Manisha Apte

Dartmouth to BMC Internal Medicine and Chief @BostonChiefs going full circle for #GI fellowship at DHMC. Interests include #meded, #GI, and all things #nature.

[Manisha Apte @MDApte]

Super foods keeping you super regular 🥝🥝

[Elliot Tapper @ebtapper]

Two kiwi per day improves chronic constipation and gut symptom burden

⭐️RCT, unblinded. Control: psyllium
⭐️confirmatory
⭐️seems like a great idea

I like to see if I can help gen GI complaints with low hanging fruit (😉)before referring

https://t.co/FNtRUyve4o #gitwitter

[Elliot Tapper @ebtapper]

The hepatitis B vaccine is amazing.

It also has a wild backstory
Want to hear it?

A #tweetorial

1/

#livertwitter #MedTwitter

[MGH Division of Gastroenterology @MGH_GI]

🚨 new paper by ⭐️ PD Dr. @KAnderssonMD shows RVU-based reimbursement for #colonoscopy contributes to gender pay gap!

👉longer colos, fewer polyps, & pref for 🚺 endoscopists leads to 🚺 endoscopist ⬇️ pay
👉need to reimburse quality not quantity

https://t.co/H3yjjq1zFM

[Manisha Apte @MDApte]

So excited for @raitiation giving her first #GrandRounds! I’m imagining when I listen it ends with me finding a free portable ultrasound under my chair. #POCUS

[Andrew Dunn @andrewdunn111]

Terrific DHM Grand Rounds this afternoon by @mshshospitalist @raitiation Kate Raiti-Palazzolo on #POCUS for #Hospitalists. Will be sad saying goodbye to my stethoscope, but going to happen eventually.
@DOMSinaiNYC

[Manisha Apte @MDApte]

@BostonChiefs About time you are teaching us again, I’ve been wondering if #AMReport just stopped happening

[Tony Breu @tony_breu]

https://t.co/Ja36SSSQOi

[The Clinical Problem Solvers @CPSolvers]

#MedTwitter, we are beyond excited to announce the new @CPSolvers Antiracism in Medicine Series team:

@UREssien and @dereckwpaul, now joined by @DrChelleMD, @LashNolen, @NaomiFFields, @rohankhaz, and @ChiomaOnuoha.

Learn more about them here: https://t.co/eAEP5BB3gm

[Manisha Apte @MDApte]

Making me nostalgic for inter-residency program teamwork with @BostonChiefs, when I got to work with this fantastic team. Great job @AmirGilad7 and @hannahchenmd!

[BU/BMC IM Residency @BMCimRES]

Check out our very own @AmirGilad7, a rising PGY-2, on this week's episode of @CPSolvers! Amir worked through an unknown case with @hannahchenmd from BWH who was his resident earlier this year at the VA. https://t.co/RIEo6jVLUa

@BrighamChiefs @BostonChiefs

[BU/BMC IM Residency @BMCimRES]

A message from our incoming and outgoing chief medical residents... "The BMC IM Residency Program does not stand for racial intolerance and acknowledges the impact racism has on the health of our patients."

[Manisha Apte @MDApte]

So excited for a year of punny #MedEd tweets from our new @BostonChiefs @subcity17 !!

[VA Boston Joint Chiefs @BostonChiefs]

Clinical pearl from this WEAK's morning report on Myasthenia Gravis! Ice pack's can be used to lessen the effect of acetylcholinesterase, effectively increasing ACh for depolarization and IMPROVING ptosis and fatigability. #MedEd #AMReport #JAMA #LearningIsExhausting

[VA Boston Joint Chiefs @BostonChiefs]

Things get molecular in today's virtual #amreport. Chief @reesezach3 discusses changes in the brain in chronic alcohol use as teams discuss different treatment options. #meded

[Dr. Nahid Bhadelia @BhadeliaMD]

Everyday people ask me how this is similar to my Ebola experience. Today, I called a fellow healthcare worker friend in isolation to check in and ask, “are you ok? did your test come back?”

Yeah—- it’s looking more and more like 2014/2015 in my world. #covid19

[Kevin Huang, MD @kzhuangmd]

A quick #tweetorial for @BMCimRES (a first for me!)

Clinical Question: Hydroxychloroquine (HCQ) is used against malaria and autoimmune diseases, and new data suggest it may be effective against CoVID-19. What exactly is HCQ, how does it work against so many different diseases?

[Manisha Apte @MDApte]

@BostonChiefs @moss_caitlyn you’re going to have to come back to moderate!

[VA Boston Joint Chiefs @BostonChiefs]

In today’s #amreport, @The_BMC Chair of Medicine, Dr. David Coleman, joins us for a discussion with @MDApte about fever in a returning traveller. Dengue and yellow fever are life threatening, and dengue, Zika, and chikungunya are transmitted by same 🦟 so consider co-infection

[VA Boston Joint Chiefs @BostonChiefs]

In today’s #amreport, @MDApte tells a story of when she was called to an in-flight emergency when flying internationally. The most common cause of in-flight emergencies are from pre-syncope or syncope, and there is less in an airplane medical kit than we thought! #MedEd

[Tony Breu @tony_breu]

1/14
How does aortic stenosis cause syncope?

This is something that has been debated for decades. And, remarkably, it isn't quite settled, even in 2020.

What do you think is the most likely explanation?

[SVR = systemic vascular resistance]

[Elliot Tapper @ebtapper]

1/

Why is vibrio vulnificus so bad for people with liver disease?

🤯The answer could blow your mind!🤯

Join me for a #tweetorial:
Act 1: Epi of v. vulnificus: What’s the deal with oysters?!
Act 2: Mechanism

#cirrhosis #livertwitter #idtwitter

[VA Boston Joint Chiefs @BostonChiefs]

In today’s #amreport by @MDApte, BMC program director @DrYadavalli takes the place of @tony_breu (again) in an engaging discussion of hemolytic anemia. Warm hemolytic anemia needs immediate treatment with immunosuppressive medications (and splenectomy if anemia is refractory)

[VA Boston Joint Chiefs @BostonChiefs]

In today’s #amreport, Chief and current GMS attending @MDApte reviews AMS workup. If you’re concerned about hepatic encephalopathy, don’t check and ammonia since that test is not very sensitive or specific for degree of HE.