#medmastodon — Public Fediverse posts

Do inpatient Geriatrics models actually improve care for older adults?

In 28,833 hospital encounters, ACE Units & Geriatrics Consults raised adherence to the 4Ms framework vs. usual care. But effects on outcomes were mixed. Consults alone linked to fewer 30-day readmissions, while ACE+Consult tied to more. Only ACE units with high adherence shortened stays.

Better adherence ≠ uniformly better outcomes. #Implementation matters.

#Geriatrics #Frailty #Care #MedMastodon

🔗 https://doi.org/10.1111/jgs.70666

Do inpatient Geriatrics models actually improve care for older adults?

In 28,833 hospital encounters, ACE Units & Geriatrics Consults raised adherence to the 4Ms framework vs. usual care. But effects on outcomes were mixed. Consults alone linked to fewer 30-day readmissions, while ACE+Consult tied to more. Only ACE units with high adherence shortened stays.

Better adherence ≠ uniformly better outcomes. #Implementation matters.

#Geriatrics #Frailty #Care #MedMastodon

🔗 https://doi.org/10.1111/jgs.70666

Do inpatient Geriatrics models actually improve care for older adults?

In 28,833 hospital encounters, ACE Units & Geriatrics Consults raised adherence to the 4Ms framework vs. usual care. But effects on outcomes were mixed. Consults alone linked to fewer 30-day readmissions, while ACE+Consult tied to more. Only ACE units with high adherence shortened stays.

Better adherence ≠ uniformly better outcomes. #Implementation matters.

#Geriatrics #Frailty #Care #MedMastodon

🔗 https://doi.org/10.1111/jgs.70666

Do inpatient Geriatrics models actually improve care for older adults?

In 28,833 hospital encounters, ACE Units & Geriatrics Consults raised adherence to the 4Ms framework vs. usual care. But effects on outcomes were mixed. Consults alone linked to fewer 30-day readmissions, while ACE+Consult tied to more. Only ACE units with high adherence shortened stays.

Better adherence ≠ uniformly better outcomes. #Implementation matters.

#Geriatrics #Frailty #Care #MedMastodon

🔗 https://doi.org/10.1111/jgs.70666

Do inpatient Geriatrics models actually improve care for older adults?

In 28,833 hospital encounters, ACE Units & Geriatrics Consults raised adherence to the 4Ms framework vs. usual care. But effects on outcomes were mixed. Consults alone linked to fewer 30-day readmissions, while ACE+Consult tied to more. Only ACE units with high adherence shortened stays.

Better adherence ≠ uniformly better outcomes. #Implementation matters.

#Geriatrics #Frailty #Care #MedMastodon

🔗 https://doi.org/10.1111/jgs.70666

The Prevalence of Central Nervous System-Active #Polypharmacy in #NursingHomes

- Highly prevalent, esp among residents with psychiatric comorbidity and in #pain
- Need for #deprescribing strategies and nonpharmacologic interventions

#Geriatrics #LTC #Care #MedMastodon

https://www.jamda.com/article/S1525-8610(26)00068-X/abstract?dgcid=raven_jbs_aip_email

#Schwangerschaftsbluthochdruck: Was sind typische Symptome & was hilft? Antworten gibt Dr. Lisa Lorenz-Meyer in einer neuen #Podcast-Folge von „Geburt in der Charité“ 🎧

👉 https://www.charite.de/die_charite/themen/geburt_in_der_charite

#CharitéBerlin #GeburtInDerCharité #Präeklampsie #MedMastodon #Geburtsmedizin

The claim is circulating that antidepressants can cause overheating and dehydration. This is a genuine public health message, but it's not so simple: diuretics, beta blockers, ACE inhibitors, antipsychotics, and some antihistamines may also interact badly with hot weather.
https://www.nytimes.com/2024/06/15/well/live/heat-weather-medication-safety.html (excerpt in a reply)

There's even doubt about antidepressants having this effect. A recent paper in eClinicalMedicine looked at all the studies they could find and concluded that there wasn't evidence of antidepressants causing overheating in hot weather - though some other medicines do.

