Julie Hallet @HalletJulie Twitter profile | Pikagi

Pikagi

Julie Hallet

@HalletJulie

5,659

Followers

1,356

Following

1,723

Media

11,741

Statuses

MD MSc FRCSC FSSO (She/Her) 🦀Cancer Surgeon #NETs 🦓 #HPBHeroine ✨ 👩🏻‍💻Associate Professor @UofTSurgery ⚜️Québec City Girl

YQB 🛫YYZ ➡️📍 Toronto, ON🍁

https://t.co/323KXqMalb

Joined May 2012

Don't wanna be here? Send us removal request.

Pinned Tweet

@HalletJulie

Julie Hallet

1 day

🆕The OR team matters - diverse teams can achieve better outcomes💥 Hospitals with >35% female surgeons & anesthesiologists➡️⤵️major morbidity Not about 🚹vs🚺clinicians, but a diversity bonus that can bring ⤴️performance What? How? Why?🧵👇🏻 @GianniLorelll

Tweet media one

4

31

90

Last Seen Profiles

@richpatrick17

@heyilyforever

@stax5z

@maxchaiken

@NicolaPecile

@BarMundo_jp

@KevinTPLim

@saraahjessica_

@IPeriyasamymla

@poetrsc

@JohnBel96123911

@ZeroJumpHd

@helioscomm

@semmessta

@DanelleMeredith

@mikemaniscalco

@SupremeChelsea9

@alexmaxham

@KatiePr39155397

@stw_pdg

@luka_bvb

@otokoman

@MaxTGoodman

@christian_men28

@QuemuelArroyo

@Local2110UAW

@kachiCodes

@AVK155

@sephodmbs

@takahashiyu

@chiba_yuto_bb

@NYWFP

@emyuko

@Danske

@NewDealChief

@ze2omcJMrHfdLnf

@HalletJulie

Julie Hallet

8 months

🆕Appendectomy does not need to be done overnight ‼️No difference between 24h and 8h time to surgery Now, we need OR systems with flexibility that do not force overnight work, for the benefit of patients & healthcare workers (the latter ultimately benefits even more patients

@villesallinen

Ville Sallinen

8 months

Our PERFECT trial finally out in @TheLancet ! Pragmatic Nordic 🇫🇮🇳🇴 multicenter RCT comparing appendectomy within 24h versus 8h. 1803 patients! No difference in rate of perforated appendicitis (9% vs 8%). 👉 Allows to postpone appendectomy to daytime.

Tweet media one

Tweet media two

37

221

735

31

91

481

@HalletJulie

Julie Hallet

2 years

It's official - promoted to Associate Professor @UofTSurgery ! 😁 Lucky and grateful for all the support and guidance of mentors, collaborators, and colleagues in Toronto, 🇨🇦, & beyond 🌎, these last few years - too many to tag here 🙃

@DrNCoburn

Natalie Coburn

2 years

CONGRATULATIONS to MY AMAZING #HPB PARTNERS!! 🎉🎉🎉🎉 @HalletJulie promoted->Associate Professor @UofTSurgery !! @PaulKaranicolas promoted->Full Professor @UofTSurgery !! So proud of all they have accomplished to improve patient care for @CancerCare_ON & @sunnybrook patients!

18

10

161

68

8

463

@HalletJulie

Julie Hallet

5 years

It’s @raptors day! 🏀 🦖 We’ve got spirit, yes we do! #wethenorth #gorapsgo

Tweet media one

9

41

353

@HalletJulie

Julie Hallet

1 year

Surgery is a team’s sport: does who we work with matter❓ ‼️ It does Every additional time the same surgeon & anesthesiologist work together 👉🏻⬇️5% odds of complications for the next patient What? How? Why? 🧵👇🏻 @UofTSurgery @UofTanesthesia 📝

Tweet card media

Familiarity of the Surgeon-Anesthesiologist Dyad and Postoperative Patient Outcomes for GI Surgery

This study examines the association between familiarity of the surgeon-anesthesiologist dyad and short-term postoperative outcomes for complex gastrointestinal cancer surgery.

jamanetwork.com

@JAMASurgery

JAMA Surgery

1 year

More familiar surgeon-anesthesiologist dyads can yield better outcomes for complex GI surgery: each surgery done together is associated with 5% lower odds of morbidity for the next patient. @HalletJulie @DrTonyEskander @propelresearch

11

155

390

23

98

303

@HalletJulie

Julie Hallet

9 months

‼️Surgeons, who can relate?! 💭What do you do to avoid this? Tell us👇🏻 Ergonomics principles mean fitting the environment to workers. The opposite happens most (too) often in surgery. @SocSurgOnc @SocSurgErgo @TaraCohenPhD @maggiedinomemd (via dr_gaboyan instagram)

23

50

258

@HalletJulie

Julie Hallet

4 years

About 14 days after many gathered & traveled for Mother’s Day - coincidence? Soon will see effect of Victoria Day long weekend & growing numbers hanging out in parks & other public spaces. Quarantine fatigue is real but the virus doesn’t get tired. Stay home.

