Thanks UW Division of Gastroenterology & Hepatology for having me and for allowing me to have great discussions with your fellows and faculty!

Haley Mertens #MondayNightIBD Joseph Sleiman, MD Katie Dunleavy Romy Chamoun, MD Sanjeevani Tomar, MD Daniel J. Stein Poonam Beniwal-Patel, MD Amber: You Don't Need a Podcast; Just Come on Mine Natalie Hayden Melodie Narain-Blackwell Empowering Patients,LLC • Alison Tiffany Taft, PsyD 🤫 GutlessandGlamorous IBD Nurse Kay Tina ✨ Own Your Crohn’s The Bottom Line (IBD) Kelly Issokson MS RD (she/her) Sneha Dave Lori Plung Danielle Marie Vitelli O’Connor Shaina Sekhri, MD Morgan Lamberg Rachel Goodman Noa Krugliak Cleveland, MD John Damianos, M.D. Austin Chiang, MD MPH Meena Bewtra Peter Higgins Sara Horst MD, MPH, FACG Katie Hutchins, MD Mohammad Bilal, MD Anita Afzali MD, MPH, MHCM, FACG, AGAF Lizzie Aby, MD Nikki Duong, M.D. (He/Him) Gerald Holtmann Prof. Nick Talley Lin Chang Saurabh Chandan, MD William Chey Kate Wilcox 👩🏼‍🦰 Salina Faidhalla Freddy Caldera, DO, MS Ana Maldonado Jeremy Adler, MD, MSc Diana Lerner Peter L. Lu, MD, MS Megan Lutz Fantastic #Back2Basics Tweetorial Haley Mertens Joseph Sleiman, MD

Another myth is that surgery in #IBD is “last resort”- there are clear indications for ✂️ where “waiting for different meds to work” delays a necessary ✂️ & make the pt sicker waiting
#AllTreatNoTricks 👻

Pretty awesome mythbusting #MondayNightIBD tweetorial by Haley Mertens and Joseph Sleiman, MD

Lots of awesome information - check it out! 👇🏾👇🏾

I love that this came out - highlights the global problem #IBD is, starting with South Asia.

👏 to South Asian IBD Alliance (SAIA) Tina ✨ Own Your Crohn’s Madhura Balasubramaniam Parakkal Deepak MD, MS, FACG Neilanjan Nandi, MD, FACP Vishal Sharma!!

Hot off the press! 🗞

Thanks to @aga_gastro @aga_cgh for publishing our commentary comparing access & costs of #IBD care between #SouthAsia & the West.

We at #SAIA are thrilled to turn these barriers into opportunities for better care as IBD grows 🌍

authors.elsevier.com/c/1fy0y3mEmbnQo

Interesting thread

(H/t Jonathan Segal)

👏🏼👏🏼👏🏼Congratulations Pitt Division of GI, Hepatology & Nutrition's Dhiraj Yadav, MD, MPH: Professor of Medicine WITH Tenure !
We are Med Panc Proud!🎉

#MondayNightIBD Joseph Sleiman, MD Katie Dunleavy Romy Chamoun, MD Sanjeevani Tomar, MD Daniel J. Stein Poonam Beniwal-Patel, MD Amber: You Don't Need a Podcast; Just Come on Mine Natalie Hayden Melodie Narain-Blackwell Empowering Patients,LLC • Alison Tiffany Taft, PsyD 🤫 GutlessandGlamorous IBD Nurse Kay Tina ✨ Own Your Crohn’s The Bottom Line (IBD) Kelly Issokson MS RD (she/her) Sneha Dave Lori Plung Danielle Marie Vitelli O’Connor Shaina Sekhri, MD Morgan Lamberg Rachel Goodman Noa Krugliak Cleveland, MD John Damianos, M.D. Austin Chiang, MD MPH Meena Bewtra Peter Higgins Sara Horst MD, MPH, FACG Katie Hutchins, MD Mohammad Bilal, MD Anita Afzali MD, MPH, MHCM, FACG, AGAF Lizzie Aby, MD Nikki Duong, M.D. (He/Him) Gerald Holtmann Prof. Nick Talley Lin Chang Saurabh Chandan, MD William Chey Kate Wilcox 👩🏼‍🦰 Salina Faidhalla Freddy Caldera, DO, MS Aline Charabaty, M.D. Ana Maldonado Jeremy Adler, MD, MSc Diana Lerner Peter L. Lu, MD, MS Megan Lutz Jami Kinnucan, MD, FACG 12.
❌Can’t enjoy Halloween with IBD

✅Of course, you can! Check 👇

What other myths do you want to be debunked for clinicians & for people living with #IBD ?

