Hanna Blaney, MD, MPH
@BlaneyMD
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Mom | Outdoor Enthusiast | GI Fellow and Liver Lover @NIH / @MarylandGastro | Future Transplant Hepatology Fellow @GeorgetownGI I @LiverFellow
Maryland, USA
Joined September 2019
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Last Seen Profiles
‼️Beta-blockers save lives
🔹Carvedilol should be your favorite BB
🔹Carvedilol 📉 decompensations by treating portal hypertension
@GuildConference
@ebtapper
@DrLoomba
@serperm
#livertwitter
4
45
155
What 3 medications do you wish were on the $4 list and what is your speciality?
1. Semaglutide
2. Apixaban
3. Insulin glargine
Internal Medicine🔜GI (I know I will soon regret that apixaban 🤫)
48
8
148
I’m very excited to officially announce that I will be doing
@AASLDtweets
transplant hepatology
@GeorgetownGI
starting 2024! I am so 🤩 to pursue my love of the liver with this fantastic program!
#livertwitter
22
0
120
Paradigm shifts in 🤔 about portal hypertension by
@ggarciatsao
🔸Prevent decompensation (NSBB in patients with CPTH)
🔸 LSM and Plt 🚫 EGD for 👀varices
🔸NSBB can be used in ascites if MAP>65, SBP>90
🔸After TIPs: NSBB if HVPG is >12
#TLM23
@AASLDtweets
3
42
112
@amyfaithho
Also,
Please chew your food before swallowing!
-Sincerely, your local on-call Gastroenterology Fellow
#GITwitter
1
4
113
After spending 15 of the last 20 months as a solo-parent medical trainee (
@MAhmedMD_ENT
was 1st deployed to Iraq, then his transfer to DC was delayed for 9 months), our family will finally be reunited today! 🥰👨👩👦👩⚕️🧑🏽⚕️
#WomenInMedicine
#militaryfamilies
7
2
110
I could not be happier with my match. I can’t wait to join
@MarylandGastro
and
@NIH
for my gastroenterology fellowship!
#GITwitter
Want to take a moment to introduce all our incoming
#GI
fellows! 💩🩺💊
Categorical Fellows: Dr. Motwani and Dr.
@AndrewCanakis
NIH Fellows: Dr.
@BlaneyMD
and Dr.
@MianBKhalid
Mercy Fellow: Dr. Ma
4
4
45
26
0
104
I am now a board certified Internal Medicine physician! 🤩
9
0
96
35🎂➕ continuing to refine/define my purpose (while enjoying 👌🏼 food)
#livertwitter
#gitwitter
7
0
89
Introducing the joys and educational resources of
@LiverFellow
to Rwandan residents, internists, and GI fellows!
#LiverTwitter
#GITwitter
#MedEd
3
8
87
I cannot believe how competitive
#GIFellowship
has become. I personally know several 🌟 applicants who would make excellent GIs who did not match, despite 🦾 apps. To those who did not match this year, you are sadly not alone and we are rooting for you!
#GITwitter
1
1
85
Fantastic
@AmJGastro
📝 on adrenal insufficiency and relative AI (RAI) in
#cirrhosis
, a common and under diagnosed condition
➡️ Experienced by up to 82% of critically ill patients and 68% of Childs Pugh-C
#livertwitter
#MedTwitter
#MedEd
#endocrine
1
18
75
@choo_ek
I find it very troubling that questions about having received
#mentalhealth
are part of the Texas liscensing application. This stigmatizes getting help and needs to change.
@texmed
1
8
69
Hepatology is the🌎! The intersection between complex pathophysiology, policy, ethics, culture, patient interaction, public health, humanism...
So energized and excited for my future caring for and studying patients w/ liver disease, 🙏
#LiverMtg21
@AASLDFoundation
@AASLDtweets
1
9
70
Hepatology consultation was associated with 📉 return to alcohol use and hazardous use at 26 weeks in an inpatient population of patients with AUD
➡️ 21% of patients had evidence of ALD
@MianBKhalid
@bilalasifMD
@ChrisKohMD
#theoheller
@HepCommJournal
3
17
67
Fact: Transfusion refractory anemia without any overt GI bleeding is not due to a GI 🩸
Resist the reflex to consult GI for all anemia (especially without assessing/thinking through the patient first)
#GITwitter
2
6
65
🛑 Stop using stigmatizing language to describe patients and their illnesses🛑
🚫Alcoholic Hepatitis
✅ Alcohol related acute liver failure
I love 💕💕💕this slide.
