Hanna Blaney, MD, MPH
@blaneymd.medsky.social
Mom | Outdoor Enthusiast | Humanist |Hepato-centric | Alcohol-Associated Liver Disease | Transplant Hepatology Fellow I Liver Fellow Network Co-Lead Fellow | #liversky
Reposted by Hanna Blaney, MD, MPH
There are two articles in NEJM this year that say naltrexone is 'contraindicated for cirrhosis'. This saddens me.
It is not supported by an evidence.
Alcohol is 'contraindicated for cirrhosis'. That is supported by evidence
It is not supported by an evidence.
Alcohol is 'contraindicated for cirrhosis'. That is supported by evidence
May 29, 2025 at 12:21 PM
There are two articles in NEJM this year that say naltrexone is 'contraindicated for cirrhosis'. This saddens me.
It is not supported by an evidence.
Alcohol is 'contraindicated for cirrhosis'. That is supported by evidence
It is not supported by an evidence.
Alcohol is 'contraindicated for cirrhosis'. That is supported by evidence
An important message on naltrexone in patients with liver disease:
✅Naltrexone can help reduce alcohol use without harming the liver.
🚫Alcohol DOES harm the liver.
We do not need any more barriers to treat patients with AUD➕ALD!
@nejm.org @ebtapper.bsky.social
www.nejm.org/doi/full/10....
✅Naltrexone can help reduce alcohol use without harming the liver.
🚫Alcohol DOES harm the liver.
We do not need any more barriers to treat patients with AUD➕ALD!
@nejm.org @ebtapper.bsky.social
www.nejm.org/doi/full/10....
May 29, 2025 at 1:38 AM
An important message on naltrexone in patients with liver disease:
✅Naltrexone can help reduce alcohol use without harming the liver.
🚫Alcohol DOES harm the liver.
We do not need any more barriers to treat patients with AUD➕ALD!
@nejm.org @ebtapper.bsky.social
www.nejm.org/doi/full/10....
✅Naltrexone can help reduce alcohol use without harming the liver.
🚫Alcohol DOES harm the liver.
We do not need any more barriers to treat patients with AUD➕ALD!
@nejm.org @ebtapper.bsky.social
www.nejm.org/doi/full/10....
Do you want to support the future of the best speciality?
As an Emerging Liver Scholar and Advanced Transplant Hepatology awardee, @aasldfoundation.bsky.social has shaped my career. 🙏 to all who support our pathways into hepatology
@aasldnews.bsky.social
🙏Donate👇
www.aasldfoundation.org/donate
As an Emerging Liver Scholar and Advanced Transplant Hepatology awardee, @aasldfoundation.bsky.social has shaped my career. 🙏 to all who support our pathways into hepatology
@aasldnews.bsky.social
🙏Donate👇
www.aasldfoundation.org/donate
Donate Now - Community Hub
www.aasldfoundation.org
May 14, 2025 at 12:39 AM
Do you want to support the future of the best speciality?
As an Emerging Liver Scholar and Advanced Transplant Hepatology awardee, @aasldfoundation.bsky.social has shaped my career. 🙏 to all who support our pathways into hepatology
@aasldnews.bsky.social
🙏Donate👇
www.aasldfoundation.org/donate
As an Emerging Liver Scholar and Advanced Transplant Hepatology awardee, @aasldfoundation.bsky.social has shaped my career. 🙏 to all who support our pathways into hepatology
@aasldnews.bsky.social
🙏Donate👇
www.aasldfoundation.org/donate
📢 PSA: 👩⚕️👨⚕️Primary care doctors and internists:
‼️Please 🛑 telling patients “it’s just fatty liver”
Common, yes. But not benign!
✅ Take 🍺🍸history, perform brief intervention
✅ Manage metabolic risk factors
🧐Fibrosis (FIB-4)
☎️ Your friendly hepatologist if you need help!
#liversky #medsky
‼️Please 🛑 telling patients “it’s just fatty liver”
Common, yes. But not benign!
✅ Take 🍺🍸history, perform brief intervention
✅ Manage metabolic risk factors
🧐Fibrosis (FIB-4)
☎️ Your friendly hepatologist if you need help!
#liversky #medsky
May 8, 2025 at 6:10 PM
In an epidemic of alcohol-use disorder, alcohol-associated liver disease, and cancers driven partially by 🥂🍸🍺, click-bait headlines like these are extremely harmful for population health.
Let’s do better for our patients and public health.
@theguardian.com @nytimes.com @cnn.com @washingtonpost.com
Let’s do better for our patients and public health.
