Francisca Franulic

Medicina Interna/Geriatría, Universidad de Chile 🇨🇱.

[Alasdair MacLullich @A_MacLullich]

Writing “confusion” in the notes and stopping there = you may as well be a lay person. Not much help to the patient at all.

So - don't stop there.

Is it dementia? Is it delirium? Is it both? Is it something else, like known chronic cognitive impairment but no known dementia diagnosis?

Articulate the patient's problems like the professional you are.

#delirium #dementia

[Alasdair MacLullich @A_MacLullich]

Mrs A, 82, was admitted "off legs and confused". A urine dip was positive, a diagnosis of "urosepsis" was written, antibiotics started, and everyone relaxed.

She did not improve. On day three someone finally examined properly: she was dry as a bone, and her chest crackled at the right base. The urine had told us nothing except that she was old and had bacteria in her bladder, as many older women do without it meaning anything.

Rehydration and the right antibiotic for her pneumonia, and her mind came back.

A positive dip in an older person with delirium is not a diagnosis. Asymptomatic bacteriuria is common, and treating it while the real cause hides is one of the easiest mistakes in geriatric medicine. Examine the whole patient before you blame the bladder. #delirium

[Prof.Dr.Halil Coşkun @drhalilcoskun]

Nature Medicine’da yeni yayınlanan makale👇

Yaşlanma lineer değil❗️ Ortalama 7 çalışmada “yaşlanma dalgaları” tespit edildi:

✔️33 yaş civarı → İlk büyük sıçrama
✔️60 yaş → İkinci büyük dalga
✔️69 ve 78 yaş → Ek dalgalar

Vücudumuz belirli yaşlarda “reset” oluyor. Bu kritik pencerelerde sağlıklı alışkanlıklara daha çok yatırım yaparsak gelecekteki sağlığımızı ciddi etkileyebiliriz.

Bilimsel anti-aging’in yeni çağı başlıyor.

#Yaşlanma #Longevity

[Alasdair MacLullich @A_MacLullich]

Delirium treatment should involve *brain care* AND *mind care* - the latter is often missing, or done inadequately.

[Jackson Fyfe, PhD @jacksonfyfe]

Sure, resistance training “works” in older adults.

But is this true even in the “oldest old“ (aged 85+)?

After 12 weeks of resistance training, older adults aged 85+ had similar gains in muscle size, strength, and functional performance to those aged up to 20 years younger (65-75 years).

A reminder it’s never too late to get started.

https://t.co/L0yLokhoki

[David_Propst_PA-C @PrimaryCarePAC]

6 physiological hallmarks of aging and how we fight them.

These six hallmarks decline predictably with age:

•VO₂ max
•Grip strength
•Gait speed
•Brain volume
•Lean mass
•Bone density

But here’s the key:
They’re all modifiable.

[Alvaro Casas Herrero @alvaro_casasher]

Si te interesan las #caídas y #fracturas en las personas mayores no te pierdas esta webinar abierta el próximo 19 de Junio organizada por el #SIG Falls& Fractures de la @EuGMSSociety

[David_Propst_PA-C @PrimaryCarePAC]

🎙️ Just released a new episode of Talking Healthspan focused on a critical aging syndrome: osteosarcopenia. This study delves into the simultaneous loss of bone and muscle mass, increasing the risk of fractures, falls, and disability.
@DrGustavoDuque

https://t.co/BylsePe7Ze

[Eric Widera, MD @EWidera]

Medicine focuses a lot on the question “will this help my patient” but not on the question “when will it help my patient.” The latter becomes important as we age. We’ve developed a “time-to-benefit” tool on https://t.co/pNX59QfR17 to help answer this question.
#FOAMed #meded

[Walter Suárez Carmona @a_fisiolog57853]

No entiendo por qué mi mamá está cada vez más baja...

Abro hilo.

[Gustavo Duque @DrGustavoDuque]

Deciphering #Osteosarcopenia through the #hallmarks of #aging. Our most recent paper from @RIMUHC1 & @McGill_DOM, in collaboration with @FSalech and Dr. Francisca Franulic from @udechile: https://t.co/cE6MSW2MVU

[Gustavo Duque @DrGustavoDuque]

Here is the link to get free access to our recent paper on microRNAs and the hallmarks of osteosarcopenia: https://t.co/OBjowuTT19 Enjoy your reading! @RIMUHC1 @McGill_DOM

[Francisca Franulic @franfranulic]

@SuperDeSalud @IsapreColmena ¿ Qué pasará con la imposibilidad para emitir licencias médicas durante este periodo en que la plataforma de Colmena se encuentra caída?. Supongo que se justificará su emisión fuera de plazo…

[Francisca Franulic @franfranulic]

@RappiChile me hicieron un cobro adicional por $109.125. He estado tratando de comunicarme a través del soporte de la app y es imposible lograr una comunicación efectiva. Me cierran la conversación unilateralmente.

[Francisca Franulic @franfranulic]

To María from @Delta @TorontoPearson , thank you so much for helping us to get in time to NYC!!!🗽

[JAGS @AGSJournal]

Together we raise each other up: Introducing clinical reports of complex geriatric care in JAGS. #geriatrics https://t.co/LBWAb0GLfc

[Francisca Crispi @Francrispi]

IMPORTANTE: Se retiran 7 lotes del anticonceptivo Marilow por posible falla en la efectividad. Usuarias de este anticonceptivo deben reemplazarlo por otro de igual composición y utilizar método adicional (ej. condón) por un mes @ispch @colmedchile

[Mushtaq Bilal, PhD @MushtaqBilalPhD]

If ChatGPT and Google Scholar got married, their child would be Consensus — an AI-powered search engine.

Here's how to use it:

[Dan Go @CoachDanGo]

If you sit for more than 6 hours a day, read this: