Liver Talks: The Liver Fellow Network Podcast

After a respite, Liver Talks is back with a very special guest. We talk to Norah Terrault, Chief of Gastroenterology and Hepatology at Keck Medical Center of USC, about her career, the MASLD nomenclature change, and her work with AASLD. Then, Rob Wilechansky is back to walk us through the latest and greatest published in Hepatology. Hosts: Patrick Lee Adam Winters @adam_c_winters Alex Vogel @AlexSVogel Guests: Norah Terrault @norahterrault Robert Wilechansky @WilechanskyMD Edited by: Taylor Gouterman Music Credits: “Tropkicks”, Broke for Free “Something Elated”, Broke for Free “Take Me Higher”, Jahzzar “RSPN,” Blank & Kytt All music furnished by https://freemusicarchive.org/ under Creative Commons licensing. http://brokeforfree.com/ https://jahzzar.bandcamp.com/ https://blankkytt.bandcamp.com/

Adam and Alex start by introducing the new fellow lead for Liver Talks, Patrick Lee - a GI fellow at USC. The bulk of the episode is spent discussing a recent paper Adam published about finding your first hepatology job after fellowship. They discuss when and how to apply, what to prioritize, and negotiation tactics. Finally, Rob Wilechansky drops by to discuss a PBC clinical trial recently published in Hepatology. Jobs Paper: https://pubmed.ncbi.nlm.nih.gov/37309214/ PBC Trial: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10344437/ Hosts: Patrick Lee Adam Winters @adam_c_winters Alex Vogel @AlexSVogel Guests: Robert Wilechansky @WilechanskyMD Edited by: Taylor Gouterman Music Credits: “Tropkicks”, Broke for Free “Something Elated”, Broke for Free “Take Me Higher”, Jahzzar “RSPN,” Blank & Kytt All music furnished by https://freemusicarchive.org/ under Creative Commons licensing. http://brokeforfree.com/ https://jahzzar.bandcamp.com/ https://blankkytt.bandcamp.com/

On this episode of Liver Talks, Alex and Adam are joined by Amit Singal, HCC expert and Chief of Hepatology at UT Southwestern, for a fascinating conversation about the latest and greatest in HCC. Then, a new segment is born featuring Rob Wilechansky, a transplant hepatology fellow at MGH and Hepatology's editorial fellow, in which they discuss an exciting new article from a recent issue of the journal. AASLD HCC Guideline: https://journals.lww.com/hep/fulltext/9900/aasld_practice_guidance_on_prevention,_diagnosis,.441.aspx Tropifexor plus cenicriviroc combination versus monotherapy in non-alcoholic steatohepatitis: Results from the Phase 2b TANDEM study: https://pubmed.ncbi.nlm.nih.gov/37162151/ Hosts Adam Winters @adam_c_winters Alex Vogel @AlexSVogel Guests: Amit Singal @docamitgs Robert Wilechansky @WilechanskyMD Edited by: Taylor Gouterman Music Credits: “Tropkicks”, Broke for Free “Something Elated”, Broke for Free “Take Me Higher”, Jahzzar “RSPN,” Blank & Kytt All music furnished by https://freemusicarchive.org/ under Creative Commons licensing. http://brokeforfree.com/ https://jahzzar.bandcamp.com/ https://blankkytt.bandcamp.com/

Alex and Adam are thrilled to host Liver Talks' first time return guest, Dr. Patty Pringle Bloom from the University of Michigan, to talk all about the microbiome and its relationship to liver disease, the International Society for Hepatic Encephalopathy and Nitrogen Metabolism, "lunatic asylums" in Germany and much more! ISHEN: https://www.ishen.org/ Dr. Bloom's work (a curated selection): FMT in HE: https://pubmed.ncbi.nlm.nih.gov/35384391/ Post-transplant ascites: https://pubmed.ncbi.nlm.nih.gov/37219847/ Hosts Adam Winters @adam_c_winters Alex Vogel @AlexSVogel Guest: Patty Pringle Bloom @BloomPringle Edited by: Taylor Gouterman Music Credits: “Tropkicks”, Broke for Free “Something Elated”, Broke for Free “Take Me Higher”, Jahzzar “RSPN,” Blank & Kytt All music furnished by https://freemusicarchive.org/ under Creative Commons licensing. http://brokeforfree.com/ https://jahzzar.bandcamp.com/ https://blankkytt.bandcamp.com/

