GI Fellow 🏥via @WCM_GI, @MGHmedres @zuckersom #GI #hepatology, Paradoxically a Patriots 🏈 and a Knicks fan🏀 All opinions =me
Joined May 2019
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Hey soon to be interns, current interns, residents and anyone interested in learning
I'm back with another Intern Year Primer: IV fluids on the Medicine Wards
This is Huge. First drug to meet with the ever growing need to treat MASLD. Truly game changing.
Today, FDA approved a medication for the treatment of adults with noncirrhotic non-alcoholic steatohepatitis (NASH) with moderate to advanced liver scarring (fibrosis), to be used along with diet and exercise. fda.gov/news-events/press-an…
Vlad Fomin MD retweeted
Should we offer early LT to patients w/ AH and prior decompensation?
🔸⬆️ ☠️ w/ prior decomp v 1st decomp, 1 y: 86% v 93%, 3y: 78% v 85%
🔸⬆️ rates of ⚠️ 🍸(HR 1.84)
🌞: 78% survived at 3 years!
aasld.org/liver-fellow-netwo…
#livertwitter #GITwitter #MedEd #FOAMed
Come to see your colleagues. Leave with greater possibilities. DDW is the premier digestive disease meeting. Be #HereforDDW and register today at app.ingo.me/q/u434d . #DDW2023
Amazing Terlipressin can now be used in the United States!! It’s not a silver bullet but at least it has a little more teeth than the midodrine we were forced to use!! #LiverTwitter #MedTwitter
Terlipressin is now approved by FDA!!🔥#livertwitter🚨
⚠️Cr>5 is unlikely to benefit
⚠️risk of respiraotry failure, esp in pt w/ volume overload & ACLF3
⚠️ Do NOT use in pts w/ SpO2 <90% until O2 levels improve
⚠️ Do not use in pts w/ bowel, coronary, peripheral artery ischemia
Vlad Fomin MD retweeted
Wild story about 💩
2019: @Filip_Knop notices that two people with horrible bile acid diarrhea get better after starting liraglutide. Publishes case report
2022: RCT lira vs colvesalam published. Lira wins.
#GITwitter
He did the math! Please resuscitate with the right IVs before expecting GI to come in!
Scoping with the best @DouglasAdlerMD and @AboubakrAiya at @ASGEendoscopy first year fellow course #GItwitter #Scoping
When you die we can’t force you and your family to donate any organs even if it means others will die because your bodily autonomy comes first. Call me crazy but we should respect a woman’s rights to her body at least as much as a corpse.
And just like that residency is over. My time at @mghmedres will be something I never forget. It is poetic that I end out at my second home at Charlestown Health Center where I spent countless hours learning and working with the best primary care doctors out there. Now onto GI!!
Vlad Fomin MD retweeted
The just-announced U.S. Supreme Court decision in Dobbs v. Jackson Women’s Health Organization represents a stunning reversal of precedent that inserts government into the personal lives and health care of Americans. nej.md/3Aa5cKe
Pediatrician are doing a great job not prescribing weight promoting meds to obese kids. There is still work to be done to tackle the obesity epidemic!! Great work @NonyeMD!! #MedTwitter
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So proud to be part of the work of my mentor @alcliverdoc
MAT works!!! AUD is a disease and ALD can be prevented!
#LiverTwitter
ja.ma/3G2nKxd
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Vlad Fomin MD retweeted
Should we REALLY make our schedule release video an anime?
yes yes yesyes
yesyes yes yes yes
yes yes yes yes yes
yes yesyes yes yes
yes yesye yes yes
yes yes yesyes
Vlad Fomin MD retweeted
Hotspotting for #livertwitter
Hospitalization for an alcohol-related problem is a major risk factor for future advanced alcohol-related liver disease.
@Doc_Fomin and @alcliverdoc sought out these at-risk people and linked them to care pubmed.ncbi.nlm.nih.gov/3539… @AGA_CGH
So happy to have had an opportunity to work on this #LiverTiwtter
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When we look back at the collapse of the grand experiment that was American Democracy, the day the Ellon musk bought twitter and took it private will have been the first domino to fall
So if a patient with cirrhosis continues to drink it should be a pickle back shot 🤔🤔
Pickle juice sips can stop muscle cramps and improve cramp severity in #cirrhosis: The PICCLES RCT
Why we did this study?
1⃣Cramps are common
2⃣Cramps trash quality of life
3⃣Treatments are 💩
Paper: journals.lww.com/ajg/abstrac…
#LiverTwitter
