Devika Gandhi, MD
@devikagandhi.bsky.social
Advanced Endoscopy Fellow 🧰 @ Emory // #IMProud & dx reasoning 🤓 // 🌱 based, National Parks fanatic 🥾, & sad Cleveland sports fan // #MedSky #GISky
Reposted by Devika Gandhi, MD
Absolute iron deficiency affects approximately 2 billion people worldwide.
This narrative review examines the screening, diagnosis, and treatment of adults with absolute iron deficiency without anemia and iron-deficiency anemia.
#ACC25 https://ja.ma/3Xw1i9K
This narrative review examines the screening, diagnosis, and treatment of adults with absolute iron deficiency without anemia and iron-deficiency anemia.
#ACC25 https://ja.ma/3Xw1i9K
March 30, 2025 at 1:45 PM
Absolute iron deficiency affects approximately 2 billion people worldwide.
This narrative review examines the screening, diagnosis, and treatment of adults with absolute iron deficiency without anemia and iron-deficiency anemia.
#ACC25 https://ja.ma/3Xw1i9K
This narrative review examines the screening, diagnosis, and treatment of adults with absolute iron deficiency without anemia and iron-deficiency anemia.
#ACC25 https://ja.ma/3Xw1i9K
Reposted by Devika Gandhi, MD
Even better
@laurennephewmd.bsky.social is actively building interventions to reduce disparities by involving the patients in their design
journals.lww.com/hepcomm/full...
@laurennephewmd.bsky.social is actively building interventions to reduce disparities by involving the patients in their design
journals.lww.com/hepcomm/full...
March 1, 2025 at 1:12 PM
Even better
@laurennephewmd.bsky.social is actively building interventions to reduce disparities by involving the patients in their design
journals.lww.com/hepcomm/full...
@laurennephewmd.bsky.social is actively building interventions to reduce disparities by involving the patients in their design
journals.lww.com/hepcomm/full...
Reposted by Devika Gandhi, MD
🚨High Yield Infographic Alert!!!!
😴 Don’t sleep on these pearls from our most recent episode #471 Iron Deficiency Anemia with Dr. Tom DeLoughery 🥩🥬💉
Share with a friend who needs these! 👯
😴 Don’t sleep on these pearls from our most recent episode #471 Iron Deficiency Anemia with Dr. Tom DeLoughery 🥩🥬💉
Share with a friend who needs these! 👯
February 19, 2025 at 2:43 AM
🚨High Yield Infographic Alert!!!!
😴 Don’t sleep on these pearls from our most recent episode #471 Iron Deficiency Anemia with Dr. Tom DeLoughery 🥩🥬💉
Share with a friend who needs these! 👯
😴 Don’t sleep on these pearls from our most recent episode #471 Iron Deficiency Anemia with Dr. Tom DeLoughery 🥩🥬💉
Share with a friend who needs these! 👯
Reposted by Devika Gandhi, MD
🚨The Red Section: How I Approach it
✅The Management of #Gastroparesis Symptoms‼️
@amcollegegastro.bsky.social 🆕🔥
🎯Practical approaches to managing gastroparesis👏
✳️Choice of therapy in gastroparesis based on possible #pathophysiolocal correlates
✳️Dietary management👏
👉
journals.lww.com/ajg/citation...
✅The Management of #Gastroparesis Symptoms‼️
@amcollegegastro.bsky.social 🆕🔥
🎯Practical approaches to managing gastroparesis👏
✳️Choice of therapy in gastroparesis based on possible #pathophysiolocal correlates
✳️Dietary management👏
👉
journals.lww.com/ajg/citation...
February 4, 2025 at 2:08 PM
🚨The Red Section: How I Approach it
✅The Management of #Gastroparesis Symptoms‼️
@amcollegegastro.bsky.social 🆕🔥
🎯Practical approaches to managing gastroparesis👏
✳️Choice of therapy in gastroparesis based on possible #pathophysiolocal correlates
✳️Dietary management👏
👉
journals.lww.com/ajg/citation...