#LanguageMatters
@AASLDtweets
#LiverMtg21
#livertwitter
🙏
@mcharltonmd
2
20
65
I am honored to be selected for
@AASLDFoundation
’s Emerging Liver Scholar Program. I ❤️ the liver and cannot wait to attend
#TLMdX
and continue my study of Hepatology!
@AASLDFoundation
#LiverTwitter
10
4
65
Docusate is not a laxative
Docusate is not a laxative
Docusate is not a laxative
Docusate is not a laxative
Docusate is not a laxative
Docusate is not a laxative
“No push for the mush”
#GITwitter
#MedTwitter
0
8
60
Certified and submitted my Gastroenterology Fellowship application. Big steps for many of us today! 🌱
#BreathDeep
#July1st
#GITwitter
8
0
60
Seeing all these first
@DDWMeeting
posts reminds me of my first DDW in 2019 as a PGY2! I was so nervous and read off my script. What a great stage to share our mutual passions and grow as physicians!Congratulations to all the first time presenters! 🌟🤩🥳
#GITwitter
3
1
60
Currently writing a hepatology-themed review and getting delightfully lost in the literature.
I cannot say it enough: I 💗 the liver!
Excited for the next 3 years of fellowship and beyond!
@AASLDtweets
#livertwitter
#GITwitter
1
0
59
Made it to Boston after 27+hrs of travel. I had the most amazing time in Rwanda and can’t wait to go back at my next opportunity. For now, a shower and then 🤩 for
#TLM23
@AASLDtweets
! If anyone is here and wants to meet up for early an dinner/drinks, DM me!
#livertwitter
3
0
58
Just gave a GI
#MedEd
talk and had some extra time so (with a degree of humor) went over things that annoy this GI Fellow:
Use of the terms LFTs, transaminitis, melanotic
Use of FFP to “correct” coagulopathy
Use of ammonia to “dx” HE in CLD
Use of FOBT to “dx” GI 🩸
#GITwitter
6
3
57
I’m so excited to present my work at DDW! Congratulations to my fellow presenters—See you in DC!
Congrats to all
#DDW2024
accepted presenters! We received a record number of abstract submissions this year, so you should be proud of your hard work! 🎉Share the good news with this social badge:
The abstract lookup site is open:
2
15
96
8
2
55
Worked on a few manuscripts, crunched some data, and started thinking about/outlining my grand rounds (topic is developing but no surprise!)🥰. Now, for
@GuildConference
! I can’t wait for all the
#GITwitter
and
#livertwitter
learning with amazing faculty and fellows in Maui 🌴
2
3
55
I’m so excited to apply to GI this year. Not only do I love the field and feel it’s a perfect fit, I want to live up to my 2.5 yo son’s high expectations: “Mama go fix boo boo” 💩
#GITwitter
#WomenInMedicine
6
1
53
My bedtime reading! 📖 I was born in the 80s and am still very much a paper person. Such a treat when
@NEJM
reviews a
#GITwitter
topic and even better when it’s
#LiverTwitter
! 😻
0
1
54
I am so 🤩 to be selected to attend the
@AmerGastroAssn
@AASLDtweets
Academic Skills Workshop! Looking forward to meeting everyone and learning from 🌟 mentors and peers in
#GITwitter
and
#livertwitter
🙏🏼
9
1
53
Congrats again to this yr's
#GIApplicants
! Last yr,
#GITwitter
put together a thread for applicants to "break the ice" of virtual interviews and it was so helpful (🙏)!
1) Program/year
2) Why this program/something fun?
3) Open to DMs?
@LizzieAbyMD
@doctornikkid
@LaurenFeldMD
13
10
51
🏆 review in
@AmerGastroAssn
of 🤰pregnancy-associated liver diseases by
@norahterrault
+ Catherine Williamson.
As a
#GIFellow
, these 📟 are amongst the most feared (🤰= 😰, 🙏🏼
#obgyntwitter
)! Quick overview in 🧵🪡!
