Geriatrician/GIM. QI/patient safety, postacute models of care, aging with dignity. Sunnybrooker, AstProf UofT. Lover of hikes, bikes and chocolate.Tweets my own
"quality without equity is a hollow victory"
The number of times I'm overcome with relief when I realized my pt's RN/PT/OT/SLP/SW/literally anyone in their care spoke their language..
Finally some evidence for what we have known in our hearts all along.
https://t.co/4v6DVjHMzM
MAID is a complex and sensitive issue.
Health Canada (not personally affiliated) is hosting a questionnaire (closes Feb 14). People in Canada hold a broad range of perspectives, including on advance requests - a unique opportunity to share your views.
https://t.co/4aCd5ewsZY
I am having to add “lack of access to primary care” as a medical problem on discharge for more and more complex patients. This worsens patient outcomes and ends up costing you a lot more in tax dollars in the long run.
Yesterday was a really good day.
Maybe even a career high.
I should be popping the 🍾.
But with every high has to come a low, right? That’s how this works.
Have you been getting your mammograms like you’re supposed to?
I haven’t. 🧵
#KidneyWk#WomenInMedicine
in med school I was taught that scheduling opioids was clever, to "get ahead" of the pain
but... continuous opioid exposure *rapidly* causes tolerance & dependence (in as little as 3 days)
a PRN bolus strategy may allow opioids to maintain efficacy for longer (less = more)
@katpigs@AGardhouse Hi Katrina, going to show all the staff in my nursing home this fantastic new article and improve our clinical care. Thank you, Rob
New practice pointer in @bmj_latest - Reducing unnecessary urine culture testing in residents of LTC facilities by recent #ChoosingWisely/@CQuIPS fellow @katpigs & Johanna Trimble, Dr. Leis:
https://t.co/hSHZhbFCAf
"Never again should patients with delirium be isolated from their family caregivers"
Delirium, and use of antipsychotics and benzos increased during the pandemic @JAMANetworkOpen.
Read more in our @globeandmail Op-Ed with @NathanStall and @RochonPaula:
https://t.co/OgsqHSqSlA
An elegant well done RCT with a disappointing outcome. A diet tailored to prevent cognitive decline in older persons had no impact on cognitive outcomes or brain markers. There are still no dietary interventions or supplements known to prevent dementia https://t.co/TKYvDyxuKP
Your intelligence cannot be measured by a number. It is defined by your willingness to learn, solve problems and try new things. You are more than just a number. Develop your skills. Share your brilliant ideas. Your skills are more valuable than your grades. 🧠
Trouble sleeping?
Have you ever tried to sleep in the hospital? 🤦♀️
Thanks to the fantastic @ChristineSoong for collaborating and to @AnnalsofIM for putting it out there.
https://t.co/PJmp4yCLse