Jonathan Segal
@Jonathansegal85
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Father, Husband, Consultant Gastroenterologist @TheRMH & @PeterMacCC Associate Prof @unimelb , IBD, Ileoanal pouch research dabbler. Views my own.🇬🇧 in🇦🇺
Melbourne, Victoria
Joined December 2010
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This poor boy from Essex who was advised would never achieve anything did alright. Pending minor corrections. PhD positive.
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Lessons learned from PhD. 1. There are always people better than you-be happy for others success 2. Be nice academia can be a lonely place 3. Collaborate- it’s more fun 4. Be tenacious your ideas are not rubbish 5. Writing is tough, you get better. Friends and family- essential
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Honoured and humbled to announce that my last 10 journal decisions have all been rejections.
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Hanging up my stethoscope is the closest analogy. A tough job that I’ve been privileged to do. The medical Reg provides you with responsibility in my view like no other job- for that I’ll always be grateful. For the last time as the take registrar-I hand you over. Bleep drop.
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Thank you UK and the
#NHS
for everything you have given me. Entirely grateful for the doctor you made me, for the opportunities granted, the friendships made and the colleagues I’ve worked with along the way. So long for now- onto a new adventure.
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3
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Delighted to be offered a position for the year ahead as a consultant Gastroenterologist
@TheRMH
. Thanks to all those who helped support along the way. Special thanks to
@CKanagasundaram
- only she knows how much I owe to her.
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Surgery is sometimes a positive choice in
#IBD
and shouldn’t be seen as a failure. Language around those patients that have been operated on matters.
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In my 10 years of being a doctor I’ve yet to receive a mandatory training email that isn’t accompanied by an aggressive threat if I don’t fill it out.
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I don’t usually share photos of myself but an incredibly proud moment hosting and creating the
#melbourne
#pouch
meeting. Let’s make the lives of patients with a pouch even better.
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Pls get to know your team!
Me: tell me something about you. SHO- my dad invented Infliximab. Me: no really tell me. SHO- shows me dad on Wikipedia-inventor of Infliximab 🤯
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Grateful to
@UniMelb
for offering me a clinical Associate Professorship today. Hope I can repay the faith you have shown in me.
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After 12 long weeks today I had the greatest gift- the return of my family. Forget all those things you think will make you happy... in reality it’s right in front of you.
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This is a brag and I’ll own it. Cos academia is a bloody hard slog.
Cleared over 100 Pubmed papers. Some trash, some fillers but a few I am particularly proud of.
Thanks to all the collaborators/ supervisors/supporters/ friends.
You all rock.
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I don’t post patient entries on social media but I’ll take exception to this one from our medical student.
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It’s finally happened. I’ve been asked to review my own manuscript.
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Never forget how much the smallest publication in any journal can mean to someone. Let’s get rid of the IF snobbery and celebrate colleagues success regardless of journal. To all those who publish anywhere- my hat goes off to you!
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Next to every achievement is a silent partner that gets no plaudits I owe so much to my wife. Nothing is possible without her constant support.
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Would love to start a gastro journal exclusively dedicated to reproducing past studies to prove results hold true. Will call it regurgitation.
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@DeborahMeaden
Followed you for a while Deborah it’s so lovely to see that just because someone has money, it doesn’t stop them being a thoroughly decent human being and standing up for the correct values. Respect.
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Being an academic clinician just makes you different not better than clinicians without an academic interest.
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Manuscripts will get rejected. Grants and funders will say no. That perfect job will be given to someone else. Your idea will be published by someone else. Academics often don’t share their ‘failures’... but it happens to the best of them and very often. Keep on fighting.
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I came into my PhD with little more than a case report. I had no research skills ( arguably still don’t).
Research is nothing more than a lot of tenacity and having the humility to ask for help from those with better skills- if you want it enough it will happen.
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Week 6. Really starting to miss my daughter and family now. I would give anything right now for my daughter to tell me to put my computer away and play with her...Time with family precious. A lesson beyond covid.
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Today I was the med Reg. I take all new referrals through A&E. Usually I get an array of presentations and diseases but not today.... today the only presentation was this...cough, shortness of breath, lethargy, fever, anorexia
#COVID
ー19
#StayAtHome
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Thank you teachers, trainers, colleagues, mentors, collaborators, friends. Training over. On to new adventures.