#LiverTwitter
#GITwitter
doi: 10.1053/j.gastro.2022.01.060
2
12
50
Advice for fellows (& trainees):
🔍Find good mentors & sponsors 🧗♀️
🚫Don’t compare yourself to others
🌄Find your calling & go after it (not just what you 💭 you should be interested in)
✅Say yes to opportunities that advance your career
🏡Don’t forget about life
What else?
4
8
51
Excited to share our newest review article: Current indications and selection criteria for early liver transplantation in severe alcohol-associated hepatitis
It was a lot of fun working with 🌟team
@CaroRamirezMD
@LuisAntonioDiaz
@juanpabloarab
@DrLoomba
3
10
49
Just sat for my ABIM exam. So excited to narrow/deepen my focus on GI!
1
2
48
How I’m doing
@DDWMeeting
: stand out like a post-it note!
If you see me, stop and say 👋🏼!
#GITwitter
#LiverTwitter
#DDW2023
2
2
49
ALD is a multisystem disease with ⏫ mortality
▶️Recognize early, exclude other causes
▶️Use MELD + Lille for prognosis
▶️Support patient (reverse liver injury, treat infection, support organs) and treat addiction
▶️Consider transplant + palliative care
@LiverMtg21
@AASLDtweets
2
12
49
With
#GIFellowship
application season coming up, I know the anxiety is running high! Be sure to check out
@doctornikkid
’s pubs on the topic.
Also—I know many fellows (including me🙋♀️) on
#GITwitter
are happy to help anyway we can, with more to come as the season progresses!
5
3
47
My clinical research project in residency—which I took from idea to submission with the help of a wonderful mentor and 💪
#medstudents
, was accepted for publication!!! More to follow soon!
#GITwitter
#IBD
#AcademicChatter
4
1
47
So excited that
@LiverFellow
is now part of
@AASLDtweets
! Great work team!
#TLM22
@AASLDPresident
@AASLDFoundation
1
1
47
When I rotate with advanced GI attendings, I *almost* rethink my strong leanings toward transplant hepatology. I’m always amazed at their skill set and inspired by the innovation in our speciality. What an incredible field!
#GITwitter
#LiverTwitter
#GIfellowship
4
1
48
I am so excited to take on this role (with very big 👟 to fill)! I’m looking forward to working with our 🌟 team to bring you amazing and educational liver content!
#LiverTwitter
@AASLDtweets
📣We are excited to announce our two new Liver Fellow Network trainee leads starting July 1!
Nabeel Wahid (
@NabeelWahidMD
) of
@NmLiver
Hanna Blaney (
@BlaneyMD
) of
@NIH
/
@UMMC
We are looking forward to their new initiatives & leadership🔥
#LiverTwitter
#GITwitter
#MedEd
#FOAMed
0
6
45
5
1
47
So excited to see our study featured in
@gastroendonews
, showing that hepatology consult is associated with decreased return to alcohol use in an inpatient AUD treatment setting! Look out for our manuscript coming soon in
@HepCommJournal
!
#livertwitter
@NIAAAnews
3
2
46
EV 🩸beautifully discussed
@ggarciatsao
@MarylandGastro
➡️Octreotide, abx, cautious RBC transfusion Hgb 🎯 7
➡️Do not “correct” coagulopathy
➡️Stop PPI (🚫 prevent post banding ulcers & are associated with/ 📈☠️)
➡️Start enteral feeding ASAP after 🩸controlled
#livertwitter
3
4
46
Published! Nearly 2 yrs and a project that brought attention to our patients with
#IBD
+ anemia.
➡️ Anemia + 📈severity associated w/ 📈 💰/utilization independent of IBD activity
➡️ Treatment w/ IVFe or POFe 🚫 associated w/ 📉 💰/🏥use
#GITwitter
7
5
45
@NeetaPatwari
Having grown up in a low-middle income family this baffles me! As a resident, I already make more $ than my parents. Choose what you love—your loans will get paid and you will still live very comfortably!
1
2
43
@olsonplanner
@jbcarmody
Wow. The amount coming from pre-med and med students/residents earning negative income or very small wages is astounding.
