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@JerryDangMD
@OconnellDeb
@AriaAhmedCox
@andreafidgett
Who here has music constantly playing in their head, even in sleep, ever since they can remember?
Fantastic run through of dementia assessment by Dr Sharmi Bhattacharyya - great slide highlighting cognitive issues commonly experienced by people with mental health diagnoses #rcpsychdementia
#Delirium treatment is complex. ✔️ Here is DELIRIUM 8 - a set of 8 key domains to consider when looking after a person with delirium.
Significant concerns about the new Alzheimer's drugs Unpredictable, serious side effects {ARIA] @ScienceMagazine science.org/content/articl… Image benefit ≠ Clinical benefit jamanetwork.com/journals/jamai… @JAMAInternalMed @SusanMolchan
🆕 4AT #delirium app now available! 💚 Android: play.google.com/store/apps/det… 🍎 iOS: apps.apple.com/gb/app/4at-cli… ⭐️ Clean, quick design ⭐️ No registration, etc. required 🧠 Just download & click on the icon
Can high quality nursing home care reduce avoidable ED visits among people dying with dementia? Basically yes Sadly something not fully recognised by @NHSEngland & @DHSCgovuk as the pandemic swept in despite funded policy to support it😖 bgs.org.uk/blog/could-nur…
Loneliness doesn't only hurt mental health. It's also a risk factor for physical health. 90 studies, 2.2M people: loneliness and social isolation predict mortality from cancer and all causes, even after controlling for health conditions. Human connection is vital to well-being.
The TRAILBLAZER-ALZ 2 study published on Donanemab for #Alzheimer’s disease was just published in JAMA. I had the honor to write the editorial along with @NathanielChinMD and @SharonBrangman Here is a thread summarizing my thoughts. #EndAlz #AAIC23 jamanetwork.com/journals/jama/… 🧵1/20
"Most people believe #frailty is inevitable & irreversible. This clinical trial showed that a simple, low-cost, home-based intervention can reverse frailty and significantly improve muscle strength, bone mass, activity levels and slowness in 3 months." bgs.org.uk/blog/twenty-mi…
This is true, but it's a nurse smelling the pad and then suggesting you order a urine m/c/s. Ignore a nurse at your peril. They have reasons.
Friendly reminder to new trainees: ignore the "that urine smells like a UTI" It's not part of the diagnostic criteria for UTI! Urine can smell from dehydration, food, meds, etc The "sniff test" for UTI: - PPV 54% for bacteriuria - PPV 28% for pyuria ncbi.nlm.nih.gov/pmc/articles/P…
Has your payslip ever been correct the first month at a new hospital?
... and thats why it's important to juniors that seniors are predictable.
This debate about working hours ended up pretty heated. The Evidence around work, performance and fatigue is pretty complicated. But let's take a brief look. 🧵 1/
Biggest thing to ever come out of my little group. Pls help spread this finding! We found clean, CAUSAL evidence that the shingles vaccine prevents a good chunk of dementia cases. So, could a virus cause Alzheimer’s->YES! Hear me out & see preprint: bit.ly/3MVqXU9 🧵1/
Ok but how do vampires synthesise isoleucine?
1/18 🤔Why is the BUN/Cr elevated in upper gastrointestinal bleeding? This question has been covered by @AdamRodmanMD and @WilliamAird4 but the literature is SO FASCINATING that I had to review it myself.
Words I've heard for the first time in Cairns: Diapedesis Artery of Percheron
I have been working at this hospital since Feb '22. I finally found the way to my boss's office in Jan '23
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