Alexander Podboy, MD, DABOM

@GVanell5 @endoscopyjrnl @MBronswijkMD @BSCEMEA_Endo It’s coincidental that you noted this only happens with th 6,8, and 20s and those items were recalled here in the US

Distal flange not releasing with Hot #AXIOS? We prospectivelty observed 12 cases: ❌ Not operator error ❌ Not a broken stent ⚙ Likely a mechanical mismatch Simple rescue maneuver: “handle springing.” thieme-connect.com/products/ejour… @endoscopyjrnl #LAMS #Therapeutic #EUS #endoscopy

@WasseemSkefMD Hahaha I may be more naive and assume that people would throw in the occasional diagnostic colon…

@AlexanderPodboy I’m surprised you are surprised

I nerded out and looked at the Medicaid data files from a GI perspective. And the findings are wild. Of the 4.1 million colonoscopy claims from 2018-2024 Only 23% were billed as purely diagnostic (45378) What was even weirder was among high volume proceduralists (>1000 cases)

If truly aberrant, that’s potentially over 17 million in overcharges to Medicaid in a 7 year period on colonoscopy claims alone. More smoke than fire, but interesting nonetheless

When adjusting for provider location, it was overwhelmingly individual providers rather than ASCs or Hospitals that preferentially billed lower diagnostic codes. With some specific States more prone that others.

@AhmadBazarbashi @EndoscopyOthman @A_Qatomah @ThirdspaceEndo @AlmuhaidbAymen @alhaddad_mo @MoamenGabrMD @KeihanianTara @HilarHolzy @BilalMohammadMD @BalissMichelle I’d be worried it’s a huge feeder vessel. Defect is massive but do you think you could oversew the defect?

ESD friends, what’s your practice on management of this pulsatile large vessel at resection site of 6cm rectal ESD. Coagraspers? Clips? Assembling peptide gel? Close the defect? Combination therapy? Leave it alone?

Hi Vikas, thanks for your work on this, very interesting and robust analysis. However I noticed that the sub-speciality analysis is very granular (cardiology alone) and doesn’t capture interspeciality subspeciality ( like interventional cardiology vs structural cards, or general GI vs therapeutic GI) Do you think some of the gap could be explained by gender differences in subspecialities?

@olsonplanner Thanks for sharing. Yeah - some of the findings are sobering - Even after adjusting for all factors, there is a 7% unexplained gap. Even wRVU conversion rates and signing bonuses are smaller for female physicians marithealth.com/reports/physic…

Not surprised. But wow this sucks.

@StudentLoanTrav At least over 12 months

How long have you been stuck in buyback processing?

@WFNYScott This 💯

Looking forward to seeing Kevin thrive in a new environment. Also looking forward to when the notion of “accountability” doesn’t mean good coaches losing their job in the wake of ownership and a front office that can’t get out of its own way.

@MoreForYou_CLE Joke of a franchise firing two time coach of the year but not the GM responsible for the worst signing in NFL history… peak browns

#Browns have fired Kevin Stefanski… Thoughts?

The em dash scourge in medical research has reached pandemic levels. “No one” is using chat gpt but every review now has em dashes every where

Congratulations to all those that matched! GI remains a ridiculously competitive match with only 6 out of 10 applicants matching into a position

Honored to have spent these past years at UVA working alongside dedicated colleagues and caring for remarkable patients. Thank you for the support and collaboration. Looking forward to the next step in South Carolina!

@DrBloodandGuts @bostonsci The use of distal fixation is also very interesting do you always fix the distal end? I’ve used the mantis for LAMS fixation with similarly good results but haven’t used it for FCMS

Recently, ⁩ I am using ⁦@bostonsci mantis clips to affix the distal ends of esophageal FCSEM stents the gastric cardia mucosa and so far pretty decent results. Wonder how this compares to OTSC stenfix or the prohibitively expensive Overstitch.

My reaction when apparently there’s a grand criminal conspiracy occurring around you at work

@Babygravy9 A it

Mr Beast is genuinely one of the most evil people alive today. I mean that.

So grateful to stay on this incredible @uvagastro team for Advanced Endoscopy Fellowship! Thank you Drs. Dan Strand, @AndrewWangMD, Vanessa Shami, Ross Buerlein, @BryanGSauer, @AlexanderPodboy, and Andy Copland for the opportunity! I am fired up! @ASGEendoscopy #2025AEFMATCH

🔎 ACG Case Reports Journal 🔍 The Role of Endoscopic Sleeve Gastroplasty for the Treatment of Obesity Limiting Candidacy for Lung Transplantation Mahmoud, et al. ➡️doi.org/10.14309/crj.0… @TalaMahmoudMD @AlexanderPodboy @DushDahiya @DaniyalAbbasMD

Always amazed at how serpiginous the periduodenal portion of the bile duct can be. Here’s a “S” on cholangiogram as you can see the contrast course back on itself.