Steve D'Souza, MD

GI fellow @cwru @metrohealthCLE. Former Chief Resident @EVMSMedicine. Tweets about GI and board games. Opinions my own. he/him.

[Jennifer Spicer, MD, MPH, MHPE @JenniferSpicer4]

1/ *Re-consult 📞*

You: What did the last consult note say?

Them: I don't know how to interpret it...

*reading the ✍️ yourself*
#Sepsis
- send tick serologies
- start broad-spectrum antibiotics
- we will follow up OSH data

You: 🤦 I feel you... We'll see the patient again.

[Cephalofair Games @Cephalofair]

My son got mentioned in the New Yorker, and my wife is so proud! (I'm in there too a bit.) https://t.co/eWTn2avecr

[EVMS Medicine @EVMSMedicine]

Dr. David Johnson (EVMS Chief of Gastroenterology) participates in a roundtable discussion about a NEJM clinical trial upending colonoscopy practices...
https://t.co/ljNItu4h36

#IMResearchEVMS
@EVMSMedicine @EVMSrad @evmssurgery @EVMSedu @EVMSuro @EVMS_IRIG @EntEvms

[Javeed Sukhera MD PhD @javeedsukhera]

When I was a medical student and resident, I never even noticed which teachers were assistant, associate, or full professor. I noticed which teachers cared. I noticed clinical faculty who genuinely supported my learning and development.

[Lakshman Swamy @laxswamy]

Recently had the chance to be the *very first person* to teach a student how to write a note(!) Sharing a few of my teaching points on crafting the critically important ✨ONE-LINER✨ here for beginners! This is medicine focused & I apply it to both my inpt & outpt notes.🧵

[Tony Breu @tony_breu]

1/14
🤔Why does it take weeks for the radiographic evidence of pneumonia to clear?

Patients often feel better DAYS after starting treatment.

And yet the chest x-ray takes WEEKS to return to normal.

Why the delay?

[EVMS Medicine @EVMSMedicine]

Congratulations to EVMS researcher Dr. David Johnson for his recent publication in Crohn's & Colitis 360! #IMResearchEVMS @EVMSMedicine @EVMSedu

[Bryan Carmody @jbcarmody]

When I was a resident, I don’t think I ever missed a day for being sick.

It wasn’t that I never got sick - I mean, I did my residency in pediatrics - it’s just that I never missed work when I was.

(a rambling 🧵)

[Patrick Kearns @kearnsneuro]

Phenomenal paper just published in Science persuasively demonstrating that EBV causes most if not all multiple sclerosis.

Phenomenal epidemiological design and technical achievement. 👏

https://t.co/LcNFvKHiUp

[Josh Farkas MD 💊 @PulmCrit]

again for the people in the back: don’t give DKA patients loads of normal saline (*if* you have a choice; some hospitals require saline w/ K to replete K). pH & chloride matter. we now have EBM to show that chemistry is real 🤣 more on this from 2014:https://t.co/WEpFDc6Pmw

[Steve D'Souza, MD @SteveDSouzaMD]

@RehanQayyum5 @EVMSMedicine So grateful to have the support of @EVMSMedicine and the mentorship of Dr. David A. Johnson!

[ACG @AmCollegeGastro]

Congratulations to ACG Past President Dr. David Johnson for receiving the College's highest honor, the Samuel Weiss Award!

Dr. Johnson has demonstrated a sustained commitment to ACG, embodying excellence as a clinician, researcher, mentor, and
advocate for ACG.

#ACG2021

[Mohammad Bilal, MD @BilalMohammadMD]

Fantastic work by @BriannaShinn @DavidDiehlMD @PrashantKediaMD @AustinChiangMD & others on single session EDGE outcomes in @GIE_Journal!

✅ 8.6% LAMS migration
✅ Dec migration in 20 mm size
✅ No migrations w suturing

Do you perform single session EDGE in your practice ?

[Helen Burton Murray, Ph.D. @DrHBurtonMurray]

Spot on terminology for GI providers to use with their patients form ⁦@DrBradJerson⁩ ⁦@ANMSociety⁩ PRESCRIBE #GastroPsych and don’t reserve it as a last resort

⁦@RomeGastroPsych⁩ #ANMS2021

[Steve D'Souza, MD @SteveDSouzaMD]

@DerberCatherine

[Dr. Glaucomflecken @DGlaucomflecken]

The Closer

[Gastroenterology & Endoscopy News @gastroendonews]

GI groups support COVID vax mandates for health care workers. https://t.co/aXg22FdMRT @AmCollegeGastro @AmerGastroAssn @ASGEendoscopy @DavidJSkorton @AAMCtoday @AASLDtweets @AASLDPresident @InadomiJ @IDSAInfo #GItwitter #COVID19

[Steve D'Souza, MD @SteveDSouzaMD]

To set an albumin target or not? Great discussion at EVMS Gut Club this evening on the ATTIRE Trial and albumin modulation of prostaglandin E2 in cirrhosis!

[JAMA Network Open @JAMANetworkOpen]

In this cohort study, an increased platelet count was associated with an increased risk of cancer for at least 2 years. The results suggest that individuals with unexplained thrombocytosis should be offered screening for several cancers. https://t.co/dOgGHxit6Y

[Steve D'Souza, MD @SteveDSouzaMD]

@HaleyDSouzaMD @DBarmasMD

[AASLD @AASLDtweets]

"Eyes Tell All", read now in @CLD_Learning

Clinical Liver Disease is one of our online-only open access journals.

https://t.co/YPUmPj3QCO

[Steve D'Souza, MD @SteveDSouzaMD]

Gloomhaven is already the highest rated board game of all time. In awe of this approach to inclusivity. Can't wait for Frosthaven!

[Cephalofair Games @Cephalofair]

So I wrote an update for the Frosthaven Kickstarter, which isn't novel in itself, but this one is more personal to me, and says some stuff I've building up to saying for a while, and you may find it interesting even if you're not part of the Kickstarter. https://t.co/FK2iLK5dkE