@jkwan_md

Dr. Jennifer Kwan

4 years

A closer look at #COVID ー19 daily changes in #Ontario 🎢 New cases: 460 New deaths: 25 New resolved: 331 Thicker line is 7 day moving average. #COVID19 #COVID19ON #covid19Canada #onhealth

Tweet media one

8

35

52

11

119

247

@HalletJulie

Julie Hallet

4 years

More cases than at the peak of first wave. More deaths today. This was predictable. Yet no action. What’s it going to take @fordnation @celliottability ? Enforce social measures - distancing, masking, no gatherings. Send clear messages. #COVID19Ontario #fail

@jkwan_md

Dr. Jennifer Kwan

4 years

#COVID19 in #Ontario [Oct 5]: 54814 known cases* (615 new cases) 2980 total deaths (5 new deaths) 46360 resolved (541 new resolved) See THREAD for more graphs📈⤵️ #onhealth #COVID19ontario #onpoli

Tweet media one

14

63

177

8

76

196

@HalletJulie

Julie Hallet

4 years

@marklewismd 💯 one if most memorable sayings from my former program director was that “any blood per rectum gets a colonoscopy”. That’s why. Stuck with me.

2

5

125

@HalletJulie

Julie Hallet

4 months

Basic principles to⬆️ergonomics in the OR 👟Personal equipment 🛠️OR equipment 🏄🏻‍♀️Posture in OR 🙆🏻‍♀️Microbreaks 🧠Flow disruptions at @BJSAcademy 👇🏻 @DrFadiTO @SocSurgErgo

Tweet media one

@BJSAcademy

BJS Academy

4 months

Surgical ergonomics: how and where to start? ➡️ A clear and concise review presenting the key principles for optimal ergonomics in the OR. #surgery #SurgicalErgonomics #SoMe4Surgery @HalletJulie @DasariVm

Tweet media one

0

41

70

1

44

121

@HalletJulie

Julie Hallet

4 years

Cases, death, hospitalization still ⤴️ - this is not time to re-open, it is time to ⤴️ enforcement of social measures or we are all heading to lockdown sooner rather than later. Too many being complacent w 🦠, it’s scary. @celliottability @fordnation #COVID19 #COVID19Ontario

@jkwan_md

Dr. Jennifer Kwan

4 years

#COVID19 in #Ontario [Nov 8]: 1328 new cases*, 13 deaths, 877 resolved 37577 tests/day, 35776 pending, 3.5% pos 374 hospitalized (? in ICU) See THREAD for more graphs📈⤵️ #onhealth #COVID19ontario #onpoli

Tweet media one

39

107

273

6

34

111

@HalletJulie

Julie Hallet

2 years

Any conference held in 2022 should have a backup virtual (or at least hybdrid) plan. Forcing in-person participation goes against EDI principles & results in exclusive meetings. Optics of large medical gatherings as overwhelmed hospitals cancel surgeries are also very poor, IMO.

@DawnEmick

Dawn Elfenbein (she/her)

2 years

Reasons I will not attend #ASC2022 in person: 1. My hospital is in crisis 2. I am a mom to a 4 year old Why am I announcing this publicly on Twitter? Because hundreds of trainees who felt so proud and honored to be invited to present their work now feel frightened and unsure /1

25

54

456

3

9

106

@HalletJulie

Julie Hallet

1 year

@UofTSurgery @UofTanesthesia @ICESOntario @propelresearch @DrTonyEskander @mcisaac_d @DrNCoburn @pperezde @biniamkidaneMD @AlanaFlex @Fm_carrier Major morbidity was associated with how often the surg/anesth worked together before For each additional surgery done together👉🏻OR 0.95 (95%CI 0.92-0.98) There was no cut-off: each case matters ‼️More familiar surg-anesth teams can yield better outcomes for patients🙌🏻 /3

Tweet media one

3

51

107

@HalletJulie

Julie Hallet

2 years

Back to in-person conferencing also means back to making talk the day before on the ✈️ 😄 Please tell me I’m not alone? #SSO2022 #AcademicTwitter #some4hpb @SocSurgOnc

Tweet media one

11

0

104

@HalletJulie

Julie Hallet

2 years

💔 This week we lost a pillar of 🇨🇦 Surgical Oncology & HPB Surgery, Dr Sherif Hanna Dr Hanna built @Sunnybrook cancer surgery. He was a mentor & a friend more special than can ever be expressed. His enthusiasm & kindness, and his passion for patient care are unparalleled. /1

Tweet media one

2

6

99

@HalletJulie

Julie Hallet

3 years

Excited to build a 🇨🇦 predictive tools platform for patient-centred outcomes in #GI #cancers - thanks $2M @CIHR_IRSC team grant ☑️ Patient engagement ☑️ Multi-faceted 🌟 team @DrNCoburn @amytmhsu @alyson_mahar ☑️ Data infrastructure🛠 ☑️ Personalized cancer care Now👉 🍾 !

Tweet media one

15

7

99

@HalletJulie

Julie Hallet

3 years

🆕📝 Surgeon & 🏥 volume/expertise ➡️better ouctomes What about anesthesia volume? With @ICESOntario data, we suggest high-volume anesthesia➡️⤴️ outcomes @DrNCoburn @AlexisTurgeon_ @mcisaac_d @DrTonyEskander @rinku_rinkurani 🧵👇 via @JAMASurgery

Tweet card media

Association Between Anesthesiologist Volume and Outcomes in GI Cancer Surgery

This cohort study evaluates whether anesthesiologist expertise and experience are factors in morbidity and readmission among patients who underwent esophagectomy, pancreatectomy, or hepatectomy for...

jamanetwork.com

11

31

92

@HalletJulie

Julie Hallet

9 months

#NETS friends, I'm running for @NANETS1 board of directors!🦓 After 10y of engagement in NETs community, I'd like to further help increase collaborations, advocacy, diversity of NETs professionals & support future NETs leaders I hope to count on your support! 📧Vote link by email

Tweet media one

3

18

87

@HalletJulie

Julie Hallet

4 years

Truly honoured to receive an award named after Dr Sherif Hanna - dear mentor & outstanding surgeon and patient advocate! Hoping to advance patient-centred cancer care w all⭐️ team @FrancesWright15 @amytmhsu @alyson_mahar @ConnLesley @mygutfeelingca & more🔜stay tuned for details

@DrNCoburn

Natalie Coburn

4 years

Congratulations to @HalletJulie @FrancesWright15 @ConnLesley @amytmhsu @alyson_mahar who have just received the @Sunnybrook Hanna Research Award to study patient-centric outcomes!