@theguardian.com @nytimes.com @cnn.com @washingtonpost.com
May 6, 2025 at 3:40 PM
In an epidemic of alcohol-use disorder, alcohol-associated liver disease, and cancers driven partially by 🥂🍸🍺, click-bait headlines like these are extremely harmful for population health.
Let’s do better for our patients and public health.
@theguardian.com @nytimes.com @cnn.com @washingtonpost.com
Let’s do better for our patients and public health.
@theguardian.com @nytimes.com @cnn.com @washingtonpost.com
So fun to meet online friends IRL!
May 5, 2025 at 7:22 PM
So fun to meet online friends IRL!
When did the hotel mini-bar get not-so-mini?!
As an alcohol-associated liver disease focused hepatologist, this trend is very concerning!
As an alcohol-associated liver disease focused hepatologist, this trend is very concerning!
May 3, 2025 at 12:08 AM
When did the hotel mini-bar get not-so-mini?!
As an alcohol-associated liver disease focused hepatologist, this trend is very concerning!
As an alcohol-associated liver disease focused hepatologist, this trend is very concerning!
Alcohol use is pervasive. I’ve had conversations about how to prevent harmful drinking in teenagers and children (one study I did on an AUD population the average age of first drink was 11). Here is one idea (that can be applied to other habits)!
What else can we do help reduce underage drinking?
What else can we do help reduce underage drinking?
Studies show that when kids see parents drinking, it normalizes alcohol consumption.
📢 Help prevent early drinking. Have open conversations & model healthy habits at home.
You are your kid’s hero. 👉 bit.ly/3S60G7i
📢 Help prevent early drinking. Have open conversations & model healthy habits at home.
You are your kid’s hero. 👉 bit.ly/3S60G7i
May 1, 2025 at 11:25 AM
Alcohol use is pervasive. I’ve had conversations about how to prevent harmful drinking in teenagers and children (one study I did on an AUD population the average age of first drink was 11). Here is one idea (that can be applied to other habits)!
What else can we do help reduce underage drinking?
What else can we do help reduce underage drinking?
Most of what we see on the liver transplant wards are sick, young patients with alcohol-associated liver disease. We frequently see patients in their 20s and 30s, many who drank at “socially acceptable levels,” with severe liver disease resulting in either transplant or ☠️. #liversky
Alcohol consumption is rising among young people across many low- & middle-income countries, especially among young women. Meanwhile, drinking rates remain high in high-income countries.
Here are the risks & why you should care. 👉 bit.ly/3S60G7i
Here are the risks & why you should care. 👉 bit.ly/3S60G7i
April 29, 2025 at 10:55 PM
Most of what we see on the liver transplant wards are sick, young patients with alcohol-associated liver disease. We frequently see patients in their 20s and 30s, many who drank at “socially acceptable levels,” with severe liver disease resulting in either transplant or ☠️. #liversky
As a clinician scientist who has devoted my life to improving health + advancing science, the last few months have been terrifying. I don't understand why the US doesn't want to continue leading in health + science
Supporting medical science in the USA - The Lancet www.thelancet.com/journals/lan...
Supporting medical science in the USA - The Lancet www.thelancet.com/journals/lan...
Supporting medical science in the USA
The pursuit of rigorous medical science is not compatible with capitulation to government
demands aimed at weaponising and eroding science. On April 14, Edwin R Martin Jr,
the Trump-appointed interim ...
www.thelancet.com
April 26, 2025 at 3:28 PM
As a clinician scientist who has devoted my life to improving health + advancing science, the last few months have been terrifying. I don't understand why the US doesn't want to continue leading in health + science
Supporting medical science in the USA - The Lancet www.thelancet.com/journals/lan...
Supporting medical science in the USA - The Lancet www.thelancet.com/journals/lan...
Not surprising, but these pronatalists are white supremacists, backed by tech money and now with a large voice. Who would want to bring children into their sick world?
www.npr.org/2025/04/25/n...
www.npr.org/2025/04/25/n...
They say they want Americans to have more babies. What's beneath the surface?
Pronatalists believe that modern culture has failed to adequately prioritize the value of nuclear families and making lots of babies. They see powerful potential allies in Elon Musk and JD Vance.
www.npr.org
April 26, 2025 at 12:37 PM
Not surprising, but these pronatalists are white supremacists, backed by tech money and now with a large voice. Who would want to bring children into their sick world?
www.npr.org/2025/04/25/n...
www.npr.org/2025/04/25/n...
