Majdoline Jayoushe, MD

@NicolaBragazzi Very true!! And thanks to your parents we have more great quality research on Ramadan fasting and several chronic illnesses 😄 🙌🏼

Sad but true. I grew up with my parents urging me to study because, they said, having skills is important. I later discovered that this is not true: those who hold important positions are often ignorant and placed there due to favoritism and corruption

@DrSandman11 Yes felt it in Manhattan!

@PIAEKGdoc1 Yes agree but I did not have any previous EKGs to compare which I think was the main driving force behind the urgency! You never can be too overly cautious with a RBBB

@mjayoushe Did u ever find out if the RBBB is new? If new could be a sign of Rt heart strain. Also has TWI out to V3 which can also be seen in PE. Was she on a BB (can attenuate tachycardia from a PE). Remember sinus tach is the most common EKG abnormality.

Dr. Majdoline Jayoushe shares with @vogue why you should take cold showers. “Think of it as a mini ‘shock’ to your system,” she says. Read via @nypost: mshs.co/3QMn0mV

even more reason why pts w/mental health issues need to be followed very closely while #Wegovy #Ozempic GLP-1 RA suppress not just food cravings but other rewarding behaviors in the brain.There is also evidence suggesting these drugs can be neuroprotective pubmed.ncbi.nlm.nih.gov/36064147

Post-ingestive nutrient signaling is impaired in individuals w/ obesity and not rescued by 10% wt loss. I need to go deeper into the study, but it provides data to support the dz state is different. nature.com/articles/s4225… [editorial] nature.com/articles/s4225… @DiFel1ceantonio

Great case. Can’t emphasize how important understanding the female physiology is in daily primary care practice.

Medicare does not currently cover anti obesity drugs. If that changes, and if effective, these drugs could be a game changer for people who have difficulty losing weight, but the costs to Medicare are unlikely to be trivial. See thread @KhrystaBaig @NEJM

2/11 Firstly ❓- Are #SoMe based #MedEd platforms & activities useful? This survey by @DCharabaty & team 📝 at @DDWMeeting shows: ✅ Respondents suggesting change in practice based on discussions in 👆 ✅ Enhances collaborations ✅ Promotes decision making ✅ Opport networking

@cindympratiwi @BrownJHM I would avoid prescribing gabapentin with acyclovir I’ve had patients report worsening AEs of gabapentin with the combination (dizziness, hallucinations etc. ) Best to treat with NSAIDs during acute phase and reserve gabapentin use for PHN

A 69 year old man came with painful rash localized to his chest area. What is the diagnosis & treatment? #Medtwitter

Consider this: #weightloss is NOT the treatment for #obesity Weight loss is the RESULT of treating obesity Lifestyle changes, medications, and/or surgery re-wire the homeostatic and hedonic feeding circuits in your brain, which characterize the pathophysiology of obesity

@RomyChamoun Best of luck!! You got this 💪🏼😘😘

It’s Official! ✅Submitted my ERAS application for GI fellowship!! Best of luck to all applicants! 🙌 #GITwitter #Match2023 #WomenInGI #FellowshipMatch 🔦 💩 🩺

@rav7ks And impt to note for hospital acquired meningitis (eg s/p VP shunting) needs pseudomonal coverage so vanc + cefepime

@rav7ks Thank you for these rapid fire review tweets for those of us who can’t attend in person!!

@DrReddyGI @GIDrDon @GI_Pearls @drjerber It’s a good stepping stone for patients who are scared/reluctant to undergo surgery and like many other chronic illnesses, obesity should not be treated any differently: lifestyle modifications -> medical management-> invasive/surgical intervention

What does #GITwitter think about recent data for potential #weightloss medications? #obesity #bariatricmedicine #BariatricSurgery #MedTwitter @GIDrDon @GI_Pearls @drjerber Tirzepatide with 15-20.9% weight loss vs 3.1% for placebo over 72 weeks: nejm.org/doi/full/10.10…

@onepeloton Harry Styles ride with Ally and Emma

if you could take any class again for the first time, what would you take?

What a time to be alive! #tirzepatide the other new kid on the block for treatment of obesity. Results from #SURMOUNT -1 trial. Will be interesting to see results of a head to head trial with Semaglutide

@AllonKahn @SalihSamo @DrMohdZein @MTPapaD @AmCollegeGastro @oneome This is so helpful thank you so much Dr. Kahn!

@mjayoushe @SalihSamo @DrMohdZein @MTPapaD @AmCollegeGastro Also worth mentioning I am increasingly seeing some patients coming with this kind of pharmacogenomic testing already done (e.g. @oneome, etc). Often the reports are dense and this interaction is overlooked or misapplied. So PCP should know about this relationship.

@MTPapaD @AllonKahn @SalihSamo @DrMohdZein @MayoClinicENT @MayoClinicSurg @RenaYadlapati Thank you for sharing your expertise Dr. Papademetriou ! Is there a specific type of Alginate based therapy you recommend ? Attempted to prescribe this but most retail pharmacies did not carry it

@AllonKahn @SalihSamo @DrMohdZein @MTPapaD Thank you so much for the deep dive and excellent references! Can you elaborate on CYP2C19 metabolizers, is this something PCPs should get familiar with?

@mjayoushe @SalihSamo @DrMohdZein @MTPapaD TY for the tag! Complex❓- some thoughts: 1) What is the “GERD” symptom? Ex. Regurg ⬇️ response to medical intensification and if refractory to lifestyle changes will likely need 🔪 2) What is “optimized”?CYP2C19 metabolizer status? High-potency PPI? pubmed.ncbi.nlm.nih.gov/28964908/