6

5

66

10

3

89

@HalletJulie

Julie Hallet

1 year

It’s a wrap #AHPBA23 - another great one in the books with lots of learning & connections with old and new friends and colleagues! ☀️🌴 See you next at #SSO2023 . Until then #ThisIs40 heading back to #The6ix

Tweet media one

4

2

89

@HalletJulie

Julie Hallet

4 months

🆕Summary of existing guidelines for GI #NETs 🦓 ▪️Gastric ▫️Duodenum ▪️Ileum-jejunum ▫️Appendix ▪️Liver metastases The only thing better than writing about #NETs is to do it with @DrCNClarke ! 🙌🏻 Thanks @AnnSurgOncol ! 🔗

Tweet media one

2

30

89

@HalletJulie

Julie Hallet

1 year

Intraop stretch microbreaks - give it a try! It's a #team exercise, it ⬆️focus & performance, it ⬇️pain, & it does not prolong OR time 🙌🏻 Check it out: @colinjmccartney @UofTSurgery @SurgErgoGroup @DrFadiTO @Hamid_Norasi @jennyshaomd

5

17

88

@HalletJulie

Julie Hallet

3 years

💉#️⃣1️⃣ ✅ Thank you science!! Today is the happiest day in a while! Many more people need this. Will be back @Sunnybrook vaccine clinic this week to get more 💉 into 💪! #vaccinatedontwait #thisisourshot

Tweet media one

Tweet media two

1

2

83

@HalletJulie

Julie Hallet

3 years

Triaging life-saving cancer surgeries due to #COVID19 will have long-lasting impacts - more decisive measures are needed to limit the damages Thanks @spaikin @PreetiBhuyan for shining some light on those collateral effects👉catch the whole segment tonight on @TheAgenda 📺👇

@TheAgenda

TVO Today | The Agenda

3 years

"I'm actually worried... we're not going to be able to catch up for a long time." — @HalletJulie ( @Sunnybrook ) on the backlog of cancer procedures, tonight at 8/11pm with @akeithstewart ( @pmcancercentre ) & @spaikin | Producers: @PreetiBhuyan & @SimoneGavros #onhealth #onpoli

3

22

52

2

31

82

@HalletJulie

Julie Hallet

1 year

Biologic behaviour of #PNETs at #AHPBA23 ‼️Remember👉🏻G3 NEC[arcinoma]s are not G3 NET[umor]s ▪️Different genetic signatures ▪️Different biology ▪️Different treatments: G3 NETs w ki67<55% - surgery still up for discussion; G3 NETs >55% & NEC - no surgery @EAHPBA @NANETS1

Tweet media one

5

29

82

@HalletJulie

Julie Hallet

3 years

So it's pandemic birthday #2 ! This time I know better than hoping for a party in 2 months😆 As always, the day was made better & brighter by an awesome #team - Thanks for putting up with my madness in the OR, colour coding my vessel loops, and putting a smile on my face!

Tweet media one

21

0

78

@HalletJulie

Julie Hallet

1 month

TESLA trial @BasGrootKoerkam at #AHPBA24 🇳🇱 Unresectable perihilar cholangiocarcinoma 👉🏻 percutaneous biliary drainage with SEMS, ❌external drainage, ❌crossing ampulla ✅Prevents cholangitis ✅Gets patients to cancer therapy

Tweet media one

1

20

77

@HalletJulie

Julie Hallet

3 years

When @ashlie_nadler asked us to pose for her photo challenge - we could not say no! 📸Especially on #RBG scrub cap day. Kick-ass surgeon & talented photographer - lucky to have you as a colleague @Sunnybrook @UofTGSx . Love the result! Thanks Ashlie!🙏

Tweet media one

4

3

75

@HalletJulie

Julie Hallet

4 years

Amazing messages from doctors - worth a listen for everybody! And featuring some of my favourite doctor voices @arghavan_salles @DrJenGunter @drjessigold @drnikkistamp @DrJCoftheDC @ETSshow @drchethansathya & many more.

@RealDoctorMike

Dr. Mike Varshavski

@RealDoctorMike

4 years

I interviewed 100+ Doctors on the #coronavirus Pandemic and it has turned into something truly special ⛑❤️👉🏼 #AlertNotAnxious #COVID19 #StayHome #MedTwitter #GetUsPPE

Tweet media one

94

946

3K

2

10

71

@HalletJulie

Julie Hallet

3 years

Today is a good day 😃 💉#️⃣2️⃣ in - Let’s get that immune system to work! #vaccinatedatsunnybrook #thisisourshot Thankful for science & grateful for this 💉. Will be even happier once the shots get to all Canadian arms! Until then - I’ll continue to #MaskUp & #StayAtHome

Tweet media one

Tweet media two

1

5

72

@HalletJulie

Julie Hallet

4 years

So happy to see my mentor Dr Calvin Law receive this award🏅 - so well deserved 👏🏻! @CNETSCanada you could not have picked a more deserving recipient, his dedication to patient care is inspiring and nothing short of amazing. @Sunnybrook @UofTSurgery

@CNETSCanada

CNETS

4 years

CNETS CANADA ANNOUNCES THE 2019 MAUREEN COLEMAN AWARD RECIPIENTS

Tweet media one

0

0

11

4

8

71

@HalletJulie

Julie Hallet

3 years

Got an assist from Dr Fauci in the OR today @Sunnybrook w @DrNCoburn - following in @TheNotoriousHPB footsteps 👣 #some4hpb #some4surgery #ORFauci Special thx to @LYohanathan for getting the precious hat to 🇨🇦!

