
#PediatricSurgeon, Professor of Surgery, Dir. of Clinical Transformation @CincyChildrens, CEO of @GlobalCastMD, Creator of @StayCurrentMD Ped trauma surgeon
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ALT An event flyer for the 17th Annual Southwest Trauma & Acute Care Symposium (STACS 2026) featuring a presentation titled "A Tale of Two States: How Georgia and Michigan each built a statewide trauma system, what worked, and what they would do differently." The presentation features two speakers shown in circular headshots: 1. Judy Mikhail, PhD, MSN, MBA, RN, from the University of Michigan, Ann Arbor, MI. She has short, styled blonde hair and is wearing a black blazer. 2. Elizabeth Atkins, MSN, RN, TCRN, from the Georgia Trauma Commission, Madison, GA. She has shoulder-length light brown hair and is wearing a dark blazer. The event details are as follows: - Date and Time: Friday, November 20, 2026, at 7:55 AM. - Symposium Dates: November 19–20, 2026, at the Phoenix Convention Center in Phoenix, Arizona. - Organized by the Arizona Trauma Association. - Registration link: arizonatrauma.org/symposium

ALT An event flyer for the 17th Annual Southwest Trauma & Acute Care Symposium (STACS 2026) featuring a presentation titled "A Tale of Two States: How Georgia and Michigan each built a statewide trauma system, what worked, and what they would do differently." The presentation features two speakers shown in circular headshots: 1. Judy Mikhail, PhD, MSN, MBA, RN, from the University of Michigan, Ann Arbor, MI. She has short, styled blonde hair and is wearing a black blazer. 2. Elizabeth Atkins, MSN, RN, TCRN, from the Georgia Trauma Commission, Madison, GA. She has shoulder-length light brown hair and is wearing a dark blazer. The event details are as follows: - Date and Time: Friday, November 20, 2026, at 7:55 AM. - Symposium Dates: November 19–20, 2026, at the Phoenix Convention Center in Phoenix, Arizona. - Organized by the Arizona Trauma Association. - Registration link: arizonatrauma.org/symposium

ALT An event flyer for the 17th Annual Southwest Trauma & Acute Care Symposium (STACS 2026) featuring a presentation titled "A Tale of Two States: How Georgia and Michigan each built a statewide trauma system, what worked, and what they would do differently." The presentation features two speakers shown in circular headshots: 1. Judy Mikhail, PhD, MSN, MBA, RN, from the University of Michigan, Ann Arbor, MI. She has short, styled blonde hair and is wearing a black blazer. 2. Elizabeth Atkins, MSN, RN, TCRN, from the Georgia Trauma Commission, Madison, GA. She has shoulder-length light brown hair and is wearing a dark blazer. The event details are as follows: - Date and Time: Friday, November 20, 2026, at 7:55 AM. - Symposium Dates: November 19–20, 2026, at the Phoenix Convention Center in Phoenix, Arizona. - Organized by the Arizona Trauma Association. - Registration link: arizonatrauma.org/symposium

ALT An informational graphic with a blue and purple gradient background. At the top left, a pink pill-shaped badge reads "Pancreas" above "Expert-to-Expert" with three pink dots below. At the top right, a white box reads "Made possible by Cincinnati Children's." The main text in the center reads: "A 2yoM with acute recurrent pancreatitis has a 10-gene pancreatitis gene panel that comes back positive for a PRSS1 mutation." Below this, a large pink rectangular button contains the question: "DOES THE GENE CHANGE THE OPERATION?" At the bottom left, it reads "1/4", and at the bottom right is a white double-headed arrow pointing right.

ALT An informational graphic with a blue and purple gradient background titled "WHAT PRSS1 TELLS YOU" in large white text. At the top left, a pink oval reads "Pancreas" above the text "Expert-to-Expert" and three pink dots. The top right features a logo for Cincinnati Children's with the text "Made possible by." The main text is organized into two sections: 1. **WHY IT STARTS SO EARLY:** "In one referral center's registry of a thousand children, 80% carried an identifiable mutation. Trypsinogen activates inside the gland instead of the duodenum. The pancreas digests itself, and these children can present at 1–3 years old." 2. **WHAT ELSE IT CARRIES:** "A PRSS1 mutation raises the lifetime risk of pancreatic cancer by a large factor." In the bottom-left corner, it reads "2/4" next to a white arrow pointing right.
![Graphic with a blue gradient background featuring the heading "PRSS1 CHANGES THE OPERATION" under the label "THE SURGEON'S VIEW."
A large quote reads: "I would be very hesitant to offer a segmental resection on a patient that has a [PRSS1] mutation."
A headshot of Dr. Juan Pablo Gurria, a smiling man with dark hair, is positioned in the bottom-left corner next to his name and title: "Juan Pablo Gurria, MD, MSc, Surgical Director, Pancreas Care Center, Cincinnati Children’s."
In the top right, a logo for Cincinnati Children's is displayed next to the text "Made possible by." The top left features a pink label reading "Pancreas Expert-to-Expert," and the bottom right has a white arrow pointing to the right next to the page indicator "3/4."](https://pbs.twimg.com/media/HUnEsQ8W4AEJ_0H.jpg?name=small&format=webp)
ALT Graphic with a blue gradient background featuring the heading "PRSS1 CHANGES THE OPERATION" under the label "THE SURGEON'S VIEW." A large quote reads: "I would be very hesitant to offer a segmental resection on a patient that has a [PRSS1] mutation." A headshot of Dr. Juan Pablo Gurria, a smiling man with dark hair, is positioned in the bottom-left corner next to his name and title: "Juan Pablo Gurria, MD, MSc, Surgical Director, Pancreas Care Center, Cincinnati Children’s." In the top right, a logo for Cincinnati Children's is displayed next to the text "Made possible by." The top left features a pink label reading "Pancreas Expert-to-Expert," and the bottom right has a white arrow pointing to the right next to the page indicator "3/4."

