Peter Szatmary
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researchsurgeon.bsky.social
Peter Szatmary
@researchsurgeon.bsky.social
surgeon. pancreatologist. mensch. @thermbf trustee. practicing the art of systematic over-simplification.
Reposted by Peter Szatmary
We're running a trial of exercise in nature here in Sydney. Free support for exercise and wellbeing for those who participate. If you know anyone who might be interested, please share our link: www.powerlab.site/research/pan...
November 9, 2025 at 10:53 PM
very informative and educational! thank you! 🤣
Apparently some folks are playing real dumb about skull symbols so let’s play a little game I like to call “Nazi skull or not a Nazi skull”

First up, the Jolly Roger. This is a pirate skull, not a Nazi skull. It means you might get robbed, but prolly not genocided.

With me so far? 1/x
October 26, 2025 at 9:04 AM
Reposted by Peter Szatmary
from "The Second Estate: How the Tax Code Made an American Aristocracy" by Ray D. Madoff
October 25, 2025 at 2:51 PM
Reposted by Peter Szatmary
From the Larchives: The Rocky Horus Picture Scroll. One of my favorite works. I had the assistance of an Egyptology PhD student to translate the Time Warp phonetically. Enjoy :)
October 23, 2025 at 3:25 AM
Wow, someone’s going back to Galen! I mean great source for medical history and knowledge, just a good 300 years out of date…
Classes I must have slept through in Med School.
Number EleventyBiliion 👇
October 22, 2025 at 7:53 PM
Reposted by Peter Szatmary
Citrullination in tumor immunity and therapy

This Review by Michael R. Pitter & Weiping Zou discusses how citrullination regulates immune cell function within the tumor microenvironment and its potential as a target in cancer immunotherapy: www.jci.org/articles/vie...
October 16, 2025 at 4:15 PM
Reposted by Peter Szatmary
As someone who thinks about standards of evidence for detecting research misconduct, I found this lecture by Frederick Schauer on his 2022 book The Proof very thought-provoking. He approaches it from perspective of a lawyer looking at use of evidence in everyday life. www.youtube.com/watch?v=JB6q...
‘The Proof’ With Frederick Schauer
YouTube video by University of Virginia School of Law
www.youtube.com
October 11, 2025 at 7:44 AM
Reposted by Peter Szatmary
💉 NEW: Annual COVID boosters save lives — even if you’ve had the virus before. A new NEJM study shows updated shots cut ER visits by 29%, hospitalizations by 39%, and deaths by 64% — in all age groups, with or without risk factors. Protection is protection. #BlueSky #MedSky #NewsSky
#SciSky 🧪
Annual COVID Vaccines Save Lives, New Study Shows
A new study shows that receiving an updated COVID vaccine reduced people’s risk of severe disease and death in all age groups, regardless of immunity from prior infection or vaccination
shorturl.at
October 10, 2025 at 2:17 AM
i read that as ‘socks’ and… soooo many questions!
Have you ever been so angry you threw rocks at your spouse in a hospital parking lot?

It's apparently a thing, at my hospital anyway.
October 2, 2025 at 8:42 AM
Reposted by Peter Szatmary
What is the biggest challenge of consultant appointment?

Management aspects:
• non-clinical roles & expectations of a new consultant within a department
• lack of transparency on routes to affect change at a hospital level
• volume of administrative work

#AnSky

doi.org/10.1111/anae...
September 30, 2025 at 6:03 AM
This is how democracy works in a capitalist society.
Kimmel: "Disney has asked me to read the following statement and I agreed to do it. 'To reactivate your Disney+ and Hulu account ... '"
September 24, 2025 at 4:07 AM
Reposted by Peter Szatmary
Kimmel: "Disney has asked me to read the following statement and I agreed to do it. 'To reactivate your Disney+ and Hulu account ... '"
September 24, 2025 at 3:51 AM
Reposted by Peter Szatmary
I thought this was a respectful and thoughtful answer.
Dear Doctor: Are scientists hiding viable treatments for cancer like ivermectin?
Dr. Roach: Many scientists across the globe are working hard to find new treatments, and every year brings incremental benefits.
share.google
September 22, 2025 at 5:44 PM
Any party arguing against deportation of people with settled status or indefinite leave to remain on count that it is ‘unworkable’, ‘illegal’ and ‘unfunded’ - as if it were a decent thing if only could be made to work in practice - is unfit for government.
September 22, 2025 at 12:49 PM
Reposted by Peter Szatmary
Everyone please listen to Maria Ressa.