Tweet media one

4

3

70

@HalletJulie

Julie Hallet

2 years

#SSO2022 here I come ✈️ Can’t wait to catch up with everyone in person for the first time since 2019!

Tweet media one

6

0

69

@HalletJulie

Julie Hallet

2 years

Once again, care is triaged in Ontario. It didn’t have to be this way. But glad to know that while sick people can’t receive the care they need, I can go to the mall and get my nails done. #COVID19 #COVID19Ontario

@ColinDMello

Colin D'Mello | Global News

2 years

BREAKING: Hospitals will be asked to pause all non-emergent surgical procedures for 21 day, as Directive 2 is reinstated in Ontario. #onpoli

83

150

286

4

28

70

@HalletJulie

Julie Hallet

1 year

To all the lady doctors out there - thanks for being here, thanks for caring for patients, thanks for being supportive friends, colleagues and role models. Happy women physicians day! 🎉 👏🏻 #womeninsurgery #HPBHeroines

@ChandrikhaC

Chandrikha Chandrasekharan

1 year

To all those before us and to all those with us and will be after us indeed!! Happy women physicians day. @HrabeMd @muneerakapadia @gudbjorgjon @DrCNClarke @HalletJulie @JaydiDelRivero @helops79 @WomeninOnc @TVaghaiwalla

0

5

12

1

7

69

@HalletJulie

Julie Hallet

3 years

Couldn’t think of a better way to kick-off 2021! Truly a privilege to vaccinate colleagues who are on the frontline of #COVID19 - brought lots of joy to this first day of January.

2

2

69

@HalletJulie

Julie Hallet

11 months

Biding farewell to an incredible first time @EAHPBA meeting! Caught up with friends & colleagues, met new ones, and built initiatives with @IHPBA . Bye 🇫🇷 👋🏻, heading back to 🇨🇦 refueled and inspired to continue 🌎 collaborations 🤝 🌟 @CHPBAsurg @AHPBA #EAHPBA2023

Tweet media one

4

7

67

@HalletJulie

Julie Hallet

4 years

‼️ #HPBDailyRead 📝 has been most educational - both from reading the papers & discussing with #SoMe4HPB community. For those who want to keep track or catch-up here is the library 📒 👉 (really hoping this link works!) @hpb_so @IHPBA @CHPBAsurg

Tweet card media

Shared with Dropbox

www.dropbox.com

13

18

67

@HalletJulie

Julie Hallet

1 month

Welcome to Miami! Sun ☀️, friends 😄, crab 🦀 & a side of #Hpb surgery #AHPBA24

Tweet media one

2

1

67

@HalletJulie

Julie Hallet

3 years

Spent the afternoon vaccinating HCWs @Sunnybrook . As soon as my turn comes up, I will get the #CovidVaccine , to protect patients, colleagues, & all around me. It’s a no brainer for me. #COVID19Ontario #covid19

@DavidJuurlink

David Juurlink

3 years

“Doctors and nurses are declining the vaccine” is exactly the message anti-vaxxers want you to hear. Retweet if you’re a healthcare worker who’s already been vaccinated or is eagerly awaiting vaccination.

Tweet media one

361

2K

3K

4

4

65

@HalletJulie

Julie Hallet

2 years

Preparing for #IHPBA22 ? Plan to drop by the early career group lounge #ECGIHPBA in exhibit hall - a space to exchange w colleagues at all stages of their careers Check out the open discussions about 🔥 topics for HPB practice w hosts & guests from around 🌏 Bookmark 📆👇🏻 @IHPBA

Tweet media one

5

20

65

@HalletJulie

Julie Hallet

9 months

Handling instruments with smaller👋is a major #ergonomic challenge for #WomenInSurgery 💭Who designs instruments is🔑to the problem (<10% are women) - one can't design for what they don't know about Diversity throughout the process is needed for inclusive OR environments🆙

Tweet media one

Tweet media two

Tweet media three

Tweet media four

1

25

63

@HalletJulie

Julie Hallet

7 months

Happy birthday @MonicaDuaMD !! Badass surgeon and supportive friend & #HPBHeroines , you’re a⭐️! #ACSCC23

Tweet media one

4

6

64

@HalletJulie

Julie Hallet

4 months

🚨PRRT 1st line benefits in G2-3 advanced GEP-NETs - NETTER2 #GI24 ⬆️PFS by >12m median (vs SSA)👉🏻supports PRRT 1st line in G2-3 💥Unprecedented response rate: 43%👉🏻time for neoadj trial? 🤷🏻‍♀️G2-3 not bad with SSA: median PFS 8m & 9% ORR 👏🏻to team & PI Dr Singh @Sunnybrook !

