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Atul_Gawande's profile
Atul Gawande
Atul Gawande
Atul Gawande
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@Atul_Gawande

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Atul GawandeVerified account

@Atul_Gawande

Surgeon, Writer, Researcher, Dilettante. https://www.ariadnelabs.org/  http://www.lifebox.org/ 

atulgawande.com
Joined January 2011

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    Atul Gawande‏Verified account @Atul_Gawande 8 Apr 2017

    The fight over surgical hats. My view: patient data say caps aren't plausibly riskier for infection than other typeshttp://bit.ly/2oQAzW3 

    12:48 PM - 8 Apr 2017
    • 154 Retweets
    • 195 Likes
    • Ekua Owusu-BediakoMD Dr Minas Chrysopoulo Joshua Mammen MD PhD Lesley Barron Carlos E Uribe, MD, FACC, FSCAI. Louise Carr James Bould Aaron Alvarado Joe O'Neill
    24 replies 154 retweets 195 likes
      1. New conversation
      2. Patrick McDonald‏ @Brainsurger 8 Apr 2017
        Replying to @Atul_Gawande

        I miss my caps. The logical extension of this line of thought is we should shave off our eyebrows before operating.

        1 reply 0 retweets 9 likes
      3. Kwesi Kwofie‏ @MKwesiKwofie 9 Apr 2017
        Replying to @Brainsurger @Atul_Gawande

        @drlauraduggan Only eyebrows off! I removed my eyelashes too. #patientsafety

        0 replies 0 retweets 4 likes
      4. End of conversation
      1. New conversation
      2. Dr. Laura Duggan‏ @drlauraduggan 8 Apr 2017
        Replying to @Atul_Gawande

        Various hats (I wear bright cloth) help patients identify who the players are in their care; a mono-hatted sea hinders visual connection

        1 reply 1 retweet 3 likes
      3. Albinoblackbear‏ @doctorblackbear 9 Apr 2017
        Replying to @drlauraduggan @Atul_Gawande

        I've had many patients tell me they appreciated my unique cap - knew who I was!

        0 replies 0 retweets 1 like
      4. End of conversation
      1. Matthew A. Nehs‏ @MatthewNehsMD 9 Apr 2017
        Replying to @Atul_Gawande

        @Dr_Amy At #aaes2017 we heard a microbiome talk - we shed billions of bacteria in every case regardless of hat choice.

        0 replies 2 retweets 2 likes
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      1. Jeffry Upperman‏ @PedsTraumaMan 8 Apr 2017
        Replying to @Atul_Gawande @DoyleLeilani

        But wait I just got one with eyebrow visor at amazon...

        0 replies 0 retweets 6 likes
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      1. David Rosen‏ @hdavidrosen 8 Apr 2017
        Replying to @Atul_Gawande

        can we add the evidence against surgical masks to that?

        0 replies 1 retweet 2 likes
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      1. Hector Tamez, MD MPH‏ @hectortamezmd 8 Apr 2017
        Replying to @Atul_Gawande

        Someone needs to look at leaded caps in the IR, cath lab. They are not changed as often as surgical one.

        0 replies 1 retweet 2 likes
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      1. New conversation
      2. Frank Conroy‏ @MrFrankConroy 9 Apr 2017
        Replying to @Atul_Gawande @BostonGlobe

        similar story with surgical masks. No cast iron data to suggest they reduce infection rates.

        1 reply 1 retweet 1 like
      3. Foiz Ahmed‏ @MrFoizAhmed 9 Apr 2017
        Replying to @MrFrankConroy @Atul_Gawande @BostonGlobe

        : The look of horror when I scrub up for a case without one!

        1 reply 0 retweets 1 like
      4. Flo W‏ @FWmaternity 10 Apr 2017
        Replying to @MrFoizAhmed @MrFrankConroy and

        😷&👀wear are for our protection from splash not pts, is there a difference in post theatre hair #looklikeasurgeon surgical hats destroy style

        1 reply 0 retweets 0 likes
      5. Frank Conroy‏ @MrFrankConroy 10 Apr 2017
        Replying to @FWmaternity @Atul_Gawande @BostonGlobe

        correct !

        0 replies 0 retweets 0 likes
      6. End of conversation
      1. Candra Bass, MD Anesthesiologist‏ @CandraBassMD 9 Apr 2017
        Replying to @Atul_Gawande

        Totally agree. With long hair, the bouffant actually covers less of hair once mask is tied due to the looseness of the material and slippage

        0 replies 0 retweets 2 likes
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      1. Iain Moppett‏ @IainMoppett 9 Apr 2017
        Replying to @Atul_Gawande @colinjmccartney

        It's not 1st April still? Hat, no hat or bouffant - but not as a symbol of the profession surely?pic.twitter.com/2pkV2I0aN2

        0 replies 0 retweets 2 likes
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      1. Derman Basaran‏ @BasaranDerman 8 Apr 2017
        Replying to @Atul_Gawande

        I think Balaclava hat is a good option; better coverage than caps and stylish as hats.

        0 replies 0 retweets 2 likes
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      1. Emily Davidson, MD‏ @emilyrwd 10 Apr 2017
        Replying to @Atul_Gawande

        Data should drive guidelines. No evidence? No practice change.

        0 replies 0 retweets 1 like
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      1. Nisha Khot  🇮🇳 🇬🇧 🇦🇺‏ @Nishaobgyn 10 Apr 2017
        Replying to @Atul_Gawande

        Uneasy lies the head that wears the crown and the surgeon's head that doesn't wear the right cap

        0 replies 0 retweets 1 like
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      1. Sam Moghtaderi‏ @DrMoghtaderi 8 Apr 2017
        Replying to @Atul_Gawande

        AORN's guidelines on local anesthesia cases are similarly non-evidence-based (& call for extra nurses), yet are basis for hospital policies.

        0 replies 0 retweets 1 like
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