Devika Gandhi, MD

Figure 1. Iron Absorption, Storage, and Conservation in the Body

Absolute iron deficiency affects approximately 2 billion people worldwide.

This narrative review examines the screening, diagnosis, and treatment of adults with absolute iron deficiency without anemia and iron-deficiency anemia.

#ACC25 https://ja.ma/3Xw1i9K

Even better

@laurennephewmd.bsky.social is actively building interventions to reduce disparities by involving the patients in their design

journals.lww.com/hepcomm/full...

🚨High Yield Infographic Alert!!!!

😴 Don’t sleep on these pearls from our most recent episode #471 Iron Deficiency Anemia with Dr. Tom DeLoughery 🥩🥬💉

Share with a friend who needs these! 👯

🎯#Practical approaches to managing gastroparesis👏 #BMoshiree #joytorious #DoerflerBethany #MichaelCline🎉 ✳️Choice of therapy in gastroparesis based on possible #pathophysiolocal correlates ✅Dietary management ⏩#Nutrient drinks commonly used in gastroparesis👏 🎯Healthy diet & tips to reduce particle size in gastroparesis💡 🎯Red flags for disordered eating behaviors 🎯Alternate diagnoses to gastroparesis✨ #ViceralHypersensitivity #PyloricDysfunction #ImpairedGastricAccomodation #DecreasedAntralContractility #VagalNerveDysfunction⚡️

🚨The Red Section: How I Approach it
✅The Management of #Gastroparesis Symptoms‼️
@amcollegegastro.bsky.social 🆕🔥
🎯Practical approaches to managing gastroparesis👏
✳️Choice of therapy in gastroparesis based on possible #pathophysiolocal correlates
✳️Dietary management👏
👉
journals.lww.com/ajg/citation...

A skull and neck partially embedded in the ground. Where the eye socket is, there is a large, black ball.

As we head into 2025, I'll be sharing 25 MEDICAL HISTORY OBJECTS starting with...

#1) 5,000-year-old prosthetic eye made of bitumen paste with lines radiating out from iris. Worn by a 6’ tall woman (possibly a priestess), found near the city of Zabol in Iran. The eye would have been painted gold.

Health insurance industry PR is working overtime right now diverting blame to physicians for claim denials and rising costs. I feel compelled to remind everybody that Optum (UHC) is the largest employer of physicians in the US. We have never had less power in healthcare than we do right now.

a man in a tuxedo is saying it 's done . ALT: a man in a tuxedo is saying it 's done .

Filling out the form took me 6 minutes (it was 3 pages)

I put it in the "to fax" tray

So now we wait

14 minutes of my day for a single cheap med for a single patient

I have a lot of patients on a lot of meds

This is why physicians are pissed and why #PriorAuthorization is bullshit

endofrant/

Preserving Telehealth Preserving Telehealth Many U.S. telehealth benefits are set to expire shortly at the end of this year (December 31, 2024). With this email campaign, you can simply fill out your information and it wi...

Unless Congress acts in the next three weeks, Medicare will stop covering telehealth.

For people too sick to leave home for months, including millions who have been disabled by Covid, this will mean losing all access to healthcare.

Please sign this petition urging your representatives to act

What you get when you combine busking & medically minded people
#MedSKy #GISky

Throwback for Thanksgiving

As #GIs, we all encounter Large #ColonPolyps needing #EMR

✳️ Several techniques available (🔥, 🥶💧 EMR)

✅ In this review, we (alongside #HeikoPohl) summarize a Polyp Tailored Resection Strategy

🙏 to @amergastroassn.bsky.social #CGH for the opportunity !

👉 www.cghjournal.org/article/S154...

Follow your bliss!

Always yes. I’m personally a hot tub lady, but I haven’t had one since moving to Atlanta so maybe I’ll need to start using the sauna too?

Dissipating The Myth of Shoe Covers — ICU One Pager If you work in a hospital chances are you've put on shoes covers. This is a well intentioned practice largely predicated on a misunderstanding about the history of medicine. Originally, shoe covers we...

