Megan Hutchcraft MD chooses reusable instruments, appropriate use of biohazard waste bags. I am working on my skills with a manual vacuum aspiration rather than using a electric one #JMIGjc JMIG

Megan Hutchcraft MD JMIG @ckeller_md chooses in office procedures whenever she can #JMIGjc JMIG

A little different, it is a call to action, an opportunity to bring attention to the topic. We begin by pointing out the cyclical nature of healthcare contribution to climate change that then cause worse health outcomes and increased need for healthcare JMIG #JMIGjc

What are institutional changes you are working on at your hospital or would like to work on?
#JMIGjc

The theme of the #FMIGS didactic curriculum for March is preventing postop complications. Today, I’ll be reviewing the #JMIG article on backfilling bladder vs catheter removal for trial of void after lsc gyn surgery. Join the convo on my page & JMIG #obgyntwitter #jmigjc

Feb is Fundamentals of Hysterectomy month for the MIGS Fellows, and I’m back hosting #jmigjc this month! Join me on Thursday, 2/22 as we review a Dec 2023 article on Hyst +/- BSO for the transgender patient published by Mallory Stuparich, MD, FACOG et al. Looking forward to reviewing these pearls!

JMIG Megan Hutchcraft MD Catherine Keller, MD CarleOB/GYN Healthcare institutions are major contributors of green house gas emissions (GHGE) and within them, “operating rooms use 3 to 6 times more energy than the rest of the hospital” #JMIGjc

JMIG Let’s take a look at our numbers in this figure. A total of 1628 patients with AUB met inclusion criteria and were randomized. #jmigjc

Findings: performance was similar between active and passive void trial to detect immediate postop urinary retention

Passive VT allows pts to avoid a Foley catheter postop (as long as they can void)

#jmigjc JMIG #voidtrial

Get ready for our April JMIG journal club! Christine Chien, MD, Megan Hutchcraft MD, and others from CarleOB/GYN discuss this article on importance of hemoglobin A1c in preoperative planning. Look out for posts tagged #jmigjc tomorrow! jmig.org/article/S1553-…

Midurethral slings (MUS) are gold standard for treatment of stress urinary incontinence (SUI) with approx 3.7 mill implanted btwn 2005-2013!

A common post-op challenge is urinary retention. How can we optimize assessment of this?

#midurethralsling #sui #jmigjc JMIG

It's journal club time! Welcome to JMIG’s Feb 2024 Journal Club! We will be reviewing the article “Hysterectomy and Oophorectomy for Transgender Patients: Preoperative and Intraoperative Considerations” today. This article was a video article!
jmig.org/article/S1553-… #jmigjc

Today's the day! Join us for JMIG journal club #JMIGjc here on X throughout the day. Sarah Weinstein hosts our discussion on this article Assessment of Urinary Dysfunction After Midurethral Sling Placement: A Comparison of Two Voiding Trial Methods jmig.org/article/S1553-…

Join us here on Thursday 3/21 as host Sarah Santiago, MD discusses this month's JMIG journal club article comparing backfilling the bladder vs standard catheter removal for void trial after gynecologic surgery. jmig.org/article/S1553-… #JMIGjc

Results of the poll from yesterday’s #JMIGJC , thanks to those who responded! Most responded that they perform standard foley removal after TLH at their institution

Operating rooms account for up to 30% of waste generated by hospitals. This includes large amounts of single use items (gloves, drapes, gowns, instruments) and plastic packaging that is sent to the landfill. Avoid the OR if you can! #JMIGjc JMIG

Our article on view for #JMIGjc today!

If you had to guess where the majority of our carbon footprint comes from in US healthcare, what would you think?

Some other considerations: Foley catheters can potentially increase risk of UTI and patient discomfort

… so what’s your preferred method for void trial? Are you #teamactivevt or #teampassivevt ?

#jmigjc

Join us for May's JMIG journal club this Thursday 5/16! Sarah Weinstein will be hosting our discussion on voiding trials after incontinence surgery. Drop your favorite voiding trial 👇
jmig.org/article/S1553-…
#JMIGjc #gyntwitter #urogyn

@carleob_gyn Christine Chien, MD @BhargaviDhani Abhi Tangada I are pleased to discuss JMIG📚 article 📝 Hysterectomy Complications Relative to HbA1c Levels. We are excited to share our different #GynOnc &  #UroGyn perspectives 🧐 #JMIGJC #MIGS SGO AUGS @AAGL #GynTwitter