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Tyler Berzin MD, FASGE

@tberzin

Assoc. Professor @HarvardMed | Advanced Endo @BIDMCHealth | @BrighamMedRes & @BrownMedicine Alum | Favorite initialisms: ERCP/EUS/AI. Link below for COI
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Tyler Berzin MD, FASGE @tberzin
The field of gastroenterology has pioneered live AI deployment in medicine. In this @TheLancet commentary with @EricTopol, we explore the next challenge: keeping core clinical skills sharp as algorithms assist more of our work. @ASGEendoscopy @AmerGastroAssn @AmCollegeGastro
Eric Topol Verified account @EricTopol Oct 17, 2025
Will A.I. lead to de-skilling of physicians?
And if so what can be done to preempt it?
@tberzin and I address this in a new @TheLancet piece
thelancet.com/journals/lance…
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Tyler Berzin MD, FASGE @tberzin
The scout film is an underappreciated starting point for successful ERCP.

Before the scope goes in:
– Orient with the gastric bubble
– Use 12th rib to identify T12
- Then position L1–L3 at bottom right of image
– Rule out free air *before* you start and save image
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Tyler Berzin MD, FASGE @tberzin
Impressive. Now try outside hospital records: faxed, scanned at 40%, re-faxed, page 3 of 11 missing, and “CONFIDENTIAL” stamped over the only critical lab value.
Carter Church Verified account @CarterWChurch Sep 30
I used GPT-6 Astra to break an unsolved cipher to one of Napoleon's generals that had gone unread for 217 years.

What makes this impressive isn't actually the codebreaking, but that Astra completed the entire multi-modal workflow in ~6 hours from a single image and goal.

1/6🧵
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Tyler Berzin MD, FASGE @tberzin
Great work by Nadeem and team to explore a problem nearly every advanced endoscopist has faced:
* patient presents with obstructive jaundice
* you place a biliary stent perfectly
* several days later, the bilirubin has barely budged
Nadeem Tehami @helpatologist Sep 16
Bilirubin not improving post technically successful ERCP⁉️ read our shared experience 👇

@EyadGadour @tberzin @NEndoscopy @SyedGerdezi @UmairKamran11 @Notts_DrSaqib @shanilkadir @eusdoctor @Marktheliverdoc @ShyamVedantam
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