@kokellyj @SPerksGillespie @MikeKurliand @AveraHealth @Lacktman @IsraniJuhi @AlexandreaCron1 @WestHealth @AmericanTelemed Looks like an excellent panel. Thank you all for supporting this. #ata19 #telehealthfirst

RT @ryanlouie: .@EHealthLaw, Chair of @ClearHealthQI Standards Committee, Vice President @AmericanTelemed, Partner @JonesDay. Presenting on…

Ah yes the classic discussion @MRegueiroMD vs @arwmd !

RT @HolubarStefan: @IBDLive Interesting article "Rescue Diverting Loop Ileostomy: An Alternative to Emergent Colect..." @arwmd @MRegueiroM…

Case 2. IPAA. DLI. Takedown reveals a leak at J pouch Recurrent pancreatitis. ? Pancreatic duct strictures. #ibdlive

RT @tqaziMD: @ibdlive Case #2: presenter by Dr Alka Young woman with UC, developed recurrent pancreatitis. Time to brush up On GELs and LSP…

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Case 2. 11yo distal colitis. 2017 pancreatitis. Aug 2017 colectomy. Presents early 2018 with CBD stricture / jaundice. ERCP stent. R/o PSC. MRCP #ibdlive

Case 1. @YaleMed Surgery. RHV, possible extended right depending on path. Take the mesentery with a high location. #ibdlive

Case 1. C/S, chromo and path. Multifocal LG dysplasia. #ibdlive @YaleMed

Case 1: At our @ibdlive national teleconference. @YaleMed 60's male, Crohn's Dz '86. Surgery 2004 ICR. Now with recurrent Dz. MRE with recurrent long TI inflammation. C/S shows LG dys. Flat polyp, in cecum. ? plan. @MRegueiroMD @arwmd @IBDJournal @CrohnsColitisFn

C2. #ibdlive Long term. Steroid taper. Working with neurologists. @UPMC - not all sarcoid respond to anti-TNF @BenClickMD Thanks @MRegueiroMD for moderating.

C2. #ibdlive. Likely neuro and intestinal sarcoidosis. Rx steroids. Improved neuro and back to baseline. Brain sarcoid after anti-TNF. @Marylandibddoc - picture below @MRegueiroMD @arwmd

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C2. #ibdlive Brain Bx done. @YaleMed - Whipple Dz ? Diffuse granulomatous process. @CleClinicMD Challenging conversation. @UPMC ? Vasculitic process. Re Brian Bx - hypercellular. ? Granuloma. Maybe vasculitis.

C2. #ibdlive Back to Maryland. ? Whipple Dz. LP - WBC 101. Whipple PCR negative. Repeat imaging. Diffuse SB thickening. Sigmoid inflammation. Confirmed on endoscopy.

C2. #ibdlive Develops neuro Sx. Status epilepticus and other Sx. Syncope, combative. MRI. ? Gliomatosis cerebri. Over to group discussion.

C2. @Marylandibddoc 50’s make with abd pain. Prox jejunal thickening. Jenunal thickenkng. Path - chronic active inflammation. Dx with Crohns. #ibdlive

C1. #ibdlive Comments. Drug toxicity likely behind this. Non surgical. Back to RIH for comments. Back to @CleClinicMD And at some point surgery likely. Lehigh - started on Vedo. Homozygous defect may be behind this with AZT Rx. Alopecia a key finding.

C1. Back to Lehigh. To ICU and resuscitated. IBD mess help. Held off on BM Bx. Empirical ABx. IBD workup neg. counts normalized on steroids. #ibdlive Recent EBV infection. Asc and cecal colitis.