Program Details

General Details

Thursday, April 22, 2021

6:00-8:00PM CST

 

Location

Virtual Program. 

Registered attendees will receive link prior to program start.

Topics

DEBATE #1:

Presence and severity of metabolic syndrome is a central risk factor for hepatic steatosis. Therefore, patients with NASH should be evaluated and treated for metabolic co-morbities.

Loyola University Medical Center – PRO: This is the responsibilty of the primary care physician.

University of Nebraska Medical Center – CON: This is the responsibility of the Gastroenterology/Hepatology NAFLD subspecialist.

DEBATE #2:

In February 2020 a liver transplant allocation policy based on acuity circles was implemented. This included a conversion of each transplant hospital’s median MELD at transplant (MMaT) score to reflect transplants performed at hospitals within a radius of 250 nautical miles. Simulation modeling suggested that this policy would reduce pre-transplant deaths and reduce geographic variation in medical urgency scores at the time of transplant. Liver cancer is an indication for liver transplant, with patients eligible for standardized MELD exception of median MELD at transplant minus 3 (MMaT-3). Now, after one year after policy implementation evidence suggests:

Rush University – PRO: This allocation system does allow for appropriate prioritization of liver transplant donor organs to patients with liver cancer.

UI Health – CON: This allocation system puts patients with liver cancer at a disadvantage.

DEBATE #3:

Terlipressin, an analogue of vasopressin used as a vasoactive drug is approved for the treatment of hepatorenal syndrome and variceal bleeding outside the United States.

Northwestern Medicine – PRO: Evidence supports FDA approval in the United States.

Advocate Lutheran General Hospital – CON: There is not enough evidence to support FDA approval in the United States.

Teams

  1. Advocate Luthern General
  2. Loyola University Medical Center
  3. Northwestern Medicine
  4. Rush University
  5. UI Health
  6. University of Nebraska Medical Center

Participants

Moderator
Tamar Taddei, MD Tamar Taddei, MD
Director, Liver Cancer Program, VA
Connecticut Healthcare System
Associate Professor of Medicine
Digestive Disease, Yale Medicine
ALF National Medical Advisory Council Co-Chair
Judges
Anjana Pillai, MD

Anjana Pillai, MD

Dr. Anjana Pillai is an Associate Professor of Medicine at the University of Chicago Medicine, where she serves as the Medical Director of the Liver Tumor Program and the Adult Living Donor Liver Transplant Program. Her clinical and research interests are in hepatocellular carcinoma and cholangiocarcinoma. She is involved in several multicenter trials looking at biomarkers, surveillance patterns and treatment practices for these diseases. She is also deeply committed to liver transplantation and previously sat on the UNOS Regional Review Board and is now serving on the National Liver Regional Board – Adult HCC Specialty Board. She also has a strong dedication to the development of mentorship and leadership skills for women in medicine, and has been involved in multiple events focused on career advancement for women, including a networking meeting for Women in Transplantation in Chicago, an annual CME conference for Women in Digestive Diseases at UCM, and a national career development symposium, Women in Medicine Summit, held in Chicago.  

Advocate Lutheran General

Mentor

Ken O'Riordan

Ken O’Riordan, MD

Ken O’Riordan, MD, attended medical school at the Royal College of Surgeons in Ireland. He, then, completed his residency at Rush Presbyterian St. Luke’s Medical Center and fellowship at Advocate Lutheran General Hospital and Northwestern Memorial Hospital. His research and professional interests are hepatology. Dr. O’Riordan is a member of the ALF Illinois Medical Advisory Council.

Fellows

Ryan Hoff, MD

Ryan Hoff, MD is originally from Washington State, and earned an undergraduate degree from the University of Washington (Go Huskies!).  After a year volunteering with AmeriCorps, he attended medical school in Southern California at Western University of Health Sciences. Dr. Hoff has trained at Advocate Lutheran General Hospital since 2014, completing internal medicine residency, a year as chief resident, and now gastroenterology fellowship.

On his free time, he enjoys camping and hiking with his wife, and he is an active editor on Wikipedia. They are on something of a “zero-waste” journey and compost as much as possible and now successfully maintain a worm bin in the kitchen, which has introduced some interesting challenges. Though he has enjoyed Illinois, he looks forward to returning to Washington State this summer to join Providence Medical Group in Spokane, WA.

Natasha Shah, MD

Natasha Shah, MD

Natasha Shah is currently a third year gastroenterology fellow at Advocate Lutheran General Hospital. She earned her undergraduate degree from the University of Illinois at Chicago and earned her medical degree from Rush Medical College. She went on to do her Internal Medicine residency at Advocate Christ Medical Center in Oak Lawn, Illinois, followed by an additional year as a chief resident. She is eager to apply her years of clinical training and start practicing as a general gastroenterologist in South New Jersey this upcoming fall. In her free time, she is enjoying the time left in Chicago with her husband and new puppy.

Loyola University Medical Center

Mentor

Jonah Rubin, MD

Jonah Rubin, MD

Fellow

Jasleen Singh, MD

Jasleen Singh, MD is am currently a third year GI fellow at Loyola University Medical Center. She completed undergrad at Washington University in St. Louis before heading to Columbus, OH to attend medical school at The Ohio State University College of Medicine. Dr. Singh finished residency at Loyola and stayed for fellowship. She will be doing a 4th year transplant hepatology fellowship at University of Southern California during the next academic year.

