Tiger Country: The Trauma Podcast

Miloš Buhavac, Rishi Kundi, and Joe DuBose
  • 4.7 (23)
  • MEDICINE

Quick bites of trauma: spend a half hour or less with trauma surgeons from around the world, discussing interesting cases, pearls of wisdom, lessons learned, whether or not a hot dog is a sandwich and whether brushing one’s teeth in the shower is economy of motion or a waste of water.

  1. 11/06/2023

    Tiger Country - Episode Eleven: Damage Control Surgery and the Open Abdomen, or, You Knew We Were Going To Need An Abthera From The Start of The Case, Kyle!

    In this episode, your intrepid podsurgeons talk to the venerable and famed Martin Zielinski, lately of the Mayo Clinic and currently Chief of Trauma and Acute Care Surgery at Baylor. Dr. Zielinski talks with us about damage control surgery. For something so widely practiced and studied, there are few better examples of the art of surgery than DCS. When does one know that a patient is in a damage control state? It is physiologic derangement or the severity of the injuries? When does one know the patient's ready to go back to the OR? How has the shift away from crystalloid altered thinking and practice? That leads to a discussion about direct peritoneal resuscitation and management of the open abdomen before Dr. Zielinski talks about what it's like to move from the paradise that is the northern Midwest to Houston, where the average temperature is approximately a hundred and thirty degrees. In December.

    33 min

  2. 11/06/2023

    Tiger Country - Episode Ten: Surgical Treatment of Gastric and Duodenal Ulcers, or, That’s A Spicy Meatball

    In this episode, DuBose and Milos are sadly deprived of my companionship and commentary, but that's perfectly fine because they're talking to David Feliciano and who's a better guest than that? The three of them discuss the operative treatment of gastric and duodenal ulcer disease, which was once a mainstay of emergency general surgery and is now something rarer than hen's teeth. In addition to proton pumps, those pills inhibit trainee experience. When we started eradicating H. pylori, we started eradicating familiarity with the Kelling-Madlener and Pauchet procedures. I can't think of a third one. Anyway, I'm not there for this episode because I was off on my bachelor weekend, which is apt because Dr. Feliciano talks about what it's like when your spouse is as much a surgical heavyweight as you are. He also talks about his fondness of powerboating and what it was like to train with Michael DeBakey. DuBose and Milos do not ask Dr. Feliciano if Debakey would tell the scrub to, "hand me the me clamp," or snap, "these me forceps are off-center, damn it all!" If I had been there I would have asked that.

    49 min

  3. 05/28/2023

    Tiger Country - Episode Nine: The Sickest Gallbladder I Ever Did See

    In this episode, which is the second in a row that was recorded without me, Milos and DuBose interview Dr. Kevin Schuster, a Professor of General Surgery, Trauma, and Surgical Critical Care at Yale. I am reminded, as I listen, to my very first question in my very first room of my general surgery oral boards. A cardiac surgery patient with sepsis, likely intraabdominal. Was it acalculous cholecystitis? It was. Did I completely blank out? I did indeed. Did I say, "I'm going to get a CT scan," and was I met with an abrupt transition to the next patient? Yes and yes. Did my realization of my error lead to my conviction that I had irrevocably failed my oral exam? Yes. Did that conviction relax me for the remainder of the day and make me think more clearly and speak more fluidly? Also yes.

    50 min

  4. 05/28/2023

    Tiger Country - Episode Eight: Whole Blood, or, Meet Doctor Acula

    In this episode, Milos and DuBose talk to Martin Schreiber, the Division Head of Trauma, Critical Care and Acute Care Surgery at the Oregon Health Sciences University. Professor Schreiber discusses the finer points of resuscitation with whole blood, including how to get a whole blood program started. He also goes on to discuss how to have two weddings at once, and why John Holcomb has used 'tonic-clonic' to describe Dr. Schreiber's dance style. The most notable thing about this episode, of course, is that I am absent.

    52 min

  5. 05/10/2023

    Tiger Country - Episode Seven: Subspecialty Trauma & Acute Care Surgeons, or, How Many Fellowships Would A Wood Chuck Do If A Wood Chuck Could Even Be Board-Eligible

    Like me and DuBose, Dr. Chad Ball is an expert in BDSM - Boards in Diverse Surgical Majors. He's as associate professor of surgery and oncology at the University of Calgary, where he practices hepatobiliary, pancreatic, acute care, and trauma surgery. We discuss how the desire to master surgical subspecialties is rooted in masochism, really, and how that training affects practice.

    1h 8m

  6. 01/30/2023

    Tiger Country Resurrected - Episode Six: Your Pal the Appendix and How to Care for It

    D. Dante Yeh is the Chief of Emergency General Surgery at Denver Health Medical Center and is the author of an incredibly comprehensive multicenter study with the coolest name you could imagine. The MUSTANG Trial looked at the treatment of appendicitis in America and addressed questions that had, until then, really only been looked at in European studies. Listen as we talk about the honestly fascinating conclusions from that study as well as a discussion about why America is different. Did you know that the nonoperative treatment of appendicitis in Belgium involved mussels? It's the broth that's really important, though. We end by discussing Dr. Yeh's nationally renowned fashion sense. When I told my friend Rich Betzold that we had interviewed Dr. Yeh, his first response was, "You know he wears ascots? They're so cool." And it's true. He wears ascots and they are cool.

    52 min

  7. 01/20/2023

    Tiger Country Resurrected - Episode Five: Pancreatitis and the Damage Done

    When it's healthy, it's yellow and fluffy-looking, like a Golden Retriever puppy. When it's sick, it's the stuff of nightmares. Unless you're Dr. Greg Beilman, who hath tamed the pancreas and its ailments. Dr. Beilman is the Chief of General Surgery at the University of Minnesota; he's also an Associate Dean at the medical school, the SVP of acute care operations for M Health and, because he clearly has a ton of free time, a colonel in the Army with five deployments under his belt. With all that, it's no wonder that the pancreas doesn't scare him. Come and listen to him with us and maybe my nightmares will get better.    I was going to title this episode, "Don't F**k with the Pancreas," but I was worried Milos would get mad.

    53 min

  8. 11/29/2022

    Tiger Country Resurrected - Episode Four: Rib Fractures

    In this episode of Tiger Country, we talk to Dr. Ram Nirula, the Dr. D. Rees and Eleanor T. Jensen Presidential Endowed Chair in Surgery at the University of Utah, and we discuss rib fractures. My understanding of rib fractures has come a long way since my high school football coach taped up my thorax before sending me back out on the field - that, of course, was the city championship game against Andrew Johnson High School, in which I scored four touchdowns. In the intervening years, we've learned a tremendous amount about how frailty and fractures interact and, while our understanding has increased, fixation technology has, as well. It's all very confusing, and Dr. Nirula goes a long way in both simplifying the matter and making me not feel bad for being confused. He also has some very incorrect opinions about hockey, but we can look past that, because he's from Winnipeg, which is the home of The Weakerthans.

    48 min
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4.7
out of 5
23 Ratings

About

Quick bites of trauma: spend a half hour or less with trauma surgeons from around the world, discussing interesting cases, pearls of wisdom, lessons learned, whether or not a hot dog is a sandwich and whether brushing one’s teeth in the shower is economy of motion or a waste of water.

Information

  • Creator
    Miloš Buhavac, Rishi Kundi, and Joe DuBose
  • Years Active
    2020 - 2023
  • Episodes
    33
  • Rating
    Explicit
  • Copyright
    ℗ & © 2020 Tiger Country: The Trauma Podcast
  • Show Website
    Tiger Country: The Trauma Podcast