There are new NASH Guidelines and we're gonna talk about them. Who better to chat with than lead author Dr. Mary Rinella? Probably nobody! But first, the precarities of being an NY Jets fan (sorry) and a heads up about the Liver Meeting abstract deadline. AASLD NASH Guidelines: https://journals.lww.com/hep/Fulltext/2023/05000/AASLD_Practice_Guidance_on_the_clinical_assessment.31.aspx Hosts Adam Winters @adam_c_winters Alex Vogel @AlexSVogel Guests: Mary Rinella @marurinella Edited by: Taylor Gouterman Music Credits: “Tropkicks”, Broke for Free “Something Elated”, Broke for Free “Take Me Higher”, Jahzzar “RSPN,” Blank & Kytt All music furnished by https://freemusicarchive.org/ under Creative Commons licensing. http://brokeforfree.com/ https://jahzzar.bandcamp.com/ https://blankkytt.bandcamp.com/

On this episode of Liver Talks, Adam and Alex welcome their very good friend Dr. Ani Kardashian from the Keck School of Medicine at USC's Division of Gastroenterology and Liver Disease (3:40). She discusses her work focusing on the effect of food insecurity in patients with chronic liver disease, as well as her interest in disparities research. It's a fascinating conversation that has profound implications on clinical practice. The episode ends with a review of some simple screening tools to help identify patients at risk of food insecurity (41:24) Work Referenced in the Episode Dr. Kardashian's work on food insecurity https://pubmed.ncbi.nlm.nih.gov/36173037/ https://pubmed.ncbi.nlm.nih.gov/34958747/ Dr. Kardashian's encompassing review on disparities in liver disease https://pubmed.ncbi.nlm.nih.gov/35993341/ Hosts Adam Winters @adam_c_winters Alex Vogel @AlexSVogel Guests: Ani Kardashian @AniKardashianMD Music Credits: “Tropkicks”, Broke for Free “Something Elated”, Broke for Free “Take Me Higher”, Jahzzar “RSPN,” Blank & Kytt All music furnished by https://freemusicarchive.org/ under Creative Commons licensing. http://brokeforfree.com/ https://jahzzar.bandcamp.com/ https://blankkytt.bandcamp.com/

Adam and Alex catch up with outgoing AASLD president Dr. Laurie DeLeve just prior to the very peaceful transition of power (5:03). They discuss her initiatives for the society over the past year, her interest in mentorship, and if a shared language can be found between basic scientists and clinicians. Plus a new and exciting answer for favorite liver cell! Our hosts wrap the episode celebrating Alex passing his GI boards and review their respective study strategies (33:50). Hosts: Adam Winters @adam_c_winters Alex Vogel @AlexSVogel Guests: Laurie DeLeve Music Credits: “Tropkicks”, Broke for Free “Something Elated”, Broke for Free “Take Me Higher”, Jahzzar “RSPN,” Blank & Kytt All music furnished by https://freemusicarchive.org/ under Creative Commons licensing. http://brokeforfree.com/ https://jahzzar.bandcamp.com/ https://blankkytt.bandcamp.com/

We are joined by Dr. Patty Pringle Bloom and Dr. Parita Patel for a very, very special (and fun) episode of Liver Talks. We talk about the first job search timeline, contracts, lawyers, asking for protected time, getting the tea on the prospective work place--all from the perspective of a clinician, clinician-educator and clinician-researcher. We laughed, we tried to keep Alex--currently undergoing the job search process--from crying and we talked about Love is Blind. Hosts: Adam Winters @adam_c_winters Alex Vogel @AlexSVogel Guests: Patty Pringle Bloom @bloompringle Parita Patel @ParitaPatelMD Music Credits: “Tropkicks”, Broke for Free “Something Elated”, Broke for Free “Take Me Higher”, Jahzzar “RSPN,” Blank & Kytt All music furnished by https://freemusicarchive.org/ under Creative Commons licensing. http://brokeforfree.com/ https://jahzzar.bandcamp.com/ https://blankkytt.bandcamp.com/

