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Timothy S. Krill, MD
32 posts
Timothy S. Krill, MD
@TimothyKrillMD
GI at Houston Digestive Diseases Consultants | Med School @UTHealth | IM Residency @UTSWNews | GI fellowship @UTMBhealth | Advanced Endoscopy @YaleDigestive
Houston, TX Bergabung Aralık 2016
283 Mengikuti274 Pengikut
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So excited to have matched @YaleDigestive for @ASGEendoscopy Advanced Endoscopy fellowship! Very much looking forward to it😀
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@TimothyKrillMD @YaleDigestive @ASGEendoscopy Couldnt be more proud of you @TimothyKrillMD ! Its a true honor to have you as my co-fellow & friend !
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Timothy S. Krill, MD me-retweet
What a pleasant surprise to have your article mentioned on the cover of one of my favorite journals - @GIE_Journal
Our article on #NVUGIB in pts post PCI for acute myocardial infarction, and an excellent editorial on our article by #JohnSaltzman
@RonaldSamuelMD1 @shailsingh
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Timothy S. Krill, MD me-retweet
An excellent study by @BilalMohammadMD et. al.!
Triaging advanced GI endoscopy procedures during the COVID-19 Pandemic: consensus recommendations using the Delphi method.
A must-read! @GIE_Journal @mikewallacemd! Congrats to all the team!
Link: …s-jbs-prod-cdn.jbs.elsevierhealth.com/pb/assets/raw/…
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@drkeithsiau @rmulkimd @shifaumarMD @ScopingSundays @PopovVioleta @AhmadBazarbashi @BilalMohammadMD @LizzieAbyMD @DrMalSimons @SanchezLunaMD @TedWJamesMD @KellyHathornMD @vaibhav_manu @AdamKichlerDO @JacquelineChuMD @GIE_Journal Definitely agree! The decision regarding endoscopy timing should be made on a case by case basis, and patient comfort should be a strong consideration.
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@rmulkimd @shifaumarMD @ScopingSundays @PopovVioleta @AhmadBazarbashi @BilalMohammadMD @LizzieAbyMD @DrMalSimons @SanchezLunaMD @TedWJamesMD @KellyHathornMD @vaibhav_manu @AdamKichlerDO @JacquelineChuMD @TimothyKrillMD @GIE_Journal Yes, but for QoL and patient satisfaction, one would expect better outcomes in the <12hr group, especially if left uncomfortable and hypersalivating during this time!
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Join us tomorrow for the upcoming #ScopingSundays session
What is the one call you dread on an on-call Sunday? Yes - the Food Impaction!
Join us tomorrow to prepare for when you get that call next time
Moderated by @shifaumarMD & @rmulkimd -and our Expert Guest @PopovVioleta
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@JacquelineChuMD @rmulkimd @shifaumarMD @ScopingSundays @PopovVioleta @AhmadBazarbashi @BilalMohammadMD @LizzieAbyMD @DrMalSimons @SanchezLunaMD @TedWJamesMD @KellyHathornMD @vaibhav_manu @AdamKichlerDO @GIE_Journal Yes, it includes those with complete obstruction, and there was no difference between both groups for this
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@rmulkimd @shifaumarMD @ScopingSundays @PopovVioleta @AhmadBazarbashi @BilalMohammadMD @LizzieAbyMD @DrMalSimons @SanchezLunaMD @TedWJamesMD @KellyHathornMD @vaibhav_manu @AdamKichlerDO @TimothyKrillMD @GIE_Journal Does this include food impactions with complete obstruction (not tolerating secretions)?
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Thanks @BilalMohammadMD for highlighting our study in @GIE_Journal. We miss you!
Mohammad Bilal, MD@BilalMohammadMD
Great study by my awesome former co-fellow @TimothyKrillMD in @GIE_Journal 👀 at outcomes for esophageal #FoodImpactions ✅EGD w/in vs. beyond 12 hrs of symptom onset has similar outcomes ✅Adverse events increase with accessory use Important❓ Can EGD wait until the AM
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@AustinChiangMD Agreed. There was a trend towards statistical significance for success of the push technique alone in the early group. This suggests that early intervention might be a/w decreased need for accessories. We need future studies with higher power to investigate this further.
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Interesting that accessory use a/w adverse events.
There's a trend toward more accessory use, less push alone, more ulceration with delayed intervention though.
Makes me think maybe more technically challenging if wait longer.
Mohammad Bilal, MD@BilalMohammadMD
Great study by my awesome former co-fellow @TimothyKrillMD in @GIE_Journal 👀 at outcomes for esophageal #FoodImpactions ✅EGD w/in vs. beyond 12 hrs of symptom onset has similar outcomes ✅Adverse events increase with accessory use Important❓ Can EGD wait until the AM
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Timothy S. Krill, MD me-retweet
A great thread from @BrennanSpiegel. This is what I mentioned on the @CrohnsColitisFn Facebook Live event.
