Michelle Gould M.D.

11 posts

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Michelle Gould M.D.

Michelle Gould M.D.

@MichelleGouldMD

Pediatric Neurogastroenterology and Motility Fellow @ChildrensLA

Katılım Ocak 2020
58 Takip Edilen90 Takipçiler
Michelle Gould M.D. retweetledi
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JPGN@JPGNonline·
.@MichelleGouldMD et al studied #children with #celiacdisease identified after diagnosis of a first-degree relative: 👌 often asymptomatic, but 🔬 histology as severe as those screened for other reasons 🧪 may be associated with sequelae like anemia bit.ly/3Xn8CBU
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Michelle Gould M.D.
Michelle Gould M.D.@MichelleGouldMD·
@JJFordeMD @EzraTeitelbaum Agreed! Recently did FLIP at time of EGD/endoscopic ESOMAN catheter placement. The FLIP was very reassuring and when the patient woke up and wasn't able to tolerate the catheter we were happy to at least have the FLIP info! I think this is a very helpful use case.
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Justin J. Forde MD, MS, ABOM-D
@EzraTeitelbaum I think FLIP is probably best utilized on index endoscopy in patients with dysphagia symptoms, but normal EGD that you want to screen for a motility disorder. Also really great in patients that can’t tolerate manometry or when manometry isn’t definitive (EGJOO).
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Justin J. Forde MD, MS, ABOM-D
A young woman presents to your clinic with progressive dysphagia to initially solids and now both solids and liquids. Esophagram performed at outside hospital demonstrates the following. What is the likely diagnosis? What would be your next step? #MedTwitter #GITwitter #MedEd
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Michelle Gould M.D.
Michelle Gould M.D.@MichelleGouldMD·
@JPGNonline @NASPGHAN Exciting to see so many centers but this work really illustrates just how limited Pediatric NGM care is in Canada at the moment!
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JPGN@JPGNonline·
Patel et al surveyed @NASPGHAN to identify and describe #pediatric #motility programs: ❗ 54 unique centers Large variation in PNGM availability between states/regions across North America Most offer manometry and pH-impedance bit.ly/3xhB2TF
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Michelle Gould M.D.
Michelle Gould M.D.@MichelleGouldMD·
We are often told "everything in moderation" and today Dr. Christina Surawicz discussed how that may be true with regards to work place pressure. Some pressure helps take us out of our comfort zone but too much places us at serious risk of burnout. #ACGBridgingTheLeadershipGap
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