Cold Steel: Canadian Journal of Surgery Podcast

We are re-broadcasting this episode in honour of the memory of the late Dr. David Feliciano.

Original shownotes:

In this episode, we were lucky enough again to be joined by Dr. David Feliciano. Dr. Feliciano is a world-renowned trauma surgeon and a passionate surgical historian. Today he joins us to talk about surgeons who won the Nobel Prize and the complex and rich history that surrounds them.

Email us at [email protected] or send us a tweet @CanJSurg with your thoughts about this and all our previous episodes.

Dr. David V. Feliciano received his medical degree in 1970 from Georgetown University in Washington, D.C. He completed his general surgery training at Mayo Clinic, in trauma at Wayne State University, and vascular surgery at Baylor College of Medicine (where he trained under Dr. DeBakey). He was Professor of Surgery at Emory University and Surgeon-in-Chief at Grady Memorial Hospital in Atlanta, Georgia from 1991 to 2011. He is now a Clinical Professor of Surgery at the University of Maryland and an attending surgeon at Shock Trauma.

Links:

1. Nobel Prize winners who were trained as surgeons.
Feliciano DV.Am Surg. 2009 Jan;75(1):15-9; quiz 97.PMID: 19213390 No abstract available. journals.sagepub.com/doi/abs/10.117…urnalCode=asua

2. Alexis Carrel (1873-1944): Nobel Laureate, 1912.
Dente CJ, Feliciano DV.Arch Surg. 2005 Jun;140(6):609-10. doi: 10.1001/archsurg.140.6.609. jamanetwork.com/journals/jamasurg…ullarticle/508657

3. Joseph E. Murray (1919- ): Nobel Laureate, 1990.
Cash MP, Dente CJ, Feliciano DV.Arch Surg. 2005 Mar;140(3):270-2. doi: 10.1001/archsurg.140.3.270.PMID: 15781791 No abstract available. jamanetwork.com/journals/jamasurg…ullarticle/508445

4. Michael Houghton, Winner of 2020 Nobel Prize. www.ualberta.ca/michael-houghton-…l-prize-2020.html

It is with sadness but also profound gratitude that we commemorate the passing of David V Feliciano on January 4, 2024. 

We invited our friend Neil Parry on the podcast to talk about our memories and the legacy of this amazing surgeon, researcher, and mentor. 

Links:

1. David V. Feliciano: Contributions to acute care surgery. https://www.canjsurg.ca/content/65/2/E203

2. E27 David Feliciano On Trauma And Culture Building. https://soundcloud.com/cjs-podcast/e27-david-feliciano-on-trauma-and-culture-building

3. E46 Nobel Prize Winners In Surgery With David Feliciano.  https://soundcloud.com/cjs-podcast/e46-nobel-prize-winners-in-surgery-with-david-feliciano

4. Feliciano Favorites with Trauma and Acute Care Surgery Open! https://twitter.com/hashtag/FelicianoFavorites?src=hashtag_click'

5. Southeast Surgical Congress tribute: https://www.youtube.com/watch?v=YRaipv7hG9Y

6. E31 Grace Rozycki On Trauma Ultrasound, Gender Equity, And Mentorship. https://soundcloud.com/cjs-podcast/e31-grace-rozycki-on-trauma-ultrasound-gender-equity-and-mentorship/s-cIzPNd8HDtX

We still got more in the vault from CSF 2023! In this episode, Dr. Spoyalo talked about her work on perioperative warming at Vancouver General Hospital. Listen to the work she's done to understand what goes on for warming (most patients have 11 blankets!) and the modeling she's done to figure out the most effective techniques for warming.

Another example of the amazing work being done through Dr. Andrea MacNeill's Planetary Health Lab!

Links:

1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10718225/

2. UBC Planetary Healthcare Lab: https://www.med.ubc.ca/news/planetary-healthcare-lab/

3. https://soundcloud.com/cjs-podcast/e62-andrea-macneill-on-planetary-health-in-the-operating-room

In this special episode, we had the opportunity to do our first live Cold Steel episode! We were lucky enough to be able to have Dr. Justin Dimick join us at Queen’s University in Kingston, Ontario as part of our William Ersil research day. During this interview we really delved into Dr. Dimick’s life story and his vision for how we can continue to improve the science and craft of surgery. 

Links:

1. https://surgery.queensu.ca/research/2022-william-ersil-resident-research-day#:~:text=The%20William%20Ersil%20Resident%20Research,the%20supervision%20of%20Attending%20Staff. 

2. How I Built This: https://www.npr.org/series/490248027/how-i-built-this 
3. https://www.ourherald.com/articles/randolph-nationals-dimick-is-banker-of-the-year/

4. https://www.ourherald.com/articles/justin-dimick-wins-medical-research-award/

5. Variation in Hospital Mortality Associated with Inpatient Surgery. https://www-nejm-org.proxy.queensu.ca/doi/full/10.1056/nejmsa0903048

6. Complications, failure to rescue, and mortality with major inpatient surgery in medicare patients. https://pubmed.ncbi.nlm.nih.gov/19953723/

7. https://www.canjsurg.ca/e60-andrew-ibrahim-on-architecture-visual-abstracts-and-design-in-surgery. 

