Going in for another #ercp this morning. Hopefully I won't get post-ERCP #pancreatitis.

Governor #abbott #GregAbbott's executive order requiring hospitals to collect citizenship information is now in effect. It looks like this. I marked "I decline to respond" because fuck these fascists.

#texas #FortWorth #healthcare #fascism #immigration #txpol #politics

ANOTHER failed #ercp, due to food in stomach? Whah? I didnt eat for 16+ hours prior to procedure! This is BS : #pancreatitis #ChronicPancreatitis #ChronicIllness. Yet another #ercp in my future. #healthcare.

Maybe due to #semaglutide med #trulicity, which delays gastric emptying? Just a "shot" in the dark, really. The paranoid person in me thinks that the GI doc might be trying to increase billable hours knowing that I've already hit deductible for the year.

#healthcare #ercp #pancreatitis #ChronicPancreatitis #insurance

Sorry, #dulaglutide med #trulicity; the more general description of these drugs is #glp1 receptor agonists.

https://www.medscape.com/viewarticle/glp-1-ras-safe-perioperative-period-new-guidance-2024a1000kdh?form=fpf

Apparently various professional orgs have been kinda all over the map on whether or not to hold such meds pre-op, but now they are coalescing -- still without formal evidence-based guidance, mind you -- around 24-hour liquid diet in preoperative phase, especially for higher doses of the meds for patients on weekly regimens.

#glp #glp1ra #trulicity #mounjaro #healthcare

GLP-1 RAs Safe in the Perioperative Period: New Guidance

The majority of patients may safely take glucagon-like peptide 1 receptor agonists before elective surgery and gastrointestinal endoscopies.

Medscape