@ibdlive

#ibdlive national video teleconference with CCF UPMC UMD. advancing the management of complex IBD care

Joined October 2018
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33Media
.@EHealthLaw, Chair of @ClearHealthQI Standards Committee, Vice President @AmericanTelemed, Partner @JonesDay. Presenting on the Leadership Perspective. #ATA19 @NewOrleansENMCC
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Ah yes the classic discussion @MRegueiroMD vs @arwmd !
Taha Qazi@tqaziMD10 Jan 2019
Replying to @ibdlive
@ibdlive monosyllabic vs polysyllabic discussions on a great case of poorly controlled, penetrating Crohn’s. Surgery clearly the answer, but how doe we foster the best relationships with our patients?
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Replying to @ibdlive
@IBDLive Interesting article "Rescue Diverting Loop Ileostomy: An Alternative to Emergent Colect..." @arwmd @MRegueiroMD @BinionMd #IBD #IBDSurgery – at Cleveland, OH
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Case 2. IPAA. DLI. Takedown reveals a leak at J pouch Recurrent pancreatitis. ? Pancreatic duct strictures. #ibdlive
Ibdlive retweeted
Taha Qazi@tqaziMD6 Dec 2018
Replying to @ibdlive
@ibdlive Case #2: presenter by Dr Alka Young woman with UC, developed recurrent pancreatitis. Time to brush up On GELs and LSPS. Type 1 vs Type 2 pancreatitis. Also with a CBD stricture and PD abnormalities
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. #ibdlive.
Taha Qazi@tqaziMD6 Dec 2018
Replying to @ibdlive
@ibdlive Case #2: presenter by Dr Alka Young woman with UC, developed recurrent pancreatitis. Time to brush up On GELs and LSPS. Type 1 vs Type 2 pancreatitis. Also with a CBD stricture and PD abnormalities
Case 2. 11yo distal colitis. 2017 pancreatitis. Aug 2017 colectomy. Presents early 2018 with CBD stricture / jaundice. ERCP stent. R/o PSC. MRCP #ibdlive
Case 1. @YaleMed Surgery. RHV, possible extended right depending on path. Take the mesentery with a high location. #ibdlive
Case 1. C/S, chromo and path. Multifocal LG dysplasia. #ibdlive @YaleMed
Case 1: At our @ibdlive national teleconference. @YaleMed 60's male, Crohn's Dz '86. Surgery 2004 ICR. Now with recurrent Dz. MRE with recurrent long TI inflammation. C/S shows LG dys. Flat polyp, in cecum. ? plan. @MRegueiroMD @arwmd @IBDJournal @CrohnsColitisFn
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C2. #ibdlive Long term. Steroid taper. Working with neurologists. @UPMC - not all sarcoid respond to anti-TNF @BenClickMD Thanks @MRegueiroMD for moderating.
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C2. #ibdlive. Likely neuro and intestinal sarcoidosis. Rx steroids. Improved neuro and back to baseline. Brain sarcoid after anti-TNF. @Marylandibddoc - picture below @MRegueiroMD @arwmd
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. #ibdlive
Ben Click@BenClickMD29 Nov 2018
NUD15 mutation in Hispanic patient causing severe pancytopenia. Thinking beyond TPMT. Another phenomenal case @ibdlive
C2. #ibdlive Brain Bx done. @YaleMed - Whipple Dz ? Diffuse granulomatous process. @CleClinicMD Challenging conversation. @UPMC ? Vasculitic process. Re Brian Bx - hypercellular. ? Granuloma. Maybe vasculitis.
C2. #ibdlive Back to Maryland. ? Whipple Dz. LP - WBC 101. Whipple PCR negative. Repeat imaging. Diffuse SB thickening. Sigmoid inflammation. Confirmed on endoscopy.
C2. #ibdlive Develops neuro Sx. Status epilepticus and other Sx. Syncope, combative. MRI. ? Gliomatosis cerebri. Over to group discussion.
C2. @Marylandibddoc 50’s make with abd pain. Prox jejunal thickening. Jenunal thickenkng. Path - chronic active inflammation. Dx with Crohns. #ibdlive
C1. #ibdlive Comments. Drug toxicity likely behind this. Non surgical. Back to RIH for comments. Back to @CleClinicMD And at some point surgery likely. Lehigh - started on Vedo. Homozygous defect may be behind this with AZT Rx. Alopecia a key finding.
C1. Back to Lehigh. To ICU and resuscitated. IBD mess help. Held off on BM Bx. Empirical ABx. IBD workup neg. counts normalized on steroids. #ibdlive Recent EBV infection. Asc and cecal colitis.
C1. #ibdlive. This AM 18 sites live 👍. Over to Hershey for discussions now.
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