1
0
43
I’ve been feeling extremely fulfilled recently
✅Almost done w/
#GITwitter
fellowship
🏃🏻♀️Heading to
@GeorgetownGI
for
#livertwitter
fellowship
🧑🧑🧒 🐶 life👌🏼
🗺️ Found my passion & am developing my academic niche in ALD w/ much to look forward to
Can’t ask for more! 🙏🏼🙏🏼🙏🏼
4
0
44
‼️Attention Liver Lovers ‼️
New
@thecurbsiders
out on hereditary hemochromatosis (HH) with
@ebtapper
!
#LiverTwitter
🗝️ Don’t screen for HH while inpatient (ferritin and TSAT are elevated w/ acute illness)
🗝️ Ferritin is also ⬆️ in ALD🍻 and NAFLD
2
4
43
An 🚑 goes by. My 4 yo son exclaims,“Mama, Mama! Someone’s sick, you need to go to the hospital!”
“But I’m home with you today, another doctor is helping.”
“Another doctor? What’s her name?”👩🏽⚕️
Excited for the paradigm shifts + possibilities of future generations
#WomenInMedicine
1
3
42
Even (and especially) on weekends, stopping a GI 🩸 feels so good.
What a rewarding specialty.
#GItwitter
#livertwitter
@AmCollegeGastro
@ASGEendoscopy
@AmerGastroAssn
0
1
42
Surgery in the cirrhosis patient:
🔸High-risk patients
🔸Multiple risk scores, but use clinical judgment and shared decision
🔸Elective is safer than emergent (hernia repair in meld up to 21)
🔸Perioperative management is 🔑
@nadimmahmud
#TLM23
@AASLDtweets
1
15
41
Congratulations to all those who matched into fellowship today, especially (the best speciality) GI! We cannot wait to have you as our co-fellows and colleagues—GI fellowship is so much fun! Welcome!
#GITwitter
2
5
37
Very excited to share my first post for the
@LiverFellow
Why Series on why we used steroids and the scores we use to guide our management of alcohol-associated hepatitis! I had a lot of fun writing this, hope you all enjoy reading it!
#livertwitter
#GITwitter
Ever wonder why we use steroids, Maddrey’s Discriminant Function, & the Lille score in Alcohol-Associated
#Hepatitis
?
Check out the latest Why Series post by
@BlaneyMD
to find out more!
#livertwitter
#MedEd
#MedTwitter
#GITwitter
#FOAMed
2
28
73
2
6
37
It’s always wonderful to see THE
@ebtapper
, especially in Maui! 🌴🌺
@GuildConference
#livertwitter
2
1
39
Very excited about my grand rounds about a topic I 💗. I am continually shocked at our progress in ALD/AH and will share some of my 😮 with you. This slide shows much of my motivation for fellowship and beyond. Together we will improve the lives of our patients
#livertwitter
0
0
38
@JeromeAdamsMD
Politics has no place in the medical conversations & needs of patients & their 👩⚕️👨⚕️
I’m in medicine to serve. I steer clear of reproductive health (GI + hepatology) but there are now several states that I would be uncomfortable 1️⃣living in 2️⃣practicing in
I am not alone.
2
1
38
‼️PEth is the A1C of alcohol
🔹Very specific: rare low positive can occur in patients who have received blood transfusion from someone actively 🍻
🔹Level of 48 or ⬆️ is associated with ⬆️ drinking
🔹Tell your patient you are ordering it
@GuildConference
@ebtapper
@DrLoomba
1
13
36
So excited to share my review "Hepatic Encephalopathy: Thinking Beyond Ammonia" out in
@CLD_Learning
with Dr. Sharon DeMorrow through the
#EmergingLiverScholar
program and
@AASLDtweets
!
#livertwitter
#GITwitter
#MedTwitter
0
5
37
Great review of AH by
@norahterrault
🔹Use MELD of 20+ for steroids
🔹Use Lille at D4 or D7 to predict response to steroids
🔹Non-response to steroids➡️refer for early LT
🔹Steroids improve 28 day survival—help them survive then treat AUD
@GuildConference
#livertwitter
2
15
36
I’m so excited to see you all at
#TLM23
as
@AASLDtweets
#SoMed
ambassador! If you haven’t registered, do!
#livertwitter
See you in Boston in November and at the
@LiverFellow
reception!
