Author | Lightnews

Patrick Heindel, MD, MPH

@patrickheindel.bsky.social

97 followers 140 following 29 posts

Brigham and Women's Hospital Surgery Resident | Former Harvard-Longwood Vascular Surgery NIH T32 + CSPH Research Fellow | Incoming BIDMC Vascular Surgery Fellow | comparative effectiveness, causal inference, machine learning

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Reposted by Patrick Heindel, MD, MPH

Maarten van Smeden @maartenvsmeden.bsky.social · Dec 5

To me, the advantage of causal inference methods lies in the explicit formulation of what one aims the estimate and the assumptions made. While you cannot prove causality, you can agree or disagree with assumptions and you can do sensitivity analyses (triangulation)

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Patrick Heindel, MD, MPH @patrickheindel.bsky.social · Nov 24

Introp systemic heparin when creating radiocephalic #AVF:
- decrease ⬇️ in thrombosis
- no change ❌ in bleeding

Do you give heparin when creating a #fistula? #medsky #vascsky #hemodialysis

Patrick Heindel, MD, MPH @patrickheindel.bsky.social · Nov 24

Evaluating the Effectiveness of Systemic #Heparin During Arteriovenous #Fistula Creation by Emulating a #TargetTrial
Paper in @amjepi.bsky.social by #VESELab #vascsky #medsky

academic.oup.com/aje/advance-...

Evaluating the effectiveness of systemic heparin during arteriovenous fistula creation by emulating a target trial

Abstract. Most of the 800 000 people living with end-stage kidney disease in the United States rely on a functioning vascular access to provide life-sustai

academic.oup.com

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Reposted by Patrick Heindel, MD, MPH

Miguel Hernan @miguelhernan.org · Nov 20

It's always a good time to remember Brandolini's principle
@ziobrando.bsky.social

Alberto Brandolini presents a slide with the text "The amount of energy necessary to refute bullshit is an order of magnitude bigger than to produce it"

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Patrick Heindel, MD, MPH @patrickheindel.bsky.social · Nov 23

Great tool to help migrate from the bird app to bluesky - use early and often before it gets blocked!

Kawamata Ryo @kawamataryo.bsky.social · Nov 10

Hi Bluesky community 🦋.

I just pushed the official website for Sky Follower Bridge 🚀

sky-follower-bridge-docs.vercel.app

I hope this tool helps with the transition from X to Bluesky.

Sky Follower Bridge

Instantly find and follow the same users from your 𝕏 followers on Bluesky

sky-follower-bridge-docs.vercel.app

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Patrick Heindel, MD, MPH @patrickheindel.bsky.social · Nov 23

At BWH we do trough anti-Xa monitoring selectively in high bleeding risk patients and patients with suspected altered kinetics (eg renal dz), generally do not routinely monitor for ppx dosing for the reasons you cited

Reposted by Patrick Heindel, MD, MPH

John Houghton @jsmhoughton.bsky.social · Nov 23

Welcome to a few new vascular surgeons to Bluesky 😁

Here’s a starter pack just for you!

@audiblebleeding.bsky.social @flareyre.bsky.social @nas-vascular.bsky.social

go.bsky.app/8UPng7t

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Patrick Heindel, MD, MPH @patrickheindel.bsky.social · Nov 24

How many studies in vascular surgery use NASA data?! Excellent work by @elizabethfyates uncovering the relationship between hot weather and outcomes after carotid surgery at #ASC2023 @AcademicSurgery @LouisLNguyen @CSPH_BWH @BrighamVascular

Patrick Heindel, MD, MPH @patrickheindel.bsky.social · Nov 24

Star medical student Ascharya Balaji presenting her work at #ASC2023 describing the challenges of identifying peripheral artery disease in healthcare databases - major implications for the epidemiology of PAD! @AcademicSurgery @Jacobs_Med_UB @CSPH_BWH @BrighamVascular

