Sharmila Dissanaike @DissanaikeMD Twitter profile

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Sharmila Dissanaike

@DissanaikeMD

8 years

#surgery & life lessons: work hard & give it your all, but accept that outcome not always under your control.

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Sharmila Dissanaike

@DissanaikeMD

1 year

I use #fentanyl daily for patients in ICU while anesthesiologists use it frequently on my patients in OR. I've touched vials, bag, & IV tubing full of it; if a vial broke, it wouldn't bother be one bit if drug touched my skin. You can't OD that way. Really. It's Not a Thing.

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Sharmila Dissanaike

@DissanaikeMD

3 years

Myth:"Covid now only a problem for unvaccinated" Ignores fact that when hospitals are full, people die from delays in Rx heart attacks, strokes, car crashes & surgical emergencies, while "elective" operations for cancer & hip joints are cancelled. It's still everyone's problem.

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Sharmila Dissanaike

@DissanaikeMD

1 month

Rx a large number of incarcerated individuals over my career, many required to stay cuffed entire time in hospital. Not once have I seen, treated or even heard of an amputation required for cuff injuries. This is deliberate torture, not an accidental consequence of detention.

Ken Klippenstein

@kenklippenstein

1 month

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Sharmila Dissanaike

@DissanaikeMD

4 years

As a trauma surgeon, & surveyor of trauma centers across the country for verification, I have read a LOT of autopsy reports. I have never seen a coroner make statements like these. #GeorgeFloyd

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Sharmila Dissanaike

@DissanaikeMD

1 year

@NxSimon Yet their absorption mechanism is. And if it worked through skin or inhalation nobody would be bothering to inject it. Which is still the dominant mechanism of nearly all proven OD from street fentanyl & derivatives, which are often taken in combination with other kinds of drugs

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Sharmila Dissanaike

@DissanaikeMD

2 years

Dear Intern Walking into new Pt's room:introduce yourself first to patient. Then turn to any accompanying humans, smile & ask "And you are...?" Never make assumptions as to relationship. This little life hack will save you lots of awkwardness over your career, I promise #MedEd

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Sharmila Dissanaike

@DissanaikeMD

11 months

Dear General Public There is literally no clinical scenario where a surgeon is required to slice a person or organ into 8-20 neat, equal slices. Thus, there is no reason we should be the default pie/cake slicers at EVERY party. Sincerely, Surgeons Everywhere😄🙏

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Sharmila Dissanaike

@DissanaikeMD

4 years

@miguel_reyesMD When main disease is lower vs upper respiratory tract (ARDS picture) that is where highest #covid viral load will be = ⬆️chance of getting + result from tests. If intubated should always use deep aspirate not pharyngeal swab.

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Sharmila Dissanaike

@DissanaikeMD

4 years

If the CEO of a healthcare system makes over $5million/yr, they should probably offer to give up a year's salary, before inflicting pay-cuts & lay-offs on their frontline workers doing the actual healthcare.

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Sharmila Dissanaike

@DissanaikeMD

4 years

A new genre of living vicariously .. PPE Envy

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Sharmila Dissanaike

@DissanaikeMD

4 years

Asphyxiating someone by compressing their airway, when they do not pose an imminent threat to your own safety (ie. they are cuffed and on the ground) is murder. It needs to be prosecuted as such. #GeorgeLloyd #EricGarner #EnoughIsEnough

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Sharmila Dissanaike

@DissanaikeMD

1 year

@DrDanAlterman Thought crossed my mind & I paused for a second to figure out a better way to phrase it, then figured to heck with it, surely evident what I meant🤷‍♀️😊

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Sharmila Dissanaike

@DissanaikeMD

4 years

Can we please agree that postulating demon sex as a disease vector in 2020 should be sufficient to have your (pediatric😳) Board certification & (Texas 🤦‍♀️) Medical License revoked, given that it clearly demonstrates lack of understanding of basic physiology and .. um.. medicine?

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Sharmila Dissanaike

@DissanaikeMD

5 years

I’m the Chair of a department that initially rejected me as a Resident, because “we don’t interview foreign graduates”.

Monica Verduzco-Gutierrez, MD

@MVGutierrezMD

5 years

I’m the Vice Chair of a department that didn’t elect me Chief Resident.

