Andrew Wright MD
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andrewswrightmd.bsky.social
Andrew Wright MD
@andrewswrightmd.bsky.social
530 followers 330 following 130 posts
GI and Minimally Invasive Surgeon, University of Washington. Ergonomics, education, robotic surgery, hernia, and Foregut surgery. Also, Seattle Sounders, books, science fiction and fantasy, skiing, D&D, woodworking, music. He/him
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andrewswrightmd.bsky.social
I’m seeing more patients recently taking peptides off label. This is an exceptionally well written review, I found it very helpful in understanding the trend and the (lack of) data around these new and unproven meds
erictopol.bsky.social Eric Topol @erictopol.bsky.social · 4d
Influencers and celebrities
apnews.com/article/pept...
My recent review of the field
erictopol.substack.com/p/the-peptid...
November 14, 2025 at 7:29 PM
Reposted by Andrew Wright MD
markhoofnagle.medsky.social
If we adopted a true public option (expanded medicare), negotiatated drug prices, and regulated insurers stringently to spread risk (basically Denmark) we would likely spend half as much while covering everyone and no denials of care. Denmark notably has the highest citizen satisfaction ratings.
November 12, 2025 at 1:31 AM
andrewswrightmd.bsky.social
Best practice for any open abdominal surgery
jamasurgery.com JAMA Surgery @jamasurgery.com · 11d
Elevated preoperative HbA1c was associated with increased risks of complications, readmissions, and mortality in general surgery patients, supporting routine HbA1c screening for all surgical candidates, regardless of diabetes history. ja.ma/4nGcH0Q
Bar graph titled "Surgical Outcomes Among the Investigated Glycemic Groups." Adverse events in % are shown for healthy, undiagnosed prediabetes/diabetes, and diagnosed diabetes patients with varying glycemic control, categorized by complication type.
November 7, 2025 at 2:50 PM
andrewswrightmd.bsky.social
seems very on brand
meidastouch.com MeidasTouch @meidastouch.com · 18d
Trump is holding a Great Gatsby/Roaring 20s-themed party at his private club in Palm Beach tonight as he tries to withhold SNAP and health care subsidies from millions of Americans. (via Kellie Meyer)
November 1, 2025 at 11:54 PM
andrewswrightmd.bsky.social
Awesome new song heard on KEXP today. youtu.be/KwmOeR9Vags?...
October 16, 2025 at 11:55 PM
Reposted by Andrew Wright MD
mjsdc.bsky.social
Washington Supreme Court Justice Mungia has an extraordinary opinion condemning "the underlying racism and prejudices that are woven into the very fabric" of SCOTUS opinions about Native people.

