R. Tomás DaVee MD, MSCI, FASGE

@DDWMeeting @IslamHassanM @AmerGastroAssn Whats wrong with the Standard American Diet? Lots of preservatives, unnatural high quantities of animal products, processed carbohydrates and salt. But we don’t know what’s driving the increased risk of cancer!! 🤬

#DDW2024 research preview! Colorectal cancer cases more than tripled among teens over two decades, according to new research to be presented at #DDW2024 by Dr. @IslamhassanM @AmerGastroAssn #CRC ow.ly/OMi050RHLHk

@PrateekHarne1 @vaibhav_manu @DDWMeeting @iGUT_Houston @MadhavDesaiGI Congrats man. We’ll see you there.

Excited to share our work @DDWMeeting! ➡️ Sat 5/19 ⌚️12:30pm 📍Sa1117 ✅ Variation in SSA detection across practices ➡️ Sun 5/20 ⌚️ 8am 📍149AB ✅ Green endoscopy initiative ➡️ Sun 5/20 ⌚️ 12:30pm 📍Su1914 ✅ GI sx, gut infl. & ASD #DDW2024

@VUMCibd @HorstIBDDoc @VUMC_GI @VUMChealth Congratulations Dr Horst!!

@HemantGoyalMD @DrMarinaKimP @NumanLaith Hemant- you never used to turn down a weak indication to do a good ERCP 🤯🤣🤣

@DrMarinaKimP @NumanLaith If it's an MRCP. Then I discuss it with a other radiologist (mostly an MRI fellowship trained). I document "Discussed with Dr.... about the MRCP. The CBD opacity is not present in all images and most likely an artifact. IOC can be considered If the concern for CBD stone persists"

How to professionally document in the chart that the radiologist "over called" a finding ? #GITwitter #Radiology #Medtwitter #Medradiology @NumanLaith

@drsamshuaibi SBO

Patient with a previous h/o cholecystectomy and appendectomy presented with constipation and vomitus. Diagnosis?🤔 #Usmle #DrSam👩🏼‍⚕️🩺 #medtwitter #match2024 #match2023 #ecfmg #ecfmgcertificate

@DrBloodandGuts Has anyone been able to truly show or find a defect in the collagen yet of EDS pts vs healthy controls?

Any known ehlers danlos GI specialists in the world? Have a really challenging case and I could use a resource! #GITwitter

@mfaraz_ulislam @drsamshuaibi I think you mean barium esophagram 😆😆

Diffuse esophageal spasm or Distal esophageal spasm (DES; corkscrew esophagus): ☆Signs and,Symptoms: ▪︎Presents clinically with dysphagia, regurgitation & squeezing retrosternal chest pain during meals. ☆Diagnosis: ▪︎Barium Enema, ▪︎Electrocardiogram, ▪︎Endoscopy, ▪︎Manometry #MedEd #media #Medellin #meditation #medicine #Medical #MedX #Medicaid #Medicare #Medium

Patient has dysphagia to both solids and liquids during attacks. What is your diagnosis? 🤔🤔 Answer will be revealed soon. #Usmle #DrSam👩🏼‍⚕️🩺 #medtwitter #match2024 #match2023 #ecfmg #ecfmgcertificate

@TanimaJanaMD @UtGastro @FSAli_MD @TonyDengMD @PriankaGajula @chanlirrae_12 @EricYoonMD @iGUT_Houston @ncthosani @vaibhav_manu @AsmeenBhattMD Agreed! Thanks Dr Canto

Thanks to Dr. Marcia Canto for a fantastic @UtGastro grand rounds on Barrett’s esophagus! Great refresher on screening recs and high-quality exams! @FSAli_MD @TonyDengMD @PriankaGajula @chanlirrae_12 @EricYoonMD @iGUT_Houston @ncthosani @vaibhav_manu @TomasDaVee @AsmeenBhattMD

@drkeithsiau Saw a patient recently that has pet monkeys. The whole family had chronic diarrhea 7-10 times daily for months.. a single-dose of tinidazole did the job.

@drkeithsiau Giardia

Stool cultures of a patient with acute diarrhoea showing “smiling face” organisms. What’s the diagnosis?

nam04.safelinks.protection.outlook.com/?url=https%3A%… Sharing my first article published in CGH!

@fuzzymittens I write my own doctors notes!! 😵😆

ESG is building steam.. Very nice paper here showing good results. Comparison of endoscopic sleeve gastroplasty versus surgical sleeve gastrectomy: a Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database analysis giejournal.org/article/S0016-…

This is one of the reasons I love baseball.. The game is never ‘over’ before it’s truly over.. Your team can always come even to the very last out of the very last inning.

As a G.I. specialist, I will absolutely be getting my screening colonoscopy at age 45... why not, I’ve already had two of them. My dad died of #coloncancer He refused to get the procedure. #machismo

@ReemSharaiha Cool poems. I do the kind where you burrow into the wall of the esophagus #POEMprocedure

Abnormal liver tests Now, Why can that be? Drug effect, a virus? or ischaemic hepatopathy? Gerd, epigastric pain, On nexium for ease Could this be reflux? Need an EGD please So, consults all night, and I scope by day Little control over my life But I love it anyway!

found a little something a wrote first year fellowship circa2008 #gifellowship Coffee at ten To chat about our day Or wallstreet events That have led the world astray Consults and pegs Or procedures with poo Poor prep can't go on But a bleeder I will do

@Gastronaut89 @DrAlanWatson Bahahaahahaa

@DrAlanWatson Ah voice recognition, I've had 'fatty lover (liver)' and 'fisting (fitting)' in my clinic 🤦🏻‍♂️

The pitfalls of voice recognition. Oops. Thankfully spotted just in time...

@DrAlanWatson Ha. So what were you actually trying to say?

I am about as unbiased as a G.I. physician could be about the NEJM paper that trashes the value of colonoscopy. The reason is because I don’t even do screening colonoscopy anymore, I sent all of those to my partners who enjoy doing them much more. #Colonoscopy #ColonCancer

NEJM should be ashamed for publishing the study. Obvious it would cause controversy and headlines. more importantly are the public health effects, now that news pick up the story and patients are confused or flat out now distrust their physician. nejm.org/doi/full/10.10…

@DrReddyGI @NEJM @GI_Pearls @DrHarryThomas @drjerber @tberzin @AustinChiangMD @DrBrianAFrank @GIDrDon @stevenbollipo Be sure to have a barf bag nearby

I’m planning on reading the @NEJM #colonoscopy study tonight and then want to read some of the better analysis of the study on both sides. Any recommendations? #GITwitter @GI_Pearls @DrHarryThomas @drjerber @tberzin @AustinChiangMD @DrBrianAFrank @GIDrDon @stevenbollipo