The Curbsiders Internal Medicine Podcast #466 Cirrhosis Update with Scott Matherly
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Jan 13, 2025 Scott Matherly, an Associate Professor of Hepatology and Gastroenterology at Virginia Commonwealth University, dives into the complexities of cirrhosis management. He emphasizes the importance of thorough evaluations and timely referrals for liver transplants, discussing critical assessments like the MELD 3.0 scoring system. Listeners learn about managing decompensated cirrhosis, complications like ascites, and lifestyle changes to improve liver health. Personal anecdotes add depth, highlighting growth through challenges in both medicine and life.
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Powerlifting Midlife Crisis
- Scott Matherly's midlife crisis involves competitive powerlifting.
- He even won a gold medal in his first competition.
Matching Failure
- Dr. Matherly didn't match into GI fellowship on his first try.
- This perceived failure led him to his current career, which he loves.
Roux-en-Y and Liver Disease
- Consider metabolic or alcohol-related liver disease with obesity and Roux-en Y gastric bypass history.
- Roux-en Y bypass patients are more prone to alcohol-related liver damage.