week! The topic? Broadway, baby!

📢 Did you know we have a #SocialMedia and #Promotions Toolkit for Authors? Check it out: journals.lww.com/academicmedi.... #MedEd #MedSky

Happy Pride Month, humans! I invented the rainbow, but you made it beautiful!

Its the beginning of the end! At WashU our graduating chief residents get to give a talk on whatever they want. This week we started with Dr Newcomer on lessons he learned when he least expected it, and Dr Gani on how surgeons can deal with moral injury from patient complications

The most recent issue of the American Journal of Surgery features articles from the Latino Surgical Society research symposium. Check it out! doi.org/10.1016/j.am...

So glad to have been able to attend #ASCRS25, and to have had the chance to meet my future co-fellows too! I couldn’t be more excited to be a future colorectal surgeon and contribute to this incredible field

The fun thing about doing mock oral boards is that it reminds you that you’re the dumbest dumbass that ever dumbed 🤗

That’s a wrap on Surgical Education Week 2025. As always, WashU had a strong showing. I also had the chance to connect with my talented COSEF peers. Can’t wait to return—next time, I’ll no longer be a resident!

I presented my research on how general surgery applicants use the new impactful experience field on ERAS at APDS. Only ~half of applicants use it. Amongst those not using it, ~60% had relevant materials in their app. Why are applicants leaving that box blank?

I have had 2 whole people ask me if I was making this list, that's good enough for me! Here's #MedGala2025, specialties as #MetGala2025 outfits. If your specialty isn't here, feel free to add it yourself

My extremely talented friends at @cosef.org and I did an episode for Behind The Knife talking all about away rotations and sub-internships, give it a listen! open.spotify.com/episode/2Za6...

Alright I built part of my tw*tter following based on my live-tweeting of reality tv -- not that I'm an authority on any of it, but either way, here's live tweeting (blueskying) Love Is Blind. Turns out I'm actually 2 seasons behind so... #LoveIsBlind7

Yes 7 years is a long time for training but at least the hospital cafe ladies know my order and start making it as soon as they see me get in line so its ready by the time I get up to the register 🥹

One of the frustrating things about being a surgery resident is that everybody you work with in the OR works shifts except you. A lot of the time it feels like you’re the only one interested in making sure the day keeps moving bc everyone else gets to leave at 5 either way 🥴

Watching the WashU Match Day livestream where each med student gets to open their envelope in front of their whole community to get celebrated one by one, and crying for all these med students most of whom I never met 🥹 Congrats everyone!

You do it every day so you forget, but laparoscopic surgery is crazy. We use chopsticks and look through a keyhole to alter somebody’s anatomy and fix their problem?? If those early surgeons who didn’t even have anesthesia could see us now 🥹

The problem with being so much older than my junior residents is that they didn’t grow up with the same internet as me. When I sing to myself the jingle “i’m still a piece of garbage” from that one vine, they don’t think its funny they just get worried about me.

I love being in a stable relationship, but I just overheard a guy in line complaining to his bros on the phone about how his gf went through his phone while he was asleep and blocked a bunch of girls’ numbers. A small part of me craves that kind of dysfunction…

Today is THANK A RESIDENT DAY! Thank your residents today by advocating on their behalf to your institution to protect their time, compensate them fairly, and provide adequate benefits including health insurance that covers mental health resources and reproductive medicine 😉

Today I learned that it costs about $100 to produce hep C drugs, but pharm charges about $100,000 for them. R&D for these drugs cost investors $300M over a decade. In the first 6 mo of these drugs coming on the market, they made $10B.

Everyone look at these gorgeous Linzer cookies I made. Usually they’re made with jam, but recently learned how to make caramel so wanted to pull out that party trick ☺️

Do you think surgeons in the Avatar universe use fire bending as their cautery? (Bc surgeons are obviously all fire benders don’t come at me).

So do you think we could get the glambot guy to come to surgical conferences or no?

New residency team building/graduation dinner idea: show the chief residents’ anonymized case logs and everyone has to guess which chief they belong to. If you get it wrong you drink, if you get it right the chief drinks.

Second half of your last year of surgical residency is a lot of moments where you think to yourself “aww this is the last time i’ll operate with so and so” and “aww this is the last time i’ll do such and such surgery”