Deborah Adekunle MD MPH

@JamesHaddadMD I guess it was a non inferiority trial? But seriously, the wording makes my head hurt 🤣

Any residual uncertainty about letting my NEJM subscription lapse this year has evaporated..💨 #NotNonInferior 😭😂

@WilliamAird4 Inspect for Frontal bossing (e/o extramedullary hematopoiesis), Splenomegaly, auscultate for pericardial rubs.

@WilliamAird4 I would look at their conjunctiva (for pallor), look at sclera for jaundice. Tongue for glossitis, parotid for enlargement. Hand Joints for deformities that may suggest RA(MTX use), I would look at their hands for hyperpigmentation, abdomen for hepatomegaly, dupuytren’s (EtOH)

In Canadian medical training, we had oral exams with high-pressure “short cases.” Mine: Two examiners at the bedside. Silence. “Dr. Aird, please examine this patient for an MCV of 140.” How would you approach this?

@SeeFisch Congratulations! What an accomplishment!

I matched!

Our mothers go through so much for us, and for that, we have every reason to be thankful. Happy Mother’s Day 💐🙏

@korinreid 🤦🏾‍♀️

But the data says this demographic of women is the most likely to marry, so I’m not sure what you’re taking about

@drkeithsiau @GI_Pearls @Gut_BMJ @Mo_Shiha I’ve actually heard of this before (interestingly at a Cook hemostasis course) . It’s a real thing.

@GI_Pearls @Gut_BMJ @Mo_Shiha The authors described the bang - the echoing may have been me dramatising it for Twitter 😜

💣💥

Some of my fellow IBD friends may relate to needing a fruit/veg peeler on your person to safely enjoy some snacks! If you live in St Louis, have IBD & want to talk snacks, please join me at the MyIBD Learning event on March 28th: crohnscolitisfoundation.org/myibdlearning/…

@doctorwes @EndeavorHlth Wow that’s cool!

Kinda bittersweet. Last pig heart dissection day with our fellows. (BTW, no MOC points were issued. 😂) @EndeavorHlth

@davidemccune @Papa_Heme I hear your thoughts and am not arguing at all, but I’m genuinely curious what alternatives you propose to the existing systems? How do we ensure adequate knowledge in a world that is rapidly being changed by AI?

@Papa_Heme Medical education needs to be examining what doctors add that can't be replicated by AI. A high level of knowledge is still important, but the gap between a physician vs patient + AI is such that this can't be the only way we provide value.

Memorizing random facts for ABIM board MOC has always been a waste of time. In the era of AI it is just ridiculous. Only justification is to extract time and money from practicing physicians.

Excited to share our newly published article in @GIE_Journal giejournal.org/article/S0016-… Very thankful for the amazing mentorship of @SamIgbinedion and our wonderful team. #GITwitter #Medtwitter

@ross_prager This happened when I was in residency

I had patient in cardiac arrest who was receiving CPR and was mouthing "stop" only to have us stop and find he was asystolic but then wake up when we re-started compressions. Has anyone else encountered this? (We gave him sedation)

@korinreid My grandfather would love you!

The Highwayman poem....the majority of McBeth....a few popular passages from Hamlet...Walking in the Woods on a Snowy Evening...lots of Maya Angelou...and other poetry....for an avid literature fan who isn't super into poetry, I can recite a lot of poetry

@SossouMd Wow, so well articulated. Praying this war ends ASAP!

I hate war. Every time a life ends—whether it’s someone vilified in the headlines or someone the world will never know—it affects me because I see something sacred in every human heartbeat. Rage may come first. Arguments and justifications may follow. But once a life is gone, it’s gone. And something in us feels that absence, whether we admit it or not. War carries that same tension. I understand the arguments. Sometimes leaders say the alternative is worse. Sometimes evil must be confronted. History rarely offers clean choices. But the ledger never lies. The ones who make the decisions rarely bleed. The ones who pay are usually those with the least power and the smallest voice—young men barely old enough to shave, farmers who only wanted to tend their land, mothers shielding children in collapsing buildings. They inherit the nightmares, the missing limbs, the empty chairs at dinner tables—while others move on to podiums and memoirs. The Liberian civil war took my parents and left me an orphan. That’s what war does. Somewhere, every time, it makes a child parentless. So yes, I can acknowledge that some wars claim necessity. And I can still hate every one of them.

@drkeithsiau @DrBloodandGuts @SamIgbinedion What about mantis clips? Could one try those in this case ?

@DrBloodandGuts @SamIgbinedion For some reason, I always thought x-tack was for superficial closure. Would you use it in this case?

What would you do if you saw this on colonoscopy?

We probably need to stop ERCPing every bole duct stone Contrary to current paradigm of "no stome left behind" this @AGA_CGH retrospective propensity matched study shows that older adults with unsymptomatic choledocholithiasis fared better WITHOUT an ERCP interesting read

Every endoscopist makes decisions based on what they see—third-space, sugery, community endoscopy. Join the Queen’s Optical Diagnosis Course to strengthen your GI optical diagnosis fundamentals and improve everyday clinical decisions. Early Bird pricing ends tomorrow.

Vicky Mboko will be a top 10 player on Monday, unless she loses tomorrow AND Muchova wins Doha. Mboko was ranked #333 at the start of 2025.

POV: You’re hitting against a brick wall named Venus. ✨🧱

Very informative thread!