Gastroenterologist @Intermountain specializing in IBD, Mental Health. Board certified IM-Psychiatry-GI by way of @Clevelandclinic & @uihealthcare
Utah
Joined May 2019
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- Following490
- Followers534
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Vik Padival, MD retweeted
Excited to share our paper on the impact of early onset active IBD on psychiatric co-morbidities 🟰 VERY strong 💪 association!!
Forever grateful for mentorship-
@MRegueiroMD @EmadMansoorMD
@RuthvikPadival @sydneyrdonohue
@JPAchkarMD @CCF_GIFellows
academic.oup.com/crohnscolit…
Vik Padival, MD retweeted
Main messages that have resonated to me at #AIBD2024 as a Crohn’s patient;
⚫️ focus is often too much on risk of therapies and not risk of IBD
⚫️there’s no place for step up therapy
⚫️sometimes surgery is the safest treatment
⚫️Mediterranean-style + plant focused diet best
Vik Padival, MD retweeted
The @AmCollegeGastro Mentorship & Teaching Award goes to none other than Master Educator @JPAchkarMD 🎉🎉
#ACG2024
Vik Padival, MD retweeted
Don't miss practical tips for managing pain in #IBD patients from expert faculty @drlauriekeefer and @RuthvikPadival! Free ACCME, ANCC, ACPE credits available. events.avenue.live/avenue-li…
-Pts with CD on combo therapy + steroid free remission > 6 mo ~similar relapse rates between IMM withdrawal versus continuing combo therapy (10% vs 14%).
-A/w higher risk complications s/p endo dilation = multiple strictures in short segment, deep ulcers, stricture > 4-5 cm
By Drs. Rubin, Sauk, Bruining @IBDMD @HorstIBDDoc @MRegueiroMD @ibddoctor @LauraRaffalsMD
#CCCongress24
Ex: macular edema
reversible but risk higher in DM. Consider relative contraindications based on patient hx.
-CRP & WBC lvl can be predictive of relapse risk at Year 1 & Year 2 of weaning off IMM in combination therapy.
Good reviews and discussion this morning:
-TNFi dose reduction more successful if no prior TNFi failure + deep remission.
-S1P receptor mods AEs = guided based on patient-specific factors, positioning after 5-ASAs.
Great presentation/discussion this morning on nutrition & medical + medical management in J-pouch pouch. ?timing of surgery, fiber/hydration misconceptions, avoiding “normalizing” symptoms. @shannonchangmd @MaiaKayalMD Stacy Collins #CCCongress24
Excited for Day 1 of #CCCongress24. Viewing IBD A-Z session this morning, including pearls in management of perianal Crohn’s disease led by @HorstIBDDoc @BenClickMD
Vik Padival, MD retweeted
❗Huge win for #priorauth reform❗ A new rule issued by @CMSGov will require payors to respond to urgent requests within 72 hours for an expedited request or 7 days for non-urgent appeals. Get the details ➡️ ow.ly/TSK550Qs76M
Vik Padival, MD retweeted
We're taking action to protect patients and overturn this policy. Find out how to say #Noto154: gastro.org/news/gastroentero….
“Massachusetts is historically a leader in the delivery of medical care, and this is leading in the wrong way”
The state’s largest health insurer, @BCBSMA, has begun restricting the use of anesthesia during colonoscopies
wbur.org/news/2024/01/05/blu…
Vik Padival, MD retweeted
Non-dietary interventions to improve gut health
🧠cognitive behavioral therapy
😵💫gut-directed hypnotherapy
😮💨mindfullness
🧘♂️yoga
😴sleep
🚴exercise
🌳exposure to nature
#MedTwitter #GITwitter #guthealth #microbiome
thelancet.com/journals/langa…
Vik Padival, MD retweeted
🌎 to @BCBSMA – patients expect anesthesia for a colonoscopy! Why add a barrier to #coloncancer screening? Stop policy 154 before it goes into effect Jan 1.
#Noto154 – tag a Massachusetts doc
MA: use this link to email your legislators ow.ly/OfWi50Qlc2E
Vik Padival, MD retweeted
Amazing talk by @horstibddoc on a highly prevalent/impt topic: #Fatigue in #IBD
How to approach ✔️
1. Treat active #IBD
2. Rule out side-effects
3. Meds to treat fatigue
4…
**image below for all 10
#AIBD2023 #AIBDAnnual
Vik Padival, MD retweeted
Everyone doubted us. Said we couldn't impact an industry that no one trusts. Here we are less than 2 years later announcing we are adding ONE THOUSAND+ new drugs, bringing our total to more than 2,200 !!!
It's time to check again to see if costplusdrugs.com carries your meds !
Thank you to everyone who believes in us !
📍 On January 19th, 2022, Cost Plus Drugs launched with 100 drugs... TODAY we are excited and proud to announce that we are adding OVER 1,000 NEW MEDICATIONS! 🚨
📢 This bring our total to 2,200+ medications on costplusdrugs.com!
✚ Go to costplusdrugs.com/medication… to see if your medications are available!
GI board certified!
The road less traveled…
It’s been like clockwork - sitting for a “big” certification exam every 2-3 years: Internal Medicine, Psychiatry, and now GI. Hopefully the last one for a while!
Thank you to my past & current mentors @uihealthcare @ClevelandClinic, currently @Intermountain. Drs Judith Dayan, @JPAchkarMD @MRegueiroMD @IBD_FloMD
Special thanks to @DDrossman for guiding and showing me that the road less traveled bears its own unique perspectives in patient care and @NateMerrimanMD in being forward thinking as we build IBD care @Intermountain !!