In this episode, Alex and Adam talk with Dr. Sonali Paul of the University of Chicago about the challenges and disparities faced by LGBTQI+ patients and providers. They delve into the dearth of training that surrounds caring for this population, why GI in particular may be missing the mark, and interventions and initiatives that are available to trainees seeking to combat these issues. Articles by Dr. Paul: Overcoming the Challenges and Mitigating the Disparities in Our LGBTQI+ Patients Embracing many rainbows: the realities of being a gay physician, mother and patient Join the LFN Workroom: https://liverfellow.org/post/the-workroom Hosts: Adam Winters @adam_c_winters Alex Vogel @AlexSVogel Guest: Sonali Paul @spaulliver Music Credits: “Tropkicks”, Broke for Free “Something Elated”, Broke for Free “Take Me Higher”, Jahzzar “RSPN,” Blank & Kytt All music furnished by https://freemusicarchive.org/ under Creative Commons licensing. http://brokeforfree.com/ https://jahzzar.bandcamp.com/ https://blankkytt.bandcamp.com/

On this episode of Liver Talks, Alex and Adam are joined by Dr. Nadim Mahmud of the University of Pennsylvania to discuss his training and career, surgical risk stratification in cirrhosis--notably the creation of his group's VOCAL-Penn score--and tips for getting involved in Big Data. VOCAL-Penn Instrument: https://www.vocalpennscore.com/ Risk Prediction Models for Post-Operative Mortality in Patients With Cirrhosis: https://aasldpubs.onlinelibrary.wiley.com/doi/10.1002/hep.31558 External Validation of VOCAL-Penn: https://aasldpubs.onlinelibrary.wiley.com/doi/full/10.1002/lt.26060 Join the LFN Workroom: https://liverfellow.org/post/the-workroom Hosts: Adam Winters @adam_c_winters Alex Vogel @AlexSVogel Guest: Nadim Mahmud @nadimmahmud Music Credits: “Tropkicks”, Broke for Free “Something Elated”, Broke for Free “Take Me Higher”, Jahzzar “RSPN,” Blank & Kytt All music furnished by https://freemusicarchive.org/ under Creative Commons licensing. http://brokeforfree.com/ https://jahzzar.bandcamp.com/ https://blankkytt.bandcamp.com/

They made a podcast! Adam and Alex start by discussing the new LFN initiative: the Workroom--an online community for trainees in GI and hepatology. Then, they welcome in W. Ray Kim, Chief of the Division of Gastroenterology and Hepatology at Stanford University, to discuss his group's latest permutation of the MELD formula, updated for the modern era. Dr. Kim talks about his personal connection with liver disease, important nuance inherent to the new formula, and where MELD may fall short--both currently and in the future. It's a fascinating conversation to start our third year or, sure Alex, season. Join the Workroom: https://liverfellow.org/post/the-workroom MELD 3.0 Paper: https://www.gastrojournal.org/article/S0016-5085(21)03469-7/fulltext Hosts: Adam Winters @adam_c_winters Alex Vogel @AlexSVogel Guest: W. Ray Kim @WRayKimMD Music Credits: “Tropkicks”, Broke for Free “Something Elated”, Broke for Free “Take Me Higher”, Jahzzar “RSPN,” Blank & Kytt All music furnished by https://freemusicarchive.org/ under Creative Commons licensing. http://brokeforfree.com/ https://jahzzar.bandcamp.com/ https://blankkytt.bandcamp.com/

With the Liver Meeting rapidly approaching, Adam and Alex talk with current AASLD president Dr. Raymond Chung about his career path, advice for trainees, his most anticipated sessions and much, much more (2:10-50:00). To wrap up, Adam plugs the new transplant hepatology application process starting this coming later this year and the Liver Meeting session dedicated to it, while Alex discusses his poster presentation. (50:30-55:00). Liver Meeting session for prospective trainees: Sunday, November 14th 9:00-9:45am The Liver Meeting Digital Experience Alex's Poster: Spironolactone, but not furosemide, is associated with the development of hyponatremia in patients with cirrhosis and ascites: is the 100:40 ratio truly optimal? #2016 Feedback? Want to suggest a topic or a guest? E-mail us @ liverfellownetwork@gmail.com or tweet tweet us @Liver_Talks. Hosts: Adam Winters @adam_c_winters Alex Vogel @AlexSVogel Guest: Raymond Chung @raychungmd Music Credits: “Tropkicks”, Broke for Free “Something Elated”, Broke for Free “Take Me Higher”, Jahzzar “RSPN,” Blank & Kytt All music furnished by https://freemusicarchive.org/ under Creative Commons licensing. http://brokeforfree.com/ https://jahzzar.bandcamp.com/ https://blankkytt.bandcamp.com/

