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Julie Hallet, MD MSc

@halletjulie.bsky.social
1.3K followers 312 following 180 posts

🎓MD MSc FRCSC FACS FSSO 😷HPB Cancer Surgeon & #NETologist 👩🏻‍💻Associate Professor at UofT ⚜️Québec City Girl She/Her/Elle #NETsSky #HPBSky #Surgsky

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Reposted by Julie Hallet, MD MSc
BJS Academy @bjsacademy.bsky.social · 23/09/2025
🆕Team design as innovation in perioperative care: the case of HPB anesthesiology ➡️https://buff.ly/U5wd2VX "Change takes time – in all fields, including surgery... But not all improvements require new technology." @halletjulie.bsky.social #surgery #team #HPB #medsky #surgsky
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Julie Hallet, MD MSc @halletjulie.bsky.social · 10/08/2025
💥Bone mets in SI-NETs – more common than you think! 🦴25% on PET-CT 😌14% pain, 4% fracture ⏳Stage IV pts with 🦴 mets ⬇️ median survival vs without 📊>5 lesions has ⬇️ survival What's the best strategy for bone treatments in #NETs? 💭 ow.ly/GB2N50WCokB #NETSky #OncSky #MedSky #SurgSky
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Julie Hallet, MD MSc @halletjulie.bsky.social · 08/08/2025
💭Guess what day it is? #NETs OR 🦓 with Dr Meloche-Dumas She’s focusing on NETs during surg onc fellowship. The NETs field needs more dedicated surgeons like her - watch out for what’s to come! So fun to create tailored multidisciplinary NETs rotations with UofT SurgOnc #NETsky #SurgSky #MedSky
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Julie Hallet, MD MSc @halletjulie.bsky.social · 07/08/2025
Mesoappendix invasion not a criteria for right hemi in appendix NETs 👥4800 pts 🔬meso invasion not associated with LN+ on its own 📏size main risk factor No difference in OS appendectomy vs right hemi👌 Timely for @nanets.bsky.social guidelines! link.springer.com/article/10.1... #NETSky #SurgSky
link.springer.com
Appendiceal Neuroendocrine Tumors: Prognostic Role of Mesoappendiceal Invasion and Implications for Recommending Right Hemicolectomy versus Simple Appendectomy - Annals of Surgical Oncology
Background Current guidelines are conflicting as to whether mesoappendiceal invasion (MAI) among patients with appendiceal neuroendocrine tumors (aNETs) warrants right hemicolectomy (RHC), especially ...
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Reposted by Julie Hallet, MD MSc
Hannes Jansson @hannesjsson.bsky.social · 06/08/2025
#HPBSky Also check out the great ergonomics in surgery primer from last year 📑 🔑 at @bjsacademy.bsky.social 👏🏻 @halletjulie.bsky.social
bjsacademy.com
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Reposted by Julie Hallet, MD MSc
BJS Academy @bjsacademy.bsky.social · 06/08/2025
🆕 Ergonomics in the OR is a safety imperative The OR looks choreographed—yet beneath it lie serious ergonomic hazards for the surgical team. Read more on BJS Academy ⬇️ buff.ly/7QuQvlA @halletjulie.bsky.social @bjsurgery.bsky.social #surgsky #medsky #surgery
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Julie Hallet, MD MSc @halletjulie.bsky.social · 06/08/2025
OR under pressure⚡️ Live observations 👀 👉🏻multiple ergonomic hazards across types of surgeries ‼️poor layouts 🤸awkward postures 🏃trip risks 📟tech fails Involving all team members😷 Time to make OR safe for workers! 📝🔗 academic.oup.com/bjs/article-... #SurgSky #MedSky
academic.oup.com
Under pressure: live observation of ergonomic challenges in the operating room
Ergonomics is the study of how people interact with their environment to improve efficiency and well-being. In the operating room (OR), poor ergonomic prac
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Julie Hallet, MD MSc @halletjulie.bsky.social · 01/08/2025
Defining high-risk pancreas #NETs 496 resections 🇮🇹🇫🇷🇨🇦 Early recurrence 71% if venous thrombosis 41% if Ki 67>5% + tumor >3cm + ⬆️LN ⚠️Signs of biologically borderline-resectable NETs 🛑 before resection ➡️ start with systemic💊 🔗 journals.lww.com/annalsofsurg... #NETSky #HPBSky #PancSky #SurgSky
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Julie Hallet, MD MSc @halletjulie.bsky.social · 24/07/2025
🎙️New data for management of #HCC What is new? What is in the works? Review this & more with Adam Yopp, Amit Singhal & Katie Kelley in new #SurgOncToday podcast 🎧 from @socsurgonc.bsky.social A real masterclass in perioperative care for HCC 🔝 #HPBsky #SurgSky #medsky #oncsky
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Julie Hallet, MD MSc @halletjulie.bsky.social · 29/06/2025
What will my life look like after surgery? The STAYHOME tool can help with this question for older adults for cancer surgery: 🏡 individualized risk of staying home at 6 & 12 months 😷 uses preop info ✅ good discrimination & well calibrated 📝 in JAMASurgery lnkd.in/gTtRgj_e #SurgSky #OncSky
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Julie Hallet, MD MSc @halletjulie.bsky.social · 29/06/2025
That was the last OR day with Dr Acher! Always bittersweet to see fellows go 🥹 So proud of the highly skilled, brilliant, whip-smart surgeon she is 🌟 @wiscsurgery.bsky.social, you're lucky to have her! Now, we can always dream of getting her on social media 🙃 @uoftsurgery.bsky.social
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Julie Hallet, MD MSc @halletjulie.bsky.social · 18/06/2025
Should we chase margins intraop for PDAC? ✅Yes - R0 is key for cure ❌No - R1 reflects biology, not technical cure Great summary & sharp debate on surgical cure vs disease reality from #SSO2024 in @annsurgoncology.bsky.social between Alice Wei & David Kooby link.springer.com/article/10.1...
