Alex Norcott, MD MSc

A geriatrician, researcher, & improv enthusiast @MichiganMedicine. Cognition| Preoperative care for elective surgery|Older adults|@LucyTheDogLike. Views my own

[Alex Norcott, MD MSc @AlexNorcott]

So thankful for the unsung heroes who keep our hospitals afloat during #COVID19 . And @iamnursejin who helped me write this piece! @umichmedicine @ACPinternists @AmerMedicalAssn https://t.co/rxW2ev2ume

[colleen christmas @CchristmColleen]

Fascinating quantification of how much time Medicare populations spend in contact with the healthcare system and where. Most tests did not occur on same day as doc visit. Not captured: how much time for each contact spent arranging appt, transport, waiting https://t.co/BlUfmGZ8tv

[Robert Oubre, MD | The Doctor of Documentation @Dr_Oubre]

• United Health will PROFIT about $22.3 billion this year.
• 50% of hospitals will lose money this year.
• 47% of US healthcare workers plan to leave within the next 3 years.

That is the current state of US healthcare, and it should terrify everyone.

[Alex Norcott, MD MSc @AlexNorcott]

PSA from your local geriatrician: older adults with dementia are affected by the time change too!! #geriatrics #melatonin #delirium

[Alex Norcott, MD MSc @AlexNorcott]

#familycaregivers are an under-recognized,and under- appreciated vital component to the health of many older adults. thank a caregiver for their hard work when you see them. And don’t forget to involve them in making medical plans for your patient’s care!! #geriatrics

[RCI Caregiving @RCICaregiving]

#NationalFamilyCaregiversMonth is celebrated each Nov. to honor and recognize family caregivers nationwide. Join us as we lift the voices of #familycaregivers, raise awareness of caregiving issues, and reduce the stigma surrounding caregivers. #CaregiversConnect

[Alex Norcott, MD MSc @AlexNorcott]

@VAAnnArbor

[Alex Norcott, MD MSc @AlexNorcott]

Just one more reason why I love working at the #VA. Happy Halloween! @DeptVetAffairs @VeteransHealth #geriatrics

[Alex Norcott, MD MSc @AlexNorcott]

@KateBUW This is such a wonderful button!! @ReframingAging, how can we order these buttons for our #geriatrics clinics and consult services?

[Alex Norcott, MD MSc @AlexNorcott]

Happy Halloween!! #MedEd

[NEJM @NEJM]

A woman with hypertension presented to the clinic with a 4-day history of abnormal sounds in her ear. On examination, a small spider was seen moving within the external auditory canal of the left ear. The molted exoskeleton of the spider was also present. https://t.co/dye2sbbiL9

[Alex Norcott, MD MSc @AlexNorcott]

@AirCanada my husband also your support line to try to report the issue and was instructed to go to the baggage service office, which you don’t have at #dtw… front desk still unstaffed

[Alex Norcott, MD MSc @AlexNorcott]

@AirCanada, you changed my flight multiple times today and now lost my luggage. The cherry on top is I’ve sitting at your front desk for 30 minutes with 10 other people with lost luggage and nobody is here. Shame on you and unprofessional. #AirCanada

[Ken Covinsky @geri_doc]

"Getting patients care they need at home is complex. Most people dont plan ahead. They think about home care in a crisis. MDs sometimes suggest it but few of us have been trained on the topic and we lack the bandwidth to walk patients through the maze" https://t.co/D7tTggujZG

[Amy Faith Ho, MD MPH @amyfaithho]

Responsibility with no authority is the most demeaning thing…and it’s the story of healthcare.

Clinicians have responsibility to answer their patients’ questions…but no authority to book patients for more than 10-minute visit lengths. That’s the time squeeze set by admin/corporations running the clinic…

Patients have responsibility for their health…but no authority over the resources they need to better it — specialist visit? Need a referral. Medication? Need prior auth. Surgery? Out of network…

Clinicians have responsibility for patient satisfaction, but no authority to fix staffing shortages, long wait times, dirty bathrooms…again, third parties hold the power (and the budget) to fix those issues…

Healthcare works together as a team, but we’ve unfortunately allowed our authority to be stolen by third parties: insurance, corporations, private equity, etc…the misbalance between power and responsibility is where we are all left disenfranchised. No wonder burnout is so prevalent, for clinicians and patients both.

[Lee Lindquist @LeeLindquistMD]

This is why the comprehensive geriatric assessment is so crucial!!! Use this info with your health systems to support #geriatrics!!! #BGS23

[Mark Neuman @neumanmd]

Does avoiding general anesthesia reduce delirium after surgery for persons with cognitive impairment?

That’s the question we ask in new work from @PCORI REGAIN trial, out today in @alzdemjournals @alzassociation

Read more here 👇

[Alex Norcott, MD MSc @AlexNorcott]

The Silver Club memory programs have greatly benefited my older patients with #ADRD. Please consider joining the event and/ or bidding on silent auction items (just not the golf ones, my husband’s birthday is coming up 🙄)! #geriatrics @AmerGeriatrics

[U-M Department of Internal Medicine @UMIntMed]

Big Hearts for Seniors, a special fundraising event & auction that provides critical resources to 6 @umichmedicine older adult community programs, is coming up soon! Learn more about the event, purchase tickets & bid on silent auction items: https://t.co/rM2LwwqMqD

[Alex Norcott, MD MSc @AlexNorcott]

An important fact to consider as we treat older adults for urinary incontinence!! Miralax/high fiber diet>>>>>>>oxybutynin!! #geriatrics #polypharmacy #beerscriteria @AmerGeriatrics

[Maddie Mier, MD @MaddieMierMD]

Still thinking about the morning report where I learned that America is the number one leader in constipation.. IN THE WHOLE ENTIRE WORLD.

USA! USA! USA!

[Alex Norcott, MD MSc @AlexNorcott]

*your career in #geriatrics

[Alex Norcott, MD MSc @AlexNorcott]

Does YOUR medical conference have Elvis and the King of Pharma help summarize the most impactful papers from the past year?? If not, time to start your in #geriatrics! Thanks, @AlexSmithMD @geri_doc and @EricTopol for the fantastic update! #AGS23 #AGS2023

[Melissa Bogin, MD @MelissaBoginMD]

endless #AGS23 pearls: what about lecanemab for dementia??
➡️findings support LESS DECLINE in cog only! (NOT same as improvement, which would be 🔑 to discuss w/patients & care partners!)
➡️clinical benefit unclear
➡️risk of harms may be greater than benefit
#geriatrics

[Alex Norcott, MD MSc @AlexNorcott]

“When a baby cries, you don’t medicate and restrain them, you figure out the root cause.” An excellent reminder of how we need to change our approach to helping older adults with agitation from @LSinvani. And ideas for what to do instead! #AGS2023 #AGS23