Fazia Mir-Shaffi,MD, DABOM

Gastroenterologist |IBD|leadership|Division Chief|patient advocate Views own. RTs 🚫endorsements. #Womeninmedicine #Somedocs @Akuglobal

[Fazia Mir-Shaffi,MD, DABOM @Faiziya]

@UNMC_GIHEP @jalpa_devi @WashUMedGastro @UNMC_IM @P_DeepakIBDMD @saia_ibd @ScrubsNHeels @pmannon1 @ACG_EBGI @WashUMedIBD @IBDimmunology @kehutchins77 Congratulations

[Fazia Mir-Shaffi,MD, DABOM @Faiziya]

@IBD_Afzali @UCincyMedicine @uc_health @AmCollegeGastro @ACPIMPhysicians @CincyIM @BAAwo_MD @LuisLaraMD1 @BMoshiree @SyedAAhmad5 @AmyOxentenkoMD Congratulations!!!!!

[Dimitrios Tsatiris MD @DrDimitrios]

The system does not care about you.

It cares about you being productive for its financial gain.

It will replace you when you are no longer productive.

Remember this the next time you feel obligated to prioritize work over your loved ones.

Or yourself.

[Fazia Mir-Shaffi,MD, DABOM @Faiziya]

Loved this piece in ⁦@bbcgoodfood⁩ #culturalheritage #traditionalcooking #fusioncooking

[Keith Siau @drkeithsiau]

😅

[Mariam Naveed, MD @MN_GIMD]

Let’s talk prep baby! Apologies to my fellows for embarrassing them with that joke! 🙃

But this is an important topic!

✅ Isosmotic (PEG-based) Preps
• High-volume (4L): GoLYTELY, CoLyte
• Low-volume (2–3L): MoviPrep, Plenvu (contain ascorbic acid)
✔️ Preferred for most patients

⚠️ Avoid Plenvu/MoviPrep in G6PD deficiency & renal impairment/ CHF

⚡️ Hyperosmotic Preps
• SuPrep (sodium sulfate–based): ~3L
• Sutab: 24 tablets + 96 oz water
⚠️ Use caution in renal dysfunction, CHF, or electrolyte disturbances

🚫 Sodium Phosphate–Based Preps (e.g., OsmoPrep)
* I’ve never used this 🤷🏻‍♀️
❌ Avoid in:
 • CHF (NYHA III/IV)
 • ESRD or patients on diuretics
 • IBD (can mimic flare/inflammation)
🔺 Black Box Warning: Seizures, phosphate nephropathy

❌ Non–FDA-Approved OTC Preps
• Magnesium citrate – risk of fatal hypermagnesemia
• PEG 3350 + bisacodyl mixed in sports drinks (e.g., Gatorade)
⚠️ Use only with caution; avoid in renal, CHF, or liver disease

💩 Split dosing = better prep quality & polyp detection.

Also, I have a whole new level of appreciation & respect for patients who go through colonoscopies regularly after doing my own. That morning dose of split prep nearly broke me 😵‍💫… the struggle was real.

Throwback to @AmyOxentenkoMD post on her experience, tips & tricks 👇

What are your best tips/tricks for surviving the prep? Drop them below ⬇️

[Fazia Mir-Shaffi,MD, DABOM @Faiziya]

#ACG2025 done
Excited to see everyone

[Elliot Tapper @ebtapper]

Wake up, New cause of elevated liver enzymes just dropped

[Andy Tau, MD @DrBloodandGuts]

For AVMs, I find myself using less APC. I struggle with the need to hover and have seen full thickness injury from direct contact. I like hemostatic forceps with soft coagulation for deeper ablation, technical control (grasp to secure / adjust position) and lower cost.

[Fazia Mir-Shaffi,MD, DABOM @Faiziya]

In true Siddiki fashion!! Proud of you my friend!

[Hassan Siddiki MD, MS @SiddikiGI]

@Chatterjee_MD Epic 4 July call. ERCP for extended Rt hepatectomy bile leak (arrow) EUS gastric varix embolization for GJ anastomosis varix, Post-polypectomy lower GI bleed and metastatic tumor related small bowel upper GI bleed. Arjun, you’ve graduated on your day 1 of PGY5 💪🏽

[Mariam Naveed, MD @MN_GIMD]

Get involved early!

You may not land the first committee you want and that’s ok!

If you’re committed to showing up and staying engaged, doors will open.

There’s always a way to contribute!

10 years later, it’s been an incredible journey of growth, mentorship, and community with @AmerGastroAssn

#MedTwitter #GITwitter #AGAGastroSquad

[Fazia Mir-Shaffi,MD, DABOM @Faiziya]

@jalpa_devi @WashUMedIBD @CiorbaGI @P_DeepakIBDMD @UNMC_GIHEP @kehutchins77 @IBDimmunology @DCharabaty @AmerGastroAssn @AmCollegeGastro @ACG_EBGI @JosephHabibi_MD @ScrubsNHeels @saia_ibd @ibdseb Congratulations 🥳!!!

[Fazia Mir-Shaffi,MD, DABOM @Faiziya]

IBDIQ, Part of The IBD Project by Takeda https://t.co/ZBCWFnJS9e

Great initiative!
Must share with your fellows!

[Fazia Mir-Shaffi,MD, DABOM @Faiziya]

@MN_GIMD @AMohammedMD @ernrobalino @AimenKhanMD @AmerGastroAssn @AmCollegeGastro @Meghs1119 @SanjeevaniTomar @ASGEendoscopy @BahaFawwaz @BilalMohammadMD Congratulations!!

[Fazia Mir-Shaffi,MD, DABOM @Faiziya]

@GIdietitian @IBDCedarsSinai @CedarsSinai @ibd_nutrition @CMECedarsSinai

[Fazia Mir-Shaffi,MD, DABOM @Faiziya]

View my verified achievement from @JoinCedarsSinai. https://t.co/DPF16wjR34 via @credly

[Neena S Abraham MD MACG FASGE AGAF @NeenaSAbrahamMD]

If your career looks great on paper but feels unsustainable in real life, you’re not alone.

Join me at #WIESUMMIT2025 and create a medical career that’s burnout-free, fully aligned, and that actually works for you!

🔗 https://t.co/U0tYtGvo3r

@drsethinyc

[Fazia Mir-Shaffi,MD, DABOM @Faiziya]

Beautiful gifts early morning! It’s going to be a great endoscopy day ❤️ #womeningi #gardener #plants

[Fazia Mir-Shaffi,MD, DABOM @Faiziya]

@ibdgijami @JHashashMD @FarrayeIBD @LaurenLoebMD @JessPetrovMD @DBadurdeen @SwathiEluri @DrRiehl @IBD_DrEMF @MN_GIMD @NeenaSAbrahamMD Happy hatch 🐣 day

[GUILD Conference @GuildConference]

If you loved the content, it’s not too late to join in Maui Feb 2025 and not too early to plan for 2026 in Puerto Rico and Maui!