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This isn’t about me- this is about the effort my mother in law went to for me. What an effort. What a cake.
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Placebo controlled IBD studies tell us almost nothing.
Well done you are better than a sugar pill.
As a community we must fight back like they did in paediatrics.
Time for head to head only… sorry drug companies.
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I’ve had 8 grants rejected this year.
The 9th one today read different to the previous 8.
It’s never all the roses that is often portrayed on social media but bags of rejections, hurt and bitter disappointments.
If you want it though never give up
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Multi disciplinary team meetings are only multi disciplinary team meetings if you allow everyone to actually have a say.
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With the demands on trainees ( eportfolio, audits, QIPS teaching, research, mandatory training) should trainees be provided with a “PA” per week to do this? Imho no trainee should be forced to do compulsory things in their own time
@DoctorFitz
@RCPLondon
@DisneyBen
@jfdwolff
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Humbled and honoured to announce that today I got another grant rejection. Couldn’t have done it without everyone’s support.
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Please
Stop
Posting
Your
Without
Consent
Endoscopy
Heroic
Pictures
On
Social
Media
Here
Is
A
Medal
🥇
#patientconfidentiality
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I wonder if this is the end of the medical conference as we knew it? Loved meeting people face to face but can our planet sustain this carbon footprint? Perhaps some tough decisions ahead. What you all think?
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Just seen this
@ColorectalDis
fantastic to enable authors to submit in whatever format they choose-should be the future for all journals. Well done
@Neil_J_Smart
and team this is a real time saver for authors.
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There is always another course. Always another talk. Always another superstar speaker.
There is only one time your kids take their first step, win their first race, score their first goal.
If this limits my career progression. So be it.
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A single parent in a council flat with 3 screaming hungry kids, that labourer who lost his business now surviving off hands outs. That person battling mental health told to isolate again, fearing the spiral - let’s not forget how privileged we are before we lecture others?
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Me to FY1- what do you like to do outside work? FY1- I like to run, I compete! Me- at what level? School, county? FY1- I ran in the commonwealth games! Get to know the person behind the clerking machine. Some amazing people out there!
#TipsForNewDocs
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Colectomy rates in ulcerative colitis: a systematic review and meta analysis….
Why we did this…
As a pouch man I was advised that with the advent of new medications the need for colectomy was going to decrease and pouches would become obsolete
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Honoured to say I didn’t get any abstracts at this years DDW.
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4 years ago I entered
@StMarksHospital
@LNWH_NHS
. Sadly my last day is upon me. Grateful for all the fantastic opportunities it’s provided- the friends I’ve made and the wonderful hard working staff that keep it awesome. Hopefully we will meet each other again someday!
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Day one. Early observation- Australian hospital coffee is far superior to British.
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I would love a big conference where I’ve never heard of any of the speakers. I think we have reached a ceiling in
#IBD
therapy… what’s the worse that can happen using new individuals with completely different ideas?
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Every speciality should have a journal that publishes work that no other journal wants.
Gastroenterology would be called Faeces
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Learned something today. A person would need 295 falls per year for risk to outweighs benefit of using a “OAC” for AF. 🤯
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Journals should be given extra points for publishing negative studies or those that show a phenomenon is reproducible. Science needs to be proven over and over again and we also need to know something doesn’t work.
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This is how you reward your hospital staff…. Not bloody resilient training. Well done victoria government
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It’s about putting your body on the line. Will try and defend this like Victor van dyke does for his Liverpool team. Sadly for me probably holes everywhere for the attackers to target.
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Delighted to be asked to talk about the “Microbiome made easy” at Lunch and learn
@CrohnsColitisUK
today. Love the tree of hope for our IBD patients. Great charity looking to help patients with Crohn’s and Colitis
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Put my money where my mouth is and asked to withdraw myself from any placebo controlled
#ibd
study.
No one will care but movements start with small steps.
I hope others are stupid/brave enough to join me.
