Tom Massak

@DouglasAdlerMD Is there an edu/course available?

Another Anti-Reflux Mucosal Ablation (ARMA) case! If you are seeing GERD patients you really should consider offering this. Quick, easy to do, and in our experience highly effective! #GERD #gitwitter #arma #surgery #medx #medtwitter

@wine_018 Congrats! What Kind of med? Trodelvy?

I went to see my oncologist on Monday. I was told my cancer is in remission. After ten years. She said my stage four breast cancer was in remission. She said I’m doing great. I have been fighting for ten years. 2016. I’m in shock. I never thought I’d hear that!

@ali_of_asworld @wine_018 And dont forget new meds…

Stage 4 breast cancer. 10 years. In remission. This woman didn't just survive she outlasted a diagnosis that statistically wasn't supposed to allow it. The human body's capacity to fight when the mind refuses to quit is one of the most underreported phenomena in medicine. Congratulations doesn't cover it.

@KMonkemuller @EndoCollabcom Switched to MMF some months ago - No Problems Till now

🚘 CAMARO trial 💊 I always preferred azathioprine for autoimmune hepatitis 🔝 The CAMARO trial showed that mycophenolate mofetil (MMF) was better journal-of-hepatology.eu/article/S0168-…

@SN_gastro Really amazing!

Pay attention folks!!!!

@EndoCollabcom Used it…

Octreotide reduced transfusion needs in patients with anemia from angiodysplasias in a multicenter Dutch trial (62 patients, 17 hospitals). Would you use it for recurrent angiodysplasia bleeding?

@drkeithsiau Coecal patch- UC, appendectomy!

View of the appendix in a patient undergoing colonoscopy for diarrhoea. What’s the diagnosis?

@jasonwilliamsmd 5% of rectums carcinoma are eligable for Immunotherapy…

Stage 3 rectal cancer in a 26 year old. This is what I've been warning about. The incidence of colorectal cancer in young adults has nearly doubled since the early 1990s. We're seeing Stage III and IV in people under 40 with increasing aggressiveness. But the real story here is the treatment. This is dostarlimab, a PD-1 checkpoint inhibitor. Immunotherapy alone. No surgery. No chemo. No radiation. 100% clinical complete response rate in mismatch repair deficient rectal cancers. The immune system did what it was designed to do. We've known since PD-1 inhibitors were approved in 2014 that this was the direction cancer treatment needed to go. The paradigm is shifting. Empower the immune system instead of destroying it.

@ibd_pal Congratulations - saw your plenary talk!

Unforgettable memories from #ECCO2026, Stockholm 🇸🇪 This year’s meeting was very special for me: ✅ Plenary talk: Endotherapy for CD strictures ✅ Oral presentation- BEST-CD trial (predictors of endotherapy success) ✅ Educational Program: Enteroscopy in CD ✅ ECCO–AOCC Visiting Travel Grant ✅ Privileged to be part of ECCO Congress film discussing the evolving role of endoscopy in holistic IBD care Grateful to my mentors, colleagues, trainees, and patients who make this journey meaningful. Proud to represent India🇮🇳& @AIGHospitals on the global IBD stage. @Y_ECCO_IBD @BowelUltrasound @AIGHospitals #AOCC #Interventional IBD

@SeeFisch Study?

For Staph aureus IN BLOOD (Bacteremia) DALBAVANCIN two doses a week apart (Day 1 and day 8) is JUST AS GOOD at eight weeks of IV therapy even for MRSA

@NarulaNeeraj ☝️

ECCO 2026 has been the best ECCO congress in several years. Biggest surprise for me however was that appendectomy is being recommended for therapy-refractory UC in the upcoming ECCO UC guidelines. Has anyone recommended this for a patient yet?

@Inamanotherapy Disagree.

6 months. It took me 6 months of residency in Med Onc to open my eyes to a deep and hard-hitting truth : There is no such thing as a Medical Oncologist There are only general physicians who know how to manage cancer

Maybe I’m too much of a European, but I honestly can’t understand how so many Americans find it perfectly natural to be shot in the head on the spot for the slightest act of disobedience toward any sort of law enforcement. You might wanna revisit that "land of the free" thing.

@DrBloodandGuts I doubt that there‘s a bili contraindication for atezolizumab/beva?

Help: Are there any drainage options for something like this? A large centrally obliterating HCC causing jaundice and precluding chemotherapy.

@Mitos_und_mehr @BhaskusMaximus Wenn ich mir den bullshit durchlese, den sie da in den digitalen Äther blasen, wird mir auch Angst und Bange um die Zukunft der Menschheit….

@BhaskusMaximus Das verstehe ich, hätte ich auch. Bitte tut etwas, um es aufzuhalten. Und wenn Deine Frau gespritzt ist, bist Du auch betroffen.

Wie traurig. Nun ist die schwerst an Krebs erkrankte Enkelin von John F. Kennedy im Alter von 35 Jahren verstorben. Sie war eine vehemente Verfechterin der "Impfungen", hat bis zuletzt "Impf"kritiker wie RFK jnr. beschimpft. Wieder eine verlorene Seele, wieder Jemand, der bekannt genug war und hätte aufklären können. Vielen Anderen hätte man damit vllt. noch helfen können. Die Prozesse können auf biochemischer Ebene lange unbemerkt ablaufen und in "Turbokrebs" enden. 5 Jahre danach, ich habe das Gefühl, 2026 wird ein schweres Jahr werden.

@muzukuluDr @Sage_medics Most of alcoholics do have a high VitB12 …

@Sage_medics A. Alcoholic gastritis, 1. reduced mucosal secretion of Intrinsic factor, reduced absorption of Vit B12, megaloblastic anemia. 2. Bleeding ulcers, chronic loss of blood, anemia 3. Reduced absorptive surface for folic acid, B. Anemia of Alcoholic liver disease Etc

How does Alcoholism lead to Anemia?? Many will learn🥇

@Krefelder78 @Demoguardian Es gibt kein paraneoplastisches ALS.

@Demoguardian Es tut so weh. Alle Muskeln werden schwächer, zucken und schmerzen.

@DouglasAdlerMD Acid?

Adult male present with massive hematemesis and melena in the setting of cirrhosis and active ETOH use. Esophagus shown below. What is your diagnosis? #gitwitter #surgery #criticalcare

@ebtapper Seems we shouldnt Even to AB for secondary prophylaxis….

Everyone needs to see these results And a word about Alistair O’Brien. Magnetic on stage and The most important trialist in all of liverland. An inspiration #tlm25

@Gastronaut___ @pgholam I dont have to take carvedilol 3 times a day as it is requiered for propranolol

@pgholam Do you prescribe carvedilol ( why not propranolol ) for secondary prophylaxis ?

My top 10 prescribed outpt drugs per epic: 1-spironolactone 2-furosemide 3-carvedilol 4-lactulose 5-rifaximin 6-naltrexone & Vit D (tie) 7-prednisone 8-UDCA 9-naltrexone 10-resmetirom, cyproheptadine & tenofovir (tie) 5 years ago, the DAAs would be up there #livettwitter