Jasleen Singh grew up and lived in the Midwest her entire life. She was born and raised in Kansas City and is proud to call it home. She enjoys reading for pleasure and watching documentaries in her free time. One of the highlights of her life was rescuing her little 5yr old pup Pearson back in September 2019.

Fellow

Judy Trieu, MD

Judy A. Trieu, MD

Judy Trieu is currently a second year Gastroenterology and Hepatology fellow at Loyola University Medical Center. She completed her undergraduate education at Stanford University followed by a Master of Public Health at the University of Southern California. She then went on to medical school at Ross University and completed her residency in Internal Medicine at University of Texas Medical Branch. Her area of clinical interest is pancreaticobiliary diseases and is currently applying for Advanced Endoscopy fellowship.

In her personal time, she loves to work out on her Peloton bike, lift weights in her makeshift home gym, and train for marathons.

Northwestern Medicine

Mentor

Daniel Ganger, MD

Daniel R. Ganger, MD FAASLD AGAF
Professor of Medicine and Surgery
Attending, Transplant Hepatology and Gastroenterology and Hepatology
Feinberg School of Medicine
Northwestern University

Graduated Cum Laude from the Medical School of the University of Buenos Aires. He has been practicing in Chicago since arriving in 1984. His research interests are in Frailty, Acute Liver Failure and Liver Disease Associated to Heart Failure. He has been a transplant hepatologist since 1992 and continues to work full time; he is probably now the oldest academic hepatologist and Chicago.

Lives with his wife in Chicago, proud father of two children and grandfather of 7 (almost 8). Addicted to Peloton and formerly a tennis player who can still hit.

Fellow

Hersh Shroff, MD

Hersh Shroff, MD

He is currently a transplant hepatology fellow at Northwestern McGaw Medical Center. Prior to moving to Chicago for fellowship, Dr. Shroff was in New York, where he attended NYU School of Medicine for medical school. At NYU, he participated in a 5-year dual-degree program to obtain his MD along with a Master’s in Public Administration and Healthcare Management. Dr. Shroff subsequently completed his Internal Medicine residency training at Mount Sinai Hospital.

Dr. Shroff’s career interests are in the clinical care of patients with end-stage liver disease, including liver transplantation and post-transplant management. Furthermore, he hope to use his previous training in healthcare management to help drive quality and process improvement in the management of this complex patient population.

Fellow Avesh Thuluvath, MD
Rush University

Mentor

Sujit Janardhan

Sujit Janardhan, MD, PhD

Sujit V. Janardhan, MD, PhD attended medical school at the University of Chicago where he also completed a PhD in immunology as part of the Medical Scientist Training Program. He completed his residency in internal medicine and fellowship in gastroenterology as part of the Physician Scientist Development Program at the University of Chicago Medical Center and is board certified in both of these disciplines. He has also earned board certification in obesity medicine. Dr. Janardhan’s clinical focus is the care of patients with chronic liver disease with a specialization in the management of patients with nonalcoholic fatty liver disease. He is the director of the Weight Intervention in Liver Disease (WILD) clinical pathway, a comprehensive weight loss program housed within the Rush University Hepatology clinic and co-founder of the Rush University Metabolic Health Program, a multidisciplinary clinic comprehensive and cohesive hepatology, endocrinology and cardiology care to patients with metabolic syndrome. His research interests include the development and analysis of clinical pathways to treat obesity and metabolic syndrome in patients with liver disease as well as the use of computing technology to facilitate chronic disease management. He is principle investigator on several clinical trials related to the treatment of various chronic liver diseases. Dr. Janardhan is a member of the ALF Illinois Medical Advisory Council.

Fellow Jason B. Kramer, MD

Fellow

Sanmeet Singh, MD

Sanmeet Singh, MD
UI Health

Mentor

Sean Koppe

Sean Koppe, MD

Dr. Koppe is the Director of Hepatology and Medical Director of Liver Transplant at University of Illinois Hospital & Health Sciences System.

Fellow Elie Ghoulam, MD
Fellow Alexander Pan, MD
University of Nebraska Medical Center

Mentor

Marco Olivera-Martinez, MD

Marco Olivera-Martinez, MD
Fellow Nathalie Khoury, MD

Fellow

Patrick Twohig, MD, MPH

Patrick Twohig, MD, MPH

Patrick Twohig, MD, MPH is originally from Toronto, Canada. He completed medical school at Saba University School of Medicine in the Dutch Caribbean, Internal Medicine Residency at Case Western Reserve University / MetroHealth Hospital in Cleveland, Ohio, and is currently a GI/Liver Fellow at UNMC. He has multiple areas of interest in GI and liver, but is especially interested in NAFLD, alcohol associated liver disease, and transplant hepatology.

Dr. Twohig is a music enthusiast, and enjoys watching and playing many sports, including basketball, hockey, skiing, distance running, soccer, and golf. Outside of medicine, he enjoys spending time with his wife and one-year old son, including hiking, cooking, and being outdoors.