8. Wired article on Andrew Ibrahim. https://www.wired.com/story/lets-save-some-lives-doctors-journey-into-pandemic/ 

9. Michigan Mentorship Academy. https://www.youtube.com/playlist?list=PLNxqP-XbH8BLhAqx9o_sTLCV2dpGebFM9 

10. Chelsea Harris, Justin Dimick, Lesly Dossett. Cultural Complications: A Novel Strategy to Build a More Inclusive Culture. https://pubmed.ncbi.nlm.nih.gov/32740257/

Dr. Haytham Kaafarani is a trauma surgeon at Massachusetts General Hospital. We caught up with him after he recently gave a phenomenal talk at the Canadian Surgical Forum in Vancouver earlier this year. Dr. Kaafarani talked about his work in Lebanon after the explosion in 2020, his research on intra operative adverse events, and ultimately on his work as surgeons as second victims. This episode is a clarion call for surgeons everywhere to develop these support systems for each other. 

Links:

1. Intraoperative Adverse Events in Abdominal Surgery: What Happens in the Operating Room Does Not Stay in the Operating Room. https://pubmed.ncbi.nlm.nih.gov/27805961/

2. Derivation and validation of a novel severity classification for intraoperative adverse events. https://pubmed.ncbi.nlm.nih.gov/24702887/

3. The Surgeon as the Second Victim? Results of the Boston Intraoperative Adverse Events Surgeons' Attitude (BISA) Study. https://pubmed.ncbi.nlm.nih.gov/28093300/

4. Design and Impact of a Novel Surgery-Specific Second Victim Peer Support Program. https://journals.lww.com/journalacs/abstract/2020/06000/design_and_impact_of_a_novel_surgery_specific.16.aspx

Do you really have to do that appendectomy for acute uncomplicated appendicitis at 2 am??? Now you have level 1 evidence to tell you!

Continuing on with our best of Canadian Surgical Forum 2023 series, we interviewed Dr. Zuhaib Mir (current HPB and transplant fellow at Dalhousie University). He spoke on behalf of his coinvestigators on their amazing work on the role of delayed appendectomy for acute appendicitis.

YouTube version with video review of the paper: https://www.youtube.com/watch?v=rtOX7kKxe7o

Disclaimer: We are not part of the organizing committee of CSF or CAGS. The best way to get all the content is to attend the meeting live in person! See you in Winnipeg in 2024!

1. DELAY trial: https://pubmed.ncbi.nlm.nih.gov/37436871/

2. www.canadiansurgeryforum.com/

This year we've had the pleasure of introducing a new segment where we highlight some of our favourite sessions from our national general surgery conference, the Canadian Surgical Forum (CSF). 

In this episode, hepatopancreaticobiliary (HPB) surgeon Dr. Katrina Duncan (@dockcduncan) and HPB fellow Dr. Richard Gilbert (@RichWDGilbert) update us on the best HPB content from this year's conference.

Disclaimer: We are not part of the organizing committee of CSF or CAGS. The best way to get all the content is to attend the meeting live in person! See you in Winnipeg in 2024!

Links:

1. Tweetorial from Dr. Duncan and Dr. Gilbert: https://twitter.com/CHPBAsurg/status/1705620586263666971

2. https://www.canadiansurgeryforum.com/

How do surgeons incorporate new techniques, tools and approaches while in practice? Dr. Hugh MacDonald is a colorectal surgeon at Queen's University. He has been in practice for nearly 30 years and has been at the forefront of adopting new techniques into his practice, including laparoscopy and most recently robotic surgery.

We talk to Hugh about how he approaches innovation and what drives him to constantly look for better ways to take care of patients.

YouTube link: https://youtu.be/FAb2_gsXzAQ

Links:

1. https://pubmed.ncbi.nlm.nih.gov/35212820/

2. IDEAL collaborative: https://www.ideal-collaboration.net/

3. Interview with Sunil Patel: https://soundcloud.com/cjs-podcast/sunil-patel-on-robotic-colorectal-surgery-and-spin-in-surgical-research

4. Interview with Antonio Caycedo-Marulanda: https://soundcloud.com/cjs-podcast/e143-masterclass-with-antonio-caycedo-marulanda-on-transanal-excision-of-rectal-lesions

Dr. Amin Madani is the director of the Surgical AI Research Academy (SARA) at the University Health Network (UHN). He is an endocrine and acute care surgeon at UHN and assistant professor of surgery at the University of Toronto. Dr. Madani talked to us and showed us some of the work he is doing on AI in surgery and in particular on computer vision. He really breaks down for us the terms AI, machine learning, and data science, and highlighted some of the promise and challenges for AI in surgery.

Email Dr. Madani:  [email protected]

Watch full unedited interview on YouTube: https://youtu.be/aawdQy90v2Q

Links:

1. https://temertysimcentre.com/surgical-artificial-intelligence-research-academy-sara/

2. Video of Go No Go: https://www.youtube.com/watch?v=MmcW8JK1Qv4

3. Surgical Data Science: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9135051/

4. Artificial Intelligence for Intraoperative Guidance: Using Semantic Segmentation to Identify Surgical Anatomy During Laparoscopic Cholecystectomy. https://pubmed.ncbi.nlm.nih.gov/33196488/

Podcast transcript: https://www.canjsurg.ca/content/e148-ron-barbosa-twitter-threads-surgical-education

On this episode we were joined by the Twitter (X???) legend Dr. Ron Barbosa. Dr. Barbosa is a trauma surgeon at Legacy Health in Portland, Oregon. He's gained popularity for his fantastic threads on Twitter discussing topics in surgery everyone always wondered about but are too afraid to ask. We also discuss the future of surgery, social media, and surgical education. 

Links:

1. Ron Barbosa Twitter: https://twitter.com/rbarbosa91

2. Gold handled needle driver: https://twitter.com/rbarbosa91/status/1535125990766268416?lang=en

3. Traction/Countertraction: https://twitter.com/rbarbosa91/status/1587495330639400960?lang=en

4. French scale: https://twitter.com/rbarbosa91/status/1532622531558903808