Tom Varghese Jr. MD, MS, MBA, FACS, MAMSE 🇺🇸

#Leadership 🧵 As the years go by, my respect grows for those who do their job every day - without drama, on time, on budget. The best teams are filled with people who do their jobs consistently, accurately and correctly the first time. “Do Your Job” is most famously associated…

This is not a thing that ads or focus groups or nipping around the edges with influencers can solve. We need wholesale change across the party — new leaders who can redefine what the party means.

#FridayFlex! Grateful to wrap up our vascular cases ahead of schedule and take a moment to enjoy a well-deserved team lunch with @DrPatGeraghty @f_mustansir @WashUVascular

I've interviewed @GavinNewsom a handful of times over the years. I've never seen him more animated and defiant than he is right here.

Happy 250th birthday to the US Postal Service! An agency that pre-dates the US itself, the letters it’s delivered have helped change the course of history.

The old guard is not about age. No one would describe Bernie Sanders that way! The old guard are power brokers & politicians who cling to the status quo. They resist bold change for a human rights based foreign policy & prefer consultant gibberish to a fresh economic vision.

“Starving people to death is a diabolical way of waging war. It must end.” — Pope Leo to Netanyahu substack.com/home/post/p-16…

You put a wholly unqualified and deeply paranoid person in charge of the Pentagon and bad things are bound to happen that will threaten our safety and security. nytimes.com/2025/07/26/us/… via @NYTimes

Year 1

Awesome debate, with video included 👇🏼 A great follow-up to our @BehindTheKnife BIG T pod yesterday.

Actually, he’s trying to turn the networks into an arm of the state. Can’t believe the silence among the network heads at these anti-first Amendment actions by the FCC.

I’m not the first person to say this, but I also don’t think that you can try to use force to get people to move to an area they don’t want to go to. They will either try to find some workaround, or they just won’t sign up in the first place.

Even that only works so often. "I didn't go to school for 15 years so I could stay in [place]"...

Think the best shot is to recruit people from said area.

I have some degree of excitement although share others concerns. I think this will resonate with many potential students, so it may create a ripple effect at other schools via market forces

Which isn't a knock on those people, it's human nature. If a person has the ability to live in a nice area, they will usually do that. And TBH it's a pretty hard sell for one's family to try to get them to live in a less desirable area, all for the sake of the greater good.

Huh. We'll see I suppose. I think in general, whenever there has been an attempt to recruit people with the notion that they will stay in underserved areas, there has been a tendency for those people to want to live in the same areas everyone else wants to live in.

Capitalism isn't easy but it's the best system there is and the govt needs to stop printing money. And running deficits.

Gaza is on the brink of mass starvation. Israel, the U.S. and the international community must collaborate to ensure a massive surge of humanitarian relief immediately. This war must end. And let’s be clear: Hamas could end it today if they wanted to. Israel has agreed to a…

Gaza is more than a humanitarian crisis – it is a moral crisis that challenges the global conscience. We will continue to speak out. But words don’t feed hungry children. The @UN stands ready to make the most of a ceasefire to dramatically scale up humanitarian operations.

What fresh hell is thei? Purge books, even on Washington?