Discover and read the best of Twitter Threads about #Geriatrics
Most recents (13)
When it comes to elderly patients, we just need to listen to all their problems patiently, health related and also their circumstances/other reasons for stress/anxiety. We may not be able to solve any of those .. but listening amd empathising makes them feel better. #Geriatrics 
I have an elderly couple. The wife suffers from Dementia and he himself has undergone surgery and radiation for prostate cancer. He takes care of her with help from a caretaker. I tell them to do video consult. But he says he feels good to come and talk to me for few minutes.
🥳 Tooting my own horn 🥳
Just got back from a 1-week road trip vacation and learned... 3 papers were published while I was away!
Here's a quick #medthread 🧵about an epic week of publishing w/friends—what we learned, and what we created!
#AcademicTwitter #patientresearchers
Just got back from a 1-week road trip vacation and learned... 3 papers were published while I was away!
Here's a quick #medthread 🧵about an epic week of publishing w/friends—what we learned, and what we created!
#AcademicTwitter #patientresearchers
Have you ever been asked to peer-review a manuscript and wondered if you were "doing it right?"
You are me.
@crblease & I published a template to help organize the thoughts of newbie reviewers (including patients).
informatics.bmj.com/content/28/1/e…
#academictwitter #patientresearchers
You are me.
@crblease & I published a template to help organize the thoughts of newbie reviewers (including patients).
informatics.bmj.com/content/28/1/e…
#academictwitter #patientresearchers
Now that #opennotes are mandatory, will clinician documentation change?
Rahimian et al., analyzed 143,888 notes from 60 #hemonc clinicians from 2012-16, before AND after introduction of open notes.
TL;DR: Notes became longer AND easier to read.🤔
academic.oup.com/jamiaopen/arti…
#hemonc
Rahimian et al., analyzed 143,888 notes from 60 #hemonc clinicians from 2012-16, before AND after introduction of open notes.
TL;DR: Notes became longer AND easier to read.🤔
academic.oup.com/jamiaopen/arti…
#hemonc
Alcohol related Korsakoffs disease is most likely non-progressive. Of those who do, there is probably an additional underlying disease process. #ANZSGM2021 Assoc. Professor Dr Steven Macfarlane #geriatrics #medtwitter
Discussing people with dementia who have Brodaty Tier 5-6+ behaviours and the role of Specialist Dementia Care Units. More info here: health.gov.au/initiatives-an…
#ANZSGM2021 Assoc. Professor Dr Steven Macfarlane #geriatrics #medtwitter
#ANZSGM2021 Assoc. Professor Dr Steven Macfarlane #geriatrics #medtwitter
SDCP: behaviours need to be refractory to management by a specialist or specialist service. Behaviours might flare but if they are addressed by a geriatrician/psychogeriatrician or other specialist service and allowed to settle, then they will not meet criteria. #ANZSGM2021
Up now at #ANZSGM2021: Vaccination considerations in the elderly. Professor Michael Woodward. Disclosure: Sponsored by GSK #geriatrics
Possible modulators of age-related decline in immunity
- mediteranean diet preferred: vegetable and fish sources of protein in preference over animal protein
- caloric restriction
#ANZSGM2021 Professor Michael Woodward #geriatrics
- mediteranean diet preferred: vegetable and fish sources of protein in preference over animal protein
- caloric restriction
#ANZSGM2021 Professor Michael Woodward #geriatrics
Shingles: VZV specific t-cells decline with age (starts around 50), drop below the threshold to develop shingles. 15% of people will suffer a neurological event ie stroke in those who have zoster opthalmicus.
#ANZSGM2021 Professor Michael Woodward #geriatrics
#ANZSGM2021 Professor Michael Woodward #geriatrics
1/ #Sleep & #Dementia: @NatureComms
Study of ~8,000 people followed for 25 years! Look at the figures. Sleeping <7 hrs per night chronically increases risk of dementia by 30%. Get your sleep!
go.nature.com/3tjRxJB
#MedTwitter #MedEd #Geriatrics
Study of ~8,000 people followed for 25 years! Look at the figures. Sleeping <7 hrs per night chronically increases risk of dementia by 30%. Get your sleep!
go.nature.com/3tjRxJB
#MedTwitter #MedEd #Geriatrics
2/ Sleep and Dementia Risk: @nytimes
@PamBelluck wrote a great article on this NatureComm paper showing heightened risk of #dementia for “short-sleepers,” defined as <7 hrs of sleep a night.
nyti.ms/3h7KZeV
#Aging #Delirium
@PamBelluck wrote a great article on this NatureComm paper showing heightened risk of #dementia for “short-sleepers,” defined as <7 hrs of sleep a night.
nyti.ms/3h7KZeV
#Aging #Delirium
3/ What’s the Mechanism?
