24-25 Advanced Endo. Fellow
@AdventHealthCFL
🇺🇸| Gastroenterologist trained in 🇬🇧| RMU Graduate🇵🇰| Interested in all things related to GI. Opinions my own
ALHAMDULILLAH. Humbled to have matched for
@ASGEendoscopy
’s 24-25 advance endoscopy fellowship at CIE
@AdventHealthCFL
. Massively in debt to my family, friends and mentors who have helped and supported me all along. This is certainly so much more than I deserve 🙏🙏
Finally all signed off to be a gastroenterologist and internal medicine physician 🥳🥳
Humbled and grateful to my family, friends and mentors who supported me throughout the journey. 🙏
Only took 7 years!! 😀
Some 🔑 points I learnt throughout my training🧵
ALHAMDULILLAH I have passed my European speciality exam in gastroenterology ☺️
Along with support of my family and friends, I feel that
#GITwitter
was massively helpful and I found useful material here. So thank you all for sharing articles and videos from across the 🌍
Had the most heartwarming gesture from my supervisor.
Patient presented with suspected variceal 🩸🩸and we were preparing for OGD. I had a very busy day before that and it was almost iftar time. My supervisor knew that I was fasting 1/3
Coming to end of my training and realising how lucky I have been over past 8 years to get some amazing mentors and consultants!
👇Told my boss that I will be late and this was the response. Such responses truly make us feel valued!
So pleased with my journey so far 🙏
Life is strange sometimes. We lived 10 mins away from each other in 🇵🇰 but never met. Connected through Twitter and
@BilalMohammadMD
has been a friend as well a mentor ever since. So immesenly thankful to his guidance over last couple of years. Truly Gem of a person! 🙏
As I return my bleep, I can’t help feeling nostalgic. I have spent good part of 5yrs
@UHNM_NHS
, SHO first and spr later, and have worked with amazing doctors, nurses and other health care providers. Grateful to all my trainers for many learning opportunities 🙏
@RWT_NHS
next.
After 2 years and travelling 60K miles, doing last night at
@sathNHS
. Proud to have worked with amazing consultants, junior drs, ACPs and nursing staff. Hopefully have made some life long relationships. Thanks to everyone for being part of journey.
Excited for ST4
@UHNM_NHS
.
Bitter sweet feeling going to my last shift as medical registrar.
Over the years, the role gave me wealth of knowledge, taught me leadership skills and ability to cope under pressure while working with amazing colleagues but I glad it will be over today! 😊
Excellent morning learning EMRs from president of
@BritSocGastro
😊
I first met
@andymveitch
5 years ago on
@BSGTrainees
education weekend when I was deciding about doing GI in future. Inspired and motivated from the day, decided to go for it and not looking back now 🙏
We have 150 FREE slots for colleagues from low and middle income countries to join this exciting event. So help us spread the word so more trainees across the 🌍 can benefit.
Immensely grateful to whole of CIE team for letting me tag along in past couple of days.
Inspite of being busy with cases and prep for
#OLE24
- everyone looked after me, helped me understand the system, pathways for pts and I feel well equipped to start later this year 🙏
Learning from the Best mentors.
Hanging out amazing (and super talented) co-fellows/friends who teach me 🇺🇸 ways!
⬆️3️⃣0️⃣0️⃣ advanced procedures.
Multiple ongoing research projects.
Couldn’t have asked for a better start to fellowship 😍
@SChandanMD
@sagarjpathak
1/As speciality exam in gastroenterology is coming closer, we thought it would be useful to share our experience and tips. 🧵
Dates 👇
Another article that we found helpful
Had the most amazing experience visiting
@MySwitzerland_e
. One of the best experience of our lives. Pictures can’t even do justice with the place. Extremely well preserved natural beauty, amazing weather and was certainly a heaven for tourists 😍
As I finished the procedure and turned back, there was a glass of water and a coffee for me on the table.
He had not on checked the time of iftar on Google but also made sure that I had something to drink as soon as I finish the procedure and it was time for iftar 2/3
Our 2nd conference of season!
We are almost ready for our CIE Endobariatic and suturing masterclass 2024
✅Fully Subscribed
✅ Hands on experience on ESG & TORe
✅ live cases
We got you covered!!
@sagarjpathak
@DrHasan_Orlando
@KKadkhodayan
@SChandanMD
If you’re looking for THE best endobariatric course out there, then look no further. I’m looking forward to serve as guest faculty for this one of a kind course with excellent hands on exposure for those interested. See you soon!