www.youtube.com/watch?v=Tsb1...
Maria Ressa - Fighting Back Against Trump’s Authoritarian Algorithm With Truth | The Daily Show
YouTube video by The Daily Show
www.youtube.com
September 20, 2025 at 2:35 AM
Reposted by Peter Szatmary
🧪 FDG-PET/CT in PDAC (McKay et al., 2025):
➕More MDTs & tests, +20.5 days delay ⏳
❌No better local staging, detection of resectability, or 12-mo survival
🚨Detected occult metastases VS treatment delays
👉 MRI liver may be key for occult mets 🔍
🔗https://tinyurl.com/42u39mcr
September 18, 2025 at 1:48 PM
Reposted by Peter Szatmary
We are delighted to announce that the European Parliament's Bluesky family is expanding, with the arrival of accounts for each of the Parliament's Committees 🦋

Check out the full list below, and follow them for regular updates on Committee activity - votes, meetings, etc.!
September 18, 2025 at 7:42 AM
Reposted by Peter Szatmary
The European Parliament’s Committee on Legal Affairs is now on Bluesky 🦋!

Follow us for regular Committee updates and activities - meetings, votes, missions, and more - and for more information visit our website at www.europarl.europa.eu/committees/e...
Highlights | Home | JURI | Committees | European Parliament
Main page of the European Parliament's Committee on Legal Affairs (JURI). Latest news, links to documents and videos of meetings.
www.europarl.europa.eu
September 18, 2025 at 7:15 AM
Reposted by Peter Szatmary
Queen
September 16, 2025 at 5:03 PM
Reposted by Peter Szatmary
Innovative Ex Vivo Surgery and Autotransplantation Successfully Treats IVC Leiomyosarcoma

by Yoshikawa J, Liou P (...) Kato T et 2 al. in Ann Surg Oncol #Surgery #SurgSky #generalsurgery #MedSky

🪡 read our summary here
📖 read the article:
A Surgical Video of an Ex Vivo Liver Resection with Autotransplantation in a Case with Extensive Inferior Vena Cava Leiomyosarcoma Extending to the Right Atrium with Atrial Septal Involvement and Complete Occlusion of All Major Hepatic Veins - Annals of Surgical Oncology
Background Leiomyosarcomas of the inferior vena cava (IVC) pose significant surgical challenges, particularly when tumors extend to the hepatic veins (HVs) and the heart. Such cases often necessitate innovative surgical strategies involving complex vascular and organ reconstruction.1–6 Patient and Methods The patient is a 61-year-old female with a large expansile IVC leiomyosarcoma extending into the right atrium and involving the atrial septum. Imaging revealed complete occlusion of the IVC and all major HVs. Results The tumor was resected en bloc, along with the whole liver, IVC, and portions of both atria under cardiopulmonary and portosystemic bypass. The atria and septum were reconstructed with bovine pericardial patches. The vena cava was reconstructed with a ringed Gore-Tex graft. Simultaneously at the back table, tumor resection and HV thrombectomy were performed. The hepatic vein outflow was reconstructed with a bovine pericardial patch. The tumor-free liver was then reimplanted. Operative time was 13 h 11 min, with an estimated blood loss of 4 L. The patient was then discharged home 1 month later. After 9 months, two small recurrent liver lesions were identified and addressed with partial liver resection following chemotherapy. The patient was alive and disease-free 16 months after initial surgery. Conclusions This case highlights the successful use of ex vivo surgery and liver autotransplantation in managing an extensive IVC leiomyosarcoma. This innovative approach, combined with open heart surgery, achieved complete tumor resection with a reasonable postoperative recovery and oncologic outcome.
link.springer.com
September 13, 2025 at 6:33 PM
Reposted by Peter Szatmary
I’ve been frustrated to see so much of the ongoing story about asylum seekers and the protests against them covered without hearing from those seeking asylum and now being met with hostility and hatred

