Thread by @DrMalSimons, It’s been ~1 year that #COVID19 has changed our lives forever. As [...]

Malorie

DrMalSimons

It’s been ~1 year that #COVID19 has changed our lives forever.

As an IM physician, GI trainee, educator and human, here are my thoughts/observations. Please indulge me in a

and join the convo. Would love to hear your take! #GITwitter 1/9

It’s been ~1 year that #COVID19 has changed our lives forever. As an IM physician, GI trainee, educator and human, here are my thoughts/observations. Please indulge me in a and join the convo. Would love to hear your take! #GITwitter 1/9

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

Rectal tubes/Fecal Mngt systems: need careful monitoring. >48 hours

pressure ulcers

rectal bleeding https://bit.ly/2LFvltR

Ensure regular

: none in 48 hours, ask why?

Endoscopy may not always be the answer; conservative mngt may be

https://bit.ly/3jzFp44

3/9 NUTRITION, NUTRITION, NUTRITION

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

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

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

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

8/9 Adult learning ( #andragogy) NEEDS social interaction ( #constructivismtheory). Shout out to the giants in education: @DrEllieDS at @TeachersCollege and my brother @JordanDSimons

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