Share your comments!

#MondayNightIBD Joseph Sleiman, MD Katie Dunleavy Romy Chamoun, MD Sanjeevani Tomar, MD Daniel J. Stein Poonam Beniwal-Patel, MD Amber: You Don't Need a Podcast; Just Come on Mine Natalie Hayden Melodie Narain-Blackwell Empowering Patients,LLC • Alison Tiffany Taft, PsyD 🤫 GutlessandGlamorous IBD Nurse Kay Tina ✨ Own Your Crohn’s The Bottom Line (IBD) Kelly Issokson MS RD (she/her) Sneha Dave Lori Plung Danielle Marie Vitelli O’Connor Shaina Sekhri, MD Morgan Lamberg Rachel Goodman Noa Krugliak Cleveland, MD John Damianos, M.D. Austin Chiang, MD MPH Meena Bewtra Peter Higgins Sara Horst MD, MPH, FACG Katie Hutchins, MD Mohammad Bilal, MD Anita Afzali MD, MPH, MHCM, FACG, AGAF Lizzie Aby, MD Nikki Duong, M.D. (He/Him) Gerald Holtmann Prof. Nick Talley Lin Chang Saurabh Chandan, MD William Chey Kate Wilcox 👩🏼‍🦰 Salina Faidhalla Freddy Caldera, DO, MS Aline Charabaty, M.D. Ana Maldonado Jeremy Adler, MD, MSc Diana Lerner Peter L. Lu, MD, MS Megan Lutz Jami Kinnucan, MD, FACG 11.
❌Controlled #IBD doesn’t need #MentalHealth support

✅ IBD affects physical, emotional, social, psychological, sexual & financial ⚕️ health
✅IBD👉higher risk of depression & anxiety & should be offered appropriate professional mental support
😷talk to your pts about this!

#MondayNightIBD Joseph Sleiman, MD Katie Dunleavy Romy Chamoun, MD Sanjeevani Tomar, MD Daniel J. Stein Poonam Beniwal-Patel, MD Amber: You Don't Need a Podcast; Just Come on Mine Natalie Hayden Melodie Narain-Blackwell Empowering Patients,LLC • Alison Tiffany Taft, PsyD 🤫 GutlessandGlamorous IBD Nurse Kay Tina ✨ Own Your Crohn’s The Bottom Line (IBD) Kelly Issokson MS RD (she/her) Sneha Dave Lori Plung Danielle Marie Vitelli O’Connor Shaina Sekhri, MD Morgan Lamberg Rachel Goodman Noa Krugliak Cleveland, MD John Damianos, M.D. Austin Chiang, MD MPH Meena Bewtra Peter Higgins Sara Horst MD, MPH, FACG Katie Hutchins, MD Mohammad Bilal, MD Anita Afzali MD, MPH, MHCM, FACG, AGAF Lizzie Aby, MD Nikki Duong, M.D. (He/Him) Gerald Holtmann Prof. Nick Talley Lin Chang Saurabh Chandan, MD William Chey Kate Wilcox 👩🏼‍🦰 Salina Faidhalla Freddy Caldera, DO, MS Aline Charabaty, M.D. Ana Maldonado Jeremy Adler, MD, MSc Diana Lerner Peter L. Lu, MD, MS Megan Lutz Jami Kinnucan, MD, FACG 10b.
❌You can have UC and CD at the same time

✅ 10% of pts w IBD have indeterminate colitis (features of both UC and CD)
✅ Patient first dx w UC can later develop features characteristic of CD (fistula, SB disease) & dx changes from UC to CD

