Suki Subramanian, M.D.

Medical Director of Adult Intestinal Rehabilitation and Transplantation at Medstar Georgetown University Hospital.

[James Tate @JamesTate121]

This is good 💯

Pope Francis wrote this in the Hospital.
“The walls of hospitals have heard more honest prayers than churches...
They have witnessed far more sincere kisses than those in airports...
It is in hospitals that you see a homophobe being saved by a gay doctor.
A privileged doctor saving the life of a beggar...
In intensive care, you see a Jew taking care of a racist...
A police officer and a prisoner in the same room receiving the same care...
A wealthy patient waiting for a liver transplant, ready to receive the organ from a poor donor...
It is in these moments, when the hospital touches the wounds of people, that different worlds intersect according to a divine design. And in this communion of destinies, we realize that alone, we are nothing.
The absolute truth of people, most of the time, only reveals itself in moments of pain or in the real threat of an irreversible loss.
A hospital is a place where human beings remove their masks and show themselves as they truly are, in their purest essence.
This life will pass quickly, so do not waste it fighting with people.
Do not criticize your body too much.
Do not complain excessively.
Do not lose sleep over bills.
Make sure to hug your loved ones.
Do not worry too much about keeping the house spotless.
Material goods must be earned by each person—do not dedicate yourself to accumulating an inheritance.
You are waiting for too much: Christmas, Friday, next year, when you have money, when love arrives, when everything is perfect...
Listen, perfection does not exist.
A human being cannot attain it because we are simply not made to be fulfilled here.
Here, we are given an opportunity to learn.
So, make the most of this trial of life—and do it now.
Respect yourself, respect others. Walk your own path, and let go of the path others have chosen for you.
Respect: do not comment, do not judge, do not interfere.
Love more, forgive more, embrace more, live more intensely!
And leave the rest in the hands of the Creator.”
—Pope Francis

[Daniel J Drucker @DanielJDrucker]

With a substantial discussion on the importance of the microbiota in the control of hunger

[James Lee @Dr_James_Lee]

There's been amazing coverage of our new paper @Nature https://t.co/qkrUksBYVW but I wanted to put together a walk-through (and make this accessible as possible). It's a bit long so get a cup of tea! The full version is open access so pls do have a read if you are interested...

[Suki Subramanian, M.D. @Subramanian1MD]

@dr_alphalyrae Pure sweet masochism.

[Suki Subramanian, M.D. @Subramanian1MD]

@doclauravater When angry, put some space between your urge to respond and your response. Act with empathy.

[Suki Subramanian, M.D. @Subramanian1MD]

@BonumCe @valcohranmd @DCharabaty @TakedaPharma @MondayNightIBD #Many thanks to Dr. Charabaty for shedding light on #shortbowelsyndrome. Sometimes occurs in patients with IBD but eclipsed by other priorities. Targeted interventions can be impactful.

[Bonum CE @BonumCe]

📣#GITwitter #PedsGI

⚕️Join experts @ValCohranMD @Subramanian1MD ⚕️& @DCharabaty addressing the long & the short of:

🎯Optimizing care of #ShortBowelSyndrome

🏆🆓 #CME 🔗https://t.co/rptgoMYiEK
Supported by an edu grant @TakedaPharma

[Suki Subramanian, M.D. @Subramanian1MD]

@JeanFredericCo1 @guthealthmd It would be interesting to study whether GLP2 analogs may promote epithelial restitution at sites of anastomotic ulceration (of course if luminal patency is preserved).

[Suki Subramanian, M.D. @Subramanian1MD]

@VaNiPaLeTi @DCharabaty @MondayNightIBD @TakedaPharma Correction: Medrition

[Suki Subramanian, M.D. @Subramanian1MD]

@VaNiPaLeTi @DCharabaty @MondayNightIBD @TakedaPharma Meditation now has a product called HyFiber that is a soluble fiber consisting of fructo-oligosaccharides. This will be a great fermentable soluble fiber option.

[Suki Subramanian, M.D. @Subramanian1MD]

@MondayNightIBD In our intestinal failure center, I have seen patients w/ Crohn’s SBS on exclusive TPN off corticosteroids w/ high BMI despite calorie reductions to 500kcal/day. Appear to have an altered metabolic milieu in absence of active disease/culpable treatments.

[Suki Subramanian, M.D. @Subramanian1MD]

@DrSidMukherjee #TheSongoftheCell is delightful for my 6yo word collector. #AmazingThingsAreHappeningHere

[Suki Subramanian, M.D. @Subramanian1MD]

@DashaMozaMD @MondayNightIBD @DCharabaty @TakedaPharma A2/2 #MNIBD the generation of short chain fatty acids. SCFA from an intact colon remnant can provide significant calories AND the SCFA docks on channels with Na so brisk movement of water from the apical—>serosal surface ensues.

[Suki Subramanian, M.D. @Subramanian1MD]

@DashaMozaMD @MondayNightIBD @DCharabaty @TakedaPharma A1/2.#MNIBD In the absence of a colon, I would use water soluble hydrophilic fiber to increase viscosity. If they have even a partial colon I would add microbial accessible fermentable carbohydrates from certain dietary water soluble fibers to promote bacterial fermentation and

[Suki Subramanian, M.D. @Subramanian1MD]

@Tabibian_MDPhD @Kyle_Ireton @QueenCori @Montalvan214 @mariana_mlazo @MarthaKennelly @ms_butterfly03 @LiverNotFighter @CastlTrAstonDrs @AbounayanV What a delightful tannin/polyphenol binge with the kidney beans and wine!

[Suki Subramanian, M.D. @Subramanian1MD]

@CrohnsColitisFn As a Gastroenterologist and alumnus of #UniversityofChicago IBD centric GI fellowship, I nominate my husband to participate. He was diagnosed with ulcerative colitis in April 2022.

[Aline Charabaty, MD, FACG, AGAF @DCharabaty]

@Subramanian1MD @MondayNightIBD @TakedaPharma Q4. #MondayNightIBD I would have never thought that the absence of ICV can affect the need for parenteral nutrition in #ShortBowelSyndrome !

Once #Teduglutide is started, do you modify TPN volume or calories ? & when do you do so ?

[Suki Subramanian, M.D. @Subramanian1MD]

@DCharabaty @MondayNightIBD @TakedaPharma #MondayNightIBD
A2e. Dietary modifications are crucial. If patients have a colon in continuity, resistant starch may help--to exploit the colonic bacteria's capacity for fermentation and energy harvest. #SCFAs can provide up to 1000kcal/day

[Suki Subramanian, M.D. @Subramanian1MD]

@Tabibian_MDPhD @VaNiPaLeTi @niksandnacs @NicoletteFuller @PadiWind @DCharabaty @FZanouneh @drkeithsiau @ReezwanaCMD @Davy_NT @Samir_Grover @alextheki77y @NidaQadirMD @bcdutt @Adribottero @teshiabz @DrSWhitaker @Faiziya @ProfMull @AbelJosephMD @QueenCori @CelestinoGutirr @MondayNightIBD @UCLAHealth Unfortunate irony. I’m sure you were able to usher her through the challenges and that must have given her an immense sense of calm. It is a time intensive disease!

[Suki Subramanian, M.D. @Subramanian1MD]

How many of you remember making these one sheet cheat sheets for college exams that you never actually had to use by the time it was made? Not a hoarder, but this is one vestige of my past that has survived even an intercontinental move. #masterpiece #heirloom