¿Es momento de reemplazar al FIB-4 en el tamizaje poblacional de EHMet? 📉 Un reciente estudio en Hepatology comparó 10 pruebas no invasivas (NITs) en 11.404 pacientes con disfunción metabólica y los resultados cambian nuestro paradigma clínico. 🧵👇
DOI: 10.1097/HEP.0000000000001356
@SAHEpatologia@AEEHLiver@Diabetes_SEMI@feralcivarmd@sepdigestiva@drshafikuchay
- In pts ≥ 75 w prior adenoma, 10y risk of CRC was 1.1% (vs 0.7% w/o adenoma) and risk of CRC-related death was 0.5% (vs 0.4% w/o adenoma).
For context:
- Recent CGH paper: 30 day complication (GI bleed > Stroke/MI > Perf) from cscopy in age 75-85 is ~0.8%
Very important paper by @drfolamay's group!
CRC is rising at alarming rates in certain groups but:
Patients ≥ 75y with prior cscope are still much more likely to die WITH rather than OF CRC - almost a 100x more likely.
New @JAMANetwork paper out from our team here at UCLA Health/WLA VA and @samirguptaGI's team at UCSD/San Diego VA!
In this first study from a multi-part research project, our teams are trying to understand what age your medical doctors and the colorectal cancer prevention enthusiasts in your life (like me) can stop bothering you about getting colonoscopies. Is it age 75? Age 85? At what age do the risks outweigh the benefits?.....
Full publication here: https://t.co/cNFpXXHpyM
@DeptVetAffairs@UCLAHealthJCCC@UCLAHealth@UCLAGIHep@UCSD_GI@UCSDCancer_COE@UCSDHealth
“I have waited many years, decades, to write these words and the time has finally come. Today, I feel proud to be a Pakistani. Today, my country stands out among the comity of nations as a peacemaker of historic proportions”
خرم حسین نے آج قلم توڑ دیا ہے https://t.co/NcI5dgflIT
If you keep your eyes open in medicine, you’ll notice lots of patients with symptoms we can’t explain through western medicine. Their tests are normal but they still have headaches, palpitations, chest pain, dizziness etc.
It’s important not to dismiss these patients. Their symptoms are real, and blowing them off drives people away from medical care.
It’s also important to remain humble. There is so much we don’t understand about the human body. I tell patients this and do not object if they want to explore options outside of western medicine. I’ve seen people improve with acupuncture, cupping, meditation, physical therapy, and even chiropractors in one case of chronic chest pain.
I don’t recommend these as first line treatments, and they should be used cautiously because they can lack rigorous evidence. But when patients are suffering and I can’t help them, I support anything that improves their quality of life.
@usamasyedMD Sorry friend, you’re wrong.
Diagnostic tests don’t replace physical exam and vice versa. Both have their place and limitations.
I will say though, your view is shared by many others which is a testament to declining quality of the skill being taught in schools/training.
Witnessed the end of an era today.
Dr David Graham, past president of @AmCollegeGastro (1990-91), attended the inpatient gastroenterology consult service one final time at @VAHouston.
An institution - physician, teacher and mentor to so many. Truly a privilege! @bcm_gihep
@Elhawary_MD Only in medicine do we find these predatory behaviors. Any opinions to the contrary are classist and assume al. physicians come from generational wealth (which is often but not universally true).
@Elhawary_MD Unpaid ‘research’ jobs are predatory. Even without a background in research, a physician brings a wealth of knowledge to the table and should be compensated. Being taught a skill (which is often learning yourself) on the job does not obviate the need for compensation.
We're saddened by the loss of James Van Der Beek due to colorectal cancer. 💔 We encourage everyone to get screened starting at age 45, or earlier depending on family history.
Don't ignore unusual symptoms — talk to your doctor.
More resources ➡️ https://t.co/5u0lTLaTDE.
Fantastic fellows course by the @ANMSociety in Minneapolis lead by the national leaders in motility! Highly recommended for all GI fellows.
@ReenaChokshiMD
The faces of GI dedication and commitment......
THANK YOU to our course directors and faculty for giving up their weekends to guide first-year fellows in didactic sessions and incredible hands-on training at ASGE's headquarters.!
Always grateful!❤️❤️❤️❤️
Had a blast teaching at the First Year Fellows Course by @ASGEendoscopy in Chicago! Props for organizing a fantastic and memorable course to the course directors @shifaumarMD and Dr Shivakumar Vignesh.
@bcm_gihep with strong representation!
Had a blast teaching at the First Year Fellows Course by @ASGEendoscopy in Chicago! Props for organizing a fantastic and memorable course to the course directors @shifaumarMD and Dr Shivakumar Vignesh.
@bcm_gihep with strong representation!