Science can change misconceptions
Many healthcare workers report a (misunderstood, nihilistic) belief that ALD & AUD patients cannot change drinking - cannot be helped.

Here's Hanna Blaney, MD, MPH proving them wrong in Hepatology Communications
#livertwitter
journals.lww.com/hepcomm/fullte…

Fact: Sankey diagrams are no good

These are 5 TIPS so my patients feel comfortable to talk about alcohol and they DON’T UNDER-REPORT its use:

1.⁠ ⁠I first talk about the potential cause of their liver disease in a SUBTLE way. Some patients will immediately tell me that changes are due to alcohol and will feel…

Fact: the best people in our hospital work at MLine

Photo credit: FattyLiverAlliance

New profile pic

Things that often happen when people stop drinking alcohol:

1. Liver heals
2. Weight loss, sometimes lots of it
3. Better sleep
4. Improved sex life
5. Better mood, more hope
6. Longer life expectancy
…
And you make a hepatologist’s day

Go Fred!

Taxi driver to Barcelona airport:
Which airport you fly to?

Me:
Detroit

Driver:
Ah yes, Robocop. Robocop is Detroit

Does MRI screening improve survival for people with PSC?

journals.lww.com/hepcomm/fullte… #livertwitter

There is no stepwise increase in the risk of encephalopathy with worsening psychometric scores in this international study

journals.lww.com/hepcomm/fullte…

Hepatology Communications Simon J. Gairing Patty Pringle Bloom, M.D. CLabenz

#LiverTwitter

Great study in Hepatology Communications showing
🏠💪 Home Exercise
💊 BCAA: branched-chain amino acids
🦠 Probiotica

✅benefit #Cirrhosis patients by decreasing
- 👋🦵 risk of falls
- 🏥🚑 ER room visits

Elliot Tapper Carrie Lynn I did the same thing in NM, same results. One big hurdle - getting IR to let go of business. Solution: Show them how to give albumin during paracentesis when indicated, doesn't slow through put (IR nurses put IVs in efficiently) and they can bill for the albumin

They created a paracentesis clinic. It reduced ER visits and improved patient satisfaction

But how can we make happen locally?

Good thing someone who walks the walk wrote the editorial. Check out Carrie Lynn below

Editorial by our Carrie Lynn

On building an urgent paracentesis clinic pubmed.ncbi.nlm.nih.gov/38700628/

Original paper: pubmed.ncbi.nlm.nih.gov/38700627/

Our residents hit some home runs ⚾️💥 today during the plenary sessions at our Internal Medicine Research Symposium!! We learned about COVID + PCI 🫀, food insecurity and COPD 🫁, and TIPS procedures 💉 in marginalized populations! Way to go team!! 👏

How can we improve our nation’s liver health?

Elliot Tapper Can we better connect SLD to the other manifestations of metabolic dysfunction, medically and culturally?
It feels like a huge missed opportunity that the liver is barely included in the new cardiac-kidney-metabolic syndrome discussion.