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I dislike international expert consensus. (I’ve been part of some myself). Mostly mates with similar interests, ages, stature who sing from the same hymn sheet. IF we want progress we need diversity of opinion and mavericks or we can continue with the club and fail our pts
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To all you Twitter users who aren’t winning prizes, aren’t publishing papers and aren’t being congratulated for some awesome activity. You still all rock!
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Mediterranean diet is associated with a lower risk of CD check out the full paper here in
@Gut_BMJ
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@markgbaxter
@DrMohidKhan
Repeating and retesting experiments is a vital part of science that sadly is so under appreciated by the big journals. We need to validate previous work.
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We need to talk about authorship in
#IBD
trials. Huge respect for the usual names on these but honestly, how are the same names on every single big trial? Do you genuinely do all the work ( which is fine) or is their a team behind you that don’t get the acknowledgement?
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It’s incredible what some trainees can academically achieve with full time clinical jobs. Well done to all those pushing boundaries. 👏🏻
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Happy
#WorldIBDDay
to all the patients, healthcare workers, researchers and stakeholders in
#IBD
care. Lots of exciting projects going on around the world- the future I hope will be bright.
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How do you treat inflammatory pouch problems? Grateful and proud to add my small voice to this International effort. Thx to so many
@GKochharMD
@guthealthmd
@MaiaKayalMD
and expertly led by
#Boshen
@LancetGastroHep
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Managing to be a doctor and remain a good parent should score you equivalent points to other achievements on any job application.
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Let’s make
#ecco20
the most sociable and breakdown any hierarchy. If you are a nurse, dietician, doctor, professor or any healthcare professional- whether you have an H-index of 0 or 100-Come say hello it would be great to meet you in person.
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Rejections where reviewers are rude serve no purpose. Thanks for upsetting the junior doctors who feel shite about the (excellent) job they did now. 👏🏻👏🏻👏🏻
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Skipped a major conference so I could spend Father’s Day with my family. Best decision I made.
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@mmamas1973
@GHCardiology
In Gastro nurses perform endoscopy to a fantastically high standard. Often better than us. Are there any differences which mean this must be a doctors only procedure? You can still do the pre and aftercare? Asking for discussion rather than to be antagonistic.
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Never any shame telling patients you don’t know something. No shame telling them this question is outside my expertise. Important we stay in our lanes and seek answers and help from others. You can’t know it all.
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Medical conferences usually are a merry-go-round of the same speakers. I appreciate these are often selected based on academic prowess but sometimes I feel the messages can be delivered by non experts. Do we need to rethink conferences?
I want expert speaker
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Experienced/ not expert
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New face/ new opportunity
88
Give youth a chance
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Happy new year to everyone working on making the lives of patients with
#IBD
better.
We all can make a difference, no matter how small.
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Conferences can be quite intimidating for those new to the scene.
I’m not anyone worth speaking to but if you find yourself feeling a little lost pls come say hi
#ecco2024
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Got a couple of
#IBD
related projects that I’d love to offer to someone not yet established as a Gastro researcher but would like a crack at something.
Experience not necessary only passion and a will to try.
Pls get in touch.
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Roadmap to optimal peri-operative care in
#IBD
a 🧵on the lastest
#ECCO
topical review in
#JCC
. Led by
@AntoninoSpin
and
@ibdseb
Open 📞 13 selected from 36 applicants with targets ⚖️ for gender, geographical and speciality expertise. ✂️💊💉
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You can’t be the best researcher, partner, parent, clinician, friend, child all at the same time… despite what may be presented on the outside.
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Pls get the HPV vaccination if you have IBD. It might reduce your risk of cancer. Really delighted to finally share this data with you all. with thanks to
@alan_askari
@SueClark16
@OmarFaiz_SETOC
@DrAilsaHart
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23 yo F, 3mo. of diarrhoea, weight loss, perianal pain. Hb98, CRP 72, alb 32. CLN: ileal Crohns, anorectal ulcerations. 2 tender fistulous openings draining pus. MRI pelvis: complex transphincteric fistulas, no abscess. What’s the next best step?
#MondayNightIBD
@DCharabaty
Abx +IMM+ steroid taper
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Abx+IFX+IMM
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Seton+IFX+IMM
96
Seton+Abx+IFX+IMM
356
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I find that the moment you snap on a pair of gloves a trainee advances on that section they were stuck on in the colon. Strange phenomenon.