Adam and Alex welcome in Dr. Adam Mikolajczyk to discuss his advice for those applying to GI or hepatology fellowships, his recent paper on mandating hepatology education for internal medicine residents and the implications for the hepatology work-force and a career in medical education (4:00-30:00). After, they go over another Alex Vogel original publication about endoscopy "love languages" and talk about their own, personal love languages. (31-43:37) Dr. Mikolajczyk's paper on mandating hepatology education: https://aasldpubs.onlinelibrary.wiley.com/doi/10.1002/hep4.1792 Alex's love languages paper: https://link.springer.com/article/10.1007/s10620-021-07207-8 Feedback? Want to suggest a topic or a guest? E-mail us @ liverfellownetwork@gmail.com or tweet tweet us @LiverFellow. Hosts: Adam Winters @adam_c_winters Alex Vogel @AlexSVogel Guest: Adam Mikolajczyk @AdamMikMD Music Credits: “Tropkicks”, Broke for Free “Something Elated”, Broke for Free “Take Me Higher”, Jahzzar “RSPN,” Blank & Kytt All music furnished by https://freemusicarchive.org/ under Creative Commons licensing. http://brokeforfree.com/ https://jahzzar.bandcamp.com/ https://blankkytt.bandcamp.com/

Adam and Alex have a chat about life changes (0:04-3:00) before welcoming in Dr. Elliot Tapper for a far-reaching conversation, touching upon mentorship and "menteering", how to say NO as a trainee and, naturally, Bravo reality TV (3:04-36:19). Then, Adam teases a new and welcome change to the transplant hepatology fellowship application process. Finally, Alex discusses his new publication in Liver Transplantation studying the impact of early liver transplant for alcoholic hepatitis on cost and healthcare utilization (36:30-47:00). Dr. Tapper's "menteering" paper: https://www.gastrojournal.org/article/S0016-5085(17)30228-7/fulltext Alex's paper on the healthcare utilization and costs for transplantation in ALD: https://pubmed.ncbi.nlm.nih.gov/34133847/ Feedback? Want to suggest a topic or a guest? E-mail us @ liverfellownetwork@gmail.com or tweet tweet us @LiverFellow. Hosts: Adam Winters @adam_c_winters Alex Vogel @AlexSVogel Guest: Elliot Tapper @ebtapper Music Credits: “Tropkicks”, Broke for Free “Something Elated”, Broke for Free “Take Me Higher”, Jahzzar “RSPN,” Blank & Kytt All music furnished by https://freemusicarchive.org/ under Creative Commons licensing. http://brokeforfree.com/ https://jahzzar.bandcamp.com/ https://blankkytt.bandcamp.com/

Dr. David Goldberg from the University of Miami joins the podcast to discuss organ procurement and allocation, how his research has influenced public policy, and much more. [1:15-31:15] Then, Adam and Alex plug a few things they've read over the past month and how they intersect with current events. [32:00-39:58] The Death of Hahnemann Hospital: https://www.newyorker.com/magazine/2021/06/07/the-death-of-hahnemann-hospital The Heartbeat of Wounded Knee: https://www.penguinrandomhouse.com/books/316457/the-heartbeat-of-wounded-knee-by-david-treuer/ Feedback? Want to suggest a topic or a guest? E-mail us @ liverfellownetwork@gmail.com or tweet tweet us @LiverFellow. Hosts: Adam Winters @adam_c_winters Alex Vogel @AlexSVogel Guest: David Goldberg @DrLiver Music Credits: “Tropkicks”, Broke for Free “Something Elated”, Broke for Free “Take Me Higher”, Jahzzar “RSPN,” Blank & Kytt All music furnished by https://freemusicarchive.org/ under Creative Commons licensing. http://brokeforfree.com/ https://jahzzar.bandcamp.com/ https://blankkytt.bandcamp.com/

