Abhijai Singh1, Mahesh Shrestha2, Curuchi Anand3. 1. Department of Internal medicine, St Vincent Hospital, 123, Summer Street, Worcester, MA 01608. Electronic address: abhijaisingh@gmail.com. 2. Department of Internal medicine, St Vincent Hospital, 123, Summer Street, Worcester, MA 01608. Electronic address: Mahesh.shrestha@stvincenthospital.com. 3. Department of gastroenterology, St Vincent Hospital, 123, Summer Street, Worcester, MA 01608. Electronic address: curuchi.anand@stvincenthospital.com.