Tweet media one

3

25

63

@HalletJulie

Julie Hallet

14 days

Very proud of these two for clinching #1 and #2 best oral presentations at #CSS024 ! Congrats @Bondzi23 @TiagoRibeiro___ ! Your hard work and dedication truly shined on the podium🪩✨

Tweet media one

Tweet media two

3

4

63

@HalletJulie

Julie Hallet

2 years

Well that was fun #SSO2022 !! @SocSurgOnc Looking forward to #IHPBA22 with #some4hpb crew next @IHPBA Now onto delayed ✈️ & grant ✍🏻 deadlines 👩🏻‍💻 🙏🏻 to the awesome people at the United lounge for keeping me fed and hydrated.

Tweet media one

3

0

61

@HalletJulie

Julie Hallet

2 years

From now on, I preface all OR requests by “Attention Anesthesia”. Learning so much from these videos!

@DGlaucomflecken

Dr. Glaucomflecken

@DGlaucomflecken

2 years

The anesthesiology residency interview

417

3K

24K

3

3

59

@HalletJulie

Julie Hallet

2 years

After a day in the OR, Washington DC bound ✈️ for #NANETS22 🦓 😁 Who will be there? @NANETS1 #LetsTalkAboutNETs

Tweet media one

7

1

58

@HalletJulie

Julie Hallet

1 year

On my way to @EAHPBA congress & @IHPBA committee meetings in Lyon But first - a few days of vacay in my happy place 🇫🇷☕️🍷🧀 Who will be in Lyon?

10

2

59

@HalletJulie

Julie Hallet

5 years

Congrats to my partner &mentor @DrNCoburn for the @Sunnybrook Education Advisory Council Innovative Curriculum Award for the 🇨🇦 #D2 gastrectomy course. Exceptional leadership & dedication to improve #cancercare ! @UofTSurgery @mygutfeelingca @CanadianGastric #HPBheroines

Tweet media one

1

13

59

@HalletJulie

Julie Hallet

6 months

Principles of surgery are different for small bowel #NETs 📝Summary with @ksoreide @SStattner in @AnnSurgOncol 👉🏻 Goals for indolent but debilitating disease ✅Control tumor load ✅Control endocrine load ✅Prevent loco-regional complications Highlights👇🏻

Tweet card media

Surgery as a Principle and Technical Consideration for Primary Tumor Resection of Small Bowel...

Annals of Surgical Oncology - Small bowel neuroendocrine tumors (SB-NETs) are increasingly identified and have become the most frequent entity among small bowel tumors. An increasing incidence, a...

link.springer.com

2

20

59

@HalletJulie

Julie Hallet

19 days

@arghavan_salles and this is why we need more work to understand and educate people about how to care for gender-diverse populations (among many other things) @alyson_mahar @molotweeterpate

1

3

59

@HalletJulie

Julie Hallet

7 months

Home 👇🏻 💙⚜️💙

@MadelnCanada

Made In Canada

7 months

Autumn in Quebec City 🇨🇦🍁

Tweet media one

12

162

2K

5

1

57

@HalletJulie

Julie Hallet

2 months

Spied two of my favourite #HPBheroines #NETologist in the #SSO2024 podcast booth 🎙️ What are they up to? 🤔 @AGangiMD @DrCNClarke

Tweet media one

1

7

57

@HalletJulie

Julie Hallet

11 months

Drop a cool photo of you doing your job!

Tweet media one

@JBMatthews

Jeff Matthews MD

11 months

Drop a cool photo of you doing your job!

Tweet media one

136

45

901

7

6

57

@HalletJulie

Julie Hallet

2 years

Zebra crew at #NANETS2022 - find yourself a community with colleagues that support and lift each other up like @DrCNClarke and @JaydiDelRivero do (and bring on the 🦓 fashion!)🖤🤍

Tweet media one

3

6

55

@HalletJulie

Julie Hallet

1 year

🚨First registry-linked collaborative RCT using NSQIP @AHPBA @AmCollSurgeons ⭐️Pip-taz for antibioprophylaxis in whipple👉🏻⬇️ 30-day SSI in RCT ⭐️New standard of care & new way to run multi-centre trials 👏🏻Congrats everyone! @MichaelDAngeli2

Tweet card media

Piperacillin-Tazobactam Compared With Cefoxitin as Antimicrobial Prophylaxis for Pancreatoduodene...

This phase 3 randomized clinical trial examines the effect of broad-spectrum perioperative antimicrobial prophylaxis on postoperative surgical site infection incidence compared with standard care...

jamanetwork.com

@JAMA_current

JAMA

1 year

Study findings support the use of piperacillin-tazobactam as perioperative antimicrobial prophylaxis for open pancreatoduodenectomy.

Tweet media one

6

73

191

1

19

52

@HalletJulie

Julie Hallet

5 months

My🔝10📝of2⃣0⃣2⃣3⃣(continued) Staging laparoscopy in PDAC In pts for neoadjuvant Rx 👉14% positive staging laparoscopy & 18% in all pts ➡️Why not use routinely? @HallberaG @drsuswarner @Seanpcleary @ThielsCA @TELL_Starlinger in @acsJACS 🔗

1

13

53

@HalletJulie

Julie Hallet

1 year

HPB things at #SSAT2023 🦄 📞 👓 🦩 🤠 - what happens in Chicago (gets on Twitter) @HopSTranCao @LYohanathan @ZhiVenFongMD @SSATNews

1

3

52

@HalletJulie

Julie Hallet

1 month

That’s a wrap #AHPBA2024 ! Good times, new friends, new collaborations, and more! My cup is full 😃 Hoping to see everyone in Cape Town 🇿🇦 #IHPBA24 next 🌍