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Sharmila Dissanaike

@DissanaikeMD

2 years

When HCW forget to don PPE in an emergency, or choose to skip it, that's on them; they are knowingly taking a gamble with their own health. When a respected healthcare organization ASKS them to skip it, that is reckless endangerment IMO.

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Sharmila Dissanaike

@DissanaikeMD

4 years

Resident irritated at $13 parking fee at away-rotation hospital (always free in Lubbock) I understand hospitals in large metroplexes struggle w parking, yet I find it ethically questionable to charge employees to park, so they can do their work w creates income for the company🤷‍♀️

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Sharmila Dissanaike

@DissanaikeMD

3 years

Won't risk patient privacy nor create trauma-porn by sharing images, however transfer list for firework injuries this morning is longer than it ever has been. They're not pretty, many affect children, & most will leave permanent scars. Seriously people: it's not worth it.

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Sharmila Dissanaike

@DissanaikeMD

2 years

PSA: Surgeons routinely leave their cellphones on a desk in OR, or with the circulating nurse, while scrubbed in. This means any text received will be read (often aloud to the entire room) by their colleague. Proceed accordingly 😁 #MedEd

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Sharmila Dissanaike

@DissanaikeMD

5 years

This is just the level 1 trauma OR team at UMC Lubbock that mobilized in preparation for any #Midland #Odessa shooting victims. This is why we exist - everyone pulled this together in 20min, plus ER, ICU, surgeon & blood bank resources

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Sharmila Dissanaike

@DissanaikeMD

4 years

Rip Dr Burton Rose, founder of UptoDate : probably the most popular #MedEd resource among residents in the US He died from #COVID19 RIP and thank you 🙏

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Sharmila Dissanaike

@DissanaikeMD

2 months

Excited to announce I'll be joining @UNM in August as Chair of Surgery after a wonderful 22yrs at Texas Tech in Lubbock. Will miss my @TTUHSCSurgery peeps, yet happy & excited at new opportunities working w great surgeons & trainees at University of New Mexico!😊

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Sharmila Dissanaike

@DissanaikeMD

5 years

One dead in #midlandshooting was family of a close friend. Shot in chest at stoplight, he was still alive when she first frantically called me.Then she texted back; he had died. Heartbroken for all whose loved ones didn’t make it in this and every other tragedy ☹️😥

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Sharmila Dissanaike

@DissanaikeMD

4 months

😂as a child I wasn't convinced the cookies even existed since I'd only ever seen needles & 🧵 in these boxes! Crowdsourcing the wisdom of the hive: is the Royal Dansk sewing box an Asian thing or a 🌎 thing?

Jennifer Tseng (IG: @tsengjennifermd)

@TsengJennifer

4 months

Rare sighting of a sewing kit in an embryonic phase

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Sharmila Dissanaike

@DissanaikeMD

2 years

Women Surgery Chairs meeting; had to bring extra🪑into room for 1st time 😁 Still only 10% of academic surgical chairs, yet ⬆️significantly since 1st meeting in 2017 & rapidly this year to 26🙏⁦ @TsengJennifer ⁩ ⁦ @Jasosamd ⁩ ⁦ @maryhawn ⁩ ⁦ @DianaFarmerMD ⁩

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Sharmila Dissanaike

@DissanaikeMD

4 years

RIP Dr Thepchatri who died today of Covid, after a lifetime serving the small rural community of Denver City, TX. He even deferred retirement due to the pandemic to serve his patients, & is universally remembered as a kind & caring doctor. Thank you for your service 🙏

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Sharmila Dissanaike

@DissanaikeMD

4 years

Finally some good news: Sudan (where an estimated 80% of adult women have endured this cruel, brutal & medically unnecessary practice) has criminalized female genital mutilation, incl prison sentences up to 3yrs!

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Sharmila Dissanaike

@DissanaikeMD

1 year

Reality check: Humans hate needles. If it was easy to absorb fentanyl or any related drug through skin contact, or inhalation, I promise nobody would be going to the trouble of shooting it into their veins when they could just rub it on their hands instead🙄

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Sharmila Dissanaike

@DissanaikeMD

3 years

Active shooter situation nearby; fatalities already. What people don't realize is how few survive these to even get to us.

