James Haridy

Gastroenterologist & Hepatologist...
#FOAMed

[James Haridy @JamesHaridy]

@GI_Pearls Have seen it secondary to immune checkpoint inhibitors (presenting with dysphagia). Responds well to budesonide as per EoE

[James Haridy @JamesHaridy]

@AutoImmuneLiver @UHN @AASLDtweets @EASLedu @PBC_Canada @PBCers @PBCFoundation @PSCPartners Thankyou for making the trip and generously sharing your knowledge. I learnt an incredible amount in the last two days!

[James Haridy @JamesHaridy]

@Jonathansegal85 Sounds like you need to read some Cal Newport (highly recommend):
https://t.co/KNjHBzbRYz

[James Haridy @JamesHaridy]

@yuvalpatelMD @ebtapper @rrosenblattmd @AutoImmuneLiver @HowardTLeeMD I’d usually try an initial wean (steroids first then MMF) as soon as enzymes are normal. Although few factors eg plans to rechallenge, initially severity etc will influence this

[James Haridy @JamesHaridy]

@LizzieAbyMD @rrosenblattmd @ArpanPatelMD @BloomPringle @HershShroff @NnekaUfereMD Go ahead and treat. There is some suggestion that antiviral therapy may even improve the response to therapy in NHL/b cell lymphoma with concurrent hcv infection.

[Bi, Mian - MBBS PhD @DoctorDoctorBi]

Behind the fanfare of GP telehealth numbers becoming permanent, the Federal government has introduced a whole slew of stealth cuts.

This will effective cut Medicare rebates to patients in regional and rural areas by 33% or a third.

A thread 🧵…

[James Haridy @JamesHaridy]

@melbourneliver https://t.co/AxVQ46QhU2

I don’t see any drawback to using POC ultrasound if accessible? This article has a reasonable summary of the evidence

[Keith Siau @drkeithsiau]

APC vs band ligation for GAVE - which is better?

According to this meta-analysis in @UEGJournal, the winner is band ligation 🏆

https://t.co/YW8SCzBtJK

[James Haridy @JamesHaridy]

@MayoClinicGIHep @stevenbollipo @magnushallandMD Does anyone have any good patient resources/education tools for DB? Either simple information or videos?

[Brian Nosek (@[email protected]) @BrianNosek]

"We need a more sophisticated understanding of the replication crisis, not as a moment of realization after which we were able to move forward with higher standards, but as an ongoing rot in the scientific process that a decade of work hasn’t quite fixed." https://t.co/D9vrEswtXZ

[James Haridy @JamesHaridy]

@GregDore2 @aelsharkawy75 @stephentbarclay @ProfJohnDillon @JVLazarus It shouldn’t be mutually exclusive - how about stage those who are engaged/motivated and just go ahead and treat those who aren’t? Those who don’t attend staging workup will be unlikely to adhere to future hcc surveillance anyway.

[Nicholas A. Christakis @NAChristakis]

While spontaneous yawning is common across all vertebrate classes, *contagious* yawning is less common and has been observed only in a few species of *social* animals.

But, sweetly, elephants yawn when we do. 1/

[James Haridy @JamesHaridy]

@AutoImmuneLiver @EASLedu True - I suspect all conferences moving to a hybrid model allowing both physical and digital attendances will be the way forward.

[James Haridy @JamesHaridy]

Couldn’t agree more..

[Josh Farkas MD 💊 @PulmCrit]

American research infrastructure is killing us: The misbegotten battle between the ivory tower academics and the rogue cowboys
(blog: https://t.co/cUIUDUeXe9)

[James Haridy @JamesHaridy]

@AndrewBuckle15 Other issues we have found:
1. People with poor hearing - particularly elderly that sometimes rely on lip reading
2. Phone interpreters on conference call can be very difficult!
3. Need to confirm address hasn’t changed prior to sending out test requests.

[James Haridy @JamesHaridy]

@melbourneliver And here I was thinking I was special with an invite as well!

[Devika Kapuria, MD @KapuriaMD]

Garcia Tsao- call igv1 and gov 2 fundal varices, treat Gov 1 as esophageal varices and igv 2 as ectopic #LiverMtg19 #livertwitter

[Stephen Congly @sconglymd]

@kymwatt @MayoClinicGIHep on risk stratification and comorbidities in #NAFLD. Risks for bad outcomes are age, fibrosis, DM, BMI, alcohol and sarcopenia. Telmesartan might be BP drug of choice due to decrease in free fatty acids @AASLDtweets #LiverMtg19

[Ian Rowe @IanARowe]

After yesterday’s primer on fibrosis in #NASH, today we should consider the likely benefits of treatment

A NASH treatment Tweetorial, just for the @AASLD #LiverMtg19

1/n

[Elliot Tapper @ebtapper]

Not all liver enzymes are from the liver!

Check out this paper that followed ALT, AST, & CK in 15 fit men after 1hr of 🏋️‍♂️

⬇️🏋️‍♂️experience,⬆️💪injury
⬆️ALT half-life > AST

Inspired to post on one of my fave papers by @drkeithsiau @stevenbollipo thread

https://t.co/0S7U9X4OUn