Hot off the press:
@US_FDA
hearing on
#COVID19
vaccine: Under EUA, pregnant & lactating women would be free to make their own decision on receiving the vaccine in conjunction with their healthcare provider
Huge WIN for
#women
everywhere! More below on why this is even an issue👇
When your mom is a
#GIdoc
:
Toddler + plate of cookies
Grandparent: hmm where did the last cookie go?
2.5yo daughter: In my esophagus
Grandparent: ??? What 🤣
2.5yo: Well, it may be in my stomach by now actually
#Toddlerlife
#MomsinGI
#WomenInMedicine
So THANK YOU to the
@US_FDA
for giving us the opportunity to make an informed decision.
For all the health systems that have told HCWs they cannot get it if they are pregnant/BFing, PLEASE reconsider your policy now! And for those still creating a policy, the FDA guidance is out
Why were women excluded from the trials? Lots of reasons, but mostly historic precedent, concerns about delaying approval, etc.
But as the Society for Maternal Fetal Medicine
@MySMFM
puts it, "the practice of 'protection by exclusion' is harmful" and is a detriment to women.
A moving speech by
@KanwalFasiha
on the
@AmerGastroAssn
Distinguished Clinician Scientist award for
@SeragHashem
- from Gaza City to AGA President & Baylor DOM Chair. Truly a remarkable career 👏🏽
Humbled to be a part of this group, and so grateful to
@AmerGastroAssn
for their commitment to evidence-based guideline development during the pandemic and beyond 💫
👏🎉Introducing our 2021 Recognition Prize recipients! We are thrilled to honor these exceptional individuals for their outstanding service to the gastroenterology community.
Thank you
@PennMedicine
for setting the example for
#SocialDistancing
- per new policy:
- All elective clinic visits & surgeries (including endoscopy) cancelled x 2 weeks.
- Restricted inpatient visitation
- Work from home options where feasible
#Coronavirus
#FlattentheCurve
Finally, for HCWs who are high risk, protection against COVID19 is paramount. Women are tired of being brushed aside in HC. BFing HCWs are already crowded into renovated janitor's closets (aka lactation rooms) while serving on our frontlines.
Also, we know that almost all vaccines are safe in BFing with 2 exceptions: smallpox & yellow fever (both live). The CDC says that if travel to an endemic area cannot be avoided, get it.
The Pfizer vaccine is not live, and to state the obvious, we are living in an endemic area
Celebrated
@penngihep
fellows graduation last night ⭐️
so proud to call these two physician-scientists my colleagues now! Can't wait to see what you both do next
@AbeSeguraMD
@IboroUmana
Why are women willing to lie and take the risk? As
@MySMFM
has said there is "no biological plausibility" for excluding lactating women. In fact, early studies have shown that women with COVID-19 itself can safely BF their infants and protective Abs have been found in milk
Thinking of starting a support group for ppl whose parents “made” them go into medicine but now don’t listen to their medical advice. 🤔 Anyone in?
#MedTwitter
❗ Just published in
@AGA_Gastro
: AGA Rapid Recommendations for Gastrointestinal Procedures During the
#COVID19
Pandemic. Provides detailed guidance on
#PPE
& triaging procedures.
One of my favorite parts of my job is working w
@penngihep
fellows! I have❤️ scoping with Dr. Alexandra Strauss
@AlexLStrauss
since her 1st year till now (Chief fellow!)- so impressed by this rockstar budding esophagologist who can also do a 💯 large polypectomy & EMR
#womeninGI
With gastrointestinal diseases on the rise, many patients are turning to popular fads and viral cleanses that can do more harm than good.
@JohnYangTV
sits down with
@ShaziaMSiddique
to learn more.
A systematic review of 65 health care algorithms (51 were simulations) over the past 12 years highlights their potential to with mitigate or exacerbate racial and ethnic disparities
@ShaziaMSiddique
@AnnalsofIM
#AI
HCWs especially are high risk. But Uk's guidance to not offer it to BFing women has made many HCWs fear that their hospitals will refuse to give them the vaccine. Many women have come out and said that they are willing to lie on the consent about BF status to receive it
After 6️⃣ months deep in data, our
@AmerGastroAssn
evidence synthesis & guideline teams for The Role of Biomarkers in
#IBD
met for 5️⃣‼️hours today to draft our initial recommendations. Coming soon!