"We must clearly, loudly, and unequivocally state that was wrong.”
www.courts.wa.gov/opinions/pdf...
MUNGIA, J. (concurring)—I concur with the majority’s opinion.1 And yet I dissent. Not from the majority’s opinion, but I dissent from the racism embedded in the federal case law that applies to this dispute. FEDERAL INDIAN LAW IS A PRODUCT OF THE RACIST BELIEFS ENDEMIC IN OUR SOCIETY AND OUR LEGAL SYSTEM While it is certainly necessary to follow federal case law on issues involving Native American tribes and their members, at the same time it is important to call out that the very foundations of those opinions were based on racism and white supremacy. By doing this, readers of our opinions will have no doubt that the current court disavows, and condemns, those racist sentiments, beliefs, and statements. Since the founding of our country, the federal government has characterized Native Americans as “savages”: They were “uncivilized.” They had little claim to the land upon which they lived. At times, the federal government attempted to eradicate Native Americans through genocidal policies. At other times, the federal government employed ethnic cleansing by forcibly removing children from their parents’ homes to strip them from their culture, their language, and their beings.2 Federal Indian case law arises from those racist underpinnings. The majority correctly cites to Cherokee Nation v. Georgia, 30 U.S. (5 Pet.) 1, 8 L. Ed. 25 (1831), which is one of the foundational cases involving tribal sovereignty. That opinion is rife with racist attitudes toward Native Americans. Chief Justice John Marshall, writing for the majority, describes a tribe’s relationship to the federal government as one of “ward to his guardian.” Id. at 17. In effect, the opinion presents tribal members as children, and the federal government as the adult. That theme would follow in later opinions by the United States Supreme Court—as would the theme of white supremacy. Cherokee Nation began with the premise that Native American tribes, once strong and powerful, were no match for the white race and so found themselves “gradually sinking beneath our superior policy, our arts and our arms.” Id. at 15. The white man was considered the teacher, the Native Americans the pupils: Meanwhile they are in a state of pupilage. Their relation to the United States resembles that of a ward to his guardian. Id. at 17. This characterization of superior to inferior, teacher to student, guardian to ward, was repeated in later United States Supreme Court opinions. In Lone Wolf v. Hitchcock, 187 U.S. 553, 23 S. Ct. 216, 47 L. Ed. 299 (1903), often characterized as the “American Indian Dred Scott,” 3 the Court used that rationale to justify ruling that the United States could break its treaties with Native American tribes. These Indian tribes are the wards of the nation. They are communities dependent on the United States. Dependent largely for their daily food. Dependent for their political rights. . . . From their very weakness and helplessness . . . there arises the duty of protection, and with it the power. Id. at 567 (quoting United States v. Kagama, 118 U.S. 375, 383-84, 6 S. Ct. 1109, 30 L. Ed. 228 (1886)). Our court also carries the shame of denigrating Native Americans by using that same characterization: “The Indian was a child, and a dangerous child, of nature, to be both protected and restrained.” State v. Towessnute, 89 Wash. 478, 482, 154 P. 805 (1916), judgment vacated and opinion repudiated by 197 Wn.2d 574, 486 P.3d 111 (2020). 3 See A Returning to Cherokee Nation, Justice William Johnson’s separate opinion was less tempered in how he considered the various Native American tribes: I cannot but think that there are strong reasons for doubting the applicability of the epithet state, to a people so low in the grade of organized society as our Indian tribes most generally are. Cherokee Nation, 30 U.S. at 21. Native Americans were not to be treated as “equals to equals” but, instead, the United States was the conqueror and Native Americans the conquered. Id. at 23. In discussing Native Americans, Justice Johnson employed another racist trope used by judges both before and after him: Native Americans were uncivilized savages. [W]e have extended to them the means and inducement to become agricultural and civilized. . . . Independently of the general influence of humanity, these people were restless, warlike, and signally cruel. . . . . But I think it very clear that the constitution neither speaks of them as states or foreign states, but as just what they were, Indian tribes . . . which the law of nations would regard as nothing more than wandering hordes, held together only by ties of blood and habit, and having neither laws or government, beyond what is required in a savage state. Id. at 23, 27-28. This same characterization was used by Justice Stanley Matthews in Ex parte KanGi-Shun-Ca (otherwise known as Crow Dog), 109 U.S. 556, 3 S. Ct. 396, 27 L. Ed. 1030 (1883). Justice Matthews described Native Americans as leading a savage life.
October 10, 2025 at 5:29 PM
andrewswrightmd.bsky.social
No surprises here
jamasurgery.com JAMA Surgery @jamasurgery.com · Oct 9
BIOLAP RCT: Use of biological mesh in laparoendoscopic inguinal hernia repair did not reduce postoperative pain and was associated with significantly higher recurrence and seroma rates compared with synthetic mesh.

ja.ma/4mQaNKv
JAMA Surgery infographic: RCT comparing biological vs. synthetic mesh in laparoendoscopic inguinal hernia repair. Population: 457 men, 34 women. Findings: biological mesh showed higher hernia recurrence rate. Donut charts show recurrence rates of 11.2% vs. 2.5%.
October 9, 2025 at 2:42 PM
andrewswrightmd.bsky.social
Yup, this tracks. Still healthier than general population but the life of a surgeon definitely takes its toll
jamasurgery.com JAMA Surgery @jamasurgery.com · Oct 7
Higher mortality rates among surgeons vs non-surgeon physicians may reflect differences related to work environment, professional demands, and lifestyle.