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Sharmila Dissanaike

@DissanaikeMD

3 years

Screening colonoscopy for everyone 45yrs+ shown to save lives, so if you can only do 1 preventive measure, this is the one to choose Got 1st (& last for 10 years) scope today; went great, wasn't uncomfortable at all. If >45, highly recommend you do too, before Delta surge⬇️access

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Sharmila Dissanaike

@DissanaikeMD

4 years

RIP Dr. Juan Fitz, ER physician in Lubbock TX & @TTUHSC alum, who died of Covid today. He was a great physician, teacher and friend to many in this community. Thank you for your service 🙏

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Sharmila Dissanaike

@DissanaikeMD

3 years

@nursekelsey Funeral for Covid pt who died was a massive affair; entire congregation tightly packed (no spacing) into a well-insulated church in winter, w lots of singing. Only person wearing a mask was the person who told me about it, who was terrified.

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Sharmila Dissanaike

@DissanaikeMD

4 years

Thread: Last week a pt recognized me; I had cared for her husband after devastating injury. Apparently at lowest point of his ICU stay, when death was discussed, I’d told her “Even bones take weeks to heal. Why should we expect his brain to heal in less? Give it a bit of time”

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Sharmila Dissanaike

@DissanaikeMD

4 years

Texas Medical Center in Houston is the largest medical complex in 🌎 w largest children’s hospital & cancer center; basically a small city filled w ppl in scrubs devoted solely to medical care. They are about to exceed ICU capacity (97%) because of Covid, w new cases still ⬆️

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Sharmila Dissanaike

@DissanaikeMD

2 years

Since being Dx with Covid, I've slept a lot. Haven't exercised at all; no wine, either. My resting heart rate dropped 5points in 2 days, & Fitbit is ecstatic at this rapid ⬆️in my cardiovascular fitness. And that, ladies & gentlemen, is why association does not = causation.

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Sharmila Dissanaike

@DissanaikeMD

6 months

RIP Dr Rafet Lobad, who was murdered along with his entire family. The ruthless elimination of all Palestinian healthcare workers in Gaza, including senior academic physicians who would have trained the next generation, is heartbreaking & completely indefensible 💔

Younis Tirawi | يونس

@ytirawi

6 months

🕯️ It is with deep sorrow that we announce the tragic murder of Professor Rafet Lobad, the head of the Internal Medicine department at Shifa Hospital. He, along with his entire family – his wife, children, and siblings was killed by Israeli warplanes.

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Sharmila Dissanaike

@DissanaikeMD

1 year

@christina_rmt It is frustrating that even those who should know better - including those writing public information on government sponsored health websites - are allowing this blatant misinformation to propagate unchecked. Can lead to people not wanting to try & save lives of those who OD😒

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Sharmila Dissanaike

@DissanaikeMD

2 years

If you hear gunfire, safest to assume that's what it is. As many did today, leave everything, grab kids & RUN. Take path w ⬆️buildings & trees (⬆️stuff in the way=⬇️chance of clear shot) Put as much distance between you & shooter as possible 1/

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Sharmila Dissanaike

@DissanaikeMD

7 months

RIP Dr Eitan Naman, pediatric intensivist killed by terrorists this week😢💔

Hertfordshire Friends of Israel 🇮🇱🇺🇦

@HertfordshireI

7 months

Dr. Eitan Naman Rest in peace!

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Sharmila Dissanaike

@DissanaikeMD

2 years

Dear New #surgery Attending Every new surgeon will have some of their worst complications in 1st year of independent practice, & at least 1-2 in 1st month Only way to not have complications is to not operate, however can make it better for you & your pts w a few steps🧵:

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Sharmila Dissanaike

@DissanaikeMD

4 years

Hard to believe our marriage would not have been legal in 🇺🇸 not too long ago Happy #LovingDay !

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Sharmila Dissanaike

@DissanaikeMD

3 years

Random observation: People scoffing at HCW boosters as "anxiety reduction" are usually people who have never experienced the anxiety of being frontline HCW in a hospital full of Covid🤔

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Sharmila Dissanaike

@DissanaikeMD

4 years

While it was startling to hear an exact quote years later, it did sound exactly like something I would say. Reminded me that as clinicians, our words have outsized impact on people at their most vulnerable; a sobering thought and major responsibility.

