Vlad Fomin MD

GI Fellow 🏥via @WCM_GI, @MGHmedres @zuckersom #GI #hepatology, Paradoxically a Patriots 🏈 and a Knicks fan🏀 All opinions =me

[Vlad Fomin MD @Doc_Fomin]

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

[Vlad Fomin MD @Doc_Fomin]

This is Huge. First drug to meet with the ever growing need to treat MASLD. Truly game changing.

[U.S. FDA @FDA]

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. https://t.co/1W5ImNdh0U

[Liver Fellow Network @LiverFellow]

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!

https://t.co/72tiH29yk5

#livertwitter #GITwitter #MedEd #FOAMed

[Vlad Fomin MD @Doc_Fomin]

@RebeccaEBerger @DxRxEdu Try the pocket app chrome extension, that’s my go to!

[Vlad Fomin MD @Doc_Fomin]

It’s a brave new world #obesitymedicine

https://t.co/AVsoND2uHG

[Vlad Fomin MD @Doc_Fomin]

Come to see your colleagues. Leave with greater possibilities. DDW is the premier digestive disease meeting. Be #HereforDDW and register today at https://t.co/EdTv8FWgds . #DDW2023

[Vlad Fomin MD @Doc_Fomin]

@pgholam @LizzieAbyMD @serperm @LiverFellow @sasha_link Yes I meant IM 😅

[Vlad Fomin MD @Doc_Fomin]

@LizzieAbyMD @serperm @pgholam @LiverFellow @sasha_link Even better if they can be switched on a SC monthly dosing for naltrexone

[Vlad Fomin MD @Doc_Fomin]

@kevincmillerMD @MSKCancerCenter @MSK_DeptOfMed Welcome to the upper east side!!

[Vlad Fomin MD @Doc_Fomin]

@YRBadran @MGH_GI @mghmedres Congratulations!!! Inspiration!!

[Vlad Fomin MD @Doc_Fomin]

@PardonMyTake @Football FYI things do get done on Wednesday. Wednesday is marriage counseling day.

[Vlad Fomin MD @Doc_Fomin]

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

[Howard T. Lee MD FAST @HowardTLeeMD]

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

[Elliot Tapper @ebtapper]

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

[Vlad Fomin MD @Doc_Fomin]

@LeivaOrly At that point might as well just sprinkle some water on their chest, because it’s doing about the same thing

[Vlad Fomin MD @Doc_Fomin]

He did the math! Please resuscitate with the right IVs before expecting GI to come in!

[Dan Leisman, MD, MSCR @danleisman]

It’s come up a lot lately, so I want to talk about large-bore IV (LBIV) access for a sec

A big IV can be the difference between life and death for a bleeding or severely volume-down patient

But what's "good enough"?

Here's some of why LBIVs matter
🧵

[Vlad Fomin MD @Doc_Fomin]

Scoping with the best @DouglasAdlerMD and @AboubakrAiya at @ASGEendoscopy first year fellow course #GItwitter #Scoping

[Vlad Fomin MD @Doc_Fomin]

@MahanNekoui @JACCJournals @jpirruccello @patrick_ellinor @mlindsay I understood some of these words 🤔. But seriously this some amazing mind blowing research you are doing @MahanNekoui 😮😮Congrats!!

[Vlad Fomin MD @Doc_Fomin]

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.

[Vlad Fomin MD @Doc_Fomin]

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!!

[NEJM @NEJM]

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. https://t.co/yB5WRMlXso

[Vlad Fomin MD @Doc_Fomin]

@MahanNekoui @uk_biobank @jpirruccello @MarkELindsay @patrick_ellinor Amazing congrats!!