link.springer.com
Great Debate: Chasing Intraoperative Neck Margins During Pancreatoduodenectomy—Beneficial or Not? - Annals of Surgical Oncology
Annals of Surgical Oncology -
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Julie Hallet, MD MSc @halletjulie.bsky.social · 04/06/2025
Sub-typing to select NAT in #PDAC? NeoPancONE 🇨🇦 #ASCO25 @ascocancer.bsky.social 👥84 resectable PDAC 💉mFOLFIRINOX NAT Median OS 34 months😀 🔬Classical vs basal sub-type main predictor EFS & OS What next 🤔: sub-type all PDAC prior to chemo? wait for more data? ascopubs.org/doi/10.1200/...
ascopubs.org
NeoPancONE: GATA6 expression as a predictor of benefit to peri-operative modified FOLFIRINOX in resectable pancreatic adenocarcinoma (r-PDAC): A multicentre phase II study.
4011Background: Modified FOLFIRINOX (mFFX) is increasingly used in the perioperative setting in r-PDAC and patients (pts) would benefit from a biomarker approach. GATA6 expression enriches for the cla...
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Julie Hallet, MD MSc @halletjulie.bsky.social · 31/05/2025
Not in Chicago but getting the updates - #ASCO25 learnings today: 😀there's an option in BRAFV600 mCRC 😀Ipi+Nivo better in MSI-h unresectable mCRC 🫤ctDNA+ still not guiding care in CC 😳CRS+HIPEC no better with chemo @oncbrothers.bsky.social got the details 👉🏻 tinyurl.com/bd75xjw7 #OncSky #MedSky
tinyurl.com
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Julie Hallet, MD MSc @halletjulie.bsky.social · 28/05/2025
Stable OR teams contribute to better outcomes🤝✨ Each additional case done by same anesthesiologist-surgeon team 👉 ⬇️ major morbidity 🔓‼ Opportunity is knocking: ⬆️outcomes by re-organizing teams How do we do it? 🆕📝 tinyurl.com/yx44pm96 #SurgSky #MedSky #HPBSky
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Julie Hallet, MD MSc @halletjulie.bsky.social · 17/05/2025
PRRT before surgery in #NETs? ☢️🦓 Maybe? 💭 Think about why, how to measure success, potential risks 🤔 Some key reasons to consider the approach by Jess Maxwell @mdanderson.bsky.social 👇🏻 @nanets.bsky.social #NETsky #HPBSky #SurgSky @enets.bsky.social @socsurgonc.bsky.social
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Julie Hallet, MD MSc @halletjulie.bsky.social · 17/05/2025
#NETs in LA ⭐️🎥🌴 Reminder to debulk NETs liver metastases by Alexandra Gangi 🤩 @cedarssinai.bsky.social ➡️ mortality in NETs happens in the liver - treat it ⛔️ No to anatomic resection! 👉🏻 enucleate! #NETsky #HPBSky #SurgSky #OncSky @nanets.bsky.social
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Julie Hallet, MD MSc @halletjulie.bsky.social · 15/05/2025
Perioperative management essentials for carcinoid syndrome 🎞️👀 sneak peek of 🗺️ international expert consensus recommendations at @essonews.bsky.social #NETs webinar today 🔹Assess for 🖤disease 🔹Identify & treat crisis fast 🔹Don't rely on octreotide! Thanks for the invite! #NETSky #HPBSky #SurgSky
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Julie Hallet, MD MSc @halletjulie.bsky.social · 14/05/2025
New favourite slide from @drcnclarke.bsky.social on surgery for #PNETs 🟢🟠🔴 at AHPBA monthly fellows rounds @nanets.bsky.social @enets.bsky.social @socsurgonc.bsky.social #NETSky #HPBSky #PancSky #SurgSky
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Julie Hallet, MD MSc @halletjulie.bsky.social · 12/05/2025
Symptoms & QoL are key in #NETs care New tools🧰 from @ascocancer.bsky.social for symtpom management in well-diff GEP-NETs ☑️carcinoid syndrome, heart disease, crisis & functional PNETs ☑️surgery, liver-directed therapy & systemic 🔗📝https://ascopubs.org/doi/10.1200/OP-25-00133 #NETSky #OncSky
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Julie Hallet, MD MSc @halletjulie.bsky.social · 09/05/2025
