Vlad Fomin MD
@Doc_Fomin
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GI Fellow 🏥via @WCM_GI, @MGHmedres @zuckersom #GI #hepatology, Paradoxically a Patriots 🏈 and a Knicks fan🏀 All opinions =me
Joined May 2019
Hey soon to be interns, current interns, residents and anyone interested in learning . I'm back with another Intern Year Primer: IV fluids on the Medicine Wards.
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This is Huge. First drug to meet with the ever growing need to treat MASLD. Truly game changing.
Today, FDA approved a medication for the treatment of adults with noncirrhotic non-alcoholic steatohepatitis (NASH) with moderate to advanced liver scarring (fibrosis), to be used along with diet and exercise.
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RT @LiverFellow: Should we offer early LT to patients w/ AH and prior decompensation? . 🔸⬆️ ☠️ w/ prior decomp v 1st decomp, 1 y: 86% v 93%….
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Come to see your colleagues. Leave with greater possibilities. DDW is the premier digestive disease meeting. Be #HereforDDW and register today at . #DDW2023.
app.ingo.me
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Amazing Terlipressin can now be used in the United States!! It’s not a silver bullet but at least it has a little more teeth than the midodrine we were forced to use!! #LiverTwitter #MedTwitter.
Terlipressin is now approved by FDA!!🔥#livertwitter🚨 . ⚠️Cr>5 is unlikely to benefit.⚠️risk of respiraotry failure, esp in pt w/ volume overload & ACLF3.⚠️ Do NOT use in pts w/ SpO2 <90% until O2 levels improve.⚠️ Do not use in pts w/ bowel, coronary, peripheral artery ischemia.
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RT @ebtapper: Wild story about 💩. 2019: @Filip_Knop notices that two people with horrible bile acid diarrhea get better after starting lira….
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He did the math! Please resuscitate with the right IVs before expecting GI to come in!.
It’s come up a lot lately, so I want to talk about large-bore IV (LBIV) access for a sec. A big IV can be the difference between life and death for a bleeding or severely volume-down patient. But what's "good enough"?. Here's some of why LBIVs matter.🧵.
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Scoping with the best @DouglasAdlerMD and @AboubakrAiya at @ASGEendoscopy first year fellow course #GItwitter #Scoping
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When you die we can’t force you and your family to donate any organs even if it means others will die because your bodily autonomy comes first. Call me crazy but we should respect a woman’s rights to her body at least as much as a corpse.
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And just like that residency is over. My time at @mghmedres will be something I never forget. It is poetic that I end out at my second home at Charlestown Health Center where I spent countless hours learning and working with the best primary care doctors out there. Now onto GI!!
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RT @NEJM: The just-announced U.S. Supreme Court decision in Dobbs v. Jackson Women’s Health Organization represents a stunning reversal of….
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Pediatrician are doing a great job not prescribing weight promoting meds to obese kids. There is still work to be done to tackle the obesity epidemic!! Great work @NonyeMD!! #MedTwitter.
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RT @ebtapper: @thehouseofpod My tweets are so antiviral they could treat hep C.
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So proud to be part of the work of my mentor @alcliverdoc . MAT works!!! AUD is a disease and ALD can be prevented!. #LiverTwitter .
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RT @chargers: Should we REALLY make our schedule release video an anime?. yes yes yesyes.yesyes yes yes y….
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RT @ebtapper: Hotspotting for #livertwitter. Hospitalization for an alcohol-related problem is a major risk factor for future advanced alco….
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So happy to have had an opportunity to work on this #LiverTiwtter.
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When we look back at the collapse of the grand experiment that was American Democracy, the day the Ellon musk bought twitter and took it private will have been the first domino to fall.
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So if a patient with cirrhosis continues to drink it should be a pickle back shot 🤔🤔.
Pickle juice sips can stop muscle cramps and improve cramp severity in #cirrhosis: The PICCLES RCT. Why we did this study?.1⃣Cramps are common.2⃣Cramps trash quality of life.3⃣Treatments are 💩. Paper: #LiverTwitter
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