For my weekend on calls, I always enjoy
Getting early to work.
Sitting down peacefully.
Having a cup of coffee ☕ for 5 mins before it all starts.
Hope you all have a great weekend
The legendary Dr Martin Freeman 🗣️on mitigating the risk and best practice in reducing post ERCP pancreatitis.
🔑 Low threshold of PD stent in case of deep cannulation.
🔑 PD Stent reduces risk of severe pancreatitis.
🔑 Indomethacin AND PD stent.
@sagarjpathak
@SChandanMD
Finally back home.
We are extremely thankful to our wonderful hosts and other 🇺🇸 colleagues who gave us such a warm and kind welcome 🙏
Interacted with colleagues across the 🌍 and learnt a lot from their wisdom and knowledge.
Until next time!
#OLE2023
#GITwitter
- How do you deal with ‘colitis’ reports on CT Scan without any GI symptoms? Lots of referral for this but investigations rarely lead to positive diagnosis. Should all pts have a colonoscopy or we can risk stratify?
@DisneyBen
@ibdseb
@drkeithsiau
@SyedGerdezi
Its raining outside so perfect time for 2nd day of our educations weekend 😁
All dressed up and ready to chair liver session but my lil monster is up too so forgive us for any background noise 😂
#BSGTEW20
Thank you
@bostonsci
for arranging this special LAMS training sessions for us. We found it extremely valuable!!
Short video of much feared release of proximal flange!
@SChandanMD
@sagarjpathak
Starting our first Spy course at
@RWT_NHS
. Delegates from across the 🇬🇧
Objectives.
- Develop expertise with Spy
- Master the different stages of procedure and the operational implementation
Thanks to
@bostonsci
for sponsoring the event 🙏
@drraja_
Frankly, as long as we go to our jobs, fill the rota gaps and have a smile on our face - No one cares about this. We are least important on any lists that gov has. Personally, have not seen family for almost 3 years now. Made plans 4 times - all cancelled.
While listening to
@EmpirePodUK
and history of ottomans, we recently visited Istanbul.
It is certainly one of the most beautiful cities and has a rich culture and history.
Walking through the streets of 🇹🇷, I could hear
@DalrympleWill
in my ear 😍
Thank you boss
@Srisha_Hebbar
for invitation and such a lovely meal at your beautiful house 🙏😍 It was such a pleasant evening and great to see everyone again. Sadly, we are missing you in this picture 😂
@MohamedAli8506
Pt presenting with Upper GI bleeding secondary to gastric varices. Imaging shows previous pancreatitis causing chronic splenic vein thrombosis with abdominal collaterals.
What would be your approach regarding anticogulation?
#GITwitter
#livertwitter
SO grateful to all my trainers and nurses at
@UhnmEndoscopy
. Inspite of pandemic, they encouraged and motivated me to get my colonoscopy sign off in ST 4! ✅
Excited to stay for 1 more year and start ERCP fellowship with
@Srisha_Hebbar
🙏
If you are UK GI trainee interested in research, please consider attending ‘’
@BritSocGastro
-
@NIHRresearch
Introduction To trainee research day’’
🗓 – 1st April 2022 - F2F
🏢– Lecture Hall 3, EC, QEH, Birmingham.
Distinguished speakers ⬇️ with networking opportunity. 1/6
@DeakinSue1
👏👏
You could have checked if there was female med reg on call as well. Would have basically completed your hospital acute take for all specialities 😁
From PEP talk today
Universal ✅ on rectal NSAIDs by
@ESGE_news
&
@ASGEendoscopy
PD stent useful & only modality preventing mod. to severe pep
Disagreements too.
🇺🇸- Aggressive fluids for all pts.
🇪🇺- Fluids only if contraindication to NSAIDs.
What’s your practice?
Excellent study published by
@nosheenmujeeb
et al to show IBD as independent maker of self harm and ⬆️ frequency of Mental ill health in these pts.
Shows importance of multidisciplinary approach.
Is mental health over looked by physicians?
Had a great time yesterday hiking on Scafell pike. Couldnt have asked for a better day.
Was certainly more challenging than snowdon.
Ben Nevis next!
@SyedGerdezi
@docnaumanidrees
@drraja_
Perfect end to an amazing conference with hands on session.