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Sharmila Dissanaike

@DissanaikeMD

3 years

GOT THE VACCINE!!! Best Christmas present ever!!🎄 🎁 🎊🎉 Bonus: doesn't hurt even a little bit, if there weren't witnesses (& a wonderful nurse I trust completely) I'd have worried I didn't actually get it!

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Sharmila Dissanaike

@DissanaikeMD

4 years

We already know quite well how disinfectants & cleaning agents work inside the body, since they are frequently used this way by people trying to commit suicide, across the world. Sadly, it often works #TrumpPressBriefing

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Sharmila Dissanaike

@DissanaikeMD

2 years

As a trauma surgeon, my default definition of "not severe" is "not likely to kill you in the next 48h". Turns out, the people who said Omicron was "mild" must have been closet trauma surgeons😳 While this isn't unbearable by a long stretch, "mild" seems a bit .. inaccurate.

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Sharmila Dissanaike

@DissanaikeMD

3 years

Please stop using the term "third world country" as an analogy. It's derogatory, really outdated (similar to calling people "colored" or "oriental") & implies that poverty is the natural order of things in large parts of the 🌎

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Sharmila Dissanaike

@DissanaikeMD

4 years

This is why you use gentle pressure, ⬆️twist ⬇️ pushing, & ALWAYS watch the trocar tip going in! #MedEd #surgery

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Sharmila Dissanaike

@DissanaikeMD

1 year

Stopped watching Grey's anatomy after they ruptured the appendix of a perfectly healthy 20yr old intra-op, who then promptly went into septic shock, coded, & died in< 2min. I understand dramatic license & constraints of fitting into a 1hr episode & all but still..sheesh 🙄

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Sharmila Dissanaike

@DissanaikeMD

3 years

RIP Dr Moeen Alalool, neurologist in #Gaza_Under_Attack who was killed along with his family, when his home was demolished by an Israeli air strike. Thank you for your service as a physician and educator 🙏

Dr. Zaher Sahloul

@sahloul

3 years

Our deep condolences for the tragic death of one of the few Neurologists in #GazaStrip , the Palestinian Dr. Moeen Alalool with his five children, as a result of the #Israeli bombing of his house in Wahda street in #Gaza city #Gaza_Under_Attack

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Sharmila Dissanaike

@DissanaikeMD

4 years

Today's #MedEd : ALL rectal bleeding in adults is colorectal cancer until proven otherwise. Patient age, or concurrent presence of hemorrhoids not reason to skip workup including colonoscopy. Youngest pt I've diagnosed was 28. RIP Chadwick Boseman #WakandaForever

Malika Siker, MD

@DrMalikaSiker

4 years

To wear the crown with such grace, humility & power while living with cancer, @chadwickboseman intimately knew how precious each moment is. Let’s not squander a single second in his honor. #WakandaForever

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Sharmila Dissanaike

@DissanaikeMD

4 years

If anyone thinks a doctor or nurse wearing a mask is what is going to cause panic, they must think nobody turned on their TV/ radio / internet the last 2 weeks 🙄

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Sharmila Dissanaike

@DissanaikeMD

3 years

Worst part of Covid pandemic (& there's plenty to choose from) has been watching frontline healthcare workers punished, even fired, for being upset & telling the truth about how bad things really are😢

Cleavon MD 💉 💉 💉

@Cleavon_MD

3 years

I've always been HONEST about what I'm experiencing as an ER doctor on the frontlines of the pandemic, but @YumaRegional wants to SUPPRESS the TRUTH. Healthcare providers must be able to communicate with the public during a deadly pandemic. @jamielandersx

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Sharmila Dissanaike

@DissanaikeMD

4 years

RIP Dr. Adeline Fagan, OBGYN resident who died of Covid🙏

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Sharmila Dissanaike

@DissanaikeMD

4 years

⬇️appetite ⬇️thirst are normal early stages of natural death. Kidney failure comes next, lungs give out last Tube-feeding/IVF does NOT make pt feel better, instead ⬆️pulmonary edema = ⬆️discomfort at the end. So pls don’t do it, & let families know why #MedEd