Our brain’s “trash” clearance (like the body’s Lymphatic system but by brain’s “glial” cells & called Glymphatics) kicks into ⬆️ gear in sleep. So less sleep is like your waste management system going on strike. Kapische??
REF: bit.ly/3eQxtte
Our brain’s “trash” clearance (like the body’s Lymphatic system but by brain’s “glial” cells & called Glymphatics) kicks into ⬆️ gear in sleep. So less sleep is like your waste management system going on strike. Kapische??
REF: bit.ly/3eQxtte
1/ Last wk I asked #medtwitter how to ⬇️ barriers to #covidvaccination in elders👇🏾. Reframe the question: Who’s at risk for missing the vaccine? #geriatrics must play a ⬆️ role. Amplifying: @wassdoc @geri_doc @LouiseAronson @sharon_inouye @MLRobertsonMD
@DavidCGrabowski
@DavidCGrabowski
2/@judith_graham writes on aging for @KHNews & wrote an excellent piece about the barriers to the #covidvaccine in older adults for @cnn 👇🏾. Honored to offer a quote alongside @PreetiNMalani & others. 🙏🏽
@UABNews @uabmedicine @UABSOM @DrVickersUAB @DrJeanneM @DrEllenEaton
@UABNews @uabmedicine @UABSOM @DrVickersUAB @DrJeanneM @DrEllenEaton
3/ Stories like this one from @arghavan_salles & others highlight how sad the complicated vaccine rollout has been for older adults. And these are elders w/ physician children who are having difficulties.
1/ In #COVID19, we must learn from #BRAIN masters Engel & Romano, who described #DELIRIUM to #DEMENTIA relationship in the 1950s! Here are my TOP 10 CLASSIC quotes from their famous 1959 article:
bit.ly/2SePA1a
#medtwitter #meded #tipsfornewdocs #neurology #geriatrics
bit.ly/2SePA1a
#medtwitter #meded #tipsfornewdocs #neurology #geriatrics
2/ The problem of delirium is far from an academic one. Not only does the presence of #delirium often complicate and render more difficult the treatment of a serious illness, but also it carries the serious possibility of permanent irreversible brain damage.
#dementia #COVID
#dementia #COVID
3/ The deficiencies in the education of many physicians ill equip them to recognize any but the most flagrant examples of delirium.
#A2Fbundle #tipsforolddocs
#A2Fbundle #tipsforolddocs
1/ Rikers Island Prison & #COVID19:
The New Yorker: bit.ly/3fgxnt3
Many think of inmates as young strong healthy dangerous men, when in reality they are often #AGING, sick, and definitely #VULNERABLE. Covid on top of this is a time 💣
#geriatrics #MedTwitter #pulmcc
The New Yorker: bit.ly/3fgxnt3
Many think of inmates as young strong healthy dangerous men, when in reality they are often #AGING, sick, and definitely #VULNERABLE. Covid on top of this is a time 💣
#geriatrics #MedTwitter #pulmcc
2/ Rikers Island Prison & #COVID
#Anxiety & #Fear. You can’t implement effective social distancing in an room that houses dozens of men. You cannot implement effective social distancing when those ~40 men are using the same sinks.
#medicalstudenttwitter
#Anxiety & #Fear. You can’t implement effective social distancing in an room that houses dozens of men. You cannot implement effective social distancing when those ~40 men are using the same sinks.
#medicalstudenttwitter
3/fin Rikers Island Prison & #COVID19
You cannot implement effective social distancing in a prison when staff interact with them & has to touch them in course of day. This isn’t going to play out well. Read article. #empathy starts here. I don’t know the solution!
#disparity
You cannot implement effective social distancing in a prison when staff interact with them & has to touch them in course of day. This isn’t going to play out well. Read article. #empathy starts here. I don’t know the solution!
#disparity
1/Leo consternado en la prensa canadiense sobre lo encontrado por su ejército en las residencias de #PersonasMayores de Ontario durante #COVID-19. No hace falta saber inglés para entender el titular:”Canadian military details horrific conditions in nursing homes ...”. Abro hilo
2/Informe de la Unión Europea sobre recursos de cuidados de larga duración(RCLD) en la epidemia: en Bélgica el 51% de los muertos en RCLD, en Noruega el 61% de los muertos en residencias y otras RCLD, en Suecia, Francia, Alemania, España, Reino Unido... situación similar.