Tweet media one

Tweet media two

Tweet media three

Tweet media four

1

6

53

@HalletJulie

Julie Hallet

1 month

⚠️No octreotide for intraop carcinoid crisis🫢 👥345 operations @OHSUsurgery Crisis in 3️⃣0️⃣％ 💉1st line IV octreotide🆚pressors (phenyl/vaso) Pressors👉🏻⬇️crisis duration & number Octreotide👉🏻ineffective & delays management 📝🔗 #ASOchat #some4surgery

Tweet media one

3

21

53

@HalletJulie

Julie Hallet

3 years

Yay, now getting colour-coded loops! Thx to #some4hpb 🔑debates😉 Half-way through portal dissection for anterior sector when @DrNCoburn dropped by! ⚪️ arteries 🔵 veins 🟡 bile duct still working on🔴 @TheNotoriousHPB @DrCNClarke @cutitoutPODCAS1 @drsuswarner @mkatzmd @gimalleo

Tweet media one

9

3

52

@HalletJulie

Julie Hallet

2 months

Such an honour to get the chance to serve on the @SocSurgOnc executive council 🙏🏻 Looking forward to work with this amazing team under @dematteo_lab leadership! #sso2024

@puneetsinghmd

Puneet Singh, MD FACS

2 months

👏 to the new members of the @SocSurgOnc executive council approved at the #SSO2024 business meeting @hpbshoup @DrShelleyHwang @HalletJulie @drmediget

Tweet media one

0

6

30

5

5

53

@HalletJulie

Julie Hallet

2 years

“She’s a princess” & “we need to teach her some things” (by not giving me what I asked for or delaying it) - I heard a lot when I started and still now. Unsafe for patients & staff. And sadly can’t say anything because tables turn (very quickly).

@arghavan_salles

Arghavan Salles, MD, PhD

@arghavan_salles

2 years

@drnikkistamp Didn’t have room for this in my thread, but…

Tweet media one

0

0

14

8

10

53

@HalletJulie

Julie Hallet

8 months

Pancreatic #NETs are *not* small bowel NETs & need different approaches 💬from #CSF2023 @CAGS_ACCG ▪️Observe sporadic NF PNET <2cm ▫️When operating👉🏻save pancreas! ▪️Differentiate NET & NEC (=no surgery) ▫️Very selected resection of primary if unresectable stage 4

Tweet media one

Tweet media two

Tweet media three

Tweet media four

1

17

52

@HalletJulie

Julie Hallet

26 days

🤾Are surgeons elite athletes? 🏋️⛹️‍♀️🚴‍♂️ Maybe the greatest debate at #SAGES2024 @andrewswright 👉🏻 we are manual workers 👷 & meet @OSHA_DOL risk factors for workplace injury Tips to recognize signs of injury in 🧵👇🏻

Tweet media one

Tweet media two

6

14

52

@HalletJulie

Julie Hallet

1 year

We need YOU! #some4surgery #some4hpb To get better designed instruments, we need info on surgeons' hands (and how much they vary)🧤 Please fill this out👉 It takes 2 minutes! & share with your colleagues, friends, network on social media and elsewhere

@SocSurgErgo

Society of Surgical Ergonomics

1 year

Ever felt like✋size affects handling of surgical instruments🔪?🤨 We need to understand the surgeon's✋to help address the problem! @SurgErgoGroup is gathering data on✋size 👉help by filling this anonymous survey #surghands #ergonomics 🔗

Tweet media one

7

39

70

10

28

50

@HalletJulie

Julie Hallet

4 years

In much needed non-covid good news: 🎉Congrats @jesse_zuckerman for receiving @CIHR_IRSC Frederick Banting and Charles Best Canada Graduate Scholarship-Master award! Let's work on ⤵️ blood transfusions for GI cancer surgery! @JeannieCallum @DrNCoburn @alyson_mahar @ICESOntario

Tweet media one

4

1

52

@HalletJulie

Julie Hallet

1 year

1st Toronto #NETs Research Retreat today! Dr Law, co-founder of @Sunnybrook NETs clinic & chief of the cancer centre, on the importance of growing our NETwork - clinicians, trialists, epidemiologists, scientists, & patients in one room to share knowledge & advance NET care

Tweet media one

Tweet media two

2

8

50

@HalletJulie

Julie Hallet

6 months

A podium of #HPBheroines experts on the surgical management of #NETs 🙌🏻 at @NANETS1 SLC regional with @AGangiMD , C Scaiffe & E Ward In the words of @marklewismd “the opposite of a manel is simply called fantastic!” 💪🏻✨ @IHPBA @EAHPBA @SocSurgOnc

Tweet media one

Tweet media two

Tweet media three

Tweet media four

2

15

50

@HalletJulie

Julie Hallet

1 year

Made it through Chicago traffic and ready for @SSATNews committee meetings! 🙋🏻‍♀️Thanks to @NutsOnClark airport 🍿 for sustaining me through said traffic. @TsengJennifer #SSAT2023 #DDW2023

Tweet media one

2

0

51

@HalletJulie

Julie Hallet

4 years

⚠️Addressing physicians burnout means addressing system/institutional issues head on. Physicians don’t have a deficit in resilience. Stop trying to fix the individuals. Fix the system. Everyone will win - patients, physicians, and health care system. #wellbeing #healthcare

@ColinWestMDPhD

Colin West

@ColinWestMDPhD

4 years

New in @JAMANetworkOpen : how resilient are physicians, and how does this compare with the general public? #burnout #Wellbeing #MedTwitter w/ @dyrbye @ChristineSinsky et al. Resilience and Burnout Among Physicians and the General US Working Population

8

47

136

3

3

50

@HalletJulie

Julie Hallet

3 years

🆕 Increased second primary cancer for #NETs 5⃣ per 100 NETs patients at 5yrs 👉35% higher than expected More highlights🧵👇 by @BateniSarah @UofTGSx @UofTSurgery @Sunnybrook @JAMAOnc 🔗 #LetsTalkAboutNETs

Tweet card media

Incidence and Predictors of Second Primary Cancers in Patients With Neuroendocrine Tumors

This retrospective cohort study examines the risk factors and predictors of second primary cancers after being diagnosed with neuroendocrine tumors.

jamanetwork.com

3

16

49

@HalletJulie

Julie Hallet

3 years

HPB beauty everywhere #some4hpb @hpb_so #MedTwitter

@AaronDiazMD

Aarón Díaz Flores, MD

3 years

Today I found a tree that looked a lot like the bile duct !