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Sharmila Dissanaike

@DissanaikeMD

4 years

Unpopular opinion: healthcare workers this is a good time to stop taking those cute group photos w everyone tightly huddled together, esp if >10ppl & holding cake. We’re a high risk category, and not immune to #COVID19 The 6ft social distancing rule applies to us too 🤷‍♀️

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Sharmila Dissanaike

@DissanaikeMD

2 years

Dear #MedEd moving up in PGY Your 1st solo line/case/intubation etc is thrilling, & we all rejoice for you - truly. However, graduated autonomy is a complex concept, so your patient may not be quite as excited to learn it on Twitter. Best to celebrate these milestones offline 🙏

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Sharmila Dissanaike

@DissanaikeMD

4 years

When hospitals exceed capacity they close to transfers & then to all new pts, incl critically ill & injured. Pts who need specialized Rx for ruptured aneurysm or car crashes can't get that Rx in time; this is how people can die because of Covid, without actually having Covid☹️

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Sharmila Dissanaike

@DissanaikeMD

7 months

RIP to these physicians, among the many killed in the bombing of civilian buildings in densely populated Gaza, none of whom had an option to leave as all borders are closed😢💔

Osaid - #NotATarget 🗝 🇵🇸

@OsaidesserMD

7 months

Two dear Palestinians physicians were killed over the last 2 days. Dr Saed Darabeh, a Urology resident and Prof Sereen Attar (my former OBGYN attending during med school). The loss is huge, those were civilians sleeping at home when their houses were indiscriminately bombed #Gaza

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Sharmila Dissanaike

@DissanaikeMD

3 years

Across all leadership roles, a consistent personal observation: the bar for making a complaint against a woman is much lower than for a man. When these come across my desk, the difference in volume, & egregiousness of the offence, is stark.

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Sharmila Dissanaike

@DissanaikeMD

3 years

Being a healthcare worker in a Covid hotspot in the 🇺🇸right now, feels like standing on a beach watching the tsunami roll in, while everyone else is still out fishing. 🌊🌊🌊

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Sharmila Dissanaike

@DissanaikeMD

2 years

Using whipstitch as temporary abdominal closure, takeback w/in 24-48h & accepting almost no reason to leave abdomen open beyond that, we have literally closed every single open abdomen patient w/in a week, all year. Used to have 10-20each year requiring complex closure methods 1/

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Sharmila Dissanaike

@DissanaikeMD

7 months

As a burn surgeon, I cannot imagine caring for 70 major burn pts w almost no resources. Dressing supplies are the least of it. Without ability to resuscitate & do early surgery w blood transfusion, many of these injuries will not be survivable, even in children💔😢

Ghassan Abu Sitta

@GhassanAbuSitt1

7 months

We have run out of burns dressings. We have more than 70 wounded with burns covering more than 40% of their body surface. 80% are children

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Sharmila Dissanaike

@DissanaikeMD

2 years

I know this is not the biggest problem society will face from multiyear pandemic but.. it makes me very sad for all the medical students & residents whose entire training almost has been swallowed up by Covid 😥

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Sharmila Dissanaike

@DissanaikeMD

4 years

Many of us realized a while ago CDC guidelines were at political direction based on economic scarcity; this week was particularly bad However, saying a bandanna is fine for #COVID19 if you don't have a mask, as they did today, takes the🎂 They're not even pretending anymore.

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Sharmila Dissanaike

@DissanaikeMD

1 year

@rjVACHAS It's both, not either /or. Also, it's a tweet. Nuance is lost in character limits, & HCW roles wasn't the point of this post. When conveying information from a personal perspective, I default to "my" to clarify this is a 1st person anecdote.

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Sharmila Dissanaike

@DissanaikeMD

2 years

Official Women Chairs photo for 2022 😊

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Sharmila Dissanaike

@DissanaikeMD

4 years

Spent all day shutting OR down to emergencies only, & helping pts affected. We don’t have a single #COVID19 case yet. Every 🇺🇸hospital must 1. Plan for severe supply chain disruption 2. Lock PPE to prevent theft (sadly) 3. Source alternatives now 4. Include surgeons in decisions

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Sharmila Dissanaike

@DissanaikeMD

4 years

To be fair, bandanas were presented as last resort. But when @CDCgov legitimizes it by inclusion, it tacitly condones Government & Industry demanding healthcare workers put themselves at risk for #COVID19 instead of keeping pressure on them to #GetUsPPE