All ⭐️co-Chairs: Sid Singh Karen Chachu
@SultanShazi
@AshwinMDIBD
@JeremyAdlerMD
📣📢Wonderful pice by
@drfolamay
@ShaziaMSiddique
on race based Recommendations:
🔸Race is often a social construct rather than biologic
🔸 Guidelines should be transparent why race is or is not used
🔸Use precise variables such as geography or ancestry
Powerful panel of women discussing mentorship and overcoming barriers to building successful careers:
Drs Kim Presley, Anna Lok, and Guadalupe Garcia-Tsao 💯
moderated by Dr Prakash Gyawali
@AmerGastroAssn
#AGAFutureLeaders
Any other physician-scientists dislike when ppl ask why you're on the "research side": "Oh you don't like patient care?"
How's this: "Actually I care about it so much that I want to advance science via research. Fix the system. Make a bigger impact"
#medtwitter
#AcademicTwitter
@nypost
Please retract this article. Cherry picking data on poorly designed studies is not evidence based. And can lead to real consequences like increased rates of infant mortality. The
@AmerAcadPeds
makes recommendations based on real data, and this is dangerous public misinformation
Medicare now holds hospitals accountable for GI bleeding readmissions- my
@Penn_MSHP
thesis in
@AGA_CGH
sheds light on potential issues re: classification of GI bleeding that could penalize hospitals for case mix rather than quality
@Shivan_Mehta
@mdneuman
For my Academic Planning review- under greatest accomplishments for FY21, can I write: "had a baby and nursed/pumped for >1 year as a working doctor research mom"? Really, any upward trajectory of pubs has to be seen in that context...
#kidding
but
#notkidding
#WomenInMedicine
#DDW2024
is just around the corner- come find me!!
🔸Fri:
@blackingastro
summit! 👏🏽agenda with both advocacy & equity talks
🔸Sat: advocacy meetup
@AmerGastroAssn
central 3-4pm
🔸Sun : AGA Guidelines session 10am @ 146AB & PAC VIP event
🔸Tues: AGA Govt Affairs session 2pm 151B
Rest in Power, Paul Farmer. An early source of inspiration for so many of us.
“The idea that some lives matter less is the root of what is wrong with the world”- Paul Farmer
So many of us have wanted
@drfolamay
to give Grand Rounds
@penngihep
and we loved having her speak today on disparities in CRC screening!
How can GIs help?
- acknowledge/tackle bias
- promote diversity
- community outreach
Thank you
@RotonyaC
@KristleLynchMD
for facilitating!
Don’t miss
@ShaziaMSiddique
’s
#DDW18
presentation at 4:15 pm today in 145A-Convention Center. She’ll be discussing variability in readmission rates, length of stay, & mortality among Medicare patients with GI bleeding
Guidance from the UK's approval of Pizer/BioNTech vaccine states that it should NOT be given to pregnant/ BFing women because we were excluded from the trials:
🎉 Congrats to
@ShaziaMSiddique
for being awarded a
@CMSSmed
Promoting Diagnostic Excellence Grant funded by
@MooreFound
. We can’t wait to see how you are able to reduce health disparities in iron deficiency anemia!
In 2021, we were awarded the
@AmerGastroAssn
Outstanding Service award for publishing a series of COVID-19 reviews & guidelines by
@SeragHashem
&
@InadomiJ
But in 2022 we get to celebrate in person 🎉 This team was my 2nd fam during the pandemic ❤️
Honored to be speaking at this
@theNASEM
virtual meeting on the Use of Race and Ethnicity in research. My talk will focus on
@AHRQNews
funded work on algorithms &
@AmerGastroAssn
led efforts on clinical guidelines. Join us today from 1230-4pm EST ⬇️
Just released: Two 🆕 treatment guidelines were released today in
@AGA_Gastro
outlining personalized approaches for treating patients with
#IBS
-C and IBS-D.
Alright
#DDW2022
what's your pump up routine or song before a talk?
