PNW_GI_MD #Ikigai=GI

An important and humbling milestone in life of every #Gastroenterologist Officially #ABIM Board certified 😇 Grateful to @uiowa, my PD @AdrianHolm12, co-fellows, the great @ibdtweets, and entire #GITwitter #LiverTwitter family for their support and help in #GIBoardReview

Polypectomy pearls by master endoscopist, @Rex_colonoscopy: 💠Cold snare in most cases: 🔹 All polyps #ACGMWRegional @AmCollegeGastro

🚨 AI won’t replace doctors… but it can prevent them from learning how to think. A critical article in @NEJM shows that if introduced too early in medical training, it weakens clinical reasoning. ✅ A good doctor will always need critical thinking. N Engl J Med 2025;393:786

“I don’t know” is not an admission of ignorance. It’s an expression of intellectual humility. “I was wrong” is not a confession of failure. It’s a display of intellectual integrity. “I don’t understand” is not a sign of stupidity. It’s a catalyst for intellectual curiosity.

Extremely useful poster of oral budesonide preparations- clear description of use and dosage. Thanks to @rachelcooney7 and Hannah Mughal for sharing with our team 🙏 @HelenSteed1 @BSGTrainees @SyedGerdezi @drkeithsiau @UmairKamran11 @MalikMagrabi @dr_aditi_kumar @GastroMJB

Ever wondered why some colonoscopies are technically challenging or impossible? Observe the 3-D reconstructions of CT- colonography in our recently published study: doi:10.1177/17562848231160625

Exciting to see this out for #Patients with #EosinophilicEsophagitis who want to try #diet first. We’ll know sooner if next med needed Less endoscopy needed to get to answer Adherence much easier! #TLDR version: 1FED (cow #dairy) similar to 6FED pubmed.ncbi.nlm.nih.gov/36863390/

ECCO Guidelines on Inflammatory Bowel Disease and Malignancies. @IBD_MB #HannahGordon @UriKopylov @LissydeRidder @GionataFiorino @DrJordanAxelrad @ellul_pierre @J_Kirchgesner @IBD_FloMD @bverstockt @DignassAxel @NuhaZsurgeon @GianlucaPellino Free access: academic.oup.com/ecco-jcc/advan…

👉🏽 Reframe sorry w/thanks ❎ “Sorry I'm late” ✅"Thanks for being patient" ❎ “Sorry for being difficult” ✅"Thanks for being flexible” ❎ “Sorry for the questions” ✅ “Thanks for the helpful responses” 💡Gratitude not guilt #MentoringMonday #GITwitter

The surgeon apologizes

Mail order pharmacies

@EndoCollabcom Send it

The Real-World Effectiveness and Safety of Ustekinumab in the Treatment of Crohn's Disease: Results from the SUCCESS Consortium - PubMed ⁦@amjohnsonMD⁩ ⁦@PDulaiMD⁩ ⁦@AmJGastro⁩ pubmed.ncbi.nlm.nih.gov/36191274/

I predict Ryan Reynolds sharing his colonoscopy (and polyp) will do more for colorectal cancer awareness than half of anything we’ve tried as a GI profession… …and I’m grateful for every second of it 🥹💙 @LeadFromBehind @brooksbell @CCAlliance @VancityReynolds #GITwitter

Circumferential esophageal ESD, step by step in 2 minutes! Lots of different strategies but here we used: ✅ Two tunnels, 1/3 circumference each ✅ External clip-line traction to septae between the tunnels Regardless of approach, need to have a plan for inevitable stricture‼️

Is there a need for mesalamine when therapy is escalated to biologic? Likely not! Do you use it along with biologics? @ibdseb @nuru_noor1 @ibddoctor @mchiorean4 @DCharabaty @JPAchkarMD #ACGIBDSCHOOL @AmCollegeGastro

Another cool 😎Esophageal tip from @AllonKahn: When doing Barrett’s work, try to get good at recognizing NDBE from BE w/ dysplasia. My cheat sheets ⬇️🤣🤣🤣 @MayoClinicGIHep 🌅🏜#EsophagealFellowship. What are your favorite tips for managing BE and BE dysplasia?

@AmyOxentenkoMD Our city at sunset 🌅

Ok all #twitter, #medtwitter and #gitwitter friends: Time to share a picture of something beautiful that you are looking at right now. 📷 Looking forward to seeing all of the responses! 😀 #CarpeDiem

Please join us in this comprehensive 2-day hands-on 3rd Space Endoscopy Workshop Dec 1st-2nd. Interact and learn from 18 world-renowned faculty. Register here: web.cvent.com/event/974d1ad9… @DrHasan_Orlando @MN_GIMD @AdventHealthCFL

@GI_Pearls Ideal is subjective to endoscopist (experience, age, quality metrics) and patient characteristics (difficult anatomy, BMI, Anesthesia type). Ballpark 14-15 (doubles counted as 2) including most EMR, dilation, polypectomy, etc with efficient room turnover 😅

Ideal number of endoscopy procedures per day? ( define ideal however you like in comments) #GITwitter