Weekend Briefing for October 4, 2025: New Images in Clinical Medicine: Oral Verruciform Xanthomas nej.md/4mH8U2I Four New Perspectives: 1️⃣ Occupational Health and Safety on the Chopping Block nej.md/3VMcttz 2️⃣ Emergency Medicaid at Risk nej.md/46MQec6 #MedSky

New research shows there’s a simple way to protect workers. Is OSHA listening? The U.S. workplace regulator is considering a federal heat rule — if the shutdown doesn’t delay it further. grist.org/business/sim... #OSHA #Labor #Union #Workers #Heat #Weather

New research shows there’s a simple way to protect workers. Is OSHA listening?

New research shows there's a simple way to protect workers. Is OSHA listening?

grist.org

New in the October 9, 2025, issue of NEJM: Baxdrostat Efficacy and Safety in Uncontrolled Hypertension (BaxHTN phase 3 trial) nej.md/4my7xUZ Nexiguran Ziclumeran in ATTR with Polyneuropathy nej.md/46Qhur7 #MedSky

Our @nejm.org perspective examines how cuts to the National Institute for Occupational Safety & Health threaten decades of progress in protecting U.S. workers, and will leave us less prepared for the next pandemic or public health crisis @aflcio.org @npr.org www.nejm.org/doi/full/10....

Occupational Health and Safety on the Chopping Block — What’s at Stake? | NEJM

The U.S. government has taken steps to dismantle the National Institute for Occupational Safety and Health, the bedrock research agency charged with safeguarding worker health.

nejm.org

Episode 7 of the #surgicalergonomics podcast "Ergonomics for laparoscopic and robot-assisted surgery" with Dr. Ian Soriano is now available to listen to on all your favorite platforms or for free at www.buzzsprout.com/2449794 @andrewswrightmd.bsky.social @urogabe.bsky.social @ruthvmd.bsky.social

📢 Episode 6 of the Surgical Ergonomics podcast "Ergonomics for Ophthalmologists and how presbyopia affects us all" with Dr. Amy Zhang is now available to 🎧 to on all your favorite platforms or here at: feeds.buzzsprout.com/2449794.rss @facs.org @aatshq.bsky.social @ascrs.bsky.social

Are you a surgical leader? Then Episode # 5 of the Surgical ergonomics podcast "Driving institutional change in surgical ergonomics" with Dr. Marc Rubin is for you. 🎧 Listen on your favorite platform or at: lnkd.in/gPKSPZmb @facs.org @ascrs.bsky.social @plasticsurgeryasps.bsky.social

Surgical Ergonomics podcast # 4 “Everything you wanted to know about disability insurance” is now available to 🎧 ! feeds.buzzsprout.com/2449794.rss In this NOT to be missed episode Dr. Stephanie Pearson MD FACOG shares her personal journey and tips on why and how to get disability insurance

⏪ Time to revisit: Surgical ergonomics: how and where to start? ➡️https://buff.ly/MjIrzRH A clear and concise review presenting the key principles for optimal ergonomics in the OR. @halletjulie.bsky.social #SurgSky #MedSky

Surgical ergonomics: how and where to start?

The field of ergonomics is dedicated to understanding the interactions between humans and elements of a system, with one of the core tenets of ergonomic approaches being the need to fit the…

buff.ly

Really enjoyed sharing the urology/trainee perspective on surgical ergonomics on the new @surgergonomics.bsky.social podcast! Thanks for having me Geeta, exciting work ahead!

@surgergonomics.bsky.social · last yr.

Surgical Ergonomics podcast # 3 "Ergonomics for Surgical Residents" with @urogabe.bsky.social is now available to 🎧 on Apple podcasts, Spotify, Amazon Music, Pocket casts and iHeart radio podcasts.apple.com/us/podcast/e... @absurgery.org @facs.org @oags.bsky.social @socsurgonc.bsky.social

In pain/discomfort after OR: get yourself anti-fatigue mats! RCT H&N surgery >3h - mat 🆚 not ⬇️ discomfort & pain in lower extremity, shoulders, neck & back 😀 Immediately postop and 24h after Simple and it works! 📝 pubmed.ncbi.nlm.nih.gov/39882505/

📣 New pub from our group! We identified significant gaps in workplace injury reporting among physicians to the Bureau of Labor Statistics when compared to other medical occupations and low-/high-hazard non-medical occupations journals.lww.com/joem/abstrac...