Want to know more about surgery & functioning NETs?🤨 Join @essonews.bsky.social on May 14! 🔥Will include preview of international expert consensus recommendations for periop management of carcinoid crisis🦓🌎 Register 👇🏻👇🏻 #NETSky #SurgSky #OncSky #HPBSky
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Julie Hallet, MD MSc @halletjulie.bsky.social · 25/04/2025
Are current wait time targets optimal? Strong work by Adom Bondzi-Simpson #AmerSurg25: wait time & survival in #CRC 🚫 diff OS if surgery <28d (traditional target) ⬆️OS if surgery <45d (new) Time to reconsider wait times to optimize cancer outcome vs resources? ⚖️🤔 📸cred @swexner.bsky.social
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Julie Hallet, MD MSc @halletjulie.bsky.social · 24/04/2025
Re-operation for SB-NETs 👥 21 pts in 🇩🇪 ▪️Resected for residual disease - mostly mesenteric LN ▫️Incomplete prior surgery (48% as emergency) ▪️>80% disease-free at 52m median FU 🔑Post-resection ➡️ Get imaging ➡️ If residual disease: refer to NET expert tinyurl.com/upc5exfw #NETsSky #SurgSky #OncSky
tinyurl.com
Results of Surgical Reintervention After Suboptimal Initial Resection for Locoregional Neuroendocrine Tumors of the Small Intestine
Complete resection is the only chance for cure in small intestine neuroendocrine neoplasms (SI-NEN). Previous ENETS guidelines proposed standards for the surgery of SI-NEN, which should be followed t...
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Julie Hallet, MD MSc @halletjulie.bsky.social · 22/04/2025
The scrub cap is back for some team spirit in the OR 🏥 #StanleyCupPlayoffs #GoHabsGo Bring back the cup where it belongs! 🔵⚪️🔴 🇨🇦
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Julie Hallet, MD MSc @halletjulie.bsky.social · 03/04/2025
🚨 Debulking of #NETs liver metastases 🦓 What? Why? When? How? The 😈 is in the details Get details in 🆕 #SurgOncToday podcast🎙️with Jessica Maxwell & Alexandra Gangi: patient selection, preop preparation & technical approach open.spotify.com/episode/2n7z... #NETSky #HPBSky #SurgSky #OncSky
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Julie Hallet, MD MSc @halletjulie.bsky.social · 02/04/2025
🚨 #AHPBA2025 recap🎙️ Missed the meeting? Spent time at the beach🏖️? Too many sessions to pick from? Get your update in 🆕 #SurgOncToday with Ryan Ellis & Michael Lidsky: HAIP⛽️, locally advanced PDAC, PNETs, NSQIP & more! open.spotify.com/episode/3AJT... #SurgSky #HPBSky @socsurgonc.bsky.social
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Julie Hallet, MD MSc @halletjulie.bsky.social · 29/03/2025
Congrats Adom Bondzi-Simpson & Tiago Ribeiro on #SSO2025 presentations and awards 👏🏻👏🏻 Outstanding representation of UofT surgery and well deserved recognition of your work! 🎉 #SurgSky
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Julie Hallet, MD MSc @halletjulie.bsky.social · 27/03/2025
Reunited with some favourite #SurgOnc colleagues and friends under the Florida ☀️ for #SSO2025 Starting with board meeting - lots accomplished under Ron DeMatteo's presidency and more to come under Russ Berman's leadership 💪🆙 @socsurgonc.bsky.social #SurgSky #MedSky #HPBSky #OncSky
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Reposted by Julie Hallet, MD MSc
Hans Lederhuber @hansl16.bsky.social · 23/03/2025
📣Please share your thoughts and help shaping tomorrow‘s review process. 📣 📅 The survey below is still open until tomorrow, 23/3/25 at 23:59 CET @facs.org @gio-marchegiani.bsky.social @jbmatthews.bsky.social @drneil.bsky.social @halletjulie.bsky.social
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Julie Hallet, MD MSc @halletjulie.bsky.social · 24/03/2025
Surgical ergonomics & human factors are joining forces in Toronto next week! Join the Society of Surgical Ergonomics and HF/ES for cocktail hour: 📆March 31, 2025 ⏰6:30pm 📍Miller Tavern (Yonge street) See you there!