#MondayNightIBD Joseph Sleiman, MD Katie Dunleavy Romy Chamoun, MD Sanjeevani Tomar, MD Daniel J. Stein Poonam Beniwal-Patel, MD Amber: You Don't Need a Podcast; Just Come on Mine Natalie Hayden Melodie Narain-Blackwell Empowering Patients,LLC • Alison Tiffany Taft, PsyD 🤫 GutlessandGlamorous IBD Nurse Kay Tina ✨ Own Your Crohn’s The Bottom Line (IBD) Kelly Issokson MS RD (she/her) Sneha Dave Lori Plung Danielle Marie Vitelli O’Connor Shaina Sekhri, MD Morgan Lamberg Rachel Goodman Noa Krugliak Cleveland, MD John Damianos, M.D. Austin Chiang, MD MPH Meena Bewtra Peter Higgins Sara Horst MD, MPH, FACG Katie Hutchins, MD Mohammad Bilal, MD Anita Afzali MD, MPH, MHCM, FACG, AGAF Lizzie Aby, MD Nikki Duong, M.D. (He/Him) Gerald Holtmann Prof. Nick Talley Lin Chang Saurabh Chandan, MD William Chey Kate Wilcox 👩🏼‍🦰 Salina Faidhalla Freddy Caldera, DO, MS Aline Charabaty, M.D. Ana Maldonado Jeremy Adler, MD, MSc Diana Lerner Peter L. Lu, MD, MS Megan Lutz Jami Kinnucan, MD, FACG 10a.
❌You can have UC and CD at the same time

✅ CD can affect the colon only👉called Crohn’s colitis
⚠️CD can affect the rectum (not all proctitis = UC)
⚠️Peri-appendiceal patch in UC is not “patchy CD”
⚠️backwash ileitis in severe UC is not ileocolonic CD

#MondayNightIBD Joseph Sleiman, MD Katie Dunleavy Romy Chamoun, MD Sanjeevani Tomar, MD Daniel J. Stein Poonam Beniwal-Patel, MD Amber: You Don't Need a Podcast; Just Come on Mine Natalie Hayden Melodie Narain-Blackwell Empowering Patients,LLC • Alison Tiffany Taft, PsyD 🤫 GutlessandGlamorous IBD Nurse Kay Tina ✨ Own Your Crohn’s The Bottom Line (IBD) Kelly Issokson MS RD (she/her) Sneha Dave Lori Plung Danielle Marie Vitelli O’Connor Shaina Sekhri, MD Morgan Lamberg Rachel Goodman Noa Krugliak Cleveland, MD John Damianos, M.D. Austin Chiang, MD MPH Meena Bewtra Peter Higgins Sara Horst MD, MPH, FACG Katie Hutchins, MD Mohammad Bilal, MD Anita Afzali MD, MPH, MHCM, FACG, AGAF Lizzie Aby, MD Nikki Duong, M.D. (He/Him) Gerald Holtmann Prof. Nick Talley Lin Chang Saurabh Chandan, MD William Chey Kate Wilcox 👩🏼‍🦰 Salina Faidhalla Freddy Caldera, DO, MS Aline Charabaty, M.D. Ana Maldonado Jeremy Adler, MD, MSc Diana Lerner Peter L. Lu, MD, MS Megan Lutz Jami Kinnucan, MD, FACG 9b.
For more info on the #PatientExperience living with an #ostomy :

Check out this #MondayNightIBD 🧵 with GutlessandGlamorous

twitter.com/MondayNightIBD…

#MondayNightIBD Joseph Sleiman, MD Katie Dunleavy Romy Chamoun, MD Sanjeevani Tomar, MD Daniel J. Stein Poonam Beniwal-Patel, MD Amber: You Don't Need a Podcast; Just Come on Mine Natalie Hayden Melodie Narain-Blackwell Empowering Patients,LLC • Alison Tiffany Taft, PsyD 🤫 GutlessandGlamorous IBD Nurse Kay Tina ✨ Own Your Crohn’s The Bottom Line (IBD) Kelly Issokson MS RD (she/her) Sneha Dave Lori Plung Danielle Marie Vitelli O’Connor Shaina Sekhri, MD Morgan Lamberg Rachel Goodman Noa Krugliak Cleveland, MD John Damianos, M.D. Austin Chiang, MD MPH Meena Bewtra Peter Higgins Sara Horst MD, MPH, FACG Katie Hutchins, MD Mohammad Bilal, MD Anita Afzali MD, MPH, MHCM, FACG, AGAF Lizzie Aby, MD Nikki Duong, M.D. (He/Him) Gerald Holtmann Prof. Nick Talley Lin Chang Saurabh Chandan, MD William Chey Kate Wilcox 👩🏼‍🦰 Salina Faidhalla Freddy Caldera, DO, MS Aline Charabaty, M.D. Ana Maldonado Jeremy Adler, MD, MSc Diana Lerner Peter L. Lu, MD, MS Megan Lutz Jami Kinnucan, MD, FACG 9a.
👻Extra myths:

