Alex Torres, MD

Returning to PR in 2026. U of Colorado GI fellow | U of Washington IM | Father, Husband, Lover of the Great Outdoors

[Alex Torres, MD @jatorresPR]

@XFreeze @elonmusk @grok explain to me the most effective ways I would incorporate these connectors into my workflow as a business owner.

[Alex Torres, MD @jatorresPR]

@DailyLoud Safe seems like the right place.

[Alex Torres, MD @jatorresPR]

@elonmusk @elonmusk use these in Puerto Rico. They are currently facing an energy crisis with (nearly bankrupt) New Fortresses Energy and I believe Tesla already has contracts to provide electricity to the island. Would make a big difference for a lot of people that need reliable energy.

[Alex Torres, MD @jatorresPR]

@BGatesIsaPyscho Flying super sonic, but yet still had ADS-B Out turned on so that it shows up on flight tracker. Interesting. Or, more likely, it’s fake.

[Alex Torres, MD @jatorresPR]

@Men_Of_Purpose This is staged/fake. You can tell by the two keys still being on the dealer or rental wire loop. They likely have the vehicle on an extended test drive or are renting it just to make click bait content like this. Further supported by full license plate on the back not a temp tag.

[Alex Torres, MD @jatorresPR]

@Men_Of_Purpose This is staged/fake. You can tell by the two keys still being on the dealer or rental wire loop. They most likely have the vehicle on an extended test drive or are renting it just to make click bait content like this.

[Alex Torres, MD @jatorresPR]

@MichaelBuratovi @drkeithsiau From a cost effectiveness standpoint, similar, maybe mildly less expensive than a colonoscopy. Stalled capsules (need repeat VCE), inadequate prep, need for patency capsules when concern for strictures/abnormal anatomy all drive costs up and thus cost effectiveness down.

[Alex Torres, MD @jatorresPR]

@MichaelBuratovi @drkeithsiau Lot of inter-observer variability. Drs read capsules on different speeds and stages of focus, and have different levels of attention to detail naturally. Can be a very effective tool in the hands of an expert/careful reader. Concern for small bowel strictures can also limit use.

[Alex Torres, MD @jatorresPR]

@drkeithsiau @MichaelBuratovi Certainly, if something is abnormal clinically that is pushing you to do more testing then of course VCE is reasonable, but to imply one should do a VCE in the face of normal work up as you did originally, would be unnecessary unless some very specific symptoms are present.

[Alex Torres, MD @jatorresPR]

@drkeithsiau @MichaelBuratovi That’s true but that false negative rate of 10% is in isolation. When you have other data such as a normal CRP and normal FCP without any evidence of structuring or penetrating disease I think the combination of these normal tests paints a picture of normal.

[Alex Torres, MD @jatorresPR]

@drkeithsiau @MichaelBuratovi While I understand your point, I think that’s impractical as standard of care. You would need to have a high index of suspicion of small bowel crohns such as penetrating, structuring complications or pain, persistently elevated FCP or unexplained CRP to get you to that point.

[Alex Torres, MD @jatorresPR]

@ThomasSowell That was not a body guard that is plain clothed secret service.

[Alex Torres, MD @jatorresPR]

@PureBloodedBugs @JackPosobiec Red light is not less visible to others, it preserves your night vision. And he has a white light on his forehead.

[Alex Torres, MD @jatorresPR]

Had a great time writing this with my colleagues! Check out today’s @NEJM clinical problem solving challenge and test your skills!

[Jake Mayfield, MD @jakejmayfield]

Looking for a challenge? Check out today’s clinical problem solving challenge in @NEJM.

It was a pleasure to write with & learn from my co-@uwashfellows @DaneeHidano, stellar @uw_chiefs @jatorresPR, rheum expert Mattie Pioro, & the incredible @ottoecho.

https://t.co/dr3PlDNYmo

[Jake Mayfield, MD @jakejmayfield]

Looking for a challenge? Check out today’s clinical problem solving challenge in @NEJM.

It was a pleasure to write with & learn from my co-@uwashfellows @DaneeHidano, stellar @uw_chiefs @jatorresPR, rheum expert Mattie Pioro, & the incredible @ottoecho.

https://t.co/dr3PlDNYmo

[#ScopingSundays @ScopingSundays]

Missed the amazing discussion on our previous #ScopingSundays on “Basics of ERCP” led by
@krishnanendo, @AlysonMJohnson & @TomTielleman, or not finding the time to go through the thread ?

Check out the #ScopingSummary for high-yield pearls & images prepared by @NickMcDonaldMD

[Alex Torres, MD @jatorresPR]

Definitely keeping this in my back pocket for residency and fellowship.

[Alex Torres, MD @jatorresPR]

Interesting review in Gastro Journal last month outlining different CRC risk factor profiles for cancers along the colorectum. Here’s the meat and potatoes figure showcasing their findings! https://t.co/rnHbkaX0yy

[Alex Torres, MD @jatorresPR]

@colleenmfarrell Seems like you might already have your answer if you are in Twitter :)

[Lizzie Aby, MD @LizzieAbyMD]

Great lecture by Dr. Levy on #PBC!
✅Requires 2/3: ALP>/= 1.5xULN, +anti-mitochondrial Ab or PBC-specific ANA & non-suppurative destructive cholangitis on path
✅Consider overlap w/AIH if ALP:transaminase <1.5, IgG⬆️or smooth muscle Ab>1:80
✅UCDA: delays histologic progression