George Tolis (@georgetolisjr) / X

George Tolis

1,057 posts

George Tolis

@georgetolisjr

Median sternotomy, pump, Prolene, Steinway. Not certified for Cor-Knot or Atriclip.

Boston, MA

Joined July 2012

Following

8,645

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George Tolis
@georgetolisjr
Apr 6, 2025
Now open access PDF. We need to tighten up our statistical arguments in cardiac surgery if we are to make bold statements about new techniques. Industry sponsored observational studies written by authors with COI and promoted by podium presentations is not good science.
METRICStanford
@METRICStanford
Apr 2, 2025
Parish A, Tolis G, Ioannidis JPA. Across 73 meta-analyses mortality improvements are uncommon with newer interventions in adult cardiac surgery. J Clin Epidemiol. 2025 jclinepi.com/article/S0895-…
43K
George Tolis
@georgetolisjr
Jul 19, 2024
Many young physicians are finding out today for the first time how much less complicated it was to take care of patients a decade ago.
1.2M
George Tolis
@georgetolisjr
Mar 31, 2024
I emailed an ENT colleague in an affiliated hospital asking for a few minutes of his time to discuss a personal health issue. After some emails describing his world travels he suggested I call his office for an appointment. We are rapidly losing our collegiality as a profession.
328K
George Tolis
@georgetolisjr
Jul 19, 2024
The Epic downtime has had quite an effect on hospital operations today. Everyone is spending more time with the patients in the rooms, doing a physical exam, talking to each other about the patients’ clinical course and bonding in the back rooms over pizza and brownies.
119K
George Tolis
@georgetolisjr
Jun 28, 2022
It is quite funny how you can become an extremely successful and nationally recognized surgeon without being a good surgeon.
George Tolis
@georgetolisjr
Sep 2, 2025
Asking the anesthesiologists and the OR nurses who is the best surgeon for an operation is the only safe way to pick a surgeon. They are the only ones who can separate between who is nice, who would be fun to go out with and who can get the patient out of the OR in one piece.
37K
George Tolis
@georgetolisjr
May 6, 2023
I did 22 pump cases in the last two weeks, but it is the stern email that my presence attestation statement in one of my op notes was delinquent and had to be done ASAP that really threw me off. Hard work is NOT the reason why physicians are burning out at alarming rates.
94K
George Tolis
@georgetolisjr
Jul 20, 2024
I hope people have realized by now that the EMR is mostly about data collection and billing and only partially about patient care when compared to a paper chart. I am sure your patients did just fine yesterday. Your Epic Inbasket in the days to come… that’s a different story.
310K
George Tolis
@georgetolisjr
Oct 11, 2024
We have created a healthcare system in which there is never a shortage of opiates or Botox but where elective heart surgery is cancelled because of a nationwide shortage of IV fluids.
78K
George Tolis
@georgetolisjr
Aug 29, 2022
Dr. John Fox anesthetized his first cardiac surgical patient @Brighamanes in October 1981. Today I had the honor of working with John on the last two cardiac patients he will ever care for. He taught hundreds of residents while remaining loyal to his institution. Godspeed John!
George Tolis
@georgetolisjr
Dec 29, 2024
The EMR has converted medical progress notes and office visits into cut/paste rants full of checked boxes to satisfy billing requirements rather than assessment narratives of patients’ medical conditions. “Now awaiting CABG” is typically found in a post CABG discharge summary.
36K
George Tolis
@georgetolisjr
Jan 6, 2023
One of the saddest realities of our time is witnessing a senior academic surgical figure being treated with pure disrespect by their younger bosses because of decreased financial productivity, disregarding their years of service and contributions to their institutions.
109K
George Tolis
@georgetolisjr
Jun 10, 2023
I viewed my residency years as a unique opportunity and privilege to be exposed to the maximum possible number of surgeries and clinical exposures and read about them at home while someone else was ultimately responsible for my actions. I never thought of myself as an employee.
264K
George Tolis
@georgetolisjr
Jan 8, 2024
It seems that in the absence of test scores and medical school grades, candidates are now flooding their application CVs with publications and presentations. Do we really want to encourage medical students to turn away from their textbooks and focus on meaningless research?
69K