Tweet media one

Tweet media two

22

288

2K

4

4

47

@HalletJulie

Julie Hallet

6 years

Thanks @NANETS1 for supporting research on patient-reported outcomes to improve care delivery for #NET . Grateful and honoured to receive this award. #thankful 🇨🇦 #NANETS2018 #letstalkaboutnets #teamzebra #healthservices #academia @ICESOntario @Sunnybrook @CNETSCanada

Tweet media one

9

3

47

@HalletJulie

Julie Hallet

2 years

Beautiful hommage to an exceptional human, surgeon, leader, educator, mentor, colleague, friend & so much more @CHPBAsurg , as we kick off the last sessions of #CSF2022 @CAGS_ACCG

Tweet media one

0

6

48

@HalletJulie

Julie Hallet

2 years

Good start to #ACSCC22 : few meetings, but most importantly - tacos! How many 🌮 is too many 🌮?? @FlavioRochaMD @LYohanathan

Tweet media one

8

0

48

@HalletJulie

Julie Hallet

1 year

Record attendance of 1️⃣1️⃣0️⃣ for Toronto NET regional conference!🦓 Thanks to incredible speakers and engaged attendees who travelled from near & far, and to dedicated @NANETS1 staff! Beyond amazing to have had so many people together to talk about & advance the care of #NETs in🇨🇦

Tweet media one

Tweet media two

0

7

49

@HalletJulie

Julie Hallet

2 years

René Adam does it again! Challenging surgical concepts in #CRLM at #IHPBA22 ▶️Accept we don’t cure CRLM but rather⤴️ survival ▶️Probably more unintended R2 than we think 🤔 ⁉️Role for cytoreduction in *selected* patients What say you #some4hpb ? @IHPBA @me4_so

Tweet media one

Tweet media two

4

22

46

@HalletJulie

Julie Hallet

3 years

Congratulations @jesse_zuckerman on defending your thesis!! 🙌🥳🤩 Can't wait to see what you do next! 🙏Thanks to committee members @DrNCoburn @alyson_mahar @JeannieCallum and examiners Drs François Lauzier & Duminda Wijeysundera @ihpmeuoft @UofTGSx @ICESOntario @UofTSurgery

Tweet media one

@DrNCoburn

Natalie Coburn

3 years

Congratulations @jesse_zuckerman on defense of your @ihpmeuoft thesis!! A clear and thoughtful discussion of complex methodology examining Variation in Blood Transfusion in GI Cancers

Tweet media one

3

3

39

1

4

48

@HalletJulie

Julie Hallet

4 years

Ok. This is worrisome. So under ON occupation health and safety act if pt w COVID codes and there is no PPE available or it takes time to properly don PPE, the expectation is to provide care w/o protection or be disciplined & personally liable? /1

Tweet media one

18

10

48

@HalletJulie

Julie Hallet

2 years

When too much fluid 💦 is given during liver resection #some4hpb (also, where the #LiverEmoji ?)

@TheWapplehouse

Kristi Yamaguccimane

@TheWapplehouse

2 years

Red wine cistern ruptures at winery in Sicily

417

722

7K

6

3

47

@HalletJulie

Julie Hallet

3 years

Today as I consented patients for life-saving cancer surgeries I had to tell them that I did not know when surgery would be because operating room resources were threatened by #COVID19 . I apologized. Each of them thanked me & all HCWs for our work. /1 #COVID19Ontario

3

5

46

@HalletJulie

Julie Hallet

2 years

Happy new year everyone! 🎉 ✨May 2022 bring brighter, kinder & better things✨ #MedTwitter #SoMe4Surgery #some4hpb

Tweet media one

0

0

47

@HalletJulie

Julie Hallet

3 years

« If I have to open doors myself, people will die » I’ve been waiting for this one for so long & quite disturbed by the accuracy! 🙃 😆 *end of dictation* #SoMe4Surgery #some4hpb

@DGlaucomflecken

Dr. Glaucomflecken

@DGlaucomflecken

3 years

Hanging out with the general surgeon

559

3K

26K

2

7

47

@HalletJulie

Julie Hallet

3 years

Very grateful for @CIHR_IRSC support! 👊 ready to leverage 🇨🇦 data to provide the information that matters most as decided, built, and tested by directly by #patients @DrNCoburn @ConnLesley @amytmhsu @alyson_mahar @FrancesWright15 @jmdeleem87 @mygutfeelingca @doug_manuel

@KullervoHynynen

Kullervo Hynynen

@KullervoHynynen

3 years

Congratulations to @Sunnybrook researchers @DrNCoburn @ConnLesley @HalletJulie and collaborators @ICESOntario @uOttawa @um_research who were recently awarded a $2 million @CIHR_IRSC grant to develop patient-centred predictive tools for cancer care