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Sharmila Dissanaike

@DissanaikeMD

4 years

Busy shift; tried desperately to save child who died, then young👨coding on floor; amidst chaos get 2📱calls from aunt+text:"Call when u can" Figured emergency, so found a few min to call: She wants me to install CC cameras in dad's home. And is now mad at *me* for being terse🙄

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Sharmila Dissanaike

@DissanaikeMD

2 years

Before ending each case, I ask myself "What am I going to wish I had done, when presenting this at M&M?" And then I do that. I call it "Healthy Paranoia" A good thing for a surgeon IMO 😊 #MedEd

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Sharmila Dissanaike

@DissanaikeMD

4 years

Dear @ezraklein I would like to add my invitation: Come hang with my team any night you wish, as we handle every major trauma, burn & general #surgery emergency in a 200+mile radius in rural America. Then you can tell us if you still think our greed is the problem. Sincerely, SD

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Sharmila Dissanaike

@DissanaikeMD

3 years

This little piece is trashy even by Twitter standards; what possible justification could @WSJ have for publishing it as an Op Ed? 😳

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Sharmila Dissanaike

@DissanaikeMD

3 years

When I took over as Chair 5 yrs ago we had 1 Advanced Practice Provider in the dept; now we have 15. They are full, valued members of our team, involved in all activities including interviews! (Which now seems a great way to screen for team spirit in applicants😉)

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Sharmila Dissanaike

@DissanaikeMD

4 years

@MigsRunner So impressed that you followed up with them through the correct channels to reach their director-ship; so much more effective than simply calling them out here. Thank you for putting forth that effort to help improve the situation for everyone.

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Sharmila Dissanaike

@DissanaikeMD

4 years

@DGlaucomflecken @LGlaucomflecken 👏🙌

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Sharmila Dissanaike

@DissanaikeMD

1 year

@deannabryant210 And I'm guessing anyone helping her put them on (as I've also done many times) is also doing ok.

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Sharmila Dissanaike

@DissanaikeMD

4 years

Done. Although one could question whether the society that produced this racist imperialist claptrap is accurately described as 'civil'.

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Sharmila Dissanaike

@DissanaikeMD

5 years

@Claireific Agree completely. I often step forward & stop someone from cutting clothing off a completely stable trauma patient with no obvious major injury; the few extra seconds to remove them properly are worth it. Should never do it just because “it’s how we always do things”

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Sharmila Dissanaike

@DissanaikeMD

4 years

When selecting a surgeon job, #1 criterion should be future colleagues. Slightly higher salary will make you happy when you sign the contract, supportive colleagues make you happy for life.

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Sharmila Dissanaike

@DissanaikeMD

3 years

First Covid vaccines ever given in Sri Lanka, were gift from India. Watching Covid now tear through & decimate the Indian people, while rich countries (including 🇺🇸) who could help by ⬇️patent & export restrictions choose not to, is hearttending at an entirely different level

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Sharmila Dissanaike

@DissanaikeMD

3 years

"But the GI bleed is the reason he's unstable.." - every ICU doc in the world at some point, vainly trying to use logic to move the immovable ..😁 Another great video by @DGlaucomflecken On Point as always 👏

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Sharmila Dissanaike

@DissanaikeMD

2 years

Unpopular #MedEd Opinion: While surgeons should know when NOT to operate, it is too often used to camouflage lack of competence➡️low confidence➡️try everything else before operating➡️delay necessary Rx➡️worse outcomes➡️self-fulfilling prophecy☹️ Operate when needed, expediently.

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Sharmila Dissanaike

@DissanaikeMD

4 years

Body-weight applied solely on neck of a person lying down is NOT standard restraint technique; in fact, law enforcement professionals often taught specifically not to do this. So pls stop acting like these are accidents, & perpetrators just didn't know any better🙄 #GeorgeFloyd

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Sharmila Dissanaike

@DissanaikeMD

4 years

Not 1 doctor I know (& I know many) is richer from Covid. President painting physicians as rich, evil money-grubbers profiting off society's woes is eerily similar to how money-lenders were scapegoated in medieval England (eg. Merchant of Venice). As odious now as it was then.

