❓ How can we understand better a person's experience of #delirium? 📚 Review of qualitative studies: 😱 Fear, loneliness, thoughts of death, etc. 💙 NB we can help: 👍 Inform re symptoms & progress 👍 Familiar voices, etc. 🔗 pubmed.ncbi.nlm.nih.gov/33991125/

🧠 #Delirium is a complex syndrome ➡️ Patients vary in multiple ways: 🔶 Symptom profile 🔶 Risk factors 🔶 Pathophysiology ➡️ Review on subtypes: alz-journals.onlinelibrary.wiley.com/doi/10.1002/al…

Excited to share that our article, “Tea and Tablets: What I Learned About Healing in Chupuro, Peru,” has been officially published. Eloy Ruiz Mendoza Oscar Ponce JAGS Read the article here: agsjournals.onlinelibrary.wiley.com/doi/10.1111/jg…

🧠 A 70-year-old man with remote stroke, BPH, HTN, diabetes, and metabolic syndrome presents with altered mental status. Febrile. UA positive for UTI. Routine CTH done. Why is his left lateral ventricle larger than the right? #NeuroTwitter #Stroke #RadTwitter #NeuroRadiology

When you hear patient say "I don't want intubation (chemo, dialysis, whatever)", many clinicians get satisfied and stop there. Don't stop. The next question should be "Why?"

Review paper on which #stimulants have shown to be effect in #stroke #rehab ahajournals.org/doi/full/10.11…

🧵 Osteoporosis is a common condition among older adults that leads to increased susceptibility to fracture. Learn more about the epidemiology, diagnosis, and treatment of #osteoporosis in this review. ja.ma/46j35E8

The 2024 Lancet Commission stated that there are multiple preventable risk factors for #dementia. Addressing these factors may reduce future risk but there is a lack of interventional studies.

🔴Acid-Base Interpretation - A Practical Approach⤵️ A 2025 AFP Update 🔹aafp.org/pubs/afp/issue… #FOAMed #MedEd #medstudent #paramedic #Cardiology #CardioEd #medtwitter #meded #CardioTwitter #cardiotwiteros #MedX #cardiovascular #MedTwitter #medical #medEd #cardiotwitter

Honored to join URMC Anesthesiology colleagues! [not on 𝕩?] We linked MedPAR & MBSF data to evaluate #delirium outcomes & hospital-level variation across 𝓷 > 𝟓.𝟓𝓜. I'll never get over the degree of delirium underdiagnosis in coding data: 𝟑.𝟔%. doi.org/10.1001/jamane…

Addressing patients’ expectations can enhance treatment outcomes and reduce adverse effects. This JAMA Insights offers 4 communication strategies to improve patient-clinician interactions. ja.ma/4kBbfeB

In a family meeting, we need to make some statement about the future (=prognosis). "He is very sick" is not enough. - Not sure if he could get better. - His time is getting short. - He is dying. We don't want to say that, but we have to say that.

In older adults, discontinuing antipsychotic medications after hospitalization was associated with reduced risks of rehospitalization, falls, infections, delirium, and mortality compared to continuation. ja.ma/40y37nO

🧠 Returning to X to share some new research! 📰Identifying subphenotypes of patients undergoing post-operative delirium assessment 🧵Findings in this thread #Delirium #LatentClassAnalysis #Endotypes #Subphenotypes #Geriatrics #PrecisionPyschiatry doi.org/10.1002/alz.70…

When the BGS's journal Age and Ageing published the Electronic Frailty Index (eFI) in 2016, it was very influential and is used across the NHS to identify frailty within a population. This has now been made even better with the new and improved eFI2! buff.ly/p0j55fi

Alternative Treatments to Selected Medications in the 2023 American Geriatrics Society Beers Criteria. #geriatrics agsjournals.onlinelibrary.wiley.com/doi/10.1111/jg…

When you expect multiple family members for a family meeting, they might have to wait in a long line at security. Instead of waiting for them, go downstairs yourself and get them directly. That's much faster. Also that will make a good impression. It will help.

📊 This JAMA Insights explores strategies for effectively communicating a diagnosis of mild cognitive impairment (MCI) or #dementia to patients and their care partners. ja.ma/40H61H3 #AAIC2025

#Osteoporosis is a common condition among older adults that leads to increased susceptibility to fracture. ➡️ Learn more about the epidemiology, diagnosis, and treatment of osteoporosis in this review. ja.ma/4m0B7SL

One strategy for discussing surgery (or any other risky treatment option) with a patient in an #AgeFriendly way is the Best Case/Worse Case/Most Likely model. This way pt can interpret the risks and benefits for/against weighed in the setting of #whatmattersmost #PALTMedTX #TGS