I often get consults abt appetite stimulants Megace, Marinol My job *is not* to tell doctors that these dont work They already know that Deep down My job is to provide empathy&acceptance That disease has progressed That pills arent the answer Fat gain does not equal life gain

Worked w/ ✨awesome✨ hospitalist colleague to clear delirium After 70 days in hospital Patient now follows commands Asks why he's here Off restraint All by managing polypharmacy All in a geriatrician's day work💪 #ThisIsGeriatrics

I’m just a girl, asking people to stop recommending and to stop selling stool softeners. 1/

Teaching an interprofessional simulation on discharge planning for adults with frailty with medicine/PT/pharmacy students. Overheard during debrief: “The patient is the center of our care.” 👏🏽👏🏽 I think they get it. #geriatrics

So... the first lawsuit I'd like to see is from a Jewish woman who has access to an abortion provider denied in a Christian Theocracy state sue that the Christian rules inhibit her religious freedom under the free exercise clause of the 1st Amendment.

Abortion is not only permitted in Judaism, but in some cases required when the life of the pregnant person is at stake. Restrictive abortion laws, rooted in just one understanding of when life begins, limit our ability to fully practice our religious tradition.

Saw many patients already this week with complex admits My first questions to nurse/primary team: Functional status prior to admit? Where and who did they live with? No answers. We must understand the past to make sense of the present and plan for the future #MedTwitter

The pendulum has swung too far. Penalizing falls in the hospital has resulted in patients who aren’t allowed to get out of bed. They get weaker, depressed, constipated, pressure ulcers and ultimately need SNF placement. Ambulation should be viewed as a key to healing.

Hot tip: when delivering news to a successful team of women physicians and NPs, it is poor form for the man to tell them to “calm down”

The legal reason a pregnant woman can't get divorced in Missouri is because the unborn is not a person so joint custody and support can't be adjudicated until the first breath. You heard that right. Not a person. Until born.

The "Value Them Both" tagline is uncomfortable and disingenuous propaganda. The agenda is to further silence women in their moment of crisis and prescribe a course of action without attention to nuance or the provision of social and financial support. 12/

Things that work for recurrent episodes of cystitis: ✅Tamsulosin ✅Vaginal estrogen ✅Counseling and hygiene education ✅Source control Things that do not work for recurrent cystitis: ⛔️10 courses of antibiotics in 6 months #IDTwitter #MedTwitter

I'm just a girl Staring at the formulary Asking to remove benadryl out of the transfusion order set (and docusate out of the entire hospital)

“You are really making me think about this from a different lens that feels achievable and truly patient-centered.” says a hospital leader after a presentation about functional decline during and post-hospitalization. I think they got it. Folks, #thisisgeriatrics

We *should* expect patients to pull out IVs&try to get out of bed It's not normal to be tied to IVs It's not normal to be in bed all day Our job *is not* to stop pts from pulling lines/getting out of bed Our job is to help pts get as close to *normal life* as possible

Adding a SNF experience to the medical student curriculum on their surgical rotation led to an increased understanding of care of older adults across the continuum. #geriatrics #MedTwitter KU Medical Center

The Geriatric Emergency Department Collaborative Manish N. Shah, MD Amy Kind, MD, PhD Thomas Caprio MD Gwen Costa Jacobsohn University of Wisconsin Department of Medicine @uw_geriatrics The John A. Hartford Foundation West Health SAEM EBM IG Journal of Geriatric Emergency Medicine A key challenge of frailty services and care is clinical fortitude and risk taking, sometimes getting a patient home with the best of intentions does lead to an increased readmission rate, but that risk is sometimes a drop in the ocean compared to a prolonged hospital stay.

Five things you can do to avoid the hazards of hospitalization: Family/friends of patients in 🇨🇦hospitals - more than ever, you must engage in the care of your admitted older adult. Simply because of frailty, the vulnerability to bad outcomes exists.

emily fraser 🌿🐌✨ This is a reminder that the US has <3k full-time practicing board certified geriatricians. #Geriatrics is close to being, if not already, obsolete. To the detriment of all older adults today and in the future.Rep. Doris Matsui Jan Schakowsky Hakeem Jeffries Rep. Debbie Dingell President Donald J. Trump CMSGov