3/Además del drama de las personas fallecidas se habla de: hacinamiento, personas atadas, falta de material, falta de contacto y relación, personal que desaparece, personal que se encierra con los mayores, muertes en malas condiciones ,mayores que no son llevados a hospitales...
Umbereen S Nehal MD MPH: who is this person? Several people have been asking
A thread
Where am I from? Hooboy.
Let’s say, citizen of the world, human ping pong ball. Third culture kid. Genetic mutt
Born: 🇺🇸
🇵🇰 parents - when my parents born colonial rule, pre-Pakistan
A thread
Where am I from? Hooboy.
Let’s say, citizen of the world, human ping pong ball. Third culture kid. Genetic mutt
Born: 🇺🇸
🇵🇰 parents - when my parents born colonial rule, pre-Pakistan
To thoroughly annoy my Twitter bestie, @DrvanTilburg
Am an ENFP - a cross between Snoopy, Robin Willians, Ellen Degeneres, Dr. Seuss, Charles Dickens, Upton Sinclair
I border on ENTP - love new info and love to challenge in order to break through barriers or limitations
Am an ENFP - a cross between Snoopy, Robin Willians, Ellen Degeneres, Dr. Seuss, Charles Dickens, Upton Sinclair
I border on ENTP - love new info and love to challenge in order to break through barriers or limitations
My great-grandfather was given title "Khan Bahadur" (brave). As a judge, a brown man under Colonial rule, he threw the book at a British attorney. "Learn the law" if in his courtroom. Hence my stiff moral backbone
My mom & me:
(She loves this song)
My mom & me:
(She loves this song)
My grandma’s PCP recommended she stop going to gym because she may fall.
I don’t agree with this advice. Here’s why:
1/
I don’t agree with this advice. Here’s why:
1/
My grandma is a safe community ambulator when using a walker.
She has a handicap parking placard allowing her to park close to the gym.
If she doesn’t go to the gym, she admits she will likely sit around at home and watch TV, further allowing her strength to deteriorate.
2/
She has a handicap parking placard allowing her to park close to the gym.
If she doesn’t go to the gym, she admits she will likely sit around at home and watch TV, further allowing her strength to deteriorate.
2/
My grandma’s main source of social interactions occur at the gym.
She has many friends who meet her there daily. It’s a way for her to stay social and exercise. And she enjoys going!
3/
She has many friends who meet her there daily. It’s a way for her to stay social and exercise. And she enjoys going!
3/
I listen to ~90 #Podcasts on a (semi) regular basis. Let me give you a rundown of ALL of them and why you should listen to some amazing #FOAMed, especially for all the new #EmergencyMedicine interns. #FOAMed #MedEd #medtwitter
First of all, you need a good podcast app. I absolutely love Downcast. Great app, gives you more control over playback, downloading, and allows you to categorize your podcasts into playlists (picture 2). This is where you get to customize your #FOAMed experience! #medtwitter
In no particular order,
- Anesthesia and Critical Care Reviews and Commentary (ACCRAC). Great insight into Crit Care from an anesthesia perspective. Coming from EM, this is great to listen to- much different from my day-to-day! #FOAMed #FOAMcc #CriticalCare
- Anesthesia and Critical Care Reviews and Commentary (ACCRAC). Great insight into Crit Care from an anesthesia perspective. Coming from EM, this is great to listen to- much different from my day-to-day! #FOAMed #FOAMcc #CriticalCare
Pilot Intervention Addressing Social Support and Functioning of Low Socioeconomic Status–Older Adults With ESRD: The Seniors Optimizing Community Integration to Advance Better Living With ESRD (SOCIABLE) Study bit.ly/2Dzz3OE
@DrDeidraCrews @sarah_szanton @tkmcudjoe
@DrDeidraCrews @sarah_szanton @tkmcudjoe
This is an innovative pilot tested home based program for older low socioeconomic status adults on hemodialysis aimed at improving physical and social function.
@JanieceLTaylor @lakencroberts @DeanDrexelCNHP @Aging_scholar
@JanieceLTaylor @lakencroberts @DeanDrexelCNHP @Aging_scholar
Why: Older ESRD patients experience increased morbidity, fatigue and decreased physical function. Multiple studies note improvement in health/functional outcomes with social support however few intervention studies aim at improving this..