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Reposted by Julie Hallet, MD MSc
Hannes Jansson @hannesjsson.bsky.social · 21/03/2025
#HPBSky #SurgSky
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Julie Hallet, MD MSc @halletjulie.bsky.social · 23/03/2025
That was fun #AHPBA2025! ☀️🌴🌊 Thanks Flavio Rocha & AHPBA team for a great meeting! ⏭️ now to #SSO2025 #HPBsky #SurgSky
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Reposted by Julie Hallet, MD MSc
BJS Academy @bjsacademy.bsky.social · 16/03/2025
⏪ Time to revisit: Surgical ergonomics: how and where to start? ➡️https://buff.ly/MjIrzRH A clear and concise review presenting the key principles for optimal ergonomics in the OR. @halletjulie.bsky.social #SurgSky #MedSky
buff.ly
Surgical ergonomics: how and where to start?
The field of ergonomics is dedicated to understanding the interactions between humans and elements of a system, with one of the core tenets of ergonomic approaches being the need to fit the…
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Julie Hallet, MD MSc @halletjulie.bsky.social · 14/03/2025
MIS for liver resection - Should we? Why? How? 🤔💭 🎙️Dissecting the data & tips for uptake with the author of the first lap liver trial A Fretland and robotic expert L Melstrom in #SurgOncToday 🎧 #Hpbsky #SurgSky @socsurgonc.bsky.social podcasts.apple.com/ca/podcast/sur…
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Julie Hallet, MD MSc @halletjulie.bsky.social · 12/03/2025
Fun work day with good music! 🎶🎸 Nothing better than music in the OR and a happy anesthesiologist - both make work better 😄
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Julie Hallet, MD MSc @halletjulie.bsky.social · 06/03/2025
Because you can resect does not mean you should Not all NETs are the same Stefano Partelli introducing biological unresectability for PNETs at #ENETS25 👉🏻 identifying futile surgery & when preop therapy will help We have 💊options - let’s figure out how to combine with surgery! #NETsky #Medsky
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Julie Hallet, MD MSc @halletjulie.bsky.social · 06/03/2025
🔥 from #ENETS25 - 🇨🇦 science on a big stage!💪🏻 @iacovosmichael.bsky.social using NETs organoids (my NET babies!) to test new Rx mechanisms ▪️apoptosis machinery active in G1/2 NETs ▪️BH3-mimetics + lutathera work in lab 👉🏻 New therapy to trial? #NETsky #oncSky @nanets.bsky.social
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Julie Hallet, MD MSc @halletjulie.bsky.social · 16/02/2025
What's better than combiing Valentine's day 💖, #NETs 🦓 & Mexico 🇲🇽🌮? 😃 That's a wrap on a successful 1st @nanets.bsky.socia meeting in Latin America - thanks for the welcome in CDMX! Congrats Jaydira Del Rivero & Ismael Dominguez for coordinating!!
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Julie Hallet, MD MSc @halletjulie.bsky.social · 14/02/2025
What to do with carcinoid crisis? 🦓 A frequent concern for patients with #NETs having surgery We put together an international 🌎🌍🌏 multidisciplinary expert consensus statement 📢 Now open for feedback! Sign-up here 🔗 surveymonkey.com/r/periopcarc... 📆 Open until March 3rd!