"Current evidence supports strong anticholinergics, non-selective beta-blockers, adrenaline, and anti-Parkinson’s agents impairing thermoregulation during heat stress ... physicians should interpret with caution conventional public health messaging related to the thermoregulatory effects of some drugs (e.g., antidepressants) during hot weather."
https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(24)00465-6/fulltext

#Antidepressants #Diuretics #AnticholinergicMedications #MedMastodon #BetaBlockers #HeatWaves #Thermoregulation #OverHeating #Dehydration #SideEffects #AdverseEffects #AdverseEvents #DrugSideEffects #DrugSafety #HeatStress #HotWeather #HotWeatherSafety #PublicHealth #ACEinhibitors #Antipsychotics

In case it was missed in the post above, this is my updated article:

👉 https://www.thecanary.co/global/world-analysis/2025/04/01/anna-severe-me-cfs/

My doctor predicts I will die if I don’t leave soon.

I need a solid, safe, home I can go to and recover to at least a stable baseline. It’s not full recovery, but it’s better than a slow death.

Help please 🙏

#PwME #LongCovid #MECFS #Hypothyroidism #ChronicIllness #Neisvoid #Abuse #Housing #Dysautonomia #SocialWork #MedMastodon #PWLC #MutualAid
#HumanRights #Press #Housing #Journalism #MECFS #SevereME #Abuse #Neglect #MutualAid #Narcissist #Psychopath #MCAS #MCAD #Endometriosis #ChronicPain #CostOfLivingCrisis #Melbourne #Australia #DomesticAbuse #DV

@chronicillness @longcovid @neisvoid
@disabilityjustice
@disability @socialwork
@dysautonomia @mutualaid
@mecfs
@chronicpain
@mcas
@australia
@melbourne

PLEASE HELP ME ESCAPE!

Please #boost and share to other platforms.🙏I don’t have energy left (see below).

Seems desperate enough to go to the media for help. Yes, the trapped woman in the articles below is me.

👉2024
https://www.thecanary.co/global/world-analysis/2024/05/03/me-cfs-anna-australia/

Now things are worse, I’m much sicker, being neglected and will die without a safe stable #home. Doctor’s words.

If not mentioned in the article, my father is a diagnosed #narcissist with #psychopathic & #antisocial tendencies by a #psychiatrist. He urged me get away from my father asap because he is not a ‘safe person’ & neither are the other family members who lured me back through the promise of help.They didn’t help they made me progressively worse to the point of almost incapacitation at stage of #illness.

👉A year later:
https://www.thecanary.co/global/world-analysis/2025/04/01/anna-severe-me-cfs/

I’ve tried every level of government, every service and they simply won’t help.

Ways to help:
💸Fund: https://chuffed.org/project/161937-help-anna-escape
☕️BMaC: https:/buymeacoffee.com/Halcionandon
🎁Amazon://www.amazon.com.au/hz/wishlist/ls/1B9A74NSROTQZ
✨Beem: Halcionandon

- #Housing!
Ask people in real life if they have somewhere for me to go. Could they take me in (I can pay small board $250)? A lot people have ‘big house, not enough money’ problem. I can help!

- #advocacy. I desperately need help. Even basic daily admin.

I would be incredibly grateful for any help beyond words.🙏

Please read articles for full information.

Thank you for reading.

#PwME #LongCovid #MECFS #Hypothyroidism #ChronicIllness #Neisvoid #Abuse #Housing #Dysautonomia #SocialWork #MedMastodon #PWLC #MutualAid
#HumanRights #Press #Housing #Journalism #MECFS #SevereME #Abuse #Neglect #MutualAid #Narcissist #Psychopath

Dear international #FOAM #MedMastodon #emergencymedicine #Medibubble #medicine #EMS community,

I want to highlight the presence of @emcrit here in the fediverse, one of the best #FOAMed #emergency #intensivist #resuscitation #critcare blogs there is on the web, appalingly underappreciated here! Please Like and Follow and Boost!

Thank you!