❌Patients with ostomies can’t🏊‍♀️🏃or🤰

✅You can swim!
✅You can run!
✅Most physical activity is okay!
✅Yes, you can have a healthy pregnancy!

✅More 👇

#MondayNightIBD Joseph Sleiman, MD Katie Dunleavy Romy Chamoun, MD Sanjeevani Tomar, MD Daniel J. Stein Poonam Beniwal-Patel, MD Amber: You Don't Need a Podcast; Just Come on Mine Natalie Hayden Melodie Narain-Blackwell Empowering Patients,LLC • Alison Tiffany Taft, PsyD 🤫 GutlessandGlamorous IBD Nurse Kay Tina ✨ Own Your Crohn’s The Bottom Line (IBD) Kelly Issokson MS RD (she/her) Sneha Dave Lori Plung Danielle Marie Vitelli O’Connor Shaina Sekhri, MD Morgan Lamberg Rachel Goodman Noa Krugliak Cleveland, MD John Damianos, M.D. Austin Chiang, MD MPH Meena Bewtra Peter Higgins Sara Horst MD, MPH, FACG Katie Hutchins, MD Mohammad Bilal, MD Anita Afzali MD, MPH, MHCM, FACG, AGAF Lizzie Aby, MD Nikki Duong, M.D. (He/Him) Gerald Holtmann Prof. Nick Talley Lin Chang Saurabh Chandan, MD William Chey Kate Wilcox 👩🏼‍🦰 Salina Faidhalla Freddy Caldera, DO, MS Aline Charabaty, M.D. Ana Maldonado Jeremy Adler, MD, MSc Diana Lerner Peter L. Lu, MD, MS Megan Lutz For more info on #IBD and 🤰:

Check out this #MNIBDWebinar 📽️ Brunch with
Aline Charabaty, M.D. + Jami Kinnucan, MD, FACG

twitter.com/MondayNightIBD…

#MondayNightIBD Joseph Sleiman, MD Katie Dunleavy Romy Chamoun, MD Sanjeevani Tomar, MD Daniel J. Stein Poonam Beniwal-Patel, MD Amber: You Don't Need a Podcast; Just Come on Mine Natalie Hayden Melodie Narain-Blackwell Empowering Patients,LLC • Alison Tiffany Taft, PsyD 🤫 GutlessandGlamorous IBD Nurse Kay Tina ✨ Own Your Crohn’s The Bottom Line (IBD) Kelly Issokson MS RD (she/her) Sneha Dave Lori Plung Danielle Marie Vitelli O’Connor Shaina Sekhri, MD Morgan Lamberg Rachel Goodman Noa Krugliak Cleveland, MD John Damianos, M.D. Austin Chiang, MD MPH Meena Bewtra Peter Higgins Sara Horst MD, MPH, FACG Katie Hutchins, MD Mohammad Bilal, MD Anita Afzali MD, MPH, MHCM, FACG, AGAF Lizzie Aby, MD Nikki Duong, M.D. (He/Him) Gerald Holtmann Prof. Nick Talley Lin Chang Saurabh Chandan, MD William Chey Kate Wilcox 👩🏼‍🦰 Salina Faidhalla Freddy Caldera, DO, MS Aline Charabaty, M.D. Ana Maldonado Jeremy Adler, MD, MSc Diana Lerner Peter L. Lu, MD, MS Megan Lutz Uma Mahadevan Shrinivas Bishu 8.
❌Patients with #IBD will give it to their children

✅⬆️⬆️risk factor for IBD is ➕FH, but it is multifactorial
✅1 parent 👩‍👦with CD⬆️ 5-10%
✅1 parent 👨‍👧with UC⬆️2-4%
✅2 parents👨‍👨‍👧with IBD ⬆️ ~30-40%