ALT An informational graphic with a blue-to-purple gradient background, titled "THE TAKEAWAY: A POSITIVE PRSS1 RESULT MEANS..." At the top left, a pink badge reads "Pancreas: Expert-to-Expert". At the top right, a white card reads "Made possible by Cincinnati Children’s." The main text is a numbered list: 1. **Reframe the surgical strategy.** Genetic disease continues in any remnant, so total pancreatectomy is a better option than partial resection. 1. **Operate for refractory pain,** not cancer prophylaxis. Total pancreatectomy causes surgical diabetes; TPIAT mitigates it, but many children stay partly insulin-dependent. 1. **Counsel the family** on an elevated lifetime pancreatic cancer risk. At the bottom left, the page number is "4/4".

ALT An informational graphic with a blue and purple gradient background. At the top left, a pink pill-shaped badge reads "Pancreas" above "Expert-to-Expert" with three pink dots below. At the top right, a white box reads "Made possible by Cincinnati Children's." The main text in the center reads: "A 2yoM with acute recurrent pancreatitis has a 10-gene pancreatitis gene panel that comes back positive for a PRSS1 mutation." Below this, a large pink rectangular button contains the question: "DOES THE GENE CHANGE THE OPERATION?" At the bottom left, it reads "1/4", and at the bottom right is a white double-headed arrow pointing right.

ALT An informational graphic with a blue and purple gradient background titled "WHAT PRSS1 TELLS YOU" in large white text. At the top left, a pink oval reads "Pancreas" above the text "Expert-to-Expert" and three pink dots. The top right features a logo for Cincinnati Children's with the text "Made possible by." The main text is organized into two sections: 1. **WHY IT STARTS SO EARLY:** "In one referral center's registry of a thousand children, 80% carried an identifiable mutation. Trypsinogen activates inside the gland instead of the duodenum. The pancreas digests itself, and these children can present at 1–3 years old." 2. **WHAT ELSE IT CARRIES:** "A PRSS1 mutation raises the lifetime risk of pancreatic cancer by a large factor." In the bottom-left corner, it reads "2/4" next to a white arrow pointing right.
![Graphic with a blue gradient background featuring the heading "PRSS1 CHANGES THE OPERATION" under the label "THE SURGEON'S VIEW."
A large quote reads: "I would be very hesitant to offer a segmental resection on a patient that has a [PRSS1] mutation."
A headshot of Dr. Juan Pablo Gurria, a smiling man with dark hair, is positioned in the bottom-left corner next to his name and title: "Juan Pablo Gurria, MD, MSc, Surgical Director, Pancreas Care Center, Cincinnati Children’s."
In the top right, a logo for Cincinnati Children's is displayed next to the text "Made possible by." The top left features a pink label reading "Pancreas Expert-to-Expert," and the bottom right has a white arrow pointing to the right next to the page indicator "3/4."](https://pbs.twimg.com/media/HUnEsQ8W4AEJ_0H.jpg?name=small&format=webp)
ALT Graphic with a blue gradient background featuring the heading "PRSS1 CHANGES THE OPERATION" under the label "THE SURGEON'S VIEW." A large quote reads: "I would be very hesitant to offer a segmental resection on a patient that has a [PRSS1] mutation." A headshot of Dr. Juan Pablo Gurria, a smiling man with dark hair, is positioned in the bottom-left corner next to his name and title: "Juan Pablo Gurria, MD, MSc, Surgical Director, Pancreas Care Center, Cincinnati Children’s." In the top right, a logo for Cincinnati Children's is displayed next to the text "Made possible by." The top left features a pink label reading "Pancreas Expert-to-Expert," and the bottom right has a white arrow pointing to the right next to the page indicator "3/4."

ALT An informational graphic with a blue-to-purple gradient background, titled "THE TAKEAWAY: A POSITIVE PRSS1 RESULT MEANS..." At the top left, a pink badge reads "Pancreas: Expert-to-Expert". At the top right, a white card reads "Made possible by Cincinnati Children’s." The main text is a numbered list: 1. **Reframe the surgical strategy.** Genetic disease continues in any remnant, so total pancreatectomy is a better option than partial resection. 1. **Operate for refractory pain,** not cancer prophylaxis. Total pancreatectomy causes surgical diabetes; TPIAT mitigates it, but many children stay partly insulin-dependent. 1. **Counsel the family** on an elevated lifetime pancreatic cancer risk. At the bottom left, the page number is "4/4".

