Steven C. Lin MD, MPH @StevenLinMD
GI at Kaiser Permanente WA @kpWashington Ex-Chief Fellow @BIDMC_GI @Harvard Compassionate & patient-centered #GI and #IBD care. Thoughts mine. Seattle, WA Joined March 2019-
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Pacific Science Center (206) 443-2001 goo.gl/maps/9qRo8zWHu…
Ustekinumab is associated with superior effectiveness outcomes compared to vedolizumab in #crohns disease patients with prior failure to anti‐TNF treatment. One wonders about surgical outcomes as well. Time to rearrange our pantry? onlinelibrary.wiley.com/doi/full/10.11…
Our paper on characteristics and outcomes of >500 #IBD patients from 33 countries with #COVID19 is out in time for #WorldIBDDay @AGA_Gastro @EJBrenner_MD @ryanungaro @JeanFredericCo1 @MichaelKappel12 @MountSinaiGI @MSHS_IBDCenter @UNCGastro Thank you all! gastrojournal.org/article/S0016-…
*Please share*: Top ten facts about #COVID19 and the gut: C19 is #NotJustCough. In the past 3 wks we've learned a lot about how C19 infects the gastrointestinal tract. In this tweetorial, I summarize what's known and provide relevant research links in one place. Here goes...(1/6)
Protection of 318 patients w/ #IBD from #COVID19 in #Wuhan - how hard would it be to institute this in your practice? #PreventCOVID19Spread is key and to do it early. We have all the #tech . Isn’t it time to create something yourself & #LeadByExample ? papers.ssrn.com/sol3/papers.cf…
Study this past week shows that around half of patients subsequently diagnosed with #coronavirus had digestive symptoms. 1/
Resources for IBD Healthcare Professionals: COVID-19 Crohn's & Colitis Foundation - 1 wk later, I find myself tapering steroids quickly & inducing without pred. Reaching for budesonide more - how has your practice changed since #COVID19 for pts with #IBD ? crohnscolitisfoundation.org/coronavirus/pr…
A great thread from @BrennanSpiegel. This is what I mentioned on the @CrohnsColitisFn Facebook Live event. ▶️ACE2 receptors (mode of entry for SARS-CoV-2) present in sm bowel ▶️SARS-CoV-2 detectable in stool ▶️Reasonable to think that fecal spread occurs ▶️WASH YOUR HANDS! ✋🤚
A great thread from @BrennanSpiegel. This is what I mentioned on the @CrohnsColitisFn Facebook Live event. ▶️ACE2 receptors (mode of entry for SARS-CoV-2) present in sm bowel ▶️SARS-CoV-2 detectable in stool ▶️Reasonable to think that fecal spread occurs ▶️WASH YOUR HANDS! ✋🤚
#COVID19 : Inslee announces mandatory statewide stay-at-home order - finally! I fear too late but better now than never. Been disappointed in the governors lukewarm reactions. Why is WA so far behind when the first outbreak originated here? #WashYourHands kiro7.com/news/local/cor…
Reminder from @ebtapper paper presented at JC bit.ly/32s7O3n @AGA_CGH Checklist to reduce readmits -goal-directed lactulose therapy and rifaximin for overt HE -prompts for antibiotic prophylaxis of SBP
Environmental Risk Factors for #IBD - Great Italian study I think generalizable to the US: smoking, urban living, appendectomy, tonsillectomy, abx, OCP, soft drinks, low vit D, non-H. pylori-like enterohepatic species. Does this change how you counsel pts? gastrojournal.org/article/S0016-…
Ustekinumab as Induction and Maintenance Therapy for Ulcerative Colitis | NEJM - this study finally came out after much awaited anticipation. Talking point - why q12/q8 week (and not q8/q6) dosing for UC? Conservatism for the sake of safety? Thoughts? nejm.org/doi/full/10.10…
The disparities continue...great work by my colleagues at @BIDMC_GI @HD3vedi @ghezaz @BonderAlan
The disparities continue...great work by my colleagues at @BIDMC_GI @HD3vedi @ghezaz @BonderAlan
Great practical application - especially when training is already such a long process, and there is high demand for competent, super-specialized care of extremely chronically ill individuals @fudmanMD @BIDMC_GI @shanaR21 @SShannahanMD @GIChiefNid
Great practical application - especially when training is already such a long process, and there is high demand for competent, super-specialized care of extremely chronically ill individuals @fudmanMD @BIDMC_GI @shanaR21 @SShannahanMD @GIChiefNid
Multicenter 'NBI-SCAR' study in @GIE_Journal to predict recurrence at colon polyp resection sites. Very high sens/spec if ≥ 2 features present. No biopsy required if 2 'neg' features? (Shout out to @BIDMC_GI fellows/staff who were key participants). giejournal.org/article/S0016-…
Treatment of #IBD in Patients With a History of #Cancer can be daunting. We discuss a patient-centered approach extending beyond the 2015 #ecco guidelines, and incorporate data on newer #biologic therapies — academic.oup.com/ibdjournal/art…
What an elegant and humanistic way for patients and families to express their disease narratives. As a visual person, these flow diagrams could help encapsulate the overall story of a patients #IBD history within seconds. @CrohnsColitisFn #myIBD @Forbes forbes.com/sites/chrisstr…
Are we unconsciously biased against NASH cirrhosis pts referred for transplant? #nash #NAFLD #cirrhosis ncbi.nlm.nih.gov/m/pubmed/30809…
Using Ergonomics to Prevent Injuries for the Endoscopist #AmJGastro Utterly critical to establish early in #GI training. As my mentor @CCheneyMD says, don’t start a case until the positioning is perfect. What can you do differently going forward? journals.lww.com/ajg/pages/arti…
Back to the basics - health care maintenance for our patients with #IBD The question is, how do you fit these into your clinic visits? I believe with the right health delivery model involving nurses, advanced practice providers, and efficient IT tools, any practice can score 100%
Back to the basics - health care maintenance for our patients with #IBD The question is, how do you fit these into your clinic visits? I believe with the right health delivery model involving nurses, advanced practice providers, and efficient IT tools, any practice can score 100%
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