📆November 12, 5:00 - 5:45 PM
📍Room: 200 (Member Lounge)
0
3
36
Physicians need to be provided both adequate time and compensation for clinic pre-charting. Pre-charting is essential and allows us to spend more time with our patients as well as provides more thoughtful, higher quality care.
#medtwitter
#GITwitter
1
2
35
⬆️INR🚫 bleeding in
#cirrhosis
and these patients have a high risk for clots (think PVT!).
Translated into practice: Don't "correct" INR on patients with cirrhosis with FFP!
(For all my future interns: coagulation in liver disease is my favorite! 🤩)
Another awesome study showing what INR really means in
#cirrhosis
🔥key messages🔥
1️⃣INR does not measure thrombin generation! This is normal or HIGH in cirrhosis
2️⃣High INR is actually associated with a PROthrombotic state!
Open access:
#livertwitter
11
155
430
2
5
35
Key Precipitators of Hepatic Encephalopathy:
🦠 Infection
🩸 GI Bleeding
💊 Opiates, sedatives
💩 Constipation (⬆️absorption of NH3)
🥤 Dehydration (over-diuresis, 🤮, diarrhea)
🧂 Electrolyte disturbances
🚫 Non-adherence to lactulose/rifaximin
🔪TIPS
#MedTwitter
#LiverTwitter
0
5
35
☠️The “6-month rule” for liver transplant for alcohol associated hepatitis is dead 🪦
👉Instead, perform a comprehensive psychological assessment w/ multidisciplinary team
🌱early LT for AH has excellent outcomes
@GuildConference
@norahterrault
#livertwitter
0
9
34
Two parents and physicians taking time out of a (very) busy few years of multiple graduations, moves, and job changes to celebrate 7(‼️) years!
@MAhmedMD_ENT
0
0
34
Pro tip from constipation 👑 Dr Satish Rao:
Do a bowel prep to “start fresh” before starting a new medication for constipation 🚽
@GuildConference
#GITwitter
3
1
33
Meeting colleagues, coauthors, mentors, and friends in real life and all at once! 🤗
@LuisAntonioDiaz
@juanpabloarab
@stevenbollipo
@FcoIdalsoaga
#TLM23
@AASLDtweets
0
3
33
I love Medicine. Every day I’m greeted with interesting patients, intellectual challenges, and opportunities to help people.
#InternalMedicine
0
5
33
Heading back to a month of GI service (yes, we are actually clinically busy
@NIDDKgov
) energized and inspired by all the amazing work being done by our colleagues. I’m honored to be part of such a wonderful field and community. Many highlights! Until
#TLM2023
@DDWMeeting
#DDW2023
1
0
33
Congratulations to those that matched, especially those that matched
#GITwitter
+
#liverlovers
! We are so excited to work with you in the most amazing specialty! Welcome! 🤩
For those that didn’t match, you are still amazing + we are here to support you through the next steps🤞🏼
0
0
32
Nothing is more rewarding than witnessing the wins/growth of former med students/interns/residents
1
5
32
I got a very nice text from my attending today. Positive feedback goes a long way!
#GITwitter
#MedTwitter
#MedEd
1
2
31
Reflections on
#TLM23
:
✨Our patients are our inspiration
✨We have so many kind, collaborative, and innovative thinkers
✨We are moving the 🪡
✨I met so many inspiring fellows, residents, students
🌟Our future is exceptionally bright 🌟
@AASLDtweets
✌🏼
#TLM24
#livertwitter
1
0
31
I am privileged to be amongst the first to receive my first dose of the
#CovidVaccine
. I will continue to wear a mask and socialize smart (right now: not at all) until this pandemic is under control.
#BelieveInScience
#MaskUp
1
1
31
Tip for Trainees:
🛜 Upload your CV to google docs and update regularly with acceptance of every manuscript, abstract, course, travel award, talk…
Easily assessable from everywhere and easy to convert to PDF
#MedTwitter
#GITwitter
#livertwitter
#MedEd
1
2
31
Hit a big career milestone today: made it through my last week of MICU nights! This rotation is challenging and is always a period of rapid personal and professional growth. Also, continuously inspired by the dedicated fellows
@BSWHTemple_PCC
#MedEd
#Residency
2
0
31
We had a fun visit with
@BrettEFortuneMD
today at
@NIDDKgov
. 🙏🏼🙏🏼🙏🏼
One 🔑 takeaway is consider TIPS for ascites after 3 large volume paracenteses in 12 months
We need to 🤝with IR and primary care to get these patients referred for TIPS and transplant evaluation!