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Sharmila Dissanaike

@DissanaikeMD

5 years

#TipsForNewDocs Never assume re:relationships When I walk in pt room, introduce myself 1st to pt& shake hands Then turn to nearest person, smile & ask “And you are her ..?” They fill in gap I say “Nice to meet you”, shake hands Repeat PRN Saves you from embarrassing faux pas!😳😬

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Sharmila Dissanaike

@DissanaikeMD

3 years

@JJcolemanMD No words for how livid this story makes me. So incredibly sad this happened, so glad you were able to intervene, and so mad that you had to. Just - awful, all of it. Hoping he is doing well and recovering smoothly 🙏

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Sharmila Dissanaike

@DissanaikeMD

3 years

I don't think people in our region realize the tremendous amount of strategy & effort it is taking to provide any surgical & trauma services to our community right now, with Covid filling up every hospital. Doesn't seem to occur to most that these are not guaranteed indefinitely.

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Sharmila Dissanaike

@DissanaikeMD

3 years

Take pride in training surgeons who can operate independently. Got this today from recent grad, day 1 of job "Thank you for all your support these past 5 years. Today felt right. I was well prepared after my training. There was nothing I hadn’t seen before :)" Best text ever 🤗❤️

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Sharmila Dissanaike

@DissanaikeMD

4 years

Secret to surgery: go fast in the fast parts, and slow in the slow parts. The point of #surgery training is to learn which is which. Operating slowly by itself is not a virtue, since this increases anesthesia time for the patient which isn’t ideal.

Rhea Liang

@LiangRhea

4 years

Thoughts please- is 'operating very slowly' a surgical trainee performance/ competence issue? (Not related to any current trainees; it's for a curriculum/policy discussion). #SurgEd

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Sharmila Dissanaike

@DissanaikeMD

3 years

Excited Sri Lanka is getting 1st Covid vaccine shipment this week! AstraZeneca, manufactured at largest site in the world: Pune India, & donated freely by our neighbor!🙏 Importantly doesn't require ultra-low freezer, which is a dealbreaker for most LMIC 🌎

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Sharmila Dissanaike

@DissanaikeMD

3 years

Healthcare workers are used to skipping holidays, because illness doesn't take breaks. As trauma surgeons, we take turns so entire team is never off on the same holiday. All we ask is just this 1 year, the rest of 🇺🇸 does the same. You won't even have to work-just pls stay home🙏

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Sharmila Dissanaike

@DissanaikeMD

3 years

Proud of @Cleavon_MD & every physician & HCW 🇺🇸 willing to speak truth about Covid (or gun violence, or any other healthcare crisis we deal with for that matter) Takes integrity & a lot of courage (sadly necessary) to put truth above personal security & locoregional politics

Cleavon MD 💉 💉 💉

@Cleavon_MD

3 years

This week is an emotional rollercoaster of highs & lows. From speaking to @JoeBiden TO not being permitted to work as an ER doc TO receiving SO MUCH SUPPORT from the entire nation🙏🏽 - even a vacay from @Oprah I shared my thoughts w @NicoleSGrigg

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Sharmila Dissanaike

@DissanaikeMD

5 years

#MedEd ProTip: when you decide on rounds to DC nasogastric tube, please take an extra 30 seconds & pull it out yourself then & there. NGT are very uncomfortable, & your patient will appreciate not having to wait ! 😊

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Sharmila Dissanaike

@DissanaikeMD

4 years

Relaxing rules on telemedicine for #COVID19 did not cause sky to fall; patients are getting convenient, safe medical care, & no private details were broadcast on the news from HIPAA violations. Perhaps we should explore which other unnecessary rules should be done away with next?

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Sharmila Dissanaike

@DissanaikeMD

2 years

What is the proper collective noun for an amazing group of women surgeon leaders? #ACSCC22

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Sharmila Dissanaike

@DissanaikeMD

3 years

Every doctor in the US is practicing their best Fauci impersonation in front of a mirror tonight, ahead of next meeting with admin 😁

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Sharmila Dissanaike

@DissanaikeMD

3 years

I'm taking the first #CovidVaccine I'm offered. Fewer adverse events than placebo (and none severe) after testing in over 30,000 people makes them among the safest drugs to reach the public in recent years. #VaccinesWork

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