✅The Management of #Gastroparesis Symptoms‼️
@amcollegegastro.bsky.social 🆕🔥
🎯Practical approaches to managing gastroparesis👏
✳️Choice of therapy in gastroparesis based on possible #pathophysiolocal correlates
✳️Dietary management👏
👉
journals.lww.com/ajg/citation...
Reposted by Devika Gandhi, MD
As we head into 2025, I'll be sharing 25 MEDICAL HISTORY OBJECTS starting with...
#1) 5,000-year-old prosthetic eye made of bitumen paste with lines radiating out from iris. Worn by a 6’ tall woman (possibly a priestess), found near the city of Zabol in Iran. The eye would have been painted gold.
#1) 5,000-year-old prosthetic eye made of bitumen paste with lines radiating out from iris. Worn by a 6’ tall woman (possibly a priestess), found near the city of Zabol in Iran. The eye would have been painted gold.
December 31, 2024 at 2:54 PM
As we head into 2025, I'll be sharing 25 MEDICAL HISTORY OBJECTS starting with...
#1) 5,000-year-old prosthetic eye made of bitumen paste with lines radiating out from iris. Worn by a 6’ tall woman (possibly a priestess), found near the city of Zabol in Iran. The eye would have been painted gold.
#1) 5,000-year-old prosthetic eye made of bitumen paste with lines radiating out from iris. Worn by a 6’ tall woman (possibly a priestess), found near the city of Zabol in Iran. The eye would have been painted gold.
Reposted by Devika Gandhi, MD
Health insurance industry PR is working overtime right now diverting blame to physicians for claim denials and rising costs. I feel compelled to remind everybody that Optum (UHC) is the largest employer of physicians in the US. We have never had less power in healthcare than we do right now.
December 12, 2024 at 6:03 PM
Health insurance industry PR is working overtime right now diverting blame to physicians for claim denials and rising costs. I feel compelled to remind everybody that Optum (UHC) is the largest employer of physicians in the US. We have never had less power in healthcare than we do right now.
Reposted by Devika Gandhi, MD
Filling out the form took me 6 minutes (it was 3 pages)
I put it in the "to fax" tray
So now we wait
14 minutes of my day for a single cheap med for a single patient
I have a lot of patients on a lot of meds
This is why physicians are pissed and why #PriorAuthorization is bullshit
endofrant/
I put it in the "to fax" tray
So now we wait
14 minutes of my day for a single cheap med for a single patient
I have a lot of patients on a lot of meds
This is why physicians are pissed and why #PriorAuthorization is bullshit
endofrant/
a man in a tuxedo is saying it 's done .
ALT: a man in a tuxedo is saying it 's done .
media.tenor.com
December 11, 2024 at 11:40 AM
Filling out the form took me 6 minutes (it was 3 pages)
I put it in the "to fax" tray
So now we wait
14 minutes of my day for a single cheap med for a single patient
I have a lot of patients on a lot of meds
This is why physicians are pissed and why #PriorAuthorization is bullshit
endofrant/
I put it in the "to fax" tray
So now we wait
14 minutes of my day for a single cheap med for a single patient
I have a lot of patients on a lot of meds
This is why physicians are pissed and why #PriorAuthorization is bullshit
endofrant/
Reposted by Devika Gandhi, MD
Unless Congress acts in the next three weeks, Medicare will stop covering telehealth.
For people too sick to leave home for months, including millions who have been disabled by Covid, this will mean losing all access to healthcare.
Please sign this petition urging your representatives to act
For people too sick to leave home for months, including millions who have been disabled by Covid, this will mean losing all access to healthcare.
