LITSL @[email protected]

Geriatrician. Doesn't use Twitter any more.

[LITSL @[email protected] @DanielleMedek]

@bbboatclub This volcano is the key to connecting the romantic poets with Lars Von Trier Melancholia, and WG Sebald's Rings of Saturn (which has a theme of particles in the air and melancholy). Sebald would have liked that if it wasn't too obvious.

[LITSL @[email protected] @DanielleMedek]

This twitter account is now solely for speculating on vampire physiology

[LITSL @[email protected] @DanielleMedek]

Shouldn't vampires be plethoric rather than pale due to iron overload?

[LITSL @[email protected] @DanielleMedek]

This twitter account is now solely for speculating on vampire physiology.

[LITSL @[email protected] @DanielleMedek]

Who here has music constantly playing in their head, even in sleep, ever since they can remember?

[Old Age Psychiatry 🌈 @rcpsychOldAge]

Fantastic run through of dementia assessment by Dr Sharmi Bhattacharyya - great slide highlighting cognitive issues commonly experienced by people with mental health diagnoses #rcpsychdementia

[LITSL @[email protected] @DanielleMedek]

@TheStrugglingS4 A) A 20+ year delay getting in on the property market. B) all the friends you will make will move overseas

[Alasdair MacLullich @A_MacLullich]

#Delirium treatment is complex.

✔️ Here is DELIRIUM 8 - a set of 8 key domains to consider when looking after a person with delirium.

[Eric Topol @EricTopol]

Significant concerns about the new Alzheimer's drugs
Unpredictable, serious side effects {ARIA] @ScienceMagazine
https://t.co/84DJGZn9la
Image benefit ≠ Clinical benefit
https://t.co/9KOXUPu56J @JAMAInternalMed @SusanMolchan

[Alasdair MacLullich @A_MacLullich]

🆕 4AT #delirium app now available!

💚 Android: https://t.co/I7CJ6vP1Zx

🍎 iOS:
https://t.co/vLjWZvzZVK

⭐️ Clean, quick design

⭐️ No registration, etc. required

🧠 Just download & click on the icon

[LITSL @[email protected] @DanielleMedek]

@DrKate_Miller Eating together and taking proper breaks does wonders for mental health and thus patient safety. Probably the most important part of the NZ RMO MECA in my opinion

[LITSL @[email protected] @DanielleMedek]

Second from the end 😭

[The Guardian @guardian]

The diversity of intimacy – in pictures https://t.co/3g108kCQuK

[LITSL @[email protected] @DanielleMedek]

@jimmywhero Congratulations!!!!!

[Martin Vernon @runnermandoc]

Can high quality nursing home care reduce avoidable ED visits among people dying with dementia?

Basically yes

Sadly something not fully recognised by ⁦@NHSEngland⁩ & ⁦@DHSCgovuk⁩ as the pandemic swept in despite funded policy to support it😖 https://t.co/YOznVhsZQ5

[Adam Grant @AdamMGrant]

Loneliness doesn't only hurt mental health. It's also a risk factor for physical health.

90 studies, 2.2M people: loneliness and social isolation predict mortality from cancer and all causes, even after controlling for health conditions.

Human connection is vital to well-being.

[Eric Widera, MD @EWidera]

The TRAILBLAZER-ALZ 2 study published on Donanemab for #Alzheimer’s disease was just published in JAMA. I had the honor to write the editorial along with @NathanielChinMD and @SharonBrangman. Here is a thread summarizing my thoughts. #EndAlz #AAIC23 https://t.co/Atoq5JTxKM
🧵1/20

[LITSL @[email protected] @DanielleMedek]

@DrKGregorevic I told my patient about this news release, she said it was unlikely to work in the real world. At least that's some use for the article: better than a MOCA for assessing cognition.

[British Geriatrics Society @GeriSoc]

"Most people believe #frailty is inevitable & irreversible. This clinical trial showed that a simple, low-cost, home-based intervention can reverse frailty and significantly improve muscle strength, bone mass, activity levels and slowness in 3 months." https://t.co/6ByaKNe9kL

[LITSL @[email protected] @DanielleMedek]

@InternSupp Decide that after doing what the nurse says. At least you did what the nurse said. Had a case recently, smelly urine. Unconvinced, waited for the bug to grow, waited for sensitivities, reflected that the patients WCC was up and repeated failed TROCs... eh fine. Amox.

[LITSL @[email protected] @DanielleMedek]

This is true, but it's a nurse smelling the pad and then suggesting you order a urine m/c/s. Ignore a nurse at your peril. They have reasons.

[Joshua @reverendofdoubt]

Friendly reminder to new trainees: ignore the "that urine smells like a UTI"

It's not part of the diagnostic criteria for UTI!

Urine can smell from dehydration, food, meds, etc

The "sniff test" for UTI:
- PPV 54% for bacteriuria
- PPV 28% for pyuria

https://t.co/9WX57SK0Rn