If you're a #doctor or #pharmacist in #Canada, you can read my newest story for the Medical Post/Canadian Healthcare Network.
SEPT 2024 -- Over a dozen live births in Texas have resulted among people with uterine-factor infertility after getting a uterus transplant.

But there are still many risks and unanswered questions around the procedure—for both recipients and donors.

In a case series published in JAMA, researchers reported on the outcomes of 20 women who received a uterus #transplant. Of the recipients, 14 (70%) had both a successful uterus transplant and gave birth.

“It is the first time that we can offer women with this previously untreatable infertility the chance of becoming pregnant and deliver their own child. It is groundbreaking. It is also exciting that the children born are completely healthy and develop normally,” said study coauthor Dr. Liza Johannesson, associate professor at the Baylor University Medical Center in Dallas.

Absolute uterine infertility occurs in about one in every 500 women, traditionally leaving those who wish to start a family to either adopt, or where its legal and available, choose surrogate pregnancies.

Absolute uterine #infertility can be acquired or congenital due to either a dysfunctional or absent uterus, the paper said.

The year 2011 saw the first successful uterus transplant, and since then there have been just over 100 procedures conducted globally resulting in an estimated 70 live births. A total of 48 occurred in the U.S. since May 2024. Donated uteri can come from either living or deceased donors.

The Dallas Uterus Transplant Study (DUETS) began enrollment in 2016. Transplants were conducted between September 2016 and August 2019. The selection for donors and recipients was modeled after existing processes for kidney and liver transplants....

@medmastodon #medmastodon #obstetrics https://canadianhealthcarenetwork.ca/uterine-transplants-allowed-14-women-successfully-give-birth-process-complicated

Proud of the impressive #thesis by the talented Vera Asscher: #Inflammatory #Bowel #Disease; from gut feeling towards evidence-based #medicine

Looking farward to the defence on June 6th 🥳

#geriatrics #MedMastodon #IBD #crohn #colitis

In the space of about 12 hours today, I read two achingly beautiful, heartbreaking accounts about the loss of a young child from two different physicians.

I encourage all to read both pieces:
1) Losing Ceci by Dr. Ethan Sanford
https://jamanetwork.com/journals/jama/fullarticle/2803748
and
2) As a Doctor, I thought...Until [death] came for my son by Dr. Bonnie Chen
https://www.sfchronicle.com/opinion/openforum/article/i-see-clearly-now-a-note-grieving-patient-17855111.php
#MedTwitter #MedMastodon #tweetiatricians #tootiatricians #palliativeCare #humanities #grief

We often ask "What if it were your child?" during times when children are hurt, killed or terrorized

Last night, as has happened EVERY year, children, families & worshippers at #AlAqsa mosque were attacked during prayers in th most holy month of #Ramadan for #Muslims & a #medical #clinic was destroyed-now unable to provide #healthcare

Press coverage is nearly nonexistent, outcry is minimal.

Why?

What if it were your child?
#MedMastodon #tootiatricians #tweetiatricians #MedTwitter #PutKids1st

I was 2 days late watching the #TedLasso S3 premiere, but ready & eagerly awaiting the next #MedLasso podcast with @ETSshow & twitter's #RealDoctorT (is he on #Medmastodon yet?)

Can I ask you guys show questions here since I now avoid the hateful unregulated disinfo-spewing bird app almost completely?

Update: I bought a tiny AFC Richmond scarf for my #Grogu, which pretty much tells people everything they need to know about me! Pics to follow once it arrives! 🤣
#tweetiatricians #tootiatricians

"People don't fake depression...they fake being okay"

A friend recently shared tragic news of 3 #physician #suicide at her institution over 2 months

#MentalHealthMatters for everyone

Young patients #kids #teens are also struggling everyday with #depression #anxiety #suicidality #EatingDisorders

It shouldn't take 3 #suicides for us to understand that we should be kind & accommodating

#MedMastodon #MedTwitter #MentalHealth #CovidIsNotOver #pediatrics #tweetiatricians #tootiatricians

I have learned to adjust my calming end of the day reflection from

“Tomorrow will be better”

to

“Tomorrow might be just as difficult, but tonight is for recovery to be able to face the challenges tomorrow, God willing"

I think it helps to be realistic with expectations, but also to maintain resilience when situations cannot be controlled.

