Cal Burton

Geriatric Hospitalist and Assistant Professor of Medicine. Hiker and biker. Backpacker.

[Ken Covinsky @geri_doc]

Why do so many hospitalized patients get high intensity care at the end of life even when harmful instead of the palliative care they really need? Important study shows deep seated cultural issues of hospital culture need to be addressed. https://t.co/H26eQrPgJG

[Ryan O'Keefe @ROKeefeMD]

When I was an intern, I didn't even know what GDMT stood for.

It was challenging for me to keep track of all of the heart failure medications.

There weren't any great resources to help me remember the key medications.

So I made one.

Let's go through them.

- Thread -

1/20

[Rahul Ganatra @rbganatra]

Lots of important stuff in the updated @IDSAInfo guidelines for treating foot infections in people with diabetes!

e.g.:
- duration: 1-2 weeks (consider extending to 3-4 weeks if concomitant PAD)
- consider wound culture (!)
- no empiric Rx for pseudomonas

[Lee Lindquist @LeeLindquistMD]

Top Geri Articles #AGS23 #AGS2023 @AmerGeriatrics

[Lee Lindquist @LeeLindquistMD]

Top Geri Articles #AGS23 #AGS2023

[Lee Lindquist @LeeLindquistMD]

Top Geri Articles. #AGS23 #AGS2023

[Deborah Huang MD MPH @debhuang_md]

Lower cost option for hearing loss: personal sound amplification device (e.g., pocket talker) delivered by community health worker helpful for self-perceived communication function #AGS23 #geriatrics Nieman et al https://t.co/7oqfVfpe36

[Melissa Bogin, MD @MelissaBoginMD]

you “heard” it here at #AGS23!
✅sound amplification devices improves communication in those with hearing impairment at a fraction of the cost in diverse populations! 👂👂👂
#geriatrics

[Kahli Zietlow @KahliGoBlue]

We are overprescribing gabapentanoids without evidence to support it and it leads to increased ADEs in older adults. #AGS23 year absolutely skewers gabapentin overprescribing (in the most musical way)

[Jessica Eng, MD (also on Blue Sky) @JessicaEngMD]

Learning from @SarahSydlowski: Asking pt or family if they have difficulty hearing is NOT good way to screen for hearing loss! Miss huge # of those w/measurable hearing loss. Best to combine questionnaire & multi-tone test #AGS23

[Lee Lindquist @LeeLindquistMD]

Gabapentin only approved for seizures & post herpetic neuropathy but now being used off label use….Top Geri Articles #AGS23 #AGS2034

[IM Fast Facts @IMFastFacts]

#MedTwitter #EndoTwitter, our next video has dropped on steroid-induced hyperglycemia by @KelleyChuangMD! #FastFactsFriday

📽️: https://t.co/wlEkZBMube (subscribe and join us!)

Infographic below 👇

[IM Fast Facts @IMFastFacts]

#MedTwitter, our video on LPS vs probate conservatorship is here! #FastFactsFriday

https://t.co/Z09xXnPBAF (subscribe and get notified each time a new 📽️ drops)

FYI - rules for conservatorship can vary by location

Check out other videos at https://t.co/qaFLXcA0ea

[JAGS @AGSJournal]

A cycle may exist where older adults with higher frailty levels are more likely to have a higher risk of medication-related problems, which, in turn, contributes to developing a higher level of frailty. #geriatrics https://t.co/A7z1bPvoP1

[JAGS @AGSJournal]

This retrospective cohort study found that use of baclofen was associated with a greater risk of injury and delirium compared to the use of tizanidine in older adults with musculoskeletal pain. #geriatrics https://t.co/q6VKaD3apx

[Jennifer Plotkin, MD @JenPlotkinMD]

(1/6) Today I Learned in Primary Care (TILIPC) #3: distinguishing a benign lipoma from a cancerous liposarcoma. Spoiler: it’s a clinical distinction, and your patient can self-monitor. 🤔 Thanks to our much beloved WLA VA 🩸/🦴 Dr. Anthony Bejjani for teaching me and now you.

[Cal Burton @Dr_Cal_]

@SatyaPatelMD @LosAngelesVA @GTran_MD @uclaimchiefs @DOM_UCLA @saitokine1 @AdelaGreeleyMD @KelleyChuangMD @CKaneshiroMD @DrZhaopingLi @BrandonCSmith @omgitsyuliaz @DrCameronH @PamelaTsing Loved the break down of clinical reasoning into different buckets for our schemas before the re-merge. IMADE for inflammation + anatomical approach. @LosAngelesVA

[Yihan Yang, MD MHS-MedEd @YihanYangMD]

1/ After reading #MedEdTwagTeam @JenniferSpicer4's #TweetorialTuesday last week, you’ve decided to teach exam skills at the bedside.

Awesome! Now how do you structure your exam skills teaching? We will review some strategies this week!

#MedTwitter #MedEd