Reposted by Hanna Blaney, MD, MPH
It’s #WorldImmunizationWeek
Vaccines have saved 154 million lives in the last 50 years. That’s 6 lives every minute.
A reminder of what is #HumanlyPossible. Science saves lives.
#VaccinesWork
bit.ly/wiw2025
Vaccines have saved 154 million lives in the last 50 years. That’s 6 lives every minute.
A reminder of what is #HumanlyPossible. Science saves lives.
#VaccinesWork
bit.ly/wiw2025
April 24, 2025 at 5:50 AM
It’s #WorldImmunizationWeek
Vaccines have saved 154 million lives in the last 50 years. That’s 6 lives every minute.
A reminder of what is #HumanlyPossible. Science saves lives.
#VaccinesWork
bit.ly/wiw2025
Vaccines have saved 154 million lives in the last 50 years. That’s 6 lives every minute.
A reminder of what is #HumanlyPossible. Science saves lives.
#VaccinesWork
bit.ly/wiw2025
Unsurprisingly, this administration misses the 🎯 on why many people don’t have more children: 💰(a one time $5k bonus isn’t enough)
My PGY4, I spent more than my salary on childcare (and we had a very reasonably priced day care at the time for the area, ~$1300/m)
www.nytimes.com/2025/04/21/u...
My PGY4, I spent more than my salary on childcare (and we had a very reasonably priced day care at the time for the area, ~$1300/m)
www.nytimes.com/2025/04/21/u...
Trump Aides Solicit Ideas to Raise Birthrate, From Baby Bonuses to Fertility Planning
Baby bonuses and menstrual cycle classes are among the ideas pitched to Trump aides as they consider plans to try boosting the birthrate.
www.nytimes.com
April 21, 2025 at 4:30 PM
Unsurprisingly, this administration misses the 🎯 on why many people don’t have more children: 💰(a one time $5k bonus isn’t enough)
My PGY4, I spent more than my salary on childcare (and we had a very reasonably priced day care at the time for the area, ~$1300/m)
www.nytimes.com/2025/04/21/u...
My PGY4, I spent more than my salary on childcare (and we had a very reasonably priced day care at the time for the area, ~$1300/m)
www.nytimes.com/2025/04/21/u...
Home *slightly* early on this gorgeous Friday afternoon for some light reading with my 12.3 lb besties on enteral feeding in hospitalized patients. @nejm.org
This is the life!
@GISky @liversky @medsky
This is the life!
@GISky @liversky @medsky
April 18, 2025 at 8:54 PM
Home *slightly* early on this gorgeous Friday afternoon for some light reading with my 12.3 lb besties on enteral feeding in hospitalized patients. @nejm.org
This is the life!
@GISky @liversky @medsky
This is the life!
@GISky @liversky @medsky
This trend is *very* concerning given that alcohol damages the liver of females at 2x the rate of males. We are seeing so many young females (20s and 30s) who get very sick and often die from🍸🍷🍻-associated liver disease!
We need to work on strategies to 📉 alcohol use in this population! #liversky
We need to work on strategies to 📉 alcohol use in this population! #liversky
Past-month binge drinking among young adult females in 2021-2023 was higher than among males, reversing 2017-2019 patterns, whereas males in other age groups continued to binge and heavy drink at higher rates. https://ja.ma/42pf2V6 #MedSky
Sex-Based Differences in Binge and Heavy Drinking
This cross-sectional study compares differences in binge and heavy drinking among male and female adults in recent years.
ja.ma
April 17, 2025 at 1:42 AM
This trend is *very* concerning given that alcohol damages the liver of females at 2x the rate of males. We are seeing so many young females (20s and 30s) who get very sick and often die from🍸🍷🍻-associated liver disease!
We need to work on strategies to 📉 alcohol use in this population! #liversky
We need to work on strategies to 📉 alcohol use in this population! #liversky
An estimated 3.3 million Americans are living with viral hepatitis. I see many of them daily with complications including liver cancer and cirrhosis. We see periodic outbreaks of hepatitis across our country, on top of a growing IVDU-related HCV epidemic.
This is pure bananas 🍌.
This is pure bananas 🍌.
All 27 scientists at this CDC lab were told their duties were "unnecessary," and now viral outbreak investigations have been halted.
In the middle of a hepatitis outbreak, U.S. shutters the one CDC lab that could help
All 27 scientists at this CDC lab were told their duties were "unnecessary," and now viral outbreak investigations have been halted
www.npr.org
April 17, 2025 at 12:30 AM
An estimated 3.3 million Americans are living with viral hepatitis. I see many of them daily with complications including liver cancer and cirrhosis. We see periodic outbreaks of hepatitis across our country, on top of a growing IVDU-related HCV epidemic.