Why do people wear shoe covers in the operating room?

💥 The reason may surprise you!

A 🧵 about the #HistoryOfMedicine and the dangers of blindly following traditions.

onepagericu.com/blog/cx1l66q...

1/

A visual abstract for the article. A figure shows a KM curve with the intervention group having fewer total ABx which continued for 4 years

What if physicians were paid to NOT prescribe unneeded antibiotics? 🤔

Clinicians in 🇯🇵 were paid ~$5.7 when rationale provided to not prescribe 💊 for kids <3y with acute URTI or gastro

There was sustained ⬇️ in ABx (~20%) over 4 yrs w/o signals of harm

academic.oup.com/cid/advance-...

When insulin was first patented in 1923, the discoverers declined to put their names on it as they felt that insulin belonged to the public.

101 years later, insulin is inaccessible to thousands of Americans because of price gouging by near-monopoly private insurance corporations and their PBMs.

After falling for decades, the childhood mortality rate has started to rise.

What’s killing kids? Trauma, drugs and firearms.

www.nytimes.com/2024/11/19/b...

Please allow me to re-introduce myself. I’m Devika an advanced endoscopy fellow at Emory by way of Ohio, Indiana, and California interested in all things pancreas, wandering, and finding the perfect panang curry 🥘

🚨AGA New Guideline Alert🚨
🔗https://tinyurl.com/4dr3y5ms

▶️AGA Living Guideline: Pharmacological Management of Moderate-Severe Ulcerative Colitis
I’ll break down its 14 recommendations down over the next 9 tweets 🧵 👇

#AGA #GI #UC #IBD
1/9

Hi friend 👋🏽 don’t worry I’ll find something fun to post when I’m done with boards 😭

Kimura-Takemoto classification

- classifies atrophic gastritis by locating the atrophic border in the stomach
- closed: border remains on the lesser curve
- open: border extends into anterior and posterior walls of the stomach

#GISky #MedSky

Medicine focuses a lot on the question “will this help my patient” but not on the question “when will it help my patient.” The latter becomes important as we age. We’ve developed a “time-to-benefit” tool on eprognosis.ucsf.edu to help answer this question. Here is a snapshot
#MedSky #FOAMed #meded

I like SkyGuide 🌤️

I know I'm a bit late, but here's the updated table of #IBD treatments with their doses & routes of administration with the addition of guselkumalb

Full quality table ➡️ www.ibd-eii.com/ibdcheatsheet/

Management of primary sclerosing cholangitis: Current... : Hepatology Communications and colorectal cancer. Medical therapies are lacking, and this, in part, reflects a poor grasp of disease biology. As a result, current management is largely supportive, with liver transplantation an ...

The best review on PSC that I have read

journals.lww.com/hepcomm/full...

🫡 @autoimmuneliver.bsky.social
#medsky #liversky

So, patients are not receiving the equivalent of 200 mg of IV iron with transfusion. Not even close. Your recently transfused iron deficient patient likely still has a major iron deficit and will benefit with iron therapy. Do not be afraid to treat them!

5/5

#anemia
@shematologist.bsky.social

If you’re a physician and you don’t have own occupation disability insurance (and not b/c you’re uninsurable) you gotta get yourself covered.

1 in 4 will sustain a disability during their working years.

Group coverage often sucks AND it doesn’t travel w/ you, even if it’s good.

This is important.

Boards: "what is the next best step?"

Real life: "ohhh btw totes forgot to mention they live 6 hours away from your hospital, across the Rocky Mountains, in a town of 500 people, 90 minutes from the nearest basic medical care/lab, are self pay with no insurance, and it's winter. Sooo now what?"

Three panels depicting a scene from the Simpsons where a group of children (representing different medical specialties), pressure Bart (representing radiology) to say his catchphrase “recommend clinical correlation” He does, glumly, and then they cheer

#RadSky

#liversky #cirrhosis