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Julie Hallet, MD MSc @halletjulie.bsky.social · 12/02/2025
🆕📝Self-injury after cancer dx - does it matter? A severe sequelae of distress 😣 In 3⃣ in every 1⃣0⃣0⃣0⃣ pts ⚠️Associated with ⬆️46% hazards of deaths A critical outcome: how to better screen & care? Need more than💊 to⬆️survival 🔗https://tinyurl.com/53tmspcn More👇🏻 #MedSky #OncSky
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Julie Hallet, MD MSc @halletjulie.bsky.social · 06/02/2025
Get to know the new CUTNETs group! Clinical care, research & training to be combined to ⬆️ surgical care of NETs 🇨🇦🇮🇹🇺🇸🇲🇽🇬🇧🇳🇴🇸🇪🇦🇹🇩🇪🇳🇱 Stay tuned for our research agenda and first collaborative studies 🦓🤝 in @bjsurgery.bsky.social 🔗 tinyurl.com/5n6e8w84 #NETSky #SurgSky #OncSky @nanets.bsky.social
tinyurl.com
Care of neuroendocrine tumours: the Collaborative of sUrgical Teams for NeuroEndocrine Tumors (CUTNETs)
Neuroendocrine tumours (NETs) are a diverse group of malignancies with rising incidence and complex behaviours1,2. Although surgical management is a critic
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Julie Hallet, MD MSc @halletjulie.bsky.social · 04/02/2025
In pain/discomfort after OR: get yourself anti-fatigue mats! RCT H&N surgery >3h - mat 🆚 not ⬇️ discomfort & pain in lower extremity, shoulders, neck & back 😀 Immediately postop and 24h after Simple and it works! 📝 pubmed.ncbi.nlm.nih.gov/39882505/
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Reposted by Julie Hallet, MD MSc
IHPBA @ihpba.bsky.social · 03/02/2025
🚨 Applications are now open for the IHPBA Foundation Kenneth Warren Fellowship 2025-2026! 🌍 Advance your research with this prestigious opportunity. 📅 Deadline: April 30, 2025. Apply now and make an impact. For further information visit here:🔗 tinyurl.com/4j8mazk4
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Julie Hallet, MD MSc @halletjulie.bsky.social · 30/01/2025
Fun times in Milan 🇮🇹- visiting 🍷🍝, catching up with friends, making new ones, and a little time to talk #ergonomics. Thanks everyone for the welcome! #HPBSky #SurgSky
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Reposted by Julie Hallet, MD MSc
Heloisa Soares @heloisasoares.bsky.social · 23/01/2025
Thrilled to listen to the incredible #GI25 keynote speaker @pamelakunzmd.bsky.social inspiring us all with her leadership in inclusive science in GI oncology! @ascopost.bsky.social @halletjulie.bsky.social @drcnclarke.bsky.social @rachnatshroff.bsky.social @nanets.bsky.social
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Julie Hallet, MD MSc @halletjulie.bsky.social · 13/01/2025
Thrilled to announce the launch of CUTNETs 🦓 🔪, a surgical collaborative for NETs care and research! Together, we aim to unite expertise and resources in NETs surgery to ⬆️ outcomes 🇨🇦🇮🇹🇺🇸🇲🇽🇬🇧🇳🇴🇸🇪🇫🇷🇦🇹🇩🇪🇳🇱 More in Lancet Gastro Hep letter with Stefano Partelli & Massimo Falconi 🔗 tinyurl.com/yc2w7vba
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Julie Hallet, MD MSc @halletjulie.bsky.social · 10/01/2025
Decision to transfuse🩸in surgery impacts outcomes Point-of-care Hgb often used but is it accurate? 🕵️‍♂️Prospective study by @chamogui.bsky.social 🧪1735 samples Wide variation in p-o-c Hgb ➡️ large difference vs lab ⚠️Risk of transfusion errors - lowest with HemoCue 6% tinyurl.com/2mh7dwu4
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Julie Hallet, MD MSc @halletjulie.bsky.social · 10/01/2025
📸 day at research treat for Dr Coburn, Dr Eskander & my labs A day to celebrate incredible teamwork by those talented investigators & students 🤩 Very grateful to work with them, build off diverse perspectives, skillsets and methodologies to improve cancer care 🆙 #NETSky #HPBSky #SurgSky #OncSky
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Julie Hallet, MD MSc @halletjulie.bsky.social · 10/01/2025
Combination therapy for #NETs Phase 2 RCT #LuCAPtrial of radiosensitizer Cape 👥72 advanced G1/2 GEP-NET ☢️RLT (177Lu-Dotatate) alone 🆚 RLT + Cape No difference ORR, PFS or OS🫤 Should we look at different population? different radiosensitizer? tinyurl.com/mr3ujhr9 #NETSky #HPBSky #OncSky
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Giovanni Marchegiani, MD PhD @gio-marchegiani.bsky.social · 09/01/2025
Effectiveness of Enhanced Recovery After Surgery (ERAS) Protocol 🏋️ in Pancreatic Surgery 7️⃣ RCT on #ERAS showed reduction in 🏥 LOS by 2 days and 💴 costs 🙅‍♂️ Readmission and infections similar 🫵 ERAS is more than removing NG tube 🐘 soon… www.jogs.org/article/S109... #HPBSky #PancreasSky #SurgSky
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