Los Angeles, CA
Joined December 2017
- Tweets109
- Following73
- Followers848
- Likes112
Stephan Targan retweeted
@tinahamd provides excellent summary of when to consider and how to use TNFs. And great rec to use the website to guide your treatment decision making.
#IBDAtoZ #CCCongress20 @CrohnsColitisFn – at Austin, TX
This patient is ill! Changing to Humira expecting a different outcome is ludicrous and dangerous. If IFX doesn’t work- Stelara is indicated !!
21 yo F w longstanding SB/colonic Crohn's, failing IFX despite trough 15.4, recent 5 lb weight loss (BMI 14.8), hospitalized with abd pain. @blueshieldCA denies Stelara due to policy requiring failing Humira first. Won't even honor peer-to-peer request. @IBDMD #fightwithme
Stephan Targan retweeted
She literally makes our department SPARKLE and SHINE! After 30 years, our beloved Sra. Lidia is retiring. We wish her all the best on this new chapter in her life- we will miss her deeply! #SraLidia #simplythebest #retirementparty
Stephan Targan retweeted
Sad to see one of our coworkers leave this week, but we all know she'll succeed in this next chapter of her life. Congrats and best wishes Jasmine! It's not a goodbye; it's a see you later! #latepost #friends #instagramstory
Stephan Targan retweeted
Card9-driven inflammation by the mucosa-associated commensal fungi Malassezia restricta exacerbates Crohn's Disease. Elegant combination of environmental and genetic risk factors in #IBD by @STarganIBD @doc_ibd and David Underhill 👌@cellhostmicrobe cell.com/cell-host-microbe/f…
Historic News! Jonathan Braun MD PhD recruited to join @cedarssinaiIBD! Ecstatic to welcome this #microbiome luminary to the @cedarssinai #IBD family. @gym99 @doc_ibd @DrV_IBD @BonthalaMD @tinahamd @gauravsyal1 @PhilFleshnerMD @Suzanne_Devkota @dziring @GIdietitian
Stephan Targan retweeted
Please share!
@CedarsSinaiIBD @STarganIBD @tinahamd @PhilFleshnerMD @doc_ibd @DrV_IBD @gym99 @BonthalaMD
xitter.cf/gauravsyal1/status/106…
Survey for patients living with and caregivers affected by IBD.
Help the @CrohnsColitisFn identify the barriers patients face when accessing care by taking the Foundation’s advocacy & access survey here: surveymonkey.com/r/BK5YPVH
Congratulations @PhilFleshnerMD!
This Post is from an account that no longer exists. Learn more
1 of 2: Pt w/active #crohns doing well on adalimumab + 6MP became profoundly tired and nauseated @2 mos. Assuming these to be 2° to worsened disease, MD increased dose. We saw pt at 6 mos, D/C'd 6MP and pt returned to normal. Labs confirmed Pt is mismetabolizer. @CedarsSinai #IBD
2 of 2: While 6MP adverse effects typically begin immediately, in this case they were delayed. Before assuming worse disease and escalating Rx, try to discontinue 6MP. @CedarsSinai #IBD @cedarssinaiibd
1of2: UC pt in clin remission at 40mgQOW adalim (bld lev=5) but flared. Responded again at 40mgQW (blood lev=23) but flared. MD plan=change Rx class but w/o checking blood levs. In fact level=9 so Rx dose can be increased more to get to previous response level. @CedarsSinai #IBD
2of2: Yes higher doses can be associated w/inc side effects, but be sure to get levels to give Rx a fair chance before eliminating 1 of the Rx options. Also remembe, can stay in a the same class with a Rx that gets to higher levels, eg, infliximab or biosimilar. @CedarsSinai #IBD
Good job @CedarsSinaiIBD team.
This Post is from an account that no longer exists. Learn more
Stephan Targan retweeted
Group photo of @AmCollegeGastro Board of Trustees meeting here at #ACG2018. It’s an honor to be included among these distinguished leaders in our field to whom I look up with admiration. Today we’re discussing ways to further enhance the science and practice of Gastroenterology.
ASAs can have paradoxical effects, ie colitis exacerbation, pancreatitis, pleuritis etc, w effective tx by d/c of ASA. In lung, however, cryptogenic organizing pneumonia seldom resolves by d/c of ASA or even pulse steroids. Prolonged steroid treatment is almost always required.
Single cell RNAseq has helped @Suzanne_Devkota come up with very exciting findings regarding creeping fat in relation to the #microbiome. @CedarsSinaiIBD @CedarsSinai
This Post is from an account that no longer exists. Learn more