Please sign this petition urging your representatives to act
Preserving Telehealth
Preserving Telehealth Many U.S. telehealth benefits are set to expire shortly at the end of this year (December 31, 2024). With this email campaign, you can simply fill out your information and it wi...
actionnetwork.org
December 4, 2024 at 4:35 AM
Unless Congress acts in the next three weeks, Medicare will stop covering telehealth.
For people too sick to leave home for months, including millions who have been disabled by Covid, this will mean losing all access to healthcare.
Please sign this petition urging your representatives to act
For people too sick to leave home for months, including millions who have been disabled by Covid, this will mean losing all access to healthcare.
Please sign this petition urging your representatives to act
Reposted by Devika Gandhi, MD
December 2, 2024 at 9:54 PM
Reposted by Devika Gandhi, MD
Throwback for Thanksgiving
November 28, 2024 at 5:56 PM
Throwback for Thanksgiving
Reposted by Devika Gandhi, MD
As #GIs, we all encounter Large #ColonPolyps needing #EMR
✳️ Several techniques available (🔥, 🥶💧 EMR)
✅ In this review, we (alongside #HeikoPohl) summarize a Polyp Tailored Resection Strategy
🙏 to @amergastroassn.bsky.social #CGH for the opportunity !
👉 www.cghjournal.org/article/S154...
✳️ Several techniques available (🔥, 🥶💧 EMR)
✅ In this review, we (alongside #HeikoPohl) summarize a Polyp Tailored Resection Strategy
🙏 to @amergastroassn.bsky.social #CGH for the opportunity !
👉 www.cghjournal.org/article/S154...
November 24, 2024 at 6:25 PM
As #GIs, we all encounter Large #ColonPolyps needing #EMR
✳️ Several techniques available (🔥, 🥶💧 EMR)
✅ In this review, we (alongside #HeikoPohl) summarize a Polyp Tailored Resection Strategy
🙏 to @amergastroassn.bsky.social #CGH for the opportunity !
👉 www.cghjournal.org/article/S154...
✳️ Several techniques available (🔥, 🥶💧 EMR)
✅ In this review, we (alongside #HeikoPohl) summarize a Polyp Tailored Resection Strategy
🙏 to @amergastroassn.bsky.social #CGH for the opportunity !
👉 www.cghjournal.org/article/S154...
Reposted by Devika Gandhi, MD
Why do people wear shoe covers in the operating room?
💥 The reason may surprise you!
A 🧵 about the #HistoryOfMedicine and the dangers of blindly following traditions.
onepagericu.com/blog/cx1l66q...
1/
💥 The reason may surprise you!
A 🧵 about the #HistoryOfMedicine and the dangers of blindly following traditions.
onepagericu.com/blog/cx1l66q...
1/
Dissipating The Myth of Shoe Covers — ICU One Pager
If you work in a hospital chances are you've put on shoes covers. This is a well intentioned practice largely predicated on a misunderstanding about the history of medicine. Originally, shoe covers we...
onepagericu.com
November 23, 2024 at 5:16 PM
Why do people wear shoe covers in the operating room?
💥 The reason may surprise you!
A 🧵 about the #HistoryOfMedicine and the dangers of blindly following traditions.
onepagericu.com/blog/cx1l66q...
1/
💥 The reason may surprise you!
A 🧵 about the #HistoryOfMedicine and the dangers of blindly following traditions.
onepagericu.com/blog/cx1l66q...
1/
Reposted by Devika Gandhi, MD
What if physicians were paid to NOT prescribe unneeded antibiotics? 🤔
Clinicians in 🇯🇵 were paid ~$5.7 when rationale provided to not prescribe 💊 for kids <3y with acute URTI or gastro
There was sustained ⬇️ in ABx (~20%) over 4 yrs w/o signals of harm
academic.oup.com/cid/advance-...
Clinicians in 🇯🇵 were paid ~$5.7 when rationale provided to not prescribe 💊 for kids <3y with acute URTI or gastro
There was sustained ⬇️ in ABx (~20%) over 4 yrs w/o signals of harm
academic.oup.com/cid/advance-...