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Oh no.... oh very very very no. My wife has just joined Twitter. 100% confident she will not approve of Twitter me.
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Rejection letters can be tough. Thank you to all those reviewers who despite this take the time to provide some useful feedback about ways to improve your article for another journal. You guys and girls rock!
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Had a lot of wins in my career but for me this is one of the most rewarding.
Helping a second year medical student get his first publication. Well done
#ThomasRyan
a future star.
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Never feel pressured to network at conferences. For some it’s a deeply uncomfortable thing. Instead go to enjoy yourself, be curious, show interest in things that genuinely interests you and let networking occur naturally.
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The saddest of sad news. A giant in the field. A great great friend… he inspired me to be better. He looked out for others, was happy for others success. It’s so easy to say nice things when people are no longer here but in this case it’s all so true. RIP my dear friend.
We are deeply heartbroken to hear the news about our co-founder
@NakovRadislav
who sadly passed away today. An inspiration, a friend to so many, a leader, an innovator and someone dedicated to advancing gastroenterology. To our dear friend Radislav RIP
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New idea- you put your manuscript on a central database and journals interested bid for your work to be potentially published with them?
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“It will be good for your cv” is quite often the biggest lie.
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Harms in IBD RCTs.
Please read our induction and maintenance studies here with thx
@alex_ford12399
@ShahidaDin1
@Bealoquebea
@JonnyBlackwell
@DrCJBlack
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The role of the IBD nurse is crucial for our patients. What is the current state of IBD nursing any how do we future proof it. Fantastic article in
@FrontGastro_BMJ
from
@LisaYounge2
@rukshanakapasi
please do check it out
@RMBeattie50
@DrPhilipJSmith
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This round of impact factors has shown how ridiculous these metrics are. Time for a rethink. So many ways to artificially inflate them which can mean important science ( negative results/ repetition studies) are ignored whilst we publish yet another guideline.
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We did it!!
#GNRSolo
#halfmarathon
thank you
@DrKBarrett
for being an awesome running partner
@CrohnsColitisUK
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What is the prevalence of extra-intestinal manifestations in IBD? See what we found here in
@IBDJournals
with thanks to
@NabilQuraishi
@DrYakupKilic1
@farahjaffar_
and other non-twitter (sensible) juniors.
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If you wanna publish to get praise, to seek adulation from peers and be considered a great…
I promise you it just ain’t worth it.
Do it for you, your patients and those internally you wanna make proud only.
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No matter how long you are given for an abstract submission. It will always get done with only a few hours to spare.
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There is never a better time to be a role model. Stand up. Encourage. Be positive. Keep up morale. Tell jokes. Check on each other. Let others know you are not giving up. In our
#nhs
we all can be leaders.
#Covid_19
together
#WeGotThis
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The problem with any significant break from work ( holiday, vacation, conference) is that it’s immediately ruined by mountains of work to catch up on…. How do we solve this.
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Be careful using words like precision and personalised medicine around our patients.
#IBD
is still a disease we treat with a sledgehammer and until we understand the mechanisms that drive these diseases I think these words are premature.
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Conferences should provide certificates to those partners left at home picking up the pieces whilst we have a jolly. Thanks to all you stay at home partners supporting us.
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We know in Crohn’s disease at least that early effective treatment leads to better long term outcomes
It’s why I believe no biologic naive patient should risk randomisation to a placebo essentially prolonging their time to effective treatment.
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There is something magical about seeing a patient in clinic accompanied by their wife/husband that have been married >50 years and still worry so much about each other!
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Happy
#WorldIBDDay2022
I wish all patients with
#IBD
a lifetime of remission, high quality of life and freedom from their disease. Thanks to the
#IBD
health professionals that work so hard to help our patients. Let’s make
#ibd
better for all those involved.
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@SurgJournal
@SWexner
@juliomayol
@JBMatthews
@SyedAAhmad5
@luciacolorectal
@UCincySurg
@nlavellaneda
@docmartin22
@rbarbosa91
I think this is a very poor tweet. resilience comes in many forms for many reasons. Suggesting a superiority to have this over others I think serves no purpose. I’m sure not your intention but for me it doesn’t comes across well.
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