Attending the Jenny Heathcote Hepatology Update today. ##liversky www.torontohepatologyupdate.com

Parents are pressured to give ... www.cbc.ca/news/canada/... It's very telling @cbc.bsky.social did not allow comments at the end of this article. I'm sure GenX would roast them. It implies that women in the workplace is a recent thing. Most of my friends' moms were working. Summers were glorious.

Saturday’s Toronto Star (Canada)

Ben Davidson talking about deep brain stimulation of the nucleus accumbans as a means to manage severe alcohol use disorder, some with poor liver function. #LiverSky www.nature.com/articles/s41...

"[My adviser] told me that instead of focusing on finding a dream job, I should think about what I am good at and what makes me happy at least 80% of the time. This advice surprised me at first, but it ended up being exactly what I needed to hear." scim.ag/3DHtLCc

Toronto Winter Garden Theatre for the Wizard of Oz

As a teacher, I hope my students learn when I teach them. However they seem to need a lot of repetition to get through the stages: 1. New concept 2. Heard before 3. Remember 4. Understand 5. Apply knowledge For some concepts most never get to 5

Hi Ren. Song from 2022. Ever hear something that sounds interesting but when you listen to the words it blows you away. Self doubt, mental health. #MedSky youtu.be/s_nc1IVoMxc?...

Liver Clinic Christmas party The one where the lab researchers go WILD

2015 HCV meds became available. I was made to feel envy because I was told that if a drug was approved by the FDA, laws mandated that it would be covered. The grass always seems greener elsewhere but sometimes it is just a mirage. HCV meds soon became readily available in Ontario Canada. #MedSky

Telus clinic reboot in Toronto. Are they a silo again or will blood test results be visible in OLIS so that healthcare providers outside of Telus can see the whole picture when their patients get sick? MedCan and Cleveland clinic also silos @thestar.com www.thestar.com/business/a-h... @torstar

For years I have heard the arguments for private healthcare from healthcare colleagues in Australia and USA. Why have we not heard more about the challenges from mainstream media? Have the Hollywood court dramas been more accurate all along?

EASL abstract deadline 20 minutes ago. Not surprisingly their website crashed at the crucial last minute #LiverSky

Thoughts on Functional Cure of chronic HBV infection. #LiverSky is this rare or are we just not checking? How many patients get annual HBsAg testing? Literature says best predictor of HBsAg loss is falling HBsAg titer. How else did they expect it to go negative??

Functional cure of chronic HBV infection. When someone with chronic HBV infection becomes HBsAg neg. Can happen without any of the newer experimental agents. What would you like to know about this? #LiverSky

Here's where the primary care crisis is hitting Ontario hardest www.thetrillium.ca/news/health/... @jackhauen.bsky.social Get weekly updates: CanadaHealthwatch.ca/newsletter 🍁

Today one of my hospital sites moves from Sorian to Epic for EMR. Expect stress levels to spike but the effort is well worth it. studentcentre.unityhealth.to/epic-emr/ #Epic #SMH

sus chicken (not my meme, creds to whoever made this)

More than 2,300 family doctors in Ontario are over 65 and may soon retire toronto.citynews.ca/2024/11/27/l... Get weekly updates: CanadaHealthwatch.ca/newsletter 🍁

More virtual participants than in person. How do you mute all in zoom? #HBV #TLM24 debrief Colina Yim back as translator

Post AASLD debrief on Nov 23, 2024 sponsored by the chineseliversupportgroup.ca The picture is fake. The topic is new approaches to HBV therapeutics. The translators are going to struggle. #liversky #HBV

#Epic EMR users. How many of you use #SlicerDicer? It has changed how I document - more discrete field documentation, less free text. Great places to mine data: Medical History Surgical History Medications Socioeconomic (race) I wish their substance use section was more useful.

Poster 4468 at #TLM24 describes another approach to the #A1AT problem. Use a small molecule chaperone to prevent polymerization of PiZ in the liver. Dosed orally in mice. If it works in humans could fix both liver and lung disease.

Inpatient consults for abnormal ALT got you down? Poster 4057 at #TLM24 from Don Rockey at MUSC has you covered. My script for such consults is: Treat sepsis Avoid hypotension Thank you very much

Poster 4117 at #TLM24 from Hong Kong. Safe to stop beta blockers in cirrhotics if the cause of cirrhosis is controlled (think HBV) or removed (think HCV, maybe alcohol)

Poster 4103 at #TLM24 Provocative study from BI Deaconess in Boston re cholecystitis in cirrhotics. Argues that percutaneous cholecystectomy tube placement has risk. However did not compare to cholecystectomy in an equally sick cohort.

Poster 4160 at #TLM24 from Don Rockey's group at MUSC about lactulose. Doctors love it. Patients hate it. Turns out it can cause real harms with hypernatremia.

Poster 4202 at #TLM24 Ascites pressure causes symptoms and you can make patients feel better with paracentesis. @ebtapper.bsky.social Other factors that might contribute to pain include blood or infection in the fluid.

Poster 4461 at #TLM24 From Wave Life Sciences in Cambridge, MA. RNA editing as a means to treat PiZ Alpha-1 Antitrypsin Deficiency.

Cool poster 4488 at #TLM24 Using Autofluorescence to predict H&E staining of liver. Can allow 3D virtual biopsy.

Taking a break at #TLM24