ja.ma/4h0fhgj
Bar graph showing deaths per 100,000 population by occupation. 'All other workers' has the highest death rate, followed by 'Lawyers, engineers, and scientists,' 'Surgeons', and 'Other physicians'.
October 7, 2025 at 12:08 PM
Reposted by Andrew Wright MD
sages.org
Reminder about SAGES Webinar on Posture, Prehab, Performance: Mastering Surgical Ergonomics on September 30. us06web.zoom.us/webinar/regi...
September 23, 2025 at 7:03 PM
Reposted by Andrew Wright MD
sages.org
New SAGES Guideline: Intraoperative Imaging of the Common Bile Duct: A Systematic Review www.sages.org/publications...
September 19, 2025 at 7:02 PM
Reposted by Andrew Wright MD
davidjroth.bsky.social
We took the paywall down on this one. defector.com/how-the-fuck...
How Are You Supposed To Get The COVID Vaccine Now? An Explainer | Defector
As the muggy malaise of summer winds down, you might find yourself interested in taking advantage of one of several safe and proven vaccines to help protect you from the inevitable brumal surge of res...
defector.com
September 4, 2025 at 5:27 PM
andrewswrightmd.bsky.social
I’m officially old now
stereogum.com Stereogum @stereogum.com · Aug 30
The Cure’s ‘The Head On The Door’ — featuring the singles “In Between Days” (their first Hot 100 hit) and “Close To Me” — was released 40 years ago today
August 30, 2025 at 7:11 PM
andrewswrightmd.bsky.social
Epic
sounderatheart.com Sounder at Heart @sounderatheart.com · Aug 30
“They’ve got Messi … but we’ve got Paul Rothrock.” @lobbingscorchers.com killed it with this edit.
August 30, 2025 at 7:09 PM
andrewswrightmd.bsky.social
For any of my bluesky friends who are surgeons, please consider filling out this survey on ergonomics in the operating room. Thanks so much!

uwashington.qualtrics.com/jfe/form/SV_...
Research Survey
Research Survey
uwashington.qualtrics.com
August 27, 2025 at 7:07 PM
andrewswrightmd.bsky.social
Bowel anastomosis lab with our UW Surgery residents. Old school hand-sewn double layer.
Surgery residents in simulation lab
August 20, 2025 at 5:46 PM
Reposted by Andrew Wright MD
sages.org
Apply for the Career Development Award today! Applications close October 1st, 2025. To learn more and apply, visit: www.sages.org/research/car...
August 15, 2025 at 7:01 PM
andrewswrightmd.bsky.social
3 weeks to the 2025 UW Surgical Ethics Symposium, registration now open! Join us for a fantastic lineup of panelists, free for trainees and students. In person or virtual.

secure.touchnet.net/C20410_ustor...
August 13, 2025 at 12:41 AM
Reposted by Andrew Wright MD
carlbergstrom.com
1. Federal funding for research promotes tech, biomedical, and scientific discovery in the US, and provides training for the sci/tech workforce that has brought immeasurable wealth to the US over the past 75 years.

Today's executive order includes a provision that will obliterate both functions.
Improving Oversight of Federal Grantmaking
By the authority vested in me as President by the Constitution and the laws of the United States of America, and to improve the process of Federal
www.whitehouse.gov
August 8, 2025 at 1:13 AM
Reposted by Andrew Wright MD
seattlekim.bsky.social
If anyone needs an Ozzy fix today, I recommend checking out the livestream at KEXP.org.
playlist showing music by Black Sabbath and Ozzy Osbourne.
July 22, 2025 at 6:58 PM
andrewswrightmd.bsky.social
Proud moment. #3 on the Star Wars pinball leaderboard
July 22, 2025 at 1:28 AM
andrewswrightmd.bsky.social
Register now for the Society of Surgical Ergonomics 2025 Annual Symposium! events.zoom.us/ev/Aqa8Xt76W...
July 21, 2025 at 1:31 PM
andrewswrightmd.bsky.social
These “peer to peer” conversations almost always go this way, and they never actually have the authority to approve care. Frustrating waste of my time on a weekly basis. Our system is broken.
histoftech.bsky.social Mar @histoftech.bsky.social · Jul 18
A U.S. surgeon trying to have a “peer to peer” consultation with a doctor at a health insurance company who is hiding his identity as her patient gets denied coverage. And it gets worse from there. You have to see it to believe it.

(1/2)
July 19, 2025 at 11:55 AM
Reposted by Andrew Wright MD
andrewpfister.bsky.social
PSG scared shitless of the Sounders, need to send basically everybody to have a chance
sounderatheart.com Sounder at Heart @sounderatheart.com · Jun 23
PSG’s lineup features 10 of the players who started the Champions League final. Dembele only player missing.
June 23, 2025 at 6:31 PM
andrewswrightmd.bsky.social
Good turnout for a little town on Whidbey Island! #NoKings
June 14, 2025 at 5:42 PM
Reposted by Andrew Wright MD
gwillow.me
Footy (soccer) fans! Were you planning to travel to the USA for one or more of the Club World Cup games, but decided against it due to the current political situation? (Fear of immigration police, the trade wars, etc?) I want to hear from you for a thing. Sounders for exposure
Several very good boys in the dark blue Salish Sea kit at Lumen Field before a recent match
June 14, 2025 at 3:01 AM