COMMUNITY GERIATRICIAN @petalumahealth👩⚕️ UCSF med school + family med residency + geri fellowship ✊ Fired up re: older adults, med ed & @AmendatUCSF 🔥
This has been a long time coming - much too long, for no good reason - but thank you, President Biden, for doing it. You did a lot of harm as a leading #DrugWar proponent from the 80s to the 00s. This makes some amends.
https://t.co/zGWAZEArCQ
It is hard to overstate what a terrible decision this is.
RFK Jr has no medical training.
He is a hardcore antivaccine and misinformation peddler.
The last time he meddled in a state’s medical affairs (Samoa), 83 children died of measles…
This is a softball interview aimed at an audience Biden badly needs to win over: Young men who get their news on YouTube. I don't know how you can watch this and say he still has the campaigning skills to do it. https://t.co/QuCm8P8cNq
"Risk Assessment & Prevention of Falls in Older Community-Dwelling Adults" (JAMA 2024) - ">25% of older adults fall each year & falls are the leading cause of injury-related death in persons >65. Functional exercises & tai chi decrease the risk of falls" - https://t.co/cSGKpQ1OSs
PRO TIP: if you’re a doctor stuck inside for the eclipse you can still experience 4 minutes of total darkness by scheduling a peer review call with a colleague outside your specialty who denies one of your patients the treatment they need
Today was my career record for de-prescribing supplements: lovely new patient with CAD taking a total of 132 supplements per day(yes you read that right!) thanks to all of the “longevity” experts who love a grift. We replaced them all with $4 rosuvastatin. Wellness is unwell.
Anyone know of studies on impact of entresto specifically on QOL in older adults? WHO ARE MY GERI CARDS PEEPS OUT THERE?? I know it helps the middle aged but I see soooo much hypotension in older adults on this med. #cardiology#geriatrician#HFrEF
We are thrilled to be hiring for an additional #geriatrician in our ambulatory geriatrics program @CedarsSinai . Please spread the word to your geriatrician colleagues! @CedarsSinaiMed
https://t.co/Bp3tQkY3De
Brilliant article on what constitutes a clinically meaningful benefit from treatment for #Alzheimer's disease, and how to actually measure it. #EndAlz
https://t.co/iBdAj3uGSb
Did you know persons over age 80 dont get COPD?
Well I didn't either COPD VERY common in older persons Yet study of novel new RX for COPD + eosinophilia excluded age >80
Ageist Inexcusable Once again NEJM publishes without even noting this as limitation https://t.co/Pe7oJ2KNet
JUST OUT: An impressive study in @JAMAPsych concludes that the #Oregon decrim initiative (and a similar law in #Washington) DID NOT result in an increase in #overdose fatalities. Evidence-based studies were & are crucial to sustaining support for #decrim
https://t.co/YJhfff5jR0
Today we launch our 7-episode series, @thenocturnists Post Roe America. In the premiere, we hear about the day Roe fell, and follow a clinician in Tennessee as she scrambles to interpret the law in her state. https://t.co/j3VuCacI4w 🏜️ #medx#MedTwitter
Today, the Biden-Harris Administration is announcing the first 10 drugs selected for Medicare price negotiation.
Seniors paid $3.4 billion in out-of-pocket costs for these 10 drugs in 2022. President Biden’s Inflation Reduction Act is working to bring down those costs.
The 2023 updated AGS Beers Criteria for potentially inappropriate medication use in older adults is a tour de force! Reading this will make you a better and safer prescriber of medicines in older persons. https://t.co/w3Ov5vtCh6
Powerful local take on moral injury for PCPs, 1 day clinician strike at FQHC. Adding to the chorus of canaries in the coal mine. Big changes needed now. Dedicated doctors are leaving medicine. This isn’t burnout. It’s a medical crisis https://t.co/FLl2QzQ6nY
Sobering track of a trainee through the medical education industrial complex by excellent work by @DrJSatterfield
arguably a similar trajectory for those passionate about #primarycare and #CommunityEngagement