Doug Farmer (@DFarms_MD) header
Doug Farmer (@DFarms_MD) profile picture

Cardiothoracic surgeon in SAT. Hubs/#Girldad. Born Buckeye & CLE fan. Aged/forged on Oahu. OV-DC-HNL-HOU-SAT. Grillmaster. Career Green-Suiter. Possible Texan.

San Antonio, TX
Joined November 2016
Photo by Doug Farmer (@DFarms_MD)Photo by Doug Farmer (@DFarms_MD)Photo by Doug Farmer (@DFarms_MD)Photo by Doug Farmer (@DFarms_MD)Photo by Doug Farmer (@DFarms_MD)Photo by Doug Farmer (@DFarms_MD)Photo by Doug Farmer (@DFarms_MD)Photo by Doug Farmer (@DFarms_MD)Photo by Doug Farmer (@DFarms_MD)Photo by Doug Farmer (@DFarms_MD)
A lot of sensationalism and discussion this past week of whether AI will replace doctors. Here’s a perspective as someone who is entering my 20th year as a Thoracic Surgery Attending in practice and embarked on a surgical career after medical school 30 years ago: ▪️If you define the doctor-patient relationship solely as a series of tasks, then yes, automation and tools such as AI will replace doctors. 🔹However, if the doctor-patient relationship is a longitudinal partnership you make with a patient and their loved ones, that is unique, patient-centered, and delivers extraordinary service, then there is an opportunity as a doctor to both embrace technology and make a difference in the lives of people & communities in need. I’ve had the extraordinary privilege of building clinical practices in the Pacific Northwest and Mountain West. I did my surgical training in the Midwest. Some things change. Others don’t. Yes, there are a lot of problems in healthcare. Yes, we can always do better. But this is an important and incredible time in history. We have the ability to connect and learn on a scale our ancestors could not have even imagined. And that continuous learning can be translated in record time to better care. Do the work. Embrace the technology that helps our patients (which is a very high standard of excellence). Stay engaged. Welcome civil discourse and debate. Build a better world for us all. #Leadership
8
19
5
56
7,985
The independent physician is the last small businessman in America still treated like a threat to national security. Ask yourself who benefits from that.
2
13
5
55
1,367
Yes! One of my top teaching points for residents. The tip of the tube will end up on the invisible line formed by where you made the skin incision and where you went through the chest wall.
A chest drain will go in the same direction as the tunnel you make through the chest. Common error is for a pneumothorax drain to go down & back. This happens because when we stand next to the bed our instruments naturally point in that direction. Solution…….
2
122
Doug Farmer retweeted
Surgery is a "wicked" environment: feedback is delayed, noisy, and often biased. My essay on why experience doesn't always equal mastery, and how to learn when the feedback loops are broken. leezhaomd.org/post/the-wicke… #MedTwitter #Surgery #MedEd
32
159
36
488
140,797
Doug Farmer retweeted
truly one of one.
49
702
23
6,782
149,227
The last full OR week of the year was my busiest. Patients want to use the holidays to recover. We adjust our schedules, make necessary changes, work a little harder, and accommodate. We’re here to serve our pts. We’re grateful for the opportunity and the trust. #northwestern
5
2
2
101
9,945
Ohio University has a damn good football team
332
732
76
7,644
815,339
Lots of strange conversations these days. However, wanted to respond to one thread on this platform about not wanting to do extra work (do the bare minimum). If your view of life is through the lens of transactions, you will miss out. Instead of “I won’t do this unless I get this”, embrace the “I’m not sure, but this will add to my learning”. Growth mindset is powerful. #Leadership
1
15
4
92
10,891
Recreating this iconic photo at the 80th anniversary of the Excelsior Surgical Society and 10 year strategic partnership with @AmCollSurgeons at @WestinRome 80/10 Anniversary- Preserving the Heritage and Ethos of Military Surgery
4
7
2
23
3,493
Wow…mind boggling stat shared by Dr. @pturnermd @AmCollSurgeons during the @AcadSurgery Founder’s lecture this morning. 25.6% of the surgical workforce are aged 65 yrs or older. #ACS2025
5
14
3
67
11,529
What an amazing night at the Cooley hands reception remembering his legacy of excellence with other legends in the field @STS_CTsurgery #STS2025 @JCoselli_MD Bud Frazier, James Livesay, @DrKenLiao @OPreventzaMD @AortaSurg
11
48
2,843
One year outcomes of TAVR in young low risk patients make it into @NEJM boasting great outcomes and driving massive change in practice. @JoChikweMD and colleagues show a 220% increase in 6 year mortality for matched patients undergoing TAVR compared to SAVR. #DontDrinktheKoolAid jtcvs.org/article/S0022-5223…
6
15
98
20,054
🚨#WATCH: As Thousands of fireworks light up the Texas city skyline as 2025 officially arrives 
 📌#SanAntonio | #Texas Millions of people are officially welcoming the New Year of 2025 as it arrives in San Antonio, Texas. Thousands gather to enjoy a stunning fireworks display, with bursts of color illuminating the night sky and the city skyline, spreading joy and excitement throughout the community. Meanwhile, law enforcement is urging residents to refrain from firing guns into the air, emphasizing the serious risk of stray bullets causing harm to others.
256
2,321
216
16,073
1,178,896
White Christmas?! Here's our chance across Texas ❄️🎄😆
41
617
82
6,628
425,467
@Texas_Heart & @BiVACOR are thrilled to announce the successful completion of the first-in-human implantation of the BiVACOR Total Artificial Heart as part of the U.S. FDA Early Feasibility Study: texasheart.org/the-texas-hea… #HeartFailure #HeartDisease #Cardiology #MedTech
2
36
6
81
7,739
Congratulations to the phenomenal Dr. Charles Hallman on his retirement! Dr. Hallman spent his entire surgical career at THI/Baylor and we are so lucky to have had the opportunity to train under him. One of our “finest and funnest” surgeons, you will be so missed around here!
2
17
1,248
Christmas Eve discharges will always be one of my favorites
1
6
496