This is pure bananas 🍌.
This is pure bananas 🍌.
Reposted by Hanna Blaney, MD, MPH
PSA: You can have iron deficiency without anemia and it still matters and can cause serious symptoms and absolutely warrants treatment.
April 9, 2025 at 10:27 PM
PSA: You can have iron deficiency without anemia and it still matters and can cause serious symptoms and absolutely warrants treatment.
“DEI and proud” “Donald Trump’s worst nightmare”
Happy to be in NYC and supporting ReelAbilities Comedy Night
Happy to be in NYC and supporting ReelAbilities Comedy Night
April 5, 2025 at 12:21 AM
“DEI and proud” “Donald Trump’s worst nightmare”
Happy to be in NYC and supporting ReelAbilities Comedy Night
Happy to be in NYC and supporting ReelAbilities Comedy Night
Naltrexone in 🍷🍸🍺-associated liver disease
✅ Overall, safe for treatment of alcohol use disorder in this population
Black box warning for chronic liver disease was REMOVED in 2013: 🚫 evidence of harm
🔑 Alcohol causes harm to the liver, naltrexone does NOT
Slides: #ALD-ALLY Lamia Haque #liversky
✅ Overall, safe for treatment of alcohol use disorder in this population
Black box warning for chronic liver disease was REMOVED in 2013: 🚫 evidence of harm
🔑 Alcohol causes harm to the liver, naltrexone does NOT
Slides: #ALD-ALLY Lamia Haque #liversky
April 4, 2025 at 11:54 AM
As a constituent who formally worked at NIH: yes and yes.
Tens of thousands of my constituents devote their careers to public service. They go to work every day to help America, often passing up lucrative opportunities in the private sector. They are patriots and we should thank them, not vilify them and drive them from public service.
April 2, 2025 at 10:57 PM
As a constituent who formally worked at NIH: yes and yes.
Heading to @amergastroassn.bsky.social DDW? Apply for 🌈@rainbowingastro.bsky.social inaugural Health Equity Travel Awards!
Would love to see a 🌱 hepatologist awarded!
📆Deadline to apply is April 18th!
urldefense.com/v3/__https:/...
Would love to see a 🌱 hepatologist awarded!
📆Deadline to apply is April 18th!
urldefense.com/v3/__https:/...
urldefense.com
April 1, 2025 at 1:18 AM
Heading to @amergastroassn.bsky.social DDW? Apply for 🌈@rainbowingastro.bsky.social inaugural Health Equity Travel Awards!
Would love to see a 🌱 hepatologist awarded!
📆Deadline to apply is April 18th!
urldefense.com/v3/__https:/...
Would love to see a 🌱 hepatologist awarded!
📆Deadline to apply is April 18th!
urldefense.com/v3/__https:/...
I frequently see patients with “new” cirrhosis only to find that on chart review they had low platelets/some other finding concerning for cirrhosis or liver disease often YEARS before.
Thrombocytopenia should prompt a search for cirrhosis and may save lives/livers! #liversky
Thrombocytopenia should prompt a search for cirrhosis and may save lives/livers! #liversky
March 31, 2025 at 12:58 PM
I frequently see patients with “new” cirrhosis only to find that on chart review they had low platelets/some other finding concerning for cirrhosis or liver disease often YEARS before.
Thrombocytopenia should prompt a search for cirrhosis and may save lives/livers! #liversky
Thrombocytopenia should prompt a search for cirrhosis and may save lives/livers! #liversky
👋 #liversky!
Do you love the Liver Fellow Network and want to be a part of the amazing work we do?
Our application for content writers is out!
📆Apply by April 1st!
docs.google.com/forms/d/e/1F...
@amcollegegastro.bsky.social @amergastroassn.bsky.social @ebtapper.bsky.social
Do you love the Liver Fellow Network and want to be a part of the amazing work we do?
Our application for content writers is out!
📆Apply by April 1st!
docs.google.com/forms/d/e/1F...
@amcollegegastro.bsky.social @amergastroassn.bsky.social @ebtapper.bsky.social
2025-26 LFN Content Writer Application
Thank you for your interest in becoming a content writer for LFN! We have moved to a centralized application process. Please see our website for descriptions and examples of our series and posts, you ...
docs.google.com
March 31, 2025 at 12:04 AM