Thomas Runge, MD MPH

Advanced/Therapeutic Endoscopist, Gastroenterologist @va_columbus, dad, husband, alum of @HopkinsMedicine @UNCGastro @EmoryMedicine

[Andy Tau, MD @DrBloodandGuts]

For those performing endoscopic vacuum therapy, I highly recommend using 24Fr PEG (or PEJ) as a conduit for retrograde placement. This improves patient tolerability, technical ease/speed (re-use same tube, replace sponge). Once EVT is complete, the PEG can easily be removed or converted to PEGJ (tube feeding at home , TPN inpatient).

If you have been using this method, please DM me and we can publish a case series!

[Thomas Runge, MD MPH @ThomasRungeMD]

@drkeithsiau After confirming that the location (& scope bendiness*) are compatible with doing “bang on clipping** after removal), my diagnosis is:

“Let’s chop it out and see.”

(Aka: It’s benign)

———————
* Varies a ton b/w scopes

** Base closed tight so everyone sleeps well - see image

[Keith Siau @drkeithsiau]

Unusual finding in the stomach. What’s the diagnosis?

[Thomas Runge, MD MPH @ThomasRungeMD]

@RandomTheGuy_ @Whotfismick It’s okay, I’m guessing people aren’t taking the vid at face value b/c of its fantastical nature and the “too-good-too-be-true” timing perfection of whoever hit “record.”

Oh wait…. Hold on…

… Dang.

Oh well.

[Thomas Runge, MD MPH @ThomasRungeMD]

@RandomTheGuy_ @Whotfismick Interestingly (to me?), FYI this clip is NOT “real.” It is a short form video or short, made by a professional content creator & comedian.

Name’s Esteban Tino Romero, but his social media handle is “IG Bum.”

https://t.co/yyKLa6MTaB

I had no prior knowledge of the dude.

[Thomas Runge, MD MPH @ThomasRungeMD]

@GetUpESPN @RealJayWilliams I’m on the way out of this place (i call it Twitter), but I find this take to be, um, forced.

J, I know the bosses must force you guys to make quick takes.

But it just sounds like you haven’t been watching the Lake Show…. Hmmm?

(Everyone loves to hate on Luka)

[John P Erwin III MD MBA MACC (#BigPoppy ) @HeartOTXHeartMD]

I recently read about man who collects pictures of hitters who had hit walk-off home runs. He said that the reason he did this is because this is how he views us entering heaven.

Look at the faces of his teammates waiting to welcome him home. Look at their excitement. They can’t wait to celebrate with him.

Look at the fans. Arms raised, big smiles, maybe even hugs for a perfect stranger.

Perhaps this is your first holiday season without someone important who is now waiting for you in heaven. Maybe it’s just another one with that big hole in your heart and an empty seat at the table. Either way, I hope you can find encouragement in this picture, what it represented to the man who collected it, and find joy this year.

HT Greg Payne

[Thomas Runge, MD MPH @ThomasRungeMD]

@Erdayastronaut @Sand_Baggins @YouTube @YouTubeCreators Yes, we will watch & recommend.
Shorts are okay, but not reliably good if we (viewers) actually want to learn something.

[Uma Mahadevan @UmaMahadevanIBD]

2024 @ShermanPrize winner @MLongMD. One of the most inspiring, kind and accomplished doctor, wife, mother and researcher I know. So proud to call you friend. May the world bless us with more like you

[Adam Grant @AdamMGrant]

The core skills of learning are a critical eye and an open mind.

Critical thinking is refusing to accept ideas at face value. Don't believe information until it's verified.

Openness is refusing to reject ideas at face value. Don't disbelieve information until it's falsified.

[GUILD Conference @GuildConference]

Did you know @GuildConference covers ALL GI topics? Come to Maui with @AmyOxentenkoMD @babudayyeh Evan Dellon and Michael Camilleri to hear updates on Celiac, EoE, Motility and Endoscopy for obesity. Register at: https://t.co/FIvNs6640J

[Manoel Galvao Neto MD, MSC, FASGE, IFASBMS @MPGN46]

Hot news! Endoscopic gastroplasty, aka ESG, just got a CPT category I code from the American Medical Association!
All efforts, dedication, and hard work have paid off. Now, it opens the doors for reimbursement in the USA 🇺🇸 and hopefully, the world 🌍 will follow

[Irreverent David @IrreverentDave2]

@GayBearRes I don't disagree with anything this guy says -- except for the fact that there are six Kmarts left. Where I'm going with this is that a feel the same way about HP, Dell, SAP, Salesforce, Big cable ISP that's still old digital cable too. The line is still going up.

[Richard @RichardUpTheBiz]

@GayBearRes They are in the declining phase.

Unfortunately, they are led by executives who only know how to cut costs.

The only thing that saves large corporations like this is creativity and innovation.

Unfortunately, we read case studies about them because they never do.

[Thomas Runge, MD MPH @ThomasRungeMD]

@smith_john55 @Richard_WEF @GayBearRes And the Co. leadership have an obligation to maximize shareholder value.

Described simply here by @IrreverentDave2, the C-suite needs to keep the squiggly line trending up.

And so they make moves that allow just that.

Look at the 5Y trends too!!
Miracle workers they are!! 😉

[Thomas Runge, MD MPH @ThomasRungeMD]

@MIDNovas @HancockjohnkK @Richard_WEF @GayBearRes

[Thomas Runge, MD MPH @ThomasRungeMD]

@MIDNovas @HancockjohnkK @Richard_WEF @GayBearRes @MIDNovas Presumably the combination of buybacks & cost-cutting measures.

How about this particularly sneaky (or typical?) example of layoffs, “kept quiet,” per report, at the company.

Screenshot, from 3 min ago, at bottom.

Reddit link here:
https://t.co/vmNMlfNqDV

[🍂 @Lovandfear]

How to stay in love .