🧵 After 75 years of using glucocorticoids (GC) for lupus nephritis (LN), we still don't know the most effective and safe doses. Let’s explore the data from our recent publication: https://t.co/AsZknaQ01s
A graphical decision aid that physicians can use to guide these discussions showing the average benefits and risks of lecanemab published in @AnnalsofIM. #ENDALZ#geriatrics
https://t.co/jlnDsBDeXC
An incredible story! Thank you to our MN State Troopers, @MVillavicencioT and @MayoClinic experts for a successful heart transplant!
Watch the full story tonight!
Not too often that a car commercial makes you cry, this is the longer version… with one of my favorite John Denver songs…. And a touching portrayal of the reality of how dementia affects people and families
https://t.co/0aAYxJuVVp.
What is a geriatric assessment & why is it an important but under-utilized tool for older patients with cancer? This JAMA Oncology Patient Page explains its value. https://t.co/MTFk7PwC0W
@mayoclinicCIMGP@ChristinaChenMD’s amazing talk on anorexia/weight loss in older adults:
⭐️don’t forget to look in the mouth!
⭐️don’t overlook psych issues!
⭐️BMI goal > 22
⭐️assess social circumstances of eating and liberalize diet!
#ThisIsGeriatrics#COOA
clinical 🔑s from @sfeirjad’s great talk on osteoporosis:
⭐️hip or pelvic fx = diagnostic of osteoporosis ➡️start tx EVEN W/O BMD!
⭐️bisphosphonate holiday? recheck the BMD accordingly to consider restarting
#ThisIsGeriatrics@MayoClinic
clinical 🔑s from @mayoclinicCIMGP’s Dr. Brandon Verdoorn re:UTIs in PALTC:
🔑UTI is a clinical diagnosis!
🔑asymptomatic bacteruria ➡️ urinalyses and urine cx may not be helpful
#ThisIsGeriatrics
clinical 🔑s re:antipsychotic use in PALTC from @mayoclinicCIMGP’s Dr. Brandon Verdoorn:
⭐️don’t forget basic needs when considering dementia behaviors
⭐️think: “what is the patient trying to tell me?”
#ThisIsGeriatrics#COOA
4/
✴️Be deliberate — my favorite phrase of the talk was “Leave Loudly”
Normalize leaving early or on time when needed for caregiver needs or family events!
Thanks Dr. Johnson for the amazing talk!
clinical 🔑s from @MayoClinic HIM delirium queen Dr. Donna Miller:
🔑”alert & oriented” isn’t a screen for delirium
🔑months of the year backwards plus current day of the week is well-validated to detect delirium
#COOA#ThisIsGeriatrics@MariaGeriatrics
clinical 🔑s from @PellecerSanchez at #COOA- HM for older adults part i:
🔑use prognostic calculators to calculate life expectancy when considering cancer screening in older adults
➡️an older, healthier adult may benefit more than a younger,sicker adult!
#thisisgeriatrics
clinical 🔑s from the guru of dementia care, @mayoclinicCIMGP’s Dr. Ericka Tung:
🔑dementia is an organizing principle of care- aka problem #1 on your Epic problem list!
🔑timely diagnosis is crucial for advanced care planning
#thisisgeriatrics@MariaGeriatrics@PYTakahashi