#selfcare #wellness #medtwitter #medmastodon #tweetiatricians #tootiatricians #CovidIsNotOver

What happens when kids ask this pediatrician if eating seeds can make a watermelon grow in their stomach? 😳🤣

Check out the 200th episode of "But Why? A Podcast for Curious Kids" from #NPR #VermontPublicRadio because kids ask the darndest things!

#kids #STEM #podcast #tweetiatricians #tootiatricians #MedTwitter #MedMastodon #science

Link: https://www.vermontpublic.org/podcast/but-why-a-podcast-for-curious-kids/2023-02-10/dont-swallow-gum-and-other-things-parents-say

Can someone direct me in where to find state laws on prescribing #stimulants? I am specifically interested in #Kansas requirements for #prescribers to follow.

This shouldn't be so hard to find, but I've tried all the search terms I can think of and can't find how often patients need to be seen, if there is a difference between in person vs telehealth visits, and other issues.

#MedMastodon #pharmacists #tootiatricians @tootiatricians

A nice Preprint paper to start off the year on the placenta and shared developmental pathways with the heart.

Authors: "the molecular and physiological associations between the embryonic heart and developing placenta are increasingly evident"

The authors "review the clinical, structural, and molecular relationships between congenital heart defects (sic) and placental dysfunction..."

#DevBio #Placenta #ReproSci #Reproverse #MedMastodon #ScienceMastodon

https://www.sciencedirect.com/science/article/abs/pii/S0143400422004817

Are you struggling to find medications due to the recent #DrugShortages?

Here's all the tips I've come up with.

Any others? @tootiatricians

#shortages #MedMastodon #pharm #pharmacists #tootiatricians #tootiatricians  #MedicationShortages #Adderall #TylenolShortage #pandemic

https://drkristenstuppy.substack.com/p/managing-medication-shortages​

I've had to have the conversation about #DrugShortages a lot lately. Here's all the tips I've come up with.

Any others? @tootiatricians

#shortages #MedMastodon #pharm #pharmacists #tootiatricians #tootiatricians #MedicationShortages #Adderall #TylenolShortage #pandemic #Consequences

https://drkristenstuppy.substack.com/p/managing-medication-shortages

@pediatricskc @HeatherFeltonMD All credit to Dr. Felton for the idea and putting it all together!
#pediatrics #safety #KeepKidsSafe #PediaTikTok #MedTwitter #MedMastodon #tootiatricians #tweetiatricians

Bivalent #COVID boosters are approved for ages 6 mos and up.

Please check with your #pediatrician or clinic to ensure your littlest ones are up to date!

Thank you! 😷💉

#GetVaccinated #COVIDisAirborne #WearAMask #MaskUp #Pandemic #TriplePandemic #tootiatricians #MedMastodon #MedTwitter #CovidIsNotOver

Everyone, and I mean EVERYONE, felt this Reply All email in their bones. I have not laughed so hard...much needed joy in this triple #pandemic of #RSV #COVID19 #Influenza

Link: https://www.tiktok.com/t/ZTRVmReSK/
#MedTwitter #MedMastodon #tweetiatricians #tootiatricians #pediatrics #MaskUp #CovidIsNotOver #SOS #VaccinesSaveLives

At first, I found it hard to get my head around citrate anticoagulation for CRRT. I built a module to help others understand what I learned

https://osler.app.link/PduAGD12Hvb

Hope you find it helpful too

#medmastodon #medtwitter #CRRT #criticalcare #intensivecare #intensivecarenurse #intensivecaremedicine #intensivist #ICU #ICUnurse #renal #dialysis #citrate

