Kerac Falk
@KeracFalkMD
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#FPMRS Assistant Prof @UNRmed via @emorygynob @IcahnMountSinai @RCSI_Irl • Women's health advocate • #Ally to women/URM in medicine•🏳️🌈• Tweets my own
Reno, NV
Joined September 2019
It was a pleasure chatting #OAB treatments with @loriforner on her Pelvic Health Podcast. *tune in* to learn more about how our approach to tx is changing (& check out her podcast in general-it’s an awesome resource!) https://t.co/7E5FakqzEQ
#FPMRS #urogynecology
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A ( long but I think worth reading) thread on Gynecologic Surgical reimbursement and how it affects all of us:
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*Other job perks include being my partner 🙌* UNR Ob/Gyn: https://t.co/KHtJmxCERO Reno-Tahoe area info: @renotahoe
https://t.co/GHiRYEWYii
skimag.com
The reality is, most of us can’t and don’t live in the idyllic (and exclusive) enclaves at the base of a ski area in the Mountain West
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GYN colleagues- We’re recruiting a #MIGS specialist in #RenoTahoe - academic/hospital group practice with huge growth/leadership potential, competitive pay & opportunity to live in a hidden gem of a city with unrivaled outdoors/mountain access. Apply➡️ https://t.co/sveEwn5ihV
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In our national survey of #OBGYN residents we found that using a validated questionnaire 69.1% have experienced #sexualharassment during their training! When asked directly if they've been sexually harassed only 20% answered yes! #obgyntwitter
https://t.co/Z8b4PP8bFG
Sexual Harassment Prevalence Among OBGYN Trainees and Cultural Climate of their Training Programs: Result From a Nationwide Survey by Menhaji et al: https://t.co/PCg29wl8np
#residency #OBGYN #sexualharassment #microagression #genderharassment #obgyntwitter
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Happy #Pride2022 from your favorite LGBTQ+ Urogynecologists. So happy to have the chance to hang out with some@if the best people at #AUGSIUGA22. 💗🏳️🌈
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To restrict or to not restrict physical activity after #pelvicfloorsurgery 🤔 seems like #expeditedactivity 🏃🏾♀️ is non inferior to restrictions 🛑 when it comes to anatomical and symptomatic outcomes #AUGSIUGA22 great study by @dukeobgyn @nazema_siddiqui and colleagues
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Looking forward to this!! #Urogyns who else is signing up? @FPMRS @cgauppmd @teni_brown @KeracFalkMD @otrowers_md @jfitzgeraldMD @tajiurogyn @PamelaFairchil9
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Pelvic surgeons which vaginal prep do you use? https://t.co/rInF0CiZCX
@CassandraKisby @livchang @KeracFalkMD @dramypark @stuboo @SansoneMD @StephanieVBlank @CMescobar12 @cgauppmd @ChristinaRWash @eeyanmiller @DrLisaHickman @drcaraking @otrowers_md @cheryliglesia @charelle_md
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A tube of estradiol vaginal cream is $50 on Marc Cuban’s online pharmacy. Great to improve access @jfitzgeraldMD @AshleyGWinter @drrachelrubin
Mark Cuban launched an online pharmacy providing cancer, cardiac, GI, rheum drugs at a steep discount. Leukemia drug Imatinib (Gleevec) which usually retails at $9,657 is sold at $47. Perhaps the greatest disruption in US healthcare this decade.👏🏼 https://t.co/Ww5UFAt6L5
@mcuban
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Check out this high impact pub from @nringel and #FPRN team: Preop Hb A1c provides risk stratification for postop complications after pelvic reconstructive surgery, with highest risk among diabetics with preop A1c >8%- findings from the SUGAR Study.
NEW in the Jan #FPMRSJournal: "Surgical Outcomes in Urogynecology—Assessment of Perioperative and Postoperative Complications Relative to Preoperative Hemoglobin A1c—A Fellows Pelvic Research Network Study" https://t.co/ivqOS8bqfs
@nringel @drtaramarczak @CassandraKisby @ErutMD
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For all the juicy details not conducive to a twitter thread, take a peek at the full paper here https://t.co/3suz3EiiEu. There is so much room for more research on this topic, with some in the works by the awesome team @EmoryGynOb Dr. Joseph, @GinaNorthington & @QuaveEthnobot
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So in conclusion, for this cohort of FPMRS patients, in-vitro biofilm formation was more frequently observed in uropathogens isolated from women with recurrent UTI compared with women with isolated UTI.
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Secondary analysis revealed that K. pneumo was more likely to be cultured from rUTI compared to E. coli, and more likely to be resistant to antibiotics. In particular, K. pneumo was more resistant to nitrofurantoin.
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For our primary outcome, we found that 70% of rUTI bacteria produced biofilm in vitro, compared to 38.6% of isolated UTI,p=0.0033. After controlling for potentially confounding covariates, uropathogen biofilm production was still sig assd with rUTI (OR 5.37 [2-14], p=0.001)
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We collected urine from 89 postmenopausal women with symptomatic UTI and >100k CFU/mL cultures, and tested each uropathogen in vitro for biofilm production using crystal violet microtiter assays.
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The objective of our cross-sectional analysis was to assess in vitro biofilm-producing capabilities of uropathogens grown from a postmenopausal #FPMRS women w/ isolated and recurrent UTIs, & determine whether the biofilm-producing phenotype was associated with recurrent infection
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However, the prevalence of biofilm-producing uropathogens in a postmenopausal #urogyn population (who suffer from a LOT of recurrent UTIs) has not been well-established. That’s where our study comes in ...
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Biofilms are well-described in a variety of infections including the skin, bone, resp tract, and implanted devices. In the #urology lit, they’ve been well-studied in regards to indwelling caths. Novel biofilm-targeted therapy is currently in development, esp @QuaveEthnobot lab
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