My clinical focus is providing excellent clinical care to patients with a broad range of gastroenterological disorders--particularly those with liver diseases such as hepatitis, alcoholic and non-alcoholic liver disease, cirrhosis, ascites and portosystemic encephalopathy. I work exclusively at Erie County Medical Center where I serve as chief of gastroenterology. I perform upper endoscopy, colonoscopy and paracentesis on inpatients and outpatients at that facility. My patient-care efforts include digital outreach: I co-authored an article for the inaugural issue of the patient-oriented online magazine “HCV Next.”
I also provide telehealth—i.e, telephone and secure messaging consultation and follow up to patients in need of this type of long-distance care. This provides more accessible health care to patients who reside a distance from Buffalo, saving them the time and expense of traveling, or to patients for whom travel is inconvenient.
I teach the medical students at the University at Buffalo in the classroom, on the wards and in the clinic, how to diagnose and treat liver disease. I have been recognized for my educational skills and have received several awards for teaching. My current research focuses on the delivery of care to patients with liver disease who have limited access to specialists. I conduct studies evaluating tele-gastroenterology, tele-hepatology, telephone medicine and palliative care in patients with advanced liver disease, and I routinely involve and mentor UB fellows, internal medicine residents and medical students in these ongoing studies. The aim of this research is to help provide more accessible health care to patients with physical challenges, those patients who have trouble traveling and those patients whose remote geographic location prevents them from otherwise receiving high-quality health care.
Education and Training:
Fellowship, Gastroenterology, Yale University School of Medicine (1990)
Residency, Internal Medicine, John Dempsey Hospital, University of Connecticut (1987)
Residency, Internal Medicine, University of Connecticut Affiliated Hospitals (1987)
Internship, University of Connecticut Affiliated Hospitals (1986)
MD, University at Buffalo (1984)
BS, State University of New York College at Oswego (1980)
Employment:
Fellowship Program Director, Gastroenterology, Hepatology & Nutrition, Medicine, University at Buffalo Jacobs School of Medicine & Biomedical Sciences (2015-present)
Chief of Gastroenterology, Medicine, VA Western New York Healthcare System (2012-present)
Professor, University at Buffalo, The State University of New York Jacobs School of Medicine & Biomedical Sciences (2009-present)
Adjunct Faculty, D'Youville College of Buffalo (1994-present)
Interim Chief, Division of Gastroenterology, Hepatology & Nutrition, Medicine, University at Buffalo Jacobs School of Medicine & Biomedical Sciences (2014–2016)
Chief, Medical Service, VA Western New York Healthcare System (2000–2012)
Interim Chief, Division of Gastroenterology, Hepatology & Nutrition, University at Buffalo Jacobs School of Medicine & Biomedical Sciences (2001–2002)
Interim Gastroenterology Fellowship Program Director, University at Buffalo Jacobs School of Medicine & Biomedical Sciences (2001–2002)
Chief, Gastroenterology Section, VA Western New York Healthcare System (1994–2002)
Director, Western New York Center for Liver Disease (1990–2001)
Awards and Honors:
Teaching Excellence (2012)
Segal Award for Teaching - runner-up (2011)
Segal Award for Teaching (2010)
Segal Award for Teaching - runner-up (2006)
Fellow, American Gastroenterological Association (2006)
El-Dika S, Mahl T, Mehboob S, Miqdadi J, Heels-Ansdell D, Handley B, Sitrin M, Schunemann H. (2006) Is blinding the endoscopists to bowel preparations in randomized-controlled trials reality?. Cancer Detect Prev (Nov), 30(6): 552-559.