Got back into reading this year, my 2024 reads 👇 #bookwrapped #booksky

🚨 #SurgErgoTip: Robotic console arm position💪 🔑Armrest height should be adjusted to keep hands near elbow height w/ 90-120° bicep angle 🔑Frequent use of clutch control to keep hands in center of working envelope w/ forearms on the rest (always be clutching!) fig c/o rdcu.be/c95Dn #surgsky #medsky

📣Bringing surgical ergonomics tips to #surgsky with #surgergotip ✴️Monitor position for laparoscopy/endoscopy 🔑Place monitor directly in front of the user, 3-6 ft away, slightly below eye level (~15°) for gaze-down viewing ✅Minimizes axial rotation & allows eye muscles to be in most relaxed state

In unexpected breaking news, I’m an elite athlete somehow #MedSky

More than a year later, this article is still incredibly powerful. “Surgery, especially, has always been cruel to its practitioners, who suffer high rates of #burnout, ergonomic injuries, miscarriages and infertility.” System change is needed! #SurgSky #Wellness www.theguardian.com/us-news/2023...

US surgeons are killing themselves at an alarming rate. One decided to speak out

The grueling profession has long kept silent about mental distress. After losing a friend, Carrie Cunningham began telling her own story

theguardian.com

Landmark trial in NEJM - BALANCE ⚖️ 🏗️ 3608 hospitalized pts w/ bacteremia (MC bacteria E. Coli 44%; MC source urinary tract 42%) randomized to 7 vs. 14 days of abx 🎯 7d was non-inferior re: 90d mortality, resistant colonization, abx-related AEs www.nejm.org/doi/full/10....

Antibiotic Treatment for 7 versus 14 Days in Patients with Bloodstream Infections | NEJM

Bloodstream infections are associated with substantial morbidity and mortality. Early, appropriate antibiotic therapy is important, but the duration of treatment is uncertain. In a multicenter, non...

nejm.org

📣 Friendly reminder to all the surgeons on #surgsky #medsky — @amcollsurgeons.bsky.social released surgical ergonomics recommendations on how to optimize body posture and OR layout to mitigate risk of work-related MSK disorders — check them out! #surgicalergonomics

Epic first 3 weeks chiefing the Hopkins pediatric urology service! 🫡 - cloacal exstrophy 2' closure - classic exstrophy 1' closure - b/l cutaneous ureterostomies - SP robotic BNT - augment / mitrofanoff - 4 distal, 2 proximal hypos - open b/l reimplant - robotic VC fistula repair

How-to video on robotic-assisted augmented roof ureteroplasty with appendiceal onlay -- great technique for long mid-to-proximal ureteral strictures 🤖 Full video and commentary here: t.co/XzLPRbeQSY #medsky #surgsky #pedssurgsky #surgery @johnshopkins.bsky.social

For all #SurgSky #MedSky interested in ergonomics in the operating room - more human factors and ergonomics researchers and interested people are joining @bsky.app Here’s a starter pack with a few voices in that space. Tag others 👇🏻and will add! go.bsky.app/S3f1WcG

We strongly suggest that academic publishers and other platforms that host research rapidly implement a Share to Bluesky button for their articles. Here's how: docs.bsky.app/docs/advance... #AcademicSky #HigherEd #Altmetrics

Action Intent Links | Bluesky

Authors, websites, and apps can use action intent links to implement "Share on Bluesky" buttons, or similar in-app actions. Logged-in users will be directed to the corresponding action view in the Blu...

docs.bsky.app

Struggling with surgical staplers design? 😖🤕 Check out this webinar from Society of Surgical Ergonomics 📆December 11 ⏰7 PM ET With Dr Amandeep Shergill, Geeta Lal, Susan Hallbeck and Ian Soriano, and industry partners (Teleflex & Medtronic) Register🔗 tinyurl.com/4dj36rn3 SurgSky MedSky HPBSky

Putting X in the rearview, blue skies ahead 🪁 Follow me if you’re interested in pediatric reconstructive surgery, surgical ergonomics, AI, medical education, or just want to connect!