Adam and Alex talk with Dr. Anjana Pillai from the University of Chicago about her early career (tip: the line at Starbucks may be more fruitful than LinkedIn), liver cancer and starting the HCC-TAG conference (https://www.hcc-tag.org) [1:54-38:16]. Then they discuss the recent study on early-career burnout from Hepatology Communications from this past January [39:44-48:43]. National Early Career Transplant Hepatologist Survey: Compensation, Burnout, and Job Satisfaction https://aasldpubs.onlinelibrary.wiley.com/doi/10.1002/hep4.1666 Feedback? Want to suggest a topic or a guest? E-mail us @ liverfellownetwork@gmail.com or tweet tweet us @LiverFellow. National Early Career Transplant Hepatologist Survey: Compensation, Burnout, and Job Satisfaction https://aasldpubs.onlinelibrary.wiley.com/doi/10.1002/hep4.1666 Hosts: Adam Winters @adam_c_winters Alex Vogel @AlexSVogel Music Credits: “Tropkicks”, Broke for Free “Something Elated”, Broke for Free “Take Me Higher”, Jahzzar “RSPN,” Blank & Kytt All music furnished by https://freemusicarchive.org/ under Creative Commons licensing. http://brokeforfree.com/ https://jahzzar.bandcamp.com/ https://blankkytt.bandcamp.com/ COI: Alex does occasional paid consulting work for Centaur Labs, but today's shout out of the company is unpaid and mostly to support his wife

In this episode, we explore disparities within the field of liver transplantation with Dr. Lauren Nephew, an Assistant Professor of Medicine and researcher at the Indiana University School of Medicine. Dr. Nephew talks with Alex about disparities throughout the spectrum of care as well as potential solutions. Link to Dr. Nephew's paper in Liver Transplantation: https://aasldpubs.onlinelibrary.wiley.com/doi/10.1002/lt.25996 Hosts: Adam Winters: @adam_c_winters Alex Vogel: @AlexSVogel Guest: Lauren Nephew MD MAE MSc: @LaurenNephewMD Music Credits “Tropkicks”, Broke for Free “Something Elated”, Broke for Free “Take Me Higher”, Jahzzar “RSPN,” Blank & Kytt All music furnished by https://freemusicarchive.org/ under Creative Commons licensing. http://brokeforfree.com/ https://jahzzar.bandcamp.com/ https://blankkytt.bandcamp.com/

Much like Thin Lizzy, we're back...in town?....it's a new year and a new season of Liver Talks! In this episode, we focus on the challenge of achieving hepatitis C elimination with Dr. Ponni Perumalswami, hepatologist from the University of Michigan. We start by outlining our hopes for this next series of episodes (0:00-3:03), followed by an illuminating discussion with Dr. Perumalswami (3:07-31:36). Finally, we discuss a paper outlining a novel identification and linkage to treatment program for HCV (31:55-41:44). Feedback? Want to suggest a topic or a guest? E-mail us @ liverfellownetwork@gmail.com or tweet tweet us @LiverFellow. Innovations in Hepatitis C Screening and Treatment: https://aasldpubs.onlinelibrary.wiley.com/doi/10.1002/hep4.1646 AASLD/IDSA Hepatitis C Living Document: www.hcvguidelines.org An innovative approach to increase viral hepatitis diagnoses and linkage to care using opt-out testing and an integrated care pathway in a London Emergency Department (Segment 3): https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0198520 Hosts: Adam Winters Alex Vogel Music Credits: “Tropkicks”, Broke for Free “Something Elated”, Broke for Free “Take Me Higher”, Jahzzar “RSPN,” Blank & Kytt All music furnished by https://freemusicarchive.org/ under Creative Commons licensing. http://brokeforfree.com/ https://jahzzar.bandcamp.com/ https://blankkytt.bandcamp.com/

Adam and Alex wrap up the Liver Meeting series by talking to Dr. Kamron Pourmond of THE Mount Sinai Hospital about burnout among hepatologists. His oral presentation on burnout takes place Monday, 11/16 during the Health Services session, which begins at 10:30am. Hosts: Adam Winters @adam_c_winters Alex Vogel @AlexSVogel @liverfellow Music Credits: “Tropkicks”, Broke for Free “Something Elated”, Broke for Free “Take Me Higher”, Jahzzar All music furnished by https://freemusicarchive.org/ under Creative Commons licensing. http://brokeforfree.com/ https://jahzzar.bandcamp.com/