November 23, 2024 at 1:41 PM
What if physicians were paid to NOT prescribe unneeded antibiotics? 🤔
Clinicians in 🇯🇵 were paid ~$5.7 when rationale provided to not prescribe 💊 for kids <3y with acute URTI or gastro
There was sustained ⬇️ in ABx (~20%) over 4 yrs w/o signals of harm
academic.oup.com/cid/advance-...
Clinicians in 🇯🇵 were paid ~$5.7 when rationale provided to not prescribe 💊 for kids <3y with acute URTI or gastro
There was sustained ⬇️ in ABx (~20%) over 4 yrs w/o signals of harm
academic.oup.com/cid/advance-...
Reposted by Devika Gandhi, MD
When insulin was first patented in 1923, the discoverers declined to put their names on it as they felt that insulin belonged to the public.
101 years later, insulin is inaccessible to thousands of Americans because of price gouging by near-monopoly private insurance corporations and their PBMs.
101 years later, insulin is inaccessible to thousands of Americans because of price gouging by near-monopoly private insurance corporations and their PBMs.
BREAKING: CVS Health, UnitedHealth Group and Cigna are suing the Federal Trade Commission, claiming that the agency going after drug middlemen over high insulin prices is unconstitutional.
November 20, 2024 at 10:03 PM
When insulin was first patented in 1923, the discoverers declined to put their names on it as they felt that insulin belonged to the public.
101 years later, insulin is inaccessible to thousands of Americans because of price gouging by near-monopoly private insurance corporations and their PBMs.
101 years later, insulin is inaccessible to thousands of Americans because of price gouging by near-monopoly private insurance corporations and their PBMs.
Reposted by Devika Gandhi, MD
After falling for decades, the childhood mortality rate has started to rise.
What’s killing kids? Trauma, drugs and firearms.
www.nytimes.com/2024/11/19/b...
What’s killing kids? Trauma, drugs and firearms.
www.nytimes.com/2024/11/19/b...
November 19, 2024 at 12:57 PM
After falling for decades, the childhood mortality rate has started to rise.
What’s killing kids? Trauma, drugs and firearms.
www.nytimes.com/2024/11/19/b...
What’s killing kids? Trauma, drugs and firearms.
www.nytimes.com/2024/11/19/b...
Please allow me to re-introduce myself. I’m Devika an advanced endoscopy fellow at Emory by way of Ohio, Indiana, and California interested in all things pancreas, wandering, and finding the perfect panang curry 🥘
November 20, 2024 at 6:57 PM
Please allow me to re-introduce myself. I’m Devika an advanced endoscopy fellow at Emory by way of Ohio, Indiana, and California interested in all things pancreas, wandering, and finding the perfect panang curry 🥘
Reposted by Devika Gandhi, MD
Medicine focuses a lot on the question “will this help my patient” but not on the question “when will it help my patient.” The latter becomes important as we age. We’ve developed a “time-to-benefit” tool on eprognosis.ucsf.edu to help answer this question. Here is a snapshot
#MedSky #FOAMed #meded
#MedSky #FOAMed #meded
November 18, 2024 at 2:51 PM
Medicine focuses a lot on the question “will this help my patient” but not on the question “when will it help my patient.” The latter becomes important as we age. We’ve developed a “time-to-benefit” tool on eprognosis.ucsf.edu to help answer this question. Here is a snapshot
#MedSky #FOAMed #meded
#MedSky #FOAMed #meded
Reposted by Devika Gandhi, MD
I know I'm a bit late, but here's the updated table of #IBD treatments with their doses & routes of administration with the addition of guselkumalb
Full quality table ➡️ www.ibd-eii.com/ibdcheatsheet/
Full quality table ➡️ www.ibd-eii.com/ibdcheatsheet/
November 17, 2024 at 4:47 PM
I know I'm a bit late, but here's the updated table of #IBD treatments with their doses & routes of administration with the addition of guselkumalb
Full quality table ➡️ www.ibd-eii.com/ibdcheatsheet/
Full quality table ➡️ www.ibd-eii.com/ibdcheatsheet/
Reposted by Devika Gandhi, MD
The best review on PSC that I have read
journals.lww.com/hepcomm/full...