▶️ACE2 receptors (mode of entry for SARS-CoV-2) present in sm bowel
▶️SARS-CoV-2 detectable in stool
▶️Reasonable to think that fecal spread occurs
▶️WASH YOUR HANDS! ✋🤚
Brennan Spiegel, MD, MSHS@BrennanSpiegel
Evolving #COVID19 data, please share: Could COVID19 spread through stool? In this thread, I will summarize what our editorial team at #AmJGastro knows about the risk of fecal spread. I will start by emphasizing that we do *not* yet know, for sure, if it spreads though... (1/10)
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Timothy S. Krill, MD me-retweet
During this #COVID19 pandemic - which endoscopy cases are urgent vs elective. The results of the #GITwitterverse poll are attached
Some asked for a pdf link as well (below)
Ofcourse every case is unique, but some guidance as to what other #GIs think
yumpu.com/xx/document/re…
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Timothy S. Krill, MD me-retweet
Super helpful guideline from @NYSGE re defining elective vs urgent endoscopic procedures in era of #coronavirus @AmCollegeGastro #GITwitter
ACG@AmCollegeGastro
ACG #COVID19 and #Gastroenteology webinar with Dr. @BrennanSpiegel live tweeting insights from Dr. Mark Mulligan infectious disease expert from @nyulangone @mjmull @MarkPochapin @dagreenwald @SunandaKaneMD @JohnVargoMD
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Timothy S. Krill, MD me-retweet
My general stance is that losing groups of staff (MDs, nurses, techs etc), can happen v. quickly and is devastating clinically (think of how many patients any given staff member can care for in a week)- so N95s probably the way to go across the board. #GIjournalclub
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Timothy S. Krill, MD me-retweet
Hot off the Press: Study shows that up to 50% of #COVID19 patients may present with GI symptoms including #anorexia and #diarrhea. And these patients had a worse clinical course. Let’s make sure our colleagues and the @CDCgov recognize this new information #NotJustCough
ACG@AmCollegeGastro
Study from The American Journal of #Gastroenterology Reveals Diarrhea is Prominent Symptom of #COVID19 Wuhan data show that up to half of patients present w/ a digestive symptom as chief complaint Read AJG: bit.ly/2Qrpx6t ACG Statement bit.ly/2xHALwS #AmJGastro
Manhattan, NY 🇺🇸 English
Timothy S. Krill, MD me-retweet
For this weeks @GIJournal #GIjournalclub we will be discussing GIE article "Coronavirus (COVID-19) outbreak: what the department of endoscopy should know” and the Gastroenterology article “ Evidence for gastrointestinal infection of SARS-CoV-2” Wed March 18th @9pm EST
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Timothy S. Krill, MD me-retweet
Seeing the #Covid_19 trend from other countries, it seems that elective procedures willl eventually be cancelled & resouces better utilized where pts will “most” need it. Lets not wait for a pt or staff member to get sick before acting on it
Keeping staff safe = better for pts
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Timothy S. Krill, MD me-retweet
My mother is a physician👩🏻⚕️. Got married in her 30s 👫. Raised two kids 👨👩👧👦. Loves working 6 days a week in her 60s🏥. Don’t let age, sex and society define you . Strong women, may we know them, may we be them @PROWDWomen #InternationalWomensDay2020 #WomenInMedicine
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@BilalMohammadMD @DrReddyGI @GI_Pearls @tberzin @mikewallacemd @DCharabaty @AustinChiangMD @AtoosaRabiee @stevenbollipo Outcomes of delayed endoscopic management for esophageal soft food impactions giejournal.org/article/S0016-… @GIE_Journal
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@DrReddyGI @GI_Pearls @tberzin @mikewallacemd @DCharabaty @AustinChiangMD @AtoosaRabiee @stevenbollipo If not handling secretions - right away, otherwise depends on what time it is and how long it will to get OR availability. Since pt is extremely uncomfortable, usually try to err on doing sooner.
Tagging my former co-fellow @TimothyKrillMD who recently published on this topic
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Late night #GITwitter: How do you handle overnight #foodbolus consults? #UpAllNight @GI_Pearls @tberzin @mikewallacemd @DCharabaty @BilalMohammadMD @AustinChiangMD @AtoosaRabiee @stevenbollipo
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@BilalMohammadMD @DrReddyGI @GI_Pearls @tberzin @mikewallacemd @DCharabaty @AustinChiangMD @AtoosaRabiee @stevenbollipo If complete obstruction, I agree EGD should be done promptly. Our paper found overall there is no difference in esophageal AE between those who underwent an EGD within vs. beyond 12 hours of impaction onset. However, use of accessories was associated with increased rates of AE.
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@BilalMohammadMD @YHernandezMD @MGHMedicine @DDS_Journal @BIDMC_GI @MGH_GI @UTMBProvost @MedEdChat @MedEdLeeds Congrats!
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Looking to increase scholarly output in #residents?
Check out this collaborative work of @YHernandezMD from @MGHMedicine & I, now published in @DDS_Journal.This research curriculum led to:
✅>30 PubMed resident led articles
✅>50 abstracts
✅ 9 National & 7 Local Awards
#MedEd
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