Emily Escue, MD

Palliative Med doc and Geriatrician TN➡️IL➡️MN. #geripal #hapc
Loves lit, lakes, and UT football. Views are my own.

[Gabrielle Ivie, MD ({♡}) @GabrielleIvieMD]

As a med student who had 2 children during med school I'm often asked what kind of support I need, and besides the obvious like childcare, I never had a good answer. This elective at the University of Minnesota is the definition of support, all med schools should take notes.

[Emily Escue, MD @EmilyEscue]

@dr_huffer #librarygoals

[Emily Escue, MD @EmilyEscue]

Successfully got a GLP1 approved for a Medicare pt to prevent CV disease! Copay is $600/mo = >50% of monthly Social Security. 😤 That is not "coverage". So disheartening to see companies providing Part D make billions denying care #geriatrics

[Emily Escue, MD @EmilyEscue]

@pallbro Sad to hear! I was doing fellowship in Chi ~2016 and they were very good, and part of the Medicare Bridge palliative care pilot (which showed cost savings and extended care in home earlier than traditional hospice....and then I never heard anything else about it after 2018).

[Marshall Chin @MarshallChinMD]

NH/PI individuals are invisible statistically when aggregated w/Asians; NH/PI individuals are invisible as people when ahistorical health policy ignores colonialism & structural racism leading to social disadvantage & health inequities. @JAMANetworkOpen https://t.co/rdT9gs0QSA

[Emily Escue, MD @EmilyEscue]

@pallbro Love the very niche tweetorial! I have had one person with a esophageal ca that didn't respond to the above but found some relief with a calcium channel blocker (as smooth muscle relaxant). I think we started short-acting nifedipine then transitioned to XL. #Pallonc #geripal

[Carlos del Rio @CarlosdelRio7]

How’s Your Soul https://t.co/Yw6cLfJZQe A beautiful piece, "By incorporating the core functions of healing, sustaining, guiding, and reconciling into my role as a program leader, I aspire to help residents feel seen, known, cared for, and understood."

[Kimberly Curseen @Curseen]

‘Patient Is Otherwise Healthy’ | JCO Oncology Practice: must read for palliative care clinicians, although we may not have the staffing or bandwidth it didn't mean that the consult was not appropriate https://t.co/C8YCst3MX3

[Emily Escue, MD @EmilyEscue]

@EWidera ...for a drug that made Medicare premiums jump 15% in 1 year. This whole debacle has been so infuriating - the cost, the risks, the further decline in trust in institutions like the FDA, and most importantly because it preyed on the hope of so many families

[Jay Koyner @jaykoyner]

seen in a physician work room at @UChicagoMed #jobsecurity

[Emily Escue, MD @EmilyEscue]

@BenWThompson Haha, I see what you did there. And also

[Emily Escue, MD @EmilyEscue]

@saugarmaripuri @sabarizvimd Ugh, let's recognize we all have competing tasks we're balancing at any given time, it's all triage. And I thought preventing illness so people don't end up in the ER was a good thing?

[Emily Escue, MD @EmilyEscue]

When I first read the CDC guidance, I did the math of 6/37000 neurologic events and the 1.5 million older adults in MN and >200 gave me pause. I'm definitely recommending for lung disease and immunosuppressed, but am I overthinking a rare risk?

[Emily Escue, MD @EmilyEscue]

Hey #geriatrics - let's talk about the new RSV vaccine for older adults. How are those shared decision making conversations going and how are you interpreting the risk/benefit discussion? Would love to hear perspectives! @LeahJWitt @shisadoctor @MLRobertsonMD

[Emily Escue, MD @EmilyEscue]

I cheered in my car when @WilliamDale_MD said "Geriatric Assessment is part of a precision medicine approach, beyond just genetics" YES YES YES. Great work to all on these guidelines!

[GeriPal - A Geriatrics & Palliative Care Podcast @GeriPalBlog]

The Importance of Geriatric Assessments for Older Adults with Cancer: We talk with @WilliamDale_MD, @MazieTsangMD, & John Simmons about the benefits and the updated ASCO guidelines around geriatric assessments. #hpm

Episode https://t.co/FShieHogNz - hosts @AlexSmithMD | @EWidera

[Emily Escue, MD @EmilyEscue]

@shisadoctor So they're going to start incorporating geriatric assessments into their decision making, right?! ......right?

[Emily Escue, MD @EmilyEscue]

Love this analysis of our statements of "needing" a procedure, and changing the nature of the discussion from the beginning

[JAMA @JAMA_current]

Viewpoint expresses how use of certain language complicates decision-making for critically ill patients, and it highlights alternative phrasing for effective communication. https://t.co/5VqMvx25P3

[Emily Escue, MD @EmilyEscue]

@SandyTunMD Love this! I had wanted to make the Geri/Pal/Ethics fellowship trifecta happen but couldn't make the schedule work... maybe possible with the combined fellowship?! 😜

[Mike Putman @EBRheum]

Excited to see my perspective piece in @NEJM re:“hospital problems”

Have a read & thanks to all who have shared already!

https://t.co/fCu6sEtdlb