🫡 @autoimmuneliver.bsky.social
#medsky #liversky
journals.lww.com/hepcomm/full...
🫡 @autoimmuneliver.bsky.social
#medsky #liversky
Management of primary sclerosing cholangitis: Current... : Hepatology Communications
and colorectal cancer. Medical therapies are lacking, and this, in part, reflects a poor grasp of disease biology. As a result, current management is largely supportive, with liver transplantation an ...
journals.lww.com
November 17, 2024 at 2:57 PM
The best review on PSC that I have read
journals.lww.com/hepcomm/full...
🫡 @autoimmuneliver.bsky.social
#medsky #liversky
journals.lww.com/hepcomm/full...
🫡 @autoimmuneliver.bsky.social
#medsky #liversky
Reposted by Devika Gandhi, MD
So, patients are not receiving the equivalent of 200 mg of IV iron with transfusion. Not even close. Your recently transfused iron deficient patient likely still has a major iron deficit and will benefit with iron therapy. Do not be afraid to treat them!
5/5
#anemia
@shematologist.bsky.social
5/5
#anemia
@shematologist.bsky.social
November 15, 2024 at 9:32 PM
So, patients are not receiving the equivalent of 200 mg of IV iron with transfusion. Not even close. Your recently transfused iron deficient patient likely still has a major iron deficit and will benefit with iron therapy. Do not be afraid to treat them!
5/5
#anemia
@shematologist.bsky.social
5/5
#anemia
@shematologist.bsky.social
Reposted by Devika Gandhi, MD
If you’re a physician and you don’t have own occupation disability insurance (and not b/c you’re uninsurable) you gotta get yourself covered.
1 in 4 will sustain a disability during their working years.
Group coverage often sucks AND it doesn’t travel w/ you, even if it’s good.
This is important.
1 in 4 will sustain a disability during their working years.
Group coverage often sucks AND it doesn’t travel w/ you, even if it’s good.
This is important.
November 15, 2024 at 1:46 AM
If you’re a physician and you don’t have own occupation disability insurance (and not b/c you’re uninsurable) you gotta get yourself covered.
1 in 4 will sustain a disability during their working years.
Group coverage often sucks AND it doesn’t travel w/ you, even if it’s good.
This is important.
1 in 4 will sustain a disability during their working years.
Group coverage often sucks AND it doesn’t travel w/ you, even if it’s good.
This is important.
Reposted by Devika Gandhi, MD
Boards: "what is the next best step?"
Real life: "ohhh btw totes forgot to mention they live 6 hours away from your hospital, across the Rocky Mountains, in a town of 500 people, 90 minutes from the nearest basic medical care/lab, are self pay with no insurance, and it's winter. Sooo now what?"
Real life: "ohhh btw totes forgot to mention they live 6 hours away from your hospital, across the Rocky Mountains, in a town of 500 people, 90 minutes from the nearest basic medical care/lab, are self pay with no insurance, and it's winter. Sooo now what?"
November 14, 2024 at 4:57 AM
Boards: "what is the next best step?"
Real life: "ohhh btw totes forgot to mention they live 6 hours away from your hospital, across the Rocky Mountains, in a town of 500 people, 90 minutes from the nearest basic medical care/lab, are self pay with no insurance, and it's winter. Sooo now what?"
Real life: "ohhh btw totes forgot to mention they live 6 hours away from your hospital, across the Rocky Mountains, in a town of 500 people, 90 minutes from the nearest basic medical care/lab, are self pay with no insurance, and it's winter. Sooo now what?"
Reposted by Devika Gandhi, MD
