![Thread 🧵](https://abs.twimg.com/emoji/v2/72x72/1f9f5.png)
![Lautsprecheranlage 📢](https://abs.twimg.com/emoji/v2/72x72/1f4e2.png)
As an IM physician, GI trainee, educator and human, here are my thoughts/observations. Please indulge me in a
![Thread 🧵](https://abs.twimg.com/emoji/v2/72x72/1f9f5.png)
2/9 #COVID19 Coagulopathy: GI bleeding is most common GI consult(excellent talk by @mlatorremd @AmCollegeGastro ) and can be very hard to Tx
risk of
vs clot is a multiD approach
Some tips I learned
![Waage ⚖️](https://abs.twimg.com/emoji/v2/72x72/2696.png)
![Tropfen Blut 🩸](https://abs.twimg.com/emoji/v2/72x72/1fa78.png)
Some tips I learned
![Rückhand Zeigefinger nach unten 👇](https://abs.twimg.com/emoji/v2/72x72/1f447.png)
![Fettes weißes Häkchen ✅](https://abs.twimg.com/emoji/v2/72x72/2705.png)
![Pfeil nach rechts ➡️](https://abs.twimg.com/emoji/v2/72x72/27a1.png)
![Pfeil nach rechts ➡️](https://abs.twimg.com/emoji/v2/72x72/27a1.png)
![Fettes weißes Häkchen ✅](https://abs.twimg.com/emoji/v2/72x72/2705.png)
![Dreckshaufen 💩](https://abs.twimg.com/emoji/v2/72x72/1f4a9.png)
![Fettes weißes Häkchen ✅](https://abs.twimg.com/emoji/v2/72x72/2705.png)
![Alter Schlüssel 🗝️](https://abs.twimg.com/emoji/v2/72x72/1f5dd.png)
3/9 NUTRITION, NUTRITION, NUTRITION
![Doppeltes Ausrufezeichen ‼️](https://abs.twimg.com/emoji/v2/72x72/203c.png)
in acute illness and healing process.
Many need long term options (feeding tubes) but procedure rooms may be limited.
#IRad, #GI, #Surgery may be able to help so more durable feeding
delayed https://bit.ly/3aX56r8
![Doppeltes Ausrufezeichen ‼️](https://abs.twimg.com/emoji/v2/72x72/203c.png)
![Schlüssel 🔑](https://abs.twimg.com/emoji/v2/72x72/1f511.png)
Many need long term options (feeding tubes) but procedure rooms may be limited.
#IRad, #GI, #Surgery may be able to help so more durable feeding
!["Betreten verboten!"-Zeichen 🚫](https://abs.twimg.com/emoji/v2/72x72/1f6ab.png)
4/9 #colorectalcancer screening is NOT elective. There have been delays in diagnosis and treatment. March is #coloncancerawareness month. We can’t let COVID+ #colorectalcancer team up and win!
https://bit.ly/374nygF
https://bit.ly/374nygF
5/9 As always, be mindful of anti-secretory Rx. Whether PPIs and H2RAs truly increase risk for COVID, I’m not sure. But we should always Rx wisely. https://bit.ly/2ZbBSzj
6/9 Healthcare #Burnout is real. It’s our responsibility to take care of each other. Make a point to check in with yourself+colleagues. https://bit.ly/3q5Otjw
To the residents out there...you my MVP
@Brown_IM_Chiefs @KellyMcGarry10 @RossHilliard @OslerResidency @sanjayvdesai
To the residents out there...you my MVP
@Brown_IM_Chiefs @KellyMcGarry10 @RossHilliard @OslerResidency @sanjayvdesai
7/9 If it wasn't obvious before, #COVID19 has brought health disparities to light: a flaming, burning, supernova of light! WE MUST BE AWARE, LISTEN,TAKE ACTION https://bit.ly/2Z3HU5l
Shout out to our leaders @drfolamay @LindaNguyenMD @SophieBalzoraMD @DMGrayMD @cnekekez
Shout out to our leaders @drfolamay @LindaNguyenMD @SophieBalzoraMD @DMGrayMD @cnekekez
8/9 Adult learning ( #andragogy) NEEDS social interaction ( #constructivismtheory). Shout out to the giants in education: @DrEllieDS at @TeachersCollege and my brother @JordanDSimons ![Lächelndes Gesicht mit lächelnden Augen 😊](https://abs.twimg.com/emoji/v2/72x72/1f60a.png)
Now, Insert #SoMed and #GITwitter taking the world by storm!
![Lächelndes Gesicht mit lächelnden Augen 😊](https://abs.twimg.com/emoji/v2/72x72/1f60a.png)
Now, Insert #SoMed and #GITwitter taking the world by storm!
Virtual GI education has exploded- and it’s here to stay!
networking
educational materials
sharing ideas/experiences
Many thanks to those who have made it possible: @MondayNightIBD @ScopingSundays @GiJournal @ASGEendoscopy @AmCollegeGastro
and to my twitter family
![Pfeil nach oben ⬆️](https://abs.twimg.com/emoji/v2/72x72/2b06.png)
![Pfeil nach oben ⬆️](https://abs.twimg.com/emoji/v2/72x72/2b06.png)
![Pfeil nach oben ⬆️](https://abs.twimg.com/emoji/v2/72x72/2b06.png)
Many thanks to those who have made it possible: @MondayNightIBD @ScopingSundays @GiJournal @ASGEendoscopy @AmCollegeGastro
and to my twitter family
![Zwei Herzen 💕](https://abs.twimg.com/emoji/v2/72x72/1f495.png)
9/9 In summary
COVID Coagulopathy= team approach
Nutrition
Get screened #colorectalcancer
Mindful of PPIs,H2RAs
Healthcare disparities = pandemic
Burnout is real,
for each other
Virtual education has exploded-and it’s here to stay!
What say you #GITwitter? /Fin
![Fettes weißes Häkchen ✅](https://abs.twimg.com/emoji/v2/72x72/2705.png)
![Schlüssel 🔑](https://abs.twimg.com/emoji/v2/72x72/1f511.png)
![Fettes weißes Häkchen ✅](https://abs.twimg.com/emoji/v2/72x72/2705.png)
![Fettes weißes Häkchen ✅](https://abs.twimg.com/emoji/v2/72x72/2705.png)
![Fettes weißes Häkchen ✅](https://abs.twimg.com/emoji/v2/72x72/2705.png)
![Fettes weißes Häkchen ✅](https://abs.twimg.com/emoji/v2/72x72/2705.png)
![Augen 👀](https://abs.twimg.com/emoji/v2/72x72/1f440.png)
![Fettes weißes Häkchen ✅](https://abs.twimg.com/emoji/v2/72x72/2705.png)
What say you #GITwitter? /Fin