At first, I found it hard to get my head around citrate anticoagulation for CRRT. I built a module to help others understand what I learned

https://osler.app.link/PduAGD12Hvb

Hope you find it helpful too

#medmastodon #medtwitter #CRRT #criticalcare #intensivecare #intensivecarenurse #intensivecaremedicine #intensivist #ICU #ICUnurse #renal #dialysis #citrate

At first, I found it hard to get my head around citrate anticoagulation for CRRT. I built a module to help others understand what I learned

https://osler.app.link/PduAGD12Hvb

Hope you find it helpful too

#medmastodon #medtwitter #CRRT #criticalcare #intensivecare #intensivecarenurse #intensivecaremedicine #intensivist #ICU #ICUnurse #renal #dialysis #citrate

At first, I found it hard to get my head around citrate anticoagulation for CRRT. I built a module to help others understand what I learned

https://osler.app.link/PduAGD12Hvb

Hope you find it helpful too

#medmastodon #medtwitter #CRRT #criticalcare #intensivecare #intensivecarenurse #intensivecaremedicine #intensivist #ICU #ICUnurse #renal #dialysis #citrate

For those who have access to this correspondence from Ari Ercole: a very nice reminder of the limits and expected pitfalls of brain tissus oxygenation (PbtO2)

#NeuroCritCare #CritCare #ICM #Physiology #MedMastodon

https://link.springer.com/article/10.1007/s00134-022-06938-0

Therefore, here is a more lengthy #introduction:

I used to follow and learn from #medtwitter and #HITsm; I wonder if this moves now to #medmastodon? Given my #healthcare IT interest, I am particularly interested in understanding #customerneeds and providing #customervalue. On the technical side, I look for #interoperability topics and standards such as #HL7 #FHIR in the context of #eHealth, #healthcare infrastructure, and networks. For all of that, there is a need for #cloud platforms, #workflow, #processautomation, and in the long run, #LCNC.

Now is a great time to remind any family members to get their #COVID bivalent boosters and make sure your kids get vaccinated too!

Winter is long and the viruses are getting tougher.

Prevention is the best way to keep everyone safe & healthy!
#WearAMask #GetVaccinated #VaccinesSaveLives #tootiatricians #tweetiatricians #MedTwitter #MedMastodon

My friend & colleague Dr. Shaquita Bell https://twitter.com/shaqbell?lang=en

spoke with @NPR about how families can protect kids from #RSV with the holidays approaching here:
https://www.npr.org/2022/11/21/1138411464/what-families-can-do-to-avoid-the-rsv-surge-ahead-of-the-holidays
#WearAMask #tootiatricians #tweetiatricians #MedTwitter #MedMastodon #CovidIsNotOver #influenza #GetVaccinated #StayHome

Hey #MedMastodon, @pediatricskc is setting up a new list for #pediatricians #tootiatricians #pediatrician #pediatrics -->Tootiatricians group
@tootiatricians
click to follow the list and find your long lost Tweetricians we waved at on the last train platform... (take 3 on the post but at least there's a delete and re publish (aka edit) function)

#introduction to my new #MedMastodon server: I’m a critical care nephrologist, outcomes researcher and #extracorporeal therapies expert but in KIDS 🙃 🦄 😍
#sepsis #fluids #AKI #CriticalCareNephrology #CRRT #ECMO #PedsICU @PPETS

#introduction to my new #MedMastodon server: I’m a critical care nephrologist, outcomes researcher and #extracorporeal therapies expert but in KIDS 🙃 🦄 😍
#sepsis #fluids #AKI #CriticalCareNephrology #CRRT #ECMO #PedsICU @PPETS

#introduction to my new #MedMastodon server: I’m a critical care nephrologist, outcomes researcher and #extracorporeal therapies expert but in KIDS 🙃 🦄 😍
#sepsis #fluids #AKI #CriticalCareNephrology #CRRT #ECMO #PedsICU @PPETS

#introduction to my new #MedMastodon server: I’m a critical care nephrologist, outcomes researcher and #extracorporeal therapies expert but in KIDS 🙃 🦄 😍
#sepsis #fluids #AKI #CriticalCareNephrology #CRRT #ECMO #PedsICU @PPETS