Patrick Heindel, MD, MPH @patrickheindel.bsky.social · Nov 24

Bias / Variance tradeoff

Patrick Heindel, MD, MPH @patrickheindel.bsky.social · Nov 24

Excited to get started learning from the masters of #causalinference at the @CAUSALab seminars - @_MiguelHernan knows how to get my attention, introducing counterfactuals with The Matrix

Patrick Heindel, MD, MPH @patrickheindel.bsky.social · Nov 24

Moonlighting tonight at the Brigham and Women’s HAWKner hospital and met a local eating their dinner @FaulknerHosp

Patrick Heindel, MD, MPH @patrickheindel.bsky.social · Nov 24

I know I’m getting older because now @NPR plays music I listened to in high school as transition filler

Patrick Heindel, MD, MPH @patrickheindel.bsky.social · Nov 24

Always crushing it, @KatherineHeMD delivering a great talk AND poster at @MaChapterACS on efforts to combat antibiotic resistance 🦠worsened by unnecessary periop abx usage in kids @BrighamSurgery @CSPH_BWH @BostonChildrens @ShawnRangelMD

Patrick Heindel, MD, MPH @patrickheindel.bsky.social · Nov 24

THE Brigham looking very New England today - fortunate to be here @BrighamWomens @BrighamSurgery @MassGenBrigham

Patrick Heindel, MD, MPH @patrickheindel.bsky.social · Nov 24

The @BrighamVascular experience with Snuffbox AVFs: 1-yr 2* patency 92%, reintervention common. 87% of pre-ESRD pts used AVF for incident HD - not catheter. Snuffbox is distal-most access, in line with @VascularSVS guidance. @CKeithOzaki @BrighamSurgery

doi.org/10.1016/j.jvs.…

Patrick Heindel, MD, MPH @patrickheindel.bsky.social · Nov 24

Looking forward to be working with @CSPH_BWH as I start my research years! The best part of my new work from home setup lurks beneath my desk. I think his hopes to apply for a fellowship next year are a little far-fetched 🙃

Patrick Heindel, MD, MPH @patrickheindel.bsky.social · Nov 24

Textbook signed by the editor! Such a cool gift from @gmdoherty to all of the surgical residents @BrighamSurgery

Patrick Heindel, MD, MPH @patrickheindel.bsky.social · Nov 24

A little light reading (featuring Ollie) thanks to an educational grant from the Wyett family @BWHSurgery @dougsmink @jdimick1 @gru6n @HPB_Txp_Surg @LillianKao1 @kmattox1

Patrick Heindel, MD, MPH @patrickheindel.bsky.social · Nov 24

Team rounds at the Faulkner, in the best workroom of the residency! Dr. Harris’ footwear firmly rooting us in New England @DaveH06 @BWHSurgery @FaulknerHosp

Patrick Heindel, MD, MPH @patrickheindel.bsky.social · Nov 24

Good times at the @BWH_STRATUS “innovations in chest wall surgery” rib plating workshop, @BWHSurgery GSurg residents representing! Is this the future of flail chest management? #TraumaSurg #ACSCC18

Patrick Heindel, MD, MPH @patrickheindel.bsky.social · Nov 24

entering the ‘gon zone #gonzone #respectthepatti #pattagucci

Patrick Heindel, MD, MPH @patrickheindel.bsky.social · Nov 24

Unexpected opportunity to see the Sox beat the Yankees at Fenway after hanging with the best cointerns in the world...

Patrick Heindel, MD, MPH @patrickheindel.bsky.social · Nov 24

Thanks @becca_scully for setting up the robotic surgery lab today! 🤖@BWHSurgery @MehidaRojas @jcprad11 @KatherineHeMD

Patrick Heindel, MD, MPH @patrickheindel.bsky.social · Nov 24

Happy 4th! Everyone be careful with those fireworks, or you might end up on the Trauma/Burn Surgery service with us taking care of you 😅 @paige_newell47 #cushingtrauma @BWHSurgery