Sharing this multicenter study establishing normal values for the Mcompass portable anorectal manometry diagnostic and biofeedback device. Thank you @MayoClinicGIHep, @NGMJournal and my mentors from all four sites in this study for your guidance.
Online @NGMJournal multicenter study in 124 subjects @drmikesh@MayoClinicGIHep shows Mcompass™ portable anorectal manometry is accurate & user‐friendly technique for diagnostic & providing biofeedback therapy https://t.co/dfUbFL4c14 Listen to the author https://t.co/O8AoQu4DN1
https://t.co/bZmEh1ULKj
Timely update to Lyon Consensus for #GERD, now version 2
Interesting updates
- re-look at GERD definition
- Adjunct metrics play larger role
- LA grade B is conclusive evidence
- on-therapy metrics discussed
- approach varies based on sx
#GITwitter
So many antihypertensives. What to use?
1. Selecting IV antihypertensives in hypertensive emergencies (updated; mistake in previous version, nitroprusside should be avoided in stroke/encephalopathy 2/2 ↑ ICH)
2. Selecting PO antihypertensives according to comorbidities (updated)
Humbled to be a part of this study. When patient care is the one true goal, sky is the limit. Thank you to my mentor Dr. Adil Bharucha, all the coauthors, to @MayoClinicGIHep and to @AmerGastroAssn. @BrototoD
#TipsForNewDocs
Patient doesn’t accept your recommendation. How to document?
No: "Patient refuses X.”
Yes: "Patient declines X due to __. I explained the indications, risks, benefits of X. S/he expresses understanding of the consequences of his/her decision."
#kittlesonrules
@JP_Domecq @romilsingh1892 @MarijaB91 Thank you so much @JP_Domecq !!! It has been such an amazing experience working with you and learning from you. Will cherish these memories forever. Please continue to inspire many more students!!!!!
MY RECOMMENDATION TO INCOMING INTERNS: Before intern year I made a survival bag for my backpack so that I was prepared for some of intern year’s difficulties. Do it. It has proven to be SO USEFUL. Here are my recommendations to make your own little bag:
Nice framework!!! Reading other people’s work is the key and having a framework really helps. Whenever stuck, try to write something daily and it will all come together #AcademicTwitter
Set yourself free of the past. It was there to teach you something and the fact that you survived makes you stronger for future. Rejection = Redirection #MedTwitter