#livertwitter
1
3
30
I am so excited to share my work on alcohol associated liver disease
@AASLDtweets
#TLM2024
! Hope to see you all in Boston in November!
#livertwitter
#GITwitter
6
1
30
My husband was deployed yesterday ✈️. Between the military and Medicine, this is the 4th time we have lived apart but the 1st time we are not a 🚗 ride away. While the next few months will be challenging, thankfully the end is in sight and I was raised to be very independent! 👩👦
3
1
30
🎉Congratulations to all the residents who finalized and submitted their
#GIFellowship
applications🎉
We can’t wait to meet you all and welcome you to the best subspecialty!
#GITwitter
#LiverTwitter
#MedEd
0
2
30
Check our our new publication on VCE in CGD associated IBD!
@SumonaB_MD
@IBDdocUni
@MianBKhalid
@NIDDKgov
@MarylandGastro
@GW_Gastro
3
3
29
Legendary lectures from
@ebtapper
: this one is on thinking through the diagnostic tests/tools we have and what to do with them
🌟So much to learn from his lectures and presentation style. 10/10 recommend
#TLM23
@AASLDtweets
0
2
29
Great work from rising 🌟 and one of the newest
@LiverFellow
✍️ for our upcoming series “Back to Basics”
@vinayjaha
. 👏🏼👏🏼👏🏼
#TLM23
@AASLDtweets
#livertwitter
1
2
29
This has been an amazing experience w/ phenomenal mentorship on moving our careers forward. I’ve learned so much from the 🌟faculty and am making friends/connections with my co-fellows. This is not a conference to miss—amazing setting and perfect size for meaningful conversations
1
4
28
@drquinngyn
@Exploratorylap
We do moderate sedation ourselves in endoscopy—fentanyl and versed. No additional staff needed other than a nurse to insert IV and watch vitals. Something to consider!
Hope sedation becomes the norm!
5
0
27
🛑 alcoholic liver disease
✅ alcohol associated liver disease
#languagematters
#livertwitter
#GITwitter
#MedEd
1
4
27
I've seen a lot of dogs at
#TLMdX
. Can we start a thread of
#LiverPups
to see who else has made an appearance?
#LiverSnaps
#livertwitter
@lamatthews22
@abby_russi
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Feeling cold and a bit homesick today. I’m so lucky to have grown up somewhere so beautiful and am waiting impatiently for my next trip home in March.
1
0
27
5 years married to this guy! Through medical school, a surgical residency, a baby, matching/nearly completing IM residency, starting a successful ENT practice, a deployment, and matching GI, I could not have had a more supportive partner. I love you and here is to many more! 💕
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I am LOVING fellowship
@MarylandGastro
. I'm learning how little I know about the liver and studying for IM boards when I wish I could be perusing
#livertwitter
. 📚
#GITwitter
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@RFentonMD
Not to mention the tremendous debt of medical school, living expenses, and applying to residency with no guaranteed job at the end of it and too many patients waiting months to see doctors…
0
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Day 2 of GI Rising Rwanda Endoscopy week is going well (and
#livertwitter
heavy)! Wonderful to reach and learn from Rwandan physicians.
#GITwitter
#MedEd
@DrRukkyBash
@MarylandGastro
@UCDavisGI
1
3
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Published! Favorite case of residency: achalasia causing hemodynamic instability.
#GITwitter
#MedTwitter
#WomenInMedicine
5
5
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🙏🏼 to those that came to the online education community conversation!
@NabeelWahidMD
and I are proud to represent
@LiverFellow
. LFN offers many great educational resources and we are so excited to launch new initiatives soon! 🔥
#TLM23
#MedEd
@AASLDtweets
1
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Back from travel 🌍, recovering from 🛩️ lag, back on service/overnight call 🏃♀️ for the remainder of the month and…
‼️New family member‼️
In medicine, there is never a “good” time for life events so: no time like the present! We are smitten.
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