I'll go: As a Broadway fanatic, it's usually either:
- Defying Gravity from Wicked 🧙♀️ (this song is about taking down the patriarchy right?), or
- anything Hamilton 🔥
@DDWMeeting
#Tweetorial
for
@AmerGastroAssn
's latest Rapid Guideline in
@AGA_Gastro
:
Bottom line: Stop testing for
#COVID19
prior to routine endoscopy, regardless of vaccination status
More below & see figure for a summary of contributing factors! 👇
🚨 Just released - new
#COVID19
guidance. Based on the latest available data, routine COVID testing prior to
#endoscopy
is no longer needed to perform endoscopy safely.
Our first ever
@AmerGastroAssn
(Virtual)
#AGAAdvocacy
Day was a blast and I can't wait to do it again next month! Join us in meeting with lawmakers and advocating for our patients! Register to participate in meetings, attend our keynote, and more:
Interested in advocacy? Join the Networking Hour during
@DDWMeeting
to learn more about
@AmerGastroAssn
Congressional Advocates & Young Delegates programs - how you can move the needle on Capitol Hill & in your practice! Register
@NatYamini
@petersliang
Dr
@LaurenNephewMD
presents a formula for
#healthequity
in liver disease
✅ health begins upstream of disease
✅ culturally tailored custom tools to address SSDOH
✅ use cases provide lessons for how to take action & achieve health equity
@AmerGastroAssn
Presidential Plenary
Advice for first-timers at
@DDWMeeting
:
⭐️ select a *few* key sessions & networking events to engage thoughtfully
⭐️ no matter how much you jam-pack into your weekend, you'll prob still have fomo at some point!
⭐️ take care of yourself & make meaningful connections
#DDW2024
We can do better: our patients with
#cirrhosis
should not be hospitalized for symptomatic ascites.
Check out what
@ShaziaMSiddique
did in
@AGA_CGH
This ain't easy. But it's worth it
Always love the MET corner of
@AGA_Gastro
!
New: Incorporating QI and Patient safety methods in GI training, tho Lessons apply across all GME
Check it out!
Such an honor to host Dr. Shahnaz Sultan
@SultanShazi
at
@penngihep
Wilmott Lectureship Grand Rounds on "Challenges & Opportunities in Guideline Development." Her work via
@USGRADEnet
@AmerGastroAssn
@UMN_GI
is truly ground-breaking. Fortunate to have her as a mentor 🙏🏽♥️
Tonight on
@NewsHour
Weekend:
@ShaziaMSiddique
on separating fact from fad about gut health;
@AliRogin
on what's behind the rising price of chocolate; Bill Murtagh of
@NWSSWPC
on what peak solar flare activity can mean on earth .... 1/2
Thank you
@phillyinquirer
for sharing our
@AnnalsofIM
paper!
Race is a great variable to study the effects of systemic racism & explore social differences, but is a bad variable for clinical decision-making. Unfortunately it's pervasive in algorithms👇🏽
So fun hosting
@drfolamay
at
@penngihep
for Grand Rounds for the Srinivasan Memorial Lecture on CRC inequities ✨
An inspirational health services researcher, health equity champion, and quality leader 🫶
Join policy and writing expert,
@janemzhu
and AGA leader,
@ShaziaMSiddique
on Thursday at 12 pm EST to discuss best practices in writing persuasive policy op-eds on GI policy issues with audiences outside of the health care community.
#AGAAdvocacy
So many pearls from the ABGH lunch session on “the power of saying no”.
🔹no is a complete sentence ✔️
🔹 when you’re asked to do unpaid work for someone else who’s paid to do it 🤦🏽♀️
🔹leverage mentors to help decide when to say no 🚫
@Dr_NJRodriguez
@blackingastro
At
@AmerGastroAssn
advocacy session,
@RotonyaC
discusses all our wins in policy this past year 👏🏽
🔹pausing UHC campaign to require prior auths for most GI procedures
🔹digestive health research funding
🔹prior auth reform via CMS
Dr.
@DrAlethaMaybank
powerfully outlines the role of racism in medicine and moving away from racist algorithms that differentially worsen outcomes for marginalized populations at the National Academy of Medicine
@AmerMedicalAssn
Highlighting the monumental work of
@AmakaEMD
@NatYamini
@ShaziaMSiddique
do a mock congressional visit & provide tips on how to frame your arguments when meeting w/ members of Congress & their staffs