Rest in peace to Chuck Norris
Throwback to the one day the nurses thought I was cool when the Texas Ranger quoted me in a post on alcohol: creators.com/read/c-force/0…
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Elliot Tapper
15.1K posts
Elliot Tapper
@ebtapper
Hepatologist @michiganliver @vaannarbor; #cirrhosis; encephalopathy; frailty; quality improvement; father; husband. #livertwitter Co-EIC of @HepCommJournal
Ann Arbor, MI Katılım Eylül 2011
665 Takip Edilen42.9K Takipçiler
Elliot Tapper retweetledi
🔥 HOT TOPIC
📘 @HepCommJournal
Blood-based biomarker screening represents a transformative advance in liver cancer surveillance, and this #HCC Early Detection Strategy (HEDS) study tackles the crucial challenges of optimizing test thresholds and interpreting how changes over time affect early detection performance.
Read the full study here: bit.ly/4bBmDFX
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Blue Cross is actually a great partner in improving the quality of care that we provide
I don’t blame any company for negotiating, but sending out letters to patients talking smack, that’s odd
We have work to do and this is just to weird
Michigan Medicine@umichmedicine
Facts matter. We have offered to extend our current contract with BCBSM. Anything beyond that, we would earn through better access, better quality, and cost performance. Even under our proposal, BCBSM would continue paying us below other insurers in MI: UofMHealth.org/BCBSM
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Elliot Tapper retweetledi
Big win: Evidence-based vaccine policy matters.
A new court ruling preserves hepatitis A & B recommendations and protects patients, scientific research, and liver & public health.
AASLD remains committed to advocacy that drives impact.
Learn more: aasld.org/policy-communi….
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Nothing good will come from the transition to Cerner from CPRS I am sorry to say
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Elliot Tapper retweetledi
Azacytidine, our fantastic hypomethylating agent, used for treatment of MDS and AML, was discovered in 1964, and then fell into oblivion. Almost 40 years later it was FDA approved as the first effective MDS treatment.
A 🧵about an unusual revival:
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Elliot Tapper retweetledi
3 rules for #colorectalcancer prevention from @UCLAHealth Medically Speaking podcast w/ Dr. Eve Glazier, @drfolamay & @katiecouric:
1️⃣Know your family history
2️⃣Screen at 45 (40 if high-risk)
3️⃣Don’t ignore persistent GI symptoms
Early detection starts w/ a simple conversation.
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Elliot Tapper retweetledi
Pro-tip for all the residents and fellows out there: bring the nurse/tech/staff who does the lactulose enema for your patient their favorite beverage from the local coffee shop.
Vinay Jahagirdar@vinayjaha
Lactulose clinical pearls from 🆕 2026 #HepaticEncephalopathy guidelines @AmCollegeGastro Hospitalised with overt HE: 📌10-20g q2h till 2 soft BM, then down to 2-4/day for 2-3 soft BM/day 📌Enema 200g lactulose or 0.3L solution with 0.7L water/NS, retain for 30-60min, repeat q4-6h 📌High volume 4L PEG prep as alternative to lactulose 📌In intubated with FMS: hold lactulose if >300mL stool/day. Monitor for ⬆️ Na 👉 pubmed.ncbi.nlm.nih.gov/41773757/ @JasmohanBajaj @ebtapper @ArunJesudian @YucaSpice @umfoodoc @AmyOxentenkoMD @liverUSA @BavenoCoop @ISHENliver
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I sat next to @scottisaacsmd yesterday and told him this episode was great
The Curbsiders@thecurbsiders
Episode 481: Prediabetes & Diabetes Prevention is packed with practical pearls you’ll use in clinic tomorrow. Save this post for a quick clinic refresher and share with a colleague who loves a good endocrine pearl. #Curbsiders #InternalMedicine
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Elliot Tapper retweetledi
Co-Editors @ebtapper and Carmen Chak-Lui Wong share exciting science from the February issue of @HepCommJournal including studies on the reproductive hormones and #MASLD, increases in patient quality of life on #Resmetirom, the role of cGAS beyond viral DNA sensing, new #HCC research, and much more. #LiverTwitter
Watch below and view the latest issue here: bit.ly/4sf5gBm
youtube.com/watch?v=WYDtqX…
YouTube
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Elliot Tapper retweetledi
▶️ A #ColorectalCancerAwarenessMonth message from ACG President Dr. William Chey (@umfoodoc):
🔹 45 or older & average risk?
🔹 Family history of CRC?
🔹 Bowel symptoms?
Talk to your doctor about getting screened. Your future self will thank you.
➡️ gi.org/coloncancer
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Elliot Tapper retweetledi
📑 Prevalence and outcomes of steatotic liver disease subtypes in older adults❕
journals.lww.com/hepcomm/fullte…
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Elliot Tapper retweetledi
Elliot Tapper retweetledi
📑 Electronic decision aids enhance management of primary care patients with steatotic liver disease‼️
➡️ Automated, FIB-4–based guidance
➡️ Guideline adherence ⬆️ from 30% to 46%
One click closer to improved #MASLD care❕
journals.lww.com/hepcomm/fullte…
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AI didn’t help with endoscopy for gastric cancer detection
(High rate of intestinal metaplasia in th population, 7 minute procedures)
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Alpha-1 antitrypsin deficiency accelerates the progression of liver diseases
Diabetes/obesity + ZZ = bad
Not clearly the case with MZ
The goal is risk factor modification
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The rate, predictors, and outcomes of recompensation in MASH cirrhosis
@HepCommJournal journals.lww.com/hepcomm/fullte…
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Antibiotics probably aren’t beneficial for patients with cirrhosis & GI bleeding
It will take time to change practice on this, but this is probably ripe for some antimicrobial stewardship
The idea that a few doses of ceftriaxone improve *mortality* in GI bleed was always sus…
AnnalsofEM@AnnalsofEM
classic teaching: cirrhosis + upper GI bleed = antibiotics for everyone. But how strong is the evidence behind that practice? This Annals of Emergency Medicine Systematic Review Snapshot highlights a Bayesian meta-analysis of 14 randomized trials examining antibiotic prophylaxis in cirrhotic patients with upper GI bleeding. The analysis raises important questions about duration of therapy, while also reminding us about the limitations of older, heterogeneous trials and potential bias in the data. 📚 The takeaway: worth reading, worth discussing, and worth scrutinizing the methods before changing practice. Check out the full Systematic Review Snapshot in Annals of Emergency Medicine and decide for yourself. Reference: Prosty C, Noutsios D, Dubé LR, et al. Prophylactic antibiotics for upper gastrointestinal bleeding in patients with cirrhosis: a systematic review and Bayesian meta-analysis. JAMA Intern Med. 2025;185:1194-1203. Discussed in: Annals of Emergency Medicine Systematic Review Snapshot. #EmergencyMedicine #MedEd #FOAMed #EvidenceBasedMedicine #AnnalsOfEM
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From a grateful patient today. Just made my week! 😊😊😊 💕
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After 5 years, average citations per paper
1. Graphical abstract: 93
2. Story tweets: 141
Difference, p 0.07
Telling the story behind the work makes it stickier and results in more downloads and citations
Elliot Tapper@ebtapper
We wanted to⬆️engagement with @JHepatology research 🤔Hypothesis: people are ⬆️ likely to connect with the people behind the research than the research itself 🧐Plan: Randomize papers to personal story tweets or graphical abstracts 🧐Primary Outcome: paper downloads #livertwitter
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