Elliot Tapper
@ebtapper
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Hepatologist @michiganliver @vaannarbor; #cirrhosis; encephalopathy; frailty; quality improvement; father; husband. #livertwitter Co-EIC of @HepCommJournal
Ann Arbor, MI
Joined September 2011
We recently tested - and abandoned - an intervention to increase antibiotic prophylaxis. So I understand where the authors are coming from. I hope the lessons of the editorial reach far and wide.
journals.lww.com
s caring for patients with cirrhosis and acute variceal hemorrhage or spontaneous bacterial peritonitis. RESULTS: Our BPAs increased utilization. Ceftriaxone use was associated with adverse outcomes...
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Terrific editorial by Mezzacappa and Lupe GGT . 1. Antibiotic prophylaxis in cirrhosis with UGIB should be examined carefully.2. A meta-analysis of old and unrepresentative studies sadly cannot answer any questions
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RT @EndoscopyOA: Introducing: ScopeBites š¬Ā .Your new go-to series for fast, focused, and practical endoscopy education. Weāre proud to lauā¦.
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Liver diseases impact 1 in every 40 pregnancies. ~ 1% cholestasis.~ 0.3% HELLP.< 0.1% acute fatty liver. MASH more common over time . šŖ Jutras and @MonikaSarkarMD in @AmJGastro
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RT @aderlinder: Private Equity Acquisition of Gastroenterology Practices and Colonoscopy Price and Quality
jamanetwork.com
This economic evaluation assesses how private equity ownership of gastroenterology practices affects colonoscopy prices, spending, utilization, and quality.
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Question: What is the specificity of "nodularity" on liver ultrasound for cirrhosis?.Answer: 80%. What else could make a liver bumpy?. Heart failure!.
Have you ever washed dishes with a sponge?. When wet, the sponge goes from flat to super bumpy. It smoothes out again when dry. Soā¦ itās no surprise that a Nodular liver is not always a cirrhotic liver. One cause is heart failure. Congestion!!!. See this case report
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If someone's advice was valuable enough to seek for a grant submission, if their input was needed to train an LLM, if you benefitted from their advice on study design or presentation, that person is:. A. A friend.B. A co-author.C. A co-I with effort.D. Any of the above.
Tips for collaboration: if you are planning a study or a grant and you want someone who is not your mentorās help (give advice, edit, participate in a long survey or delphi process), then you should offer them reimbursement, funding, opportunity to coauthor, or a fruit basket.
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Tips for collaboration: if you are planning a study or a grant and you want someone who is not your mentorās help (give advice, edit, participate in a long survey or delphi process), then you should offer them reimbursement, funding, opportunity to coauthor, or a fruit basket.
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RT @TCotterMD: Today we celebrated a very special 12-year #liverversary for my amazing mentee @anouti_ahmad ā a biliary atresia liver transā¦.
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They randomized obese doggies (who prob had MASH) to N-acylethanolamines (OlaliamidĀ®, OLA) or placebo. It improved ALT and bilirubin but not DROs (doggie reported outcomes)
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AWESOME: the authors fixed the heart failure with a new tricuspid!.SUPER AWESOME: a bumpy liver and ascites went away after the valve!.LESS AWESOME: the patient was said to have āsubclinical cirrhosisā when they likely never did. They just had heart failure.
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Have you ever washed dishes with a sponge?. When wet, the sponge goes from flat to super bumpy. It smoothes out again when dry. Soā¦ itās no surprise that a Nodular liver is not always a cirrhotic liver. One cause is heart failure. Congestion!!!. See this case report
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Wow š«” Fola. @drfolamay.
Colorectal Cancer Screening in Adults 45ā49.š š RCT (n=20,509) tested 4 outreach strategies.š Active choice via portal: 14.5ā17.4%.š Default mailed FIT: 26.2% (most effective).ā ļø Screening still low ā better engagement needed
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Working with the best transplant surgeons in the world just one of the perks of being at Michigan.
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TACROLIMUS TIPS brought to you by big cytochrome. 1. Fluconazole raises levels. Get ahead, reduce tacro dose.2. Diarrhea can increase levels because tacro is partly metabolized by small gut.
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