Shukla S, Picano J, Gudleski G, Mahl T. (2015) Palliative care in decompensated cirrhosis: the VA experience. Am J Gastroenterol, (Oct) S896-S896
Munjal S, Ku JH, Cheng C, Shukla S, Dimova R, Yoo JN, Keller CE, Ajewole S, Mahl T. (2014) Vitamin D levels are not correlated with hepatitis C RNA levels. Am J Gastroenterol, (Oct) S156-S156
Munjal S, Dewanwala A, Mahl T. (2014) An unusual case of inflammatory bowel disease (IBD) presenting as phlegmasia cerulea dolens (PCD). Am J Gastroenterol, (Oct) S440-S440
Shukla S, Munjal S, Dimova RB, Mahl T. (2014) Providing gastroenterology care to rural patients through telemedicine. Gastroenterolgy, (May) S196-S196
Kaur N., Mahl TC. (2005) Pneumocystis Jiroveci Pneumonia after Infliximab Therapy: A Review of 84 cases. (abstract). Gastroenterology, (Jan) A309
Lackner JM, Lockwood A., Mahl TC, Krasner S., Katz LA. (2004) Prospective Changes in Blood Flow, Anxiety and GI Symptoms in Irritable Bowel in Patients Treated with Cognitive Therapy. (abstract - . Presented at the 38th Annual Convention of the Association for Advancement of Behavior Therapy. November 2004. ). (Jan)
Lackner JM, Lockwood A., Coad M.L., Mahl TC, Firth R., Mertz H., Katz LA, Krasner S., Wack D.S., Galantowicz P. (2004) Alterations in GI Symptoms, Psychological Status and Brain Functioning Participation in Cognitive Behavioral Therapy for IBS. (abstract). Gastroenterology, (Jan) A477
Lackner JM, Lockwood, A., Coad, ML., Mahl TC, Firth, R, Mertz, H., Katz LA, Krasner, S, Wack, D, Galantowicz, P. (2004) Alterations in GI symptoms, psychological status, and brain function following participation in cognitive therapy for IBS. (Poster of Distinction). Gastroenterology, (Jan) A 477
Lackner JM, Mahl TC, Wilding G.E. (2004) IBS Patients’ Response to Abdominal Pain: Too Sensitive, Too Tough or Both? (abstract). Gastroenterology, (Jan) A481
Lackner JM, Mahl TC, Wilding, E. (2004) IBS patients’ response to abdominal pain: Too sensitive, too tough, or both? (published abstract). Gastroenterology, (Jan) A480
Mahl TC. (1996) Fatigue in Patients with Chronic Hepatitis C. (abstract). Gastroenterology, (Jan) A1254
Mahl TC. (1995) Hetastarch Verses Albumin for Intravascular Volume Support during Large Volume Paracentesis. (abstract). Am J Gastroenterol, (Jan) A283
Critelli V.L., Lee S.J., Cohen S.A., Mahl TC. (1994) Heat Shock Protein Production from Murine Kupffer Cells. (published abstract). Gastroenterology, (Jan) A879
Mahl TC, Murphy B.W., Donnelly K.Z., Perini S., Lockwood A.H. (1993) Functional and Cerebral Metabolic Abnormalities in Patients with Compensated Cirrhosis. (abstract). Gastroenterology, (Jan) A948
Mahl TC, West A.B., Kuo S., Riely C.A., Reuben A. (1992) Methotrexate Hepatotoxicity in Psoriasis (abstract). Gastroenterology, (Jan) A846
Mahl TC, Tzung S-P, Lance MP, Andersen V., Cohen, S.A. (1992) Prostaglandin E2 Inhibits Tumor Necrosis Factor Production by Kupffer Cells and Prevents Endotoxin Induced Mortality in Mice. (abstract). Gastroenterology, (Jan) A846
Mahl TC, Shockcor W., Kuo S., Boyer J.L. (1990) Primary Biliary Cirrhosis - Survival in a Cohort of 279 Patients Followed for 29 Years. (abstract). Gastroenterology, (Jan) A605
American Association for the Study of Liver Disease
American Gastroenterological Association; Fellow
American Liver Foundation
Hepatitis B Foundation
Medical Union of Buffalo, NY
Presentations:
"Diseases of the Liver" Guest Lecturer, PA Department Clinical Medicine Course, D'Youville College (2017)
"Hepatitis: Cures and Post-Care" Presenter, UBMD Internal Medicine Annual Primary Care CME Conference; UBMD Internal Medicine (2017)
"Duodenal Metastases from Primary Large Cell Carcinoma of the Lung Presenting with Melena" Poster presentation, ACG 2016 Annual Meeting; ACG (2016)
"Understanding Minimally Invasive Surgery: Bariatric, Gastrointestinal and Other Procedures" Presenter, UB Mini Medical School; University at Buffalo (2016)
"Updates on Hepatitis Treatment" Guest Lecturer, Department of Medicine Grand Rounds, Kenmore Mercy Hospital; Kenmore Mercy Hospital (2016)
"Abnormal Liver Function Tests" Guest Lecturer, UB Family Medicine Teaching Conference (2016)
"Diseases of the Liver" Guest Lecturer, PA Department Clinical Medicine Course, D‘Youville College; D‘Youville College (2016)
"Hepatitis" Guest Lecturer, PA Department Clinical Medicine Course, D'Youville College; D'Youville College (2016)
"Hepatitis C: The Cure is Here!" Presenter, UBMD Internal Medicine Annual Primary Care CME Conference; UBMD Internal Medicine (2016)
"Hepatitis" Guest Lecturer, Department of Medicine Grand Rounds, Kenmore Mercy Hospital (2015)
"Fatty Liver: The Coming Plague" Presenter, UB Mini Medical School; University at Buffalo (2014)