I set out to speak to those directly affected to find out about the impact this is having 👇
We escaped war and torture but now we feel unsafe in Britain
Special report: Amid protests and rising aggression towards asylum seekers across the country, we spoke to those being targeted
www.liverpoolecho.co.uk
September 7, 2025 at 6:49 AM
You’ve got the sides mixed up - must be a mirror image?
An unpleasant scene in central Oxford. On the left, anti-immigrant shouts of 'send them back' and (I'm pretty sure) 'shoot the f**kers'. On the right, singing of 'stop the hate/ stop the fear' through a tannoy. Crowd on the right about double the size of that on the left.
September 6, 2025 at 4:24 PM
Patients whose physiological parameters are increasingly incompatible with life are more likely to die. #Revelations101 #MedSci
Combined APACHE II and lactate levels predict post-op mortality in high-risk patients

by Subedi RP, Kumar N (...) Basu S et 8 al. in BMC Surg #Surgery #SurgSky #generalsurgery #MedSky

🪡 read our summary here
📖 read the article:
Prognostic value of the combination of serial APACHE II with serum lactate for predicting post-operative mortality in gastrointestinal perforation peritonitis: a prospective cohort study - BMC Surgery
Background Gastrointestinal perforation peritonitis is a life-threatening surgical emergency with high mortality. Early identification of patients at increased risk of poor outcomes is critical for optimizing care. In this study, we aimed to evaluate the prognostic value of combining serial Acute Physiology and Chronic Health Evaluation II (APACHE II) scores and serial serum lactate levels in predicting 30-day postoperative mortality among patients undergoing emergency laparotomy for gastrointestinal perforation peritonitis. Methods In this prospective cohort study, 120 adult patients diagnosed with gastrointestinal perforation peritonitis and undergoing emergency laparotomy were enrolled after obtaining ethical approval and informed consent. APACHE II scores and serum lactate levels were recorded at three time points: preoperatively (baseline), 6 h postoperatively, and 24 h postoperatively. The primary objective of this study was a combination of serial APACHE II and serial serum lactate level (baseline, 6 h and 24 h post-operatively) and its correlation with post-operative mortality in emergency laparotomy for hollow viscus perforation peritonitis. Data were analysed to compare clinical variables between survivors and non-survivors. Receiver operating characteristic (ROC) curves and area under the curve (AUC) analyses were used to assess the predictive performance of individual and combined markers. Results The 30-day postoperative mortality rate was 35%. Significant differences in age, serial APACHE II scores, and serial serum lactate levels were observed between survivors and non-survivors. A serum lactate level of ≥ 1.88 mmol/L had a sensitivity of 81% and specificity of 69.2% (AUC: 0.817; p = 0.0001). APACHE II scores of ≥ 11.16 yielded a sensitivity of 76.2% and specificity of 91% (AUC: 0.915; p = 0.0001). Both serial lactate levels and APACHE II scores were independent predictors of 30-day mortality. The combination of serial APACHE II scores and serum lactate (cutoff ≥ 11.95) had a sensitivity of 85%, specificity of 82%, and an AUC of 0.919 (p = 0.0001), making it the preferred predictor for 30-day post-operative mortality. Conclusions The combination of serial APACHE II scores and serial serum lactate levels provides superior prognostic accuracy for predicting 30-day postoperative mortality in patients undergoing emergency laparotomy for gastrointestinal perforation peritonitis. This approach may facilitate early identification of high-risk patients and guide clinical decision-making. Trial registration Not applicable.
bmcsurg.biomedcentral.com
August 28, 2025 at 8:02 AM
Reposted by Peter Szatmary
A must-read, must-share piece - clearly deconstructing the shoddy science of the Geiers (who are inexplicably in charge of studies at HHS).

Consider this an early warning for what lies ahead. 🛟🩺🧪

www.nytimes.com/interactive/...
Opinion | The Playbook Used to ‘Prove’ Vaccines Cause Autism (Gift Article)
Data can easily be manipulated to show a causation that doesn’t exist.
www.nytimes.com
August 19, 2025 at 12:40 PM