Maria Mendoza, MD

Internal Medicine | Geriatrician | Educator @MayoClinic #WomenInMedicine #MedEd #GeriEducation Tweets my own 🇲🇽in🇺🇸

[Alí Duarte, MD @AliDuarteMD]

🧵 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

[Alice Gallo, MD @GallodeMoraesMD]

To the women… keep on keeping on🥰❤️
#assertivenotaggressive

[Eric Widera, MD @EWidera]

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

[Mayo Clinic Cardiac Surgery @MayoClinicCVS]

An incredible story! Thank you to our MN State Troopers, @MVillavicencioT and @MayoClinic experts for a successful heart transplant!
Watch the full story tonight!

[Amit Shah, MD @ShahGeriatrics]

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.

[john morley @drjohnmorley]

FRAIL SCALE.

[Meltiady Issa, MD, MBA @MeltiadyIssa]

🔥#MayoMGR today with @AliDuarteMD :
"Lupus Management for Internists: Key Clinical Pearls"
@Dr_Vijay_Shah @MdWarrington
#MayoClinicRheumatology #Lupus #SLE #APS #RheumTwitter #MedTwitter

[KenWarringtonMD @MdWarrington]

Outstanding Medical Grand Rounds by @AliDuarteMD @MayoClinic
Pearls on #SLE for the internist #rheumtwitter

[JAMA Oncology @JAMAOnc]

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

[Melissa Bogin, MD @MelissaBoginMD]

@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

[Melissa Bogin, MD @MelissaBoginMD]

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

[Melissa Bogin, MD @MelissaBoginMD]

@MayoClinic trauma surgeon @BrandonYuanMD on post-hip fx VTE ppx:
⭐️fewer VTE d/t better surgical techniques
⭐️standard 4 wk ppx- use LMWH/DOACs
⭐️high risk- use prolonged ppx w/DOACS
#ThisIsGeriatrics #COOA

[Melissa Bogin, MD @MelissaBoginMD]

amazing #woundcare talk by @MayoClinic Professor @PYTakahashi :
⭐️liberalize the diet- give them the 🍦
⭐️GOC important- <50% wounds will heal
⭐️q2 or 4 hr turns outcomes the same
#ThisIsGeriatrics

[Melissa Bogin, MD @MelissaBoginMD]

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

[Melissa Bogin, MD @MelissaBoginMD]

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

[Courtney Harris, MD, FACP @CourtHarrisMD]

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!

[Melissa Bogin, MD @MelissaBoginMD]

@MayoClinic CIM super⭐️ @PellecerSanchez on HM in older adults:
⭐️PCV20= new go-to pneumonia vaccine to complete series
⭐️older adult? likely meets criteria for new RSV vaccine
#thisisgeriatrics @mayoclinicCIMGP

[Melissa Bogin, MD @MelissaBoginMD]

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

[Melissa Bogin, MD @MelissaBoginMD]

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

[Melissa Bogin, MD @MelissaBoginMD]

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