It's day 2 of the Liver Meeting and day 2 of Liver Talks' almost but not quite daily podcast special. Alex and Adam welcome in third-year medicine resident Dr. Christina Gainey of USC to talk about using large databases to generate research projects, rural/urban disparities in HCC and her favorite liver cell. What is it?! You'll have to listen! Check out Dr. Gainey's oral presentation on Monday 11/16 during the Hepatobiliary Neoplasia session. Hosts: Adam Winters @adam_c_winters Alex Vogel @AlexSVogel @LiverFellow Music Credits: “Tropkicks”, Broke for Free “Something Elated”, Broke for Free “Take Me Higher”, Jahzzar All music furnished by https://freemusicarchive.org/ under Creative Commons licensing. http://brokeforfree.com/ https://jahzzar.bandcamp.com/

It's The Liver Meeting DIGITAL EXPERIENCE (DEE EX)! Adam and Alex talk to Dr. Russell Rosenblatt of Weill Cornell about his Liver Meeting experience and then touch upon some of the work he's presenting over the course of the weekend. Keep an eye out for additional episodes on Saturday 11/14 and Sunday 11/15! Music Credits: “Tropkicks”, Broke for Free “Something Elated”, Broke for Free “Take Me Higher”, Jahzzar “RSPN,” Blank & Kytt All music furnished by https://freemusicarchive.org/ under Creative Commons licensing. http://brokeforfree.com/ https://jahzzar.bandcamp.com/ https://blankkytt.bandcamp.com/

Alex and Adam share the podcasting plan for the upcoming Liver Meeting Digital Experience (0:15-2:33) before welcoming in Dr. Oren Fix to discuss 'Modeling the Hepatology Workforce in the United States: A Predicted Critical Shortage,' a recent study published in Hepatology (2:42-28:38). Finally, the hosts talk voting plans for next month's election (28:47-32:41). Link to Modeling the Hepatology Workforce in the United States: A Predicted Critical Shortage (log-in required): https://aasldpubs.onlinelibrary.wiley.com/doi/abs/10.1002/hep.31425 Music Credits: “Tropkicks”, Broke for Free “Something Elated”, Broke for Free “Take Me Higher”, Jahzzar “RSPN,” Blank & Kytt All music furnished by https://freemusicarchive.org/ under Creative Commons licensing. http://brokeforfree.com/ https://jahzzar.bandcamp.com/ https://blankkytt.bandcamp.com/

Another one! Alex and Adam start by discussing GI fellowship application season and offer a few tips to those applying (1:07-10:23). Then, Dr. Arpan Patel from the UCLA Medical Center joins the show for an enlightening discussion on the challenging intersection between palliative care and hepatology (10:29-39:43). Finally, in honor of Taylor Swift's new album, "folklore", they breakdown Alex's top 5 Taylor Swift songs (39:51-46:42). Please reach out to liverfellownetwork@gmail.com with any feedback or suggestions for guests or topics you'd like us to cover. We're also eagerly accepting any criticism of Alex's TSwift rankings. Hosts Adam Winters (@adam_c_winters) Alex Vogel (@AlexSVogel) Music Credits: "Tropkicks", Broke for Free "Something Elated", Broke for Free "Take Me Higher", Jahzzar "RSPN," Blank & Kytt All music furnished by https://freemusicarchive.org/ under Creative Commons licensing. http://brokeforfree.com/ https://jahzzar.bandcamp.com/ https://blankkytt.bandcamp.com/

Adam and Alex start by discussing the recent LFN post on tips for new GI fellows (0:00-13:00). Then, Alex interviews Dr. Kathleen Viveiros, a transplant hepatologist at Brigham and Women's Hospital, to discuss the impact of COVID-19 on the treatment of patients with liver disease (13:16-46:25) while Adam gets caught rounding late. Finally, in the free style segment, Adam delivers an extremely tepid take after watching the recorded version of Hamilton (46:30-51:22).

Adam and Alex introduce Decompensated! In this short teaser we outline our goals for the podcast and prove to ourselves that we just might be able to edit a podcast.