@WendyHassonMD Strongly consider approaching your human resources point person. We can all learn from bad behavior. Repeat offenders are best documented this route.
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Matthew Kappus
685 posts
Matthew Kappus
@MatthewKappus
Caring for people w liver disease and their families. Cirrhosis, frailty, nutrition, prehab. Transplant hepatologist @Duke_GI. Husband, father, son, brother.
Durham, NC Katılım Kasım 2015
579 Takip Edilen685 Takipçiler
The supervisor of a poorly behaving physician said to me today “we should be mindful that this is a stressful time for him b/c his wife is almost due with his first child”
I pointed out I worked clinically through 74 weeks of combined pregnancy without a professional complaint.
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Patient with abdominal pain and vomiting. What’s the diagnosis?
#MedEd #MedTwitter #FOAMcc
H/T @drkeithsiau
Durham, NC 🇺🇸 English
Matthew Kappus retweetledi
It's here!
30 consensus, evidence-based statements about Physical Activity and #NAFLD from @ACSM roundtable out today in @MSSEonline!
journals.lww.com/acsm-msse/Abst…
@fitaftercancer @DrMTLong @KathleenCoreyMD
@drbobsallis @AlinaAllenMD @conroylab @djrcuthbertson @CJAPugh
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I'm asking those who love the outdoors to post a picture. A picture that YOU took. Just a pic. No description. The goal is to regain peace and harmony without negativity. Please copy the text, put a picture on YOUR page, and let's look at these beautiful pictures. Here’s mine:
Chicago, IL 🇺🇸 English
New #priorauth requirements for GI endoscopy procedures will hurt our patients. @UHC, don't implement the prior auth program on June 1 and cause more obstacles to care!
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A staggering 8️⃣0️⃣ % of physicians report that #priorauth can lead to treatment abandonment. We don’t need a program that will cause more delays to GI patient care! I’m writing @UHC to tell them to stop new prior auth requirements – have you? ow.ly/rnHq50Nq9OR
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One of my favorite resources for patients and care givers to understand living with chronic liver disease...Check it out!
Cirrhosis Care Alberta@CirrhosisCareAB
Portal hypertension is a serious complication for patients with cirrhosis. It is important that patients and caregivers understand the cause & what to look for. Refer your patients to the website to learn about PH, including definitions, images, & more! cirrhosiscare.ca/patients/cirrh…
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Matthew Kappus retweetledi
Today is Living Donor Day. #DonateLife #LivingDonorDay Won't you consider saving a life while you are still alive? Kidney and liver transplant candidates who are able to receive a living donor transplant can receive the best quality organ much sooner, often in less than a year.
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Being a new PD is easier because I work with the very best team. Grateful for all that you do and so privileged to work with you. Thrilled to welcome our incoming chief residents to this awesome group! @emoryimchiefs @EmoryDeptofMed #AIMW23
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Matthew Kappus retweetledi
@AlinaAllenMD @ACSMNews @AASLDtweets @EASLnews 🙏 incredible effort from to our all ⭐️ team @fitaftercancer @KathleenCoreyMD @DrMTLong @drbobsallis @Drfattyliver @HallsworthKate @EduardoVilarGo1 @YucaSpice @conroylab @djrcuthbertson @ingrid_hickman @MatthewKappus @shelley_keating @CJAPugh @NASH_and_coffee @Tracey_MD @VWSWong
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Matthew Kappus retweetledi
📑 @ACSMNews Proceedings Paper from the inaugural International Multidisciplinary Roundtable on #NAFLD and physical activity is out now!
⭐️Summarizes the latest evidence and identifies future research directions and knowledge gaps!!
#LiverTwitter
journals.lww.com/hepcomm/Fullte…
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Matthew Kappus retweetledi
Absolutely thrilled to present @WeillCornell & @WCM_GI 🗽
Thank you to Dr. Ara Lee for hosting and leading in quality and patient safety!
@RebeccaEBerger @CNewberryMD @FeliceSchnoll @christinemphmd
Carolyn Newberry MD@CNewberryMD
Catching up on @WeillCornell DOM GR on #quality w expert @David_LeimanMD @Duke_GI_ ⭐️ Important metrics to track to ⬇️ care variability/⬆️ value ⭐️ Challenging, need 💪🏻 definitions/data systems ⭐️ Goal to tie reimbursement to meaningful outcomes/crosscollab across specialties
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Matthew Kappus retweetledi
Characterization of social determinants of health of a liver transplant referral population
by @jackie_henson @AMuir_DukeGI @Julius__Wilder, @norinewchan et al of @Duke_GI_ & @DukeSurgery
journals.lww.com/lt/Abstract/99…
#livertwitter
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@yuvalpatelMD @ebtapper @rrosenblattmd @AutoImmuneLiver @HowardTLeeMD Reports of using thymoglobulin in literature as well. The steroid dose is high and taper has to be slow and can take some time before even beginning to taper. Once they show stable improvement, gradual taper and the amount depends on how much improvement there has been and SE
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@yuvalpatelMD @ebtapper @rrosenblattmd @AutoImmuneLiver @HowardTLeeMD I have used 1mg/kg solumedrol q8 and cellcept to start. In patients who are slow to respond, after ensuring no viral/other infectious process at play, I have increased the cellcept to 1500mg bid and slowly these patients have responded once the cellcept starts to take effect.
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Anyone with experience dose reducing cellcept (or withdrawing it) for checkpoint inhibitor hepatitis (cellcept used as steroid refractory- had to go to 1500/1000 and now normal liver tests for >2 months) #livertwitter @ebtapper @rrosenblattmd @AutoImmuneLiver @HowardTLeeMD
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@yuvalpatelMD @ebtapper @rrosenblattmd @AutoImmuneLiver @HowardTLeeMD In these severe cases, I have had to send the patient home on high dose prednisone (equivalent dosing to the 1mg/kid tid of solumedrol but typically in a bid dosage form) and tapered down from this slowly.
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Looking forward to welcoming my outstanding surgical partner and friend Lisa McElroy as she shares on her work evaluating social risk factors and transplant candidacy!
@Duke_GI_
Duke GI@Duke_GI_
Join us tomorrow @Duke_GI_ #GIGrandRounds for our featured #BlackHistoryMonth lecture series presenter, Lisa McElroy, MD, MS @DukeSurgery on social risk and #Transplant candidacy @AmitPatelDukeMD @MatthewKappus @amcpherson1204
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Matthew Kappus retweetledi
Join @duke_gi_ tomorrow for the 2nd week of our #BHM #GIGrandRounds series.
We're honored that special guest @DrFolaMay @uclahealth @deptvetaffairs will present "Colorectal Screening in Underserved Communities: Challenges and Solutions"
@AmitPatelDukeMD @MatthewKappus
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