1

11

50

3

0

47

@HalletJulie

Julie Hallet

4 years

Lots talk re risk asymptomatic COVID 🤔 Surgeons - what to do w pt needing emerg surgery (eg. appy, chole, SBO), no symptoms of COVID, clinically stable (ok to wait before OR)? RT & comment why 👇🏻 #COVID19surgery #SoMe4Surgery #some4hp #somedocs #medtwitter @AnnalsofSurgery

OR direct

501

OR after COVID test

207

OR after CT chest

133

Favour non-op mngmt

148

33

24

47

@HalletJulie

Julie Hallet

3 years

🔑 re tumor markers in the management of PNETs in @NANETS1 guidelines Chromogranin A is NOT recommended for routine use @OncoThor at NANETS webinar🦓 #LetsTalkAboutNETs @CNETSCanada @CarcinoidNETs @CureNETs @netcancerday @HealingNET1

Tweet media one

1

11

45

@HalletJulie

Julie Hallet

2 years

@OncoThor @marklewismd I now decline peer-review invites from any open access journal that doesn’t pay reviewers…

2

1

45

@HalletJulie

Julie Hallet

1 year

#SSO2023 has come to an end! Congrats Dr Weber, @DrCNClarke & Dr @sandralwong for an exceptional event!👏🏻 What did you like most about the meeting? What do you want to hear about/see for #HPB at #SSO2024 ? @AlexParikhMD @HopSTranCao Please share👇 @SocSurgOnc

1

5

46

@HalletJulie

Julie Hallet

11 months

Closing @RamyBehman and @dockcduncan last day with special #PNET surgery. Sad to say goodbye to incredible @UofTSurgOnc fellows, but excited to watch the careers of two exceptional surgical oncologists take off. Congrats to both of you! And thanks for everything!

Tweet media one

2

1

46

@HalletJulie

Julie Hallet

2 years

#truth 👇🏻

@thesurgerylife

Eli EK MD

@thesurgerylife

2 years

#MedTwitter #surgery #surgtwitter

Tweet media one

38

363

3K

2

0

46

@HalletJulie

Julie Hallet

1 year

Majority of whipples are done open. For MIS: move from lap to 🤖 in recent years. ⚠️MIS whipple to be approached carefully, requires expertise & selection to truly help patients - J Martinie @AtriumHealth #SAGES2023 @HoggNDMD @ErinBaker_MD

Tweet media one

4

9

45

@HalletJulie

Julie Hallet

2 years

Best way to spend #IWD2022 : in the OR with an extraordinary all female team @Sunnybrook from @UofTSurgery @UofTanesthesia Today and every day, very grateful to be surrounded by so many fierce & fearless women 😊 Happy #InternationalWomensDay ! #BreakTheBias #ilooklikeasurgeon

Tweet media one

0

2

44

@HalletJulie

Julie Hallet

1 year

How to spare pancreas when treating #NETs ? Remember: 1️⃣No🔪for sporadic NF <2cm 2️⃣For >2cm: LN harvest not therapeutic, R1 can be ok👉🏻tailor parenchyma-sparing🔪to size & localization: central panc & lateral approach to distal panc,⚠️w enucleation #SAGES2023 @SAGES_Updates

Tweet media one

Tweet media two

Tweet media three

4

11

45

@HalletJulie

Julie Hallet

10 months

#HPBheroines around the 🌍 in @hpbjournal Only 2️⃣% China HPB surgeons are female😨 Struggles with academic productivity, promotion & access to leadership How can we help? @IHPBA @AHPBA @EAHPBA Let's promote our Chinese & Asian colleagues! Tag them👇🏻

2

9

44

@HalletJulie

Julie Hallet

1 year

Dr Clarke is a power house in her own right, but even more so through all the people she lifts and empowers. Very deserved feature of her career! 👏🏻👏🏻 Thanks for all you do to make our community better for clinicians and patients alike @DrCNClarke 🙏🏻

@CareerCatalyst_

SMASH: Career Catalyst

@CareerCatalyst_

1 year

Our celebration of #WomensHistoryMonth concludes with @DrCNClarke , who specializes in Surgical Oncology. Dr. Clarke’s research interests are centered on personalized cancer care and targeted approaches in Pancreatic Neuroendocrine Tumors. #WomenInSTEM @DocFromDaBlock

2

16

57

0

5

44

@HalletJulie

Julie Hallet

1 year

Made it to Lyon! Some local specialties may end up distracting me from the conference 🍷🧀🐷

Tweet media one

3

2

45

@HalletJulie

Julie Hallet

10 months

🆕📝Guidance on gastric & duodenum #NETs by #ENETS 🌍 Summary ⚫️Most are incidental & benign in behaviour ⚫️Less is more - don't pull🔪 too fast, keep friendly therapeutic GI close by Some highlights for those incidental NETs👇🏻🧵 /1

6

20

45

@HalletJulie

Julie Hallet

3 years

#ALLPS associated with ⤴️ OS vs 2-stage hepatectomy for CRLM with FLR <30% - ‼️20 months diff in median OS What say you #some4hpb @hpb_so @CHPBAsurg @ihpba @SyedAAhmad5 @shimulshah73 @sepideh_gholami @FlavioRochaMD @drsuswarner @DrCNClarke @umaduekwemd @RSnyder_MD @dorcaratto

@AnnalsofSurgery

Annals of Surgery

@AnnalsofSurgery

3 years

ALPPS Improves Survival Compared With TSH in Patients Affected of CRLM: Survival Analysis From the Randomized Controlled Trial LIGRO

2

23

54

10

9

44