Katrina Piggott

Geriatrician/GIM. QI/patient safety, postacute models of care, aging with dignity. Sunnybrooker, AstProf UofT. Lover of hikes, bikes and chocolate.Tweets my own

[Katrina Piggott @katpigs]

"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

[Katrina Piggott @katpigs]

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

[Kevin Mcleod @dockevinmcleod]

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.

[Brad Langford @BRxAD]

Time to "ditch the dipstick" for diagnosis of UTI in older adults
https://t.co/vnuYHS4op8
@katpigs via @bmj_latest

[Michelle Rheault @rheault_m]

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

[Katrina Piggott @katpigs]

THIS.

[Josh Farkas MD 💊 @PulmCrit]

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)

[Eric Wong @EricWong_MD]

A worthwhile read on the topic of new amyloid drugs for Alzheimer's disease by my colleague @JennAnnWatt in this week's @CMAJ https://t.co/JXSeOI94I1

[Katrina Piggott @katpigs]

Still learning on the regular from this guy @DavidJuurlink

[David Juurlink @DavidJuurlink]

Sometimes, "unexplained liver injury" is nothing more than 4 grams of acetaminophen per day

[Katrina Piggott @katpigs]

Dear Rob, I was once your medical student, and your message absolutely made my day. All my best!

[Rob Lam @RobLamMD]

@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

[Katrina Piggott @katpigs]

Thrilled to see this in print while on parental leave! Tremendous thank you to Jerome, Wendy and Johanna. #IYKYK

[Choosing Wisely Canada @ChooseWiselyCA]

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

[Christina Reppas-Rindlisbacher @ChristinaReppas]

"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

[André Picard @picardonhealth]

Human beings don't need to be sober or drug-free to deserve housing, food, and dignity. https://t.co/WJfztNqH3c via @drandrewb #sdoh

[Ken Covinsky @geri_doc]

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

[Ash Paul @pash22]

Reducing unnecessary urine culture testing in residents of long term care facilities https://t.co/N7IIk0fFIx via @katpigs et al

[Geras Centre for Aging Research @GERAScentre]

Do not overlook the importance of getting a good night's sleep! 😴Check out this helpful infographic from @JohnsHopkins to learn more about #sleep 🧠💡

[Katrina Piggott @katpigs]

Thrilled to be hearing about the future of LTC care and resource stewardship from the incomparable @SidFeldman1 and @docmoser at #choosingwisely2023 @ChooseWiselyCA

[Prof. Feynman @ProfFeynman]

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. 🧠

[Dr. Alika Lafontaine MD @AlikaMD]

Did a shoutout to your amazing work in Manitoba @MarciaJAnderson. 👏🏽👏🏽👏🏽

[Christine Soong @ChristineSoong]

Check out this primer on how to help patients have safe and restful sleep in hospital #hospitalist

[Katrina Piggott @katpigs]

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

[Geras Centre for Aging Research @GERAScentre]

Excellent infographic on strategies to prevent #delirium in older adults from @ElderLifeProg @RGPToronto 🧠