Many congratulations prof
@sauid_ishaq
on organising such a wonderful event. Learnt a lot from experts across the globe 🙏
⬇️ shows my happiness in company of Dr Monz Ahmed and
@NorikoSuzuki3
practicing Danis stent!
Live and recorded talks on :
✴ Luminal Gastroenterology
✴ Advance Endoscopy
✴ IBD
✴ Hepatology
✴ Research
All followed by live debate on GI training issues.
Amazing effort by
@lil_ratcliffe
,
@Dr_Liz_Sweeney
and trainees committee.
Pls join and spread the word
Interesting study.
89% of our ERCPs in 🇬🇧 under conscious sedation 🙄
Propofol/GA had ⬇️frequency of discomfort.
If I was a pt and had a choice, would certainly go for enhanced sedation.
Is it time for us to argue for ⬆️ sedation for all ERCPs?
In South-West today learning basics of EUS with hands on experience from experts like
@helpatologist
and
@eusdoctor
.
Great day out with very useful tips and tricks especially for beginners.
Definitely need more of these course across 🇬🇧
@JAG_Endoscopy
@BritSocGastro
Celebrating ‘International nursing day’ in the best way we know at
@UHNMEndoscopyTC
- 🥘 🍱
Thanks to all our hard working, dedicated and amazing nursing colleagues, we wouldn’t be able to move a single step without their support!
🔥off the press.
Paper by
@UmairKamran11
,
@NJEMCP
and
@HelenSteed1
et al on improving 30 day mortality following PEG in England from 2007-2019: data of 87,862 - accepted in
@GIE_Journal
.
Grateful for the opportunity to be part of it 🙏
Thats a wrap!
2️⃣ Days of amazing learning experience with tons of hands on experience.
Thanks to all the faculty for their valuable time 🙏
Fully subscribed course with colleagues joining from 🇨🇦 and 🇳🇿!
All credit to
@KKadkhodayan
@DrHasan_Orlando
Third space course next!
‘Black box of HPB endoscopy’ -
@helpatologist
giving a stellar talk.
Cases discussed
✅ Management of strictures in PSC
✅ EUS GB drainage
✅ Limitation of diagnostic modalities and using all tools in box
✅ Biliary decompression in benign and malignant dx
I miss seeing my colleagues smile
I miss holding my patients hands.
I miss talking to relatives face to face
I miss not having to make difficult decision every day at work
Hate COVID!!
Dr Jain started the first talk on acute pancreatitis.
📝 Epidemiology
📝Etiology
📝 Diagnosis
📝 Management
❓ Role of antibiotics
❓ Timing of drainage.
❓ Role of ERCP.
Prof Kenneth Binmoellar starting day 2 of
#OLE2024
- EUS- ERCP ☯️ of HPB
- EUS can replace ERCP in 68% of pts.
- No Fluoro EUS (😳)
- EUS guided FNA followed by decompression if advance dx? One stop shop.
@helpatologist
@MahamHayatMD
@BilalMohammadMD
Excellent line up of speakers for
@BSGTrainees
Education weekend!
MUST attend event from all trainees especially if you have SCE in coming year.
FREE registration for colleagues from low and middle income countries.
Registration:
We are thrilled to announce that registration is open for the virtual
@BSGTrainees
#EducationWeekend
🎉
👉Taking place 14-15 October 2022
👉A stellar lineup of speakers and a wide variety of relevant & valuable topics for GI trainees across the globe 🌍
Very productive meeting of BSG international committee this morning. Many collaborative projects around the 🌎and multiple training opportunities on the horizon.
Wonderful to connect with so many amazing people as well.
#BSGLIVE22
@ThoufeeqMo
@omar_elshaarawy
@BritSocGastro
So pleased about this development. Truly a step towards inclusion.
🗓 - 8th to 12th Nov
FREE registration for trainees from developing countries for
@BritSocGastro
's Annual meeting
Certainly one not to be missed for international colleagues!
Please spread the word 🙏
So pleased to say that trainees from low and middle income countries can register FREE for
@BritSocGastro
's annual meeting. This is an excellent initiative and will hopefully be utilised by our colleagues from across the globe.
Please spread the word.
Sad to see our juniors go but excited for the new group.
However, so pleased that they had such a great time with us 👇
In these challenging times, our GI dept provided them with many clinical and academic opportunities outside ward work.
@RWT_NHS
@BritSocGastro