Dr John O'Donohue

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Dr John O'Donohue

Dr John O'Donohue

@TheBottomDoc

Gastroenterologist. Shining a light on bowel cancer. Inspector of endoscopy units, stomachs & bile ducts too. Some tweets my own.

Lewisham, England Katılım Aralık 2014
1.2K Takip Edilen1.6K Takipçiler
Dr John O'Donohue retweetledi
David Beaton
David Beaton@davidbeaton87·
🧵1/6 🚨 New from the British Society of Gastroenterology: We analysed all UK colonoscopies from the National Endoscopy Database (2019–2020). That’s over 592,000 procedures. Findings below 👇 (📄 Free article link (limited time): authors.elsevier.com/c/1ktHw3mGpvWkI)
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Dr John O'Donohue
Dr John O'Donohue@TheBottomDoc·
@goldstone_tony @HeldinEU @nhs_pensions But it might make sense atk wait a year for the recent pay increase of 8% to be ‘baked in’ to final salary calculation. which is ‘best of three’ last years. You’d have to live 12 years after retirement to see the gains, though!
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Dr Tony Goldstone
Dr Tony Goldstone@goldstone_tony·
@HeldinEU @nhs_pensions You are in the minority that know it. Thats the point. There might be a reaosnable expectation its uplifted due to late returement, the opposite of it being reduced for early retirement
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Dr Tony Goldstone
Dr Tony Goldstone@goldstone_tony·
Very worrying result (was even worse on FB poll I did) showing the overwhelming majority of members don’t understand what they forgo by not retiring at normal pension age. The crucial question is what are @nhs_pensions doing to let these members know?
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Dr Tony Goldstone@goldstone_tony

1/2 POLL: Did you already know that 1995 scheme pension payments are NOT be backdated if taken beyond normal pension age (60 for most, 55 for "MHO status')? Put another way, every day you work beyond your NPA age, you give up that pension you paid for back to the government

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Dr John O'Donohue
Dr John O'Donohue@TheBottomDoc·
Well, what sort of farewell cake did you expect at an upper GI surgeon’s retirement party? @LG_NHS Saying happy retirement to Mr Alek Uzkalnis!
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Dr John O'Donohue
Dr John O'Donohue@TheBottomDoc·
How to identify the ‘sensory phenotype’ in bloating, and how to treat it: Duloxetine, not SSRI, is best if diet and diaphragmatic breathing isn’t enough and pharmaceutical treatment needed Kyle Staller, Mass General @DDWMeeting
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Dr John O'Donohue
Dr John O'Donohue@TheBottomDoc·
Practical guide to management of bloating - all in one slide - Kyle Staller, Mass General Hosptial @DDWMeeting
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Dr John O'Donohue
Dr John O'Donohue@TheBottomDoc·
The major gas/bloat producers in the gut:
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Dr John O'Donohue
Dr John O'Donohue@TheBottomDoc·
SIBO due to just two bacteria: E. coli and klebsiella
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Dr John O'Donohue@TheBottomDoc·
IBS microbiome subtypes in types of IBS: Mike Pimentel, Cedars-Sina @DDWMeeting IBS-C: methanogens IBS-D: hydrogen sulfide
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Dr John O'Donohue@TheBottomDoc·
What’s different between patients with bloating & normal controls? Fernando Azpiroz, Hspital Val d’Hebron @DDWMeeting Not amount of gas, or biomass. It’s sensitivity to distension. Perceived distension can be obesity, or descent of diaphragm (abdominophrenic dyssynergia)
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Dr John O'Donohue
Dr John O'Donohue@TheBottomDoc·
Management of reflux @DDWMeeting - hierarchy of management - where to use PCABS for PPI-refractory reflux -who are good candidates for an anti-reflux procedure
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Dr John O'Donohue@TheBottomDoc·
Not all FODMAPs are equal! Can we simplify FODMAP restriction in IBS-D? Prashant Singh, Un of Michigan @DDWMeeting FODMAP restriction difficult and can result in micronutrient malnutrition In reintroduction phase, most symptoms due to fructans & galacto-oligosaccharides
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Dr John O'Donohue@TheBottomDoc·
Heather Patton, VA San Diego, CA @DDWMeeting All patients with compensated cirrhosis should be subclassified as with or without Clinically Significant Portal Hypertension (CSPH) - and pharmacotherapy used (eg carvedilol) to lower portal pressure Note NEW terminology!
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Dr John O'Donohue
Dr John O'Donohue@TheBottomDoc·
However, 40% of patients do not respond adequately to UDCA. Pruritus can be exacerbated by Obeticholic Acid - which can’t be used with decompensated cirrhosis. Elafibrinor, a PPAR agonist, shows promise and improves pruritus.
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Dr John O'Donohue
Dr John O'Donohue@TheBottomDoc·
New treatment paradigm for PBC (Primary Biliary Cholangitis) - Dr Willscott Naugler, Portland, Oregon
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Dr John O'Donohue
Dr John O'Donohue@TheBottomDoc·
Don’t need endoscopy to screen for varices in patients with cirrhosis any more - Dr Willscott Naugler, Portland, ON @DDWMeeting Concept of ‘Clinically significant Portal Hypertension’ - if > 10 mm Hg elevation is present, start on beta blockers to prevent varices, ascites
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Dr John O'Donohue@TheBottomDoc·
EIGHT mistakes doctors make in treating IBD - AVOID THESE! David T Rubin, University of Chicago @DDWMeeting
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Dr John O'Donohue@TheBottomDoc·
Choice of immunomodulatory therapies in IBD: The story in 2024, summarised in just three slides David T Rubin (University of Chicago) @DDWMeeting
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Keşfet

@goldstone_tony @HeldinEU @nhs_pensions @LG_NHS @JAG_Endoscopy @DDWMeeting @elonmusk @BarackObama