(1/2) Dear @AmbetterHealth, I followed your most recent 2019 guide for HCV treatment and ordered the preferred drug, Mavyret. After 8-10 calls, we were asked to order generic sofosbuvir/velpatasvir. This cost us 7-8 hours of time and delayed tx. Update your guide.🙏 @AASLDtweets
Jordan Shapiro, MD, MS retweeted
The Mediterranean Diet for Irritable Bowel Syndrome: an RCT: Annals of Internal Medicine. Great new evidence supporting MD for IBS @RomeFoundation @umichmedicine acpjournals.org/doi/10.7326/…
Jordan Shapiro, MD, MS retweeted
🧘♀️ Yoga shows real promise for IBS relief
Latest systematic review found yoga improved #IBS symptoms, anxiety, and quality of life with moderate–large effects (Cohen’s d 0.37–3.6) versus controls
➡️ Mind–body therapy targeting both gut and brain
🔓pubmed.ncbi.nlm.nih.gov/4110…
One of the most overlooked yet very common contributors to constipation is dyssynergic defecation. The muscles that should hold poop to avoid accidents and relax to let poop out get clumsy, don't relax, even tighten when trying to poop.
youandconstipation.org/en-cn…
#constipation
You can pound away with the next laxative, but often patients experience the Goldilocks effect of "it's too much" (trading for diarrhea to feel empty) or "it's not enough". The first line of treatment is pelvic floor PT. Life changing for patients.
#constipation
Jordan Shapiro, MD, MS retweeted
Great explanation from @rubin_allergy
About coming burden of 💩 from @Cigna
Are they planing to downgrade premium costs for pts? Nope
Will impact all, especially, independent practices and patients while @Cigna continue to make 💰
instagram.com/reel/DN0nfglYg…
Jordan Shapiro, MD, MS retweeted
Replying to @NGMJournal @maura_corsetti @IBS_Maastricht @DrCJBlack @AndreaShin_GI @mpj61 @nicolascenac @ThisIsButt @Pierfra_Visaggi @Rajan___Singh @ANMSociety @esnm_eu @LinChangMD @BMoshiree @KashyapPurna @karagm2009 @LindaNguyenMD @SSrinivasanMD @mgrover_gi @BeyderLab @IBSpatient @TuesdayNightIBS @hmstaudacher @hannahlmayr @DharJahnvi @DrElyseThakur @DeMadaria @yuyingMD @stevenbollipo @RSarnoff @DrPalssonUNC @UCLAGIHep @alex_ford12399 @NehaSantucciMD @ShimaghavimiMD @MagnusSimren @drkeithsiau @KewinSiah @SwapnaJoshi_PhD @EmeranMayerMD @JasmohanBajaj @LumirKunovsky @drjshapiro @sohl_dr @PaulMoayyedi @eamonnquigleymd @VannerStephen @KarolinskaN @karolinskainst
🔥Yoga, Meditation, Mindfulness, or Hypnotherapy for GI disorders: Similar Mechanisms of Action?
🎯Evidence is building for mind body medicine in gut diseases‼️
✅Yoga, meditation & hypnotherapy may be beneficial for GI disorders👏
👉onlinelibrary.wiley.com/doi/…
@ANMSociety @esnm_eu
Jordan Shapiro, MD, MS retweeted
⭐️Today, we had incredible first year retreat organized by our amazing PD Dr. @milenasuarez and our prior chief fellow @Ashwin_RaoV.
🔥We had fun time reflecting on our journey before and during GI fellowship and sharing appreciation for co-fellows.
✨Also, we listened to rectal cancer survivor who graciously shared her journey and how she transformed her struggles to advocacy miracle.
✅We also had great session with GI psychologist who shared her tips and tricks on dealing with patients and we did some relaxing exercises.
And now heading to Fredericksburg with my awesome co-fellows🔥
@bcm_gihep @BCMDeptMedicine
#MedEd @tmcddc @bcmhouston
Jordan Shapiro, MD, MS retweeted
1/11
A 43 y/o M presents for evaluation of chronic diarrhea. We walk into the room to meet him.
We have an opportunity to make an “augenblick” diagnosis – one that can be made in the blink of an eye.
Great talk by Dr. Emanuel Narcis Husu @bcmhouston @BCM_PMandR. From our first conversation while I was @bcm_gihep to now, Dr. Husu is a wizard with the needle for abdominal wall pain...an amazing listener...and love complexity. Love the term "slow medicine".
If an order for 4-hr solid phase gastric emptying scan is changed by radiology to a 90-minute study without contacting the ordering doctor…then won’t refund the pt…is it reasonable to cause a little hell to help?
Oh thank you! I appreciate the support.
😇🔥💩
Jordan Shapiro, MD, MS retweeted
Irritable bowel syndrome #IBS is a chronic disorder of gut-brain interaction that affects a large portion of the population.
This review highlights non-pharmaceutical treatment options to aid GPs and gastroenterologists in expanding their clinical toolkit
bmj.com/content/387/bmj-2023…
Jordan Shapiro, MD, MS retweeted
Excited to finally share this State of the Art review on Non-Pharmaceutical Management of #IBS now online @bmj_latest!
The best part of this journey was working & learning with amazing coauthors @drjshapiro & @DrElyseThakur 🙏
@MayoClinicGIHep @RomeGastroPsych @AmCollegeGastro
Irritable bowel syndrome #IBS is a chronic disorder of gut-brain interaction that affects a large portion of the population.
This review highlights non-pharmaceutical treatment options to aid GPs and gastroenterologists in expanding their clinical toolkit
bmj.com/content/387/bmj-2023…
Jordan Shapiro, MD, MS retweeted
Replying to @VaNiPaLeTi @DrChauTime @JamesHaddadMD @MagnusHallandMD @DrToriJaegerDO @doctorparastoo @gutdoc18 @Tati_Policarpo @GutsyGirlMD @drjshapiro @drjerber @AdvaniRashmiMD @MohammadfahadA @sameerkberry @LauraChiuMD @tamaraduker @emilyhaller_rdn @VanessaMendezMD @TabibianMDPhD
Jordan Shapiro, MD, MS retweeted
UM GI &Liver Research Retreat under way. Chalasani and @ebtapper giving great talks on DILI and practical interventions for CLD. Lots to come on DGBI & IBD. Go Blue!!
Jordan Shapiro, MD, MS retweeted
Todays Q&A with @DDrossman features a video from the archives with @drjshapiro discussing "Transition of Care from Pediatrics to Adult GI Providers". Moderated by the #GutFeelings co author @JohannahRuddy
youtu.be/wapjCaXifyA
Jordan Shapiro, MD, MS retweeted
Working (mom) lunch. In between trauma activations & operative cases & rounding on patients- you can usually find me here. Working on a manuscript, prepping a lecture, or finalizing a talk. Any second I’m away from my kids I make the most of so I can be present with them later.♥️
Jordan Shapiro, MD, MS retweeted
Excited to share our systematic review on the treatment of yoga for gastrointestinal disorders!
Thank you @NGMJournal for the opportunity to highlight the benefit of this age old treatment.
@drjshapiro @sohl_dr @BMoshiree @SuzanneDanhauer @alex_ford12399 @RomeGastroPsych
🆕🔥A systematic review of #yoga for treatment of #GI disorders‼️
❇️Yoga🧘has potential to improve symptoms & safe for patients with #IBS #UlcerativeColitis #ChronicPancreatitis #GICancer🎯A useful complement to usual #MedicalCare👏
👉onlinelibrary.wiley.com/doi/…
@ANMSociety @esnm_eu



























