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Grumpy Geriatrician

@GeriatricDr

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Geriatrician, interested in philosophy, all things geriatrics and games. All my views are personal and grumpy!

Joined July 2012
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@GeriatricDr
Grumpy Geriatrician
3 years
Well that’s a bucket list item ticked off, a wow from ⁦@NickyAACampbell
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@GeriatricDr
Grumpy Geriatrician
10 months
RT @GeriSoc: We're heading to Liverpool this week for our POPS Meeting and look forward to seeing delegates in person and online. There's s….
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@GeriatricDr
Grumpy Geriatrician
1 year
Don’t look to investigations and tests to make decisions for you. The hallmark of clinical expertise, is being able to support a patient determine a plan that delivers success how they define it. #SDM
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@GeriatricDr
Grumpy Geriatrician
1 year
It’s remarkable how people are always looking for that magic wand or treatment, the answer is usually staring us in the face: its multicomponent interventions. Let’s get all that right.
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@GeriatricDr
Grumpy Geriatrician
1 year
I find this a really interesting topic. Seeing more patients diagnosed with Mild Cognitive impairment (MCI), instead of early dementia, some patients report being told not bad enough for ADD but then reasonably say why wait.
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academic.oup.com
AbstractBackground. An updated time-trend analysis of anti-dementia drugs (ADDs) is lacking. The aim of this study is to assess the incident rate (IR) of A
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@GeriatricDr
Grumpy Geriatrician
1 year
RT @JKDhesi: Want to work with the POPS@GSTT team on POPS-SUp; a NIHR funded multi centre study examining implementation and effectiveness….
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guysandstthomas.nhs.uk
Our current job opportunities. 
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@GeriatricDr
Grumpy Geriatrician
1 year
RT @ShaunLintern: Performance management over patient safety. Time and time again.
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@GeriatricDr
Grumpy Geriatrician
2 years
RT @LBC: 'We haven't got enough money to spend £2 billion a year paying doctors, but we can find £8 billion a year to cut a tax that's only….
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@GeriatricDr
Grumpy Geriatrician
2 years
This is a challenging read. No one should ever underestimate the impact reports, feedback and regulatory reviews can have on individuals. We need to be supportive. People can be masking tremendous grief. I.N.A.D.E.Q.U.A.T.E - Ruth Perry’s despair
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@GeriatricDr
Grumpy Geriatrician
2 years
RT @PaulaMc007: #Oliverscampaign .I can't thank my wonderful followers enough.Olivers petition asking for an adapted Version of his trainin….
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@GeriatricDr
Grumpy Geriatrician
2 years
RT @doctimcook: @GeriatricDr @RCoANews Hi Grumpy Geriatrician 😊. ….baby steps. We don’t answer all questions in one project. With respect….
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@GeriatricDr
Grumpy Geriatrician
2 years
People commonly ask me. Why did you become a Geriatrician? .The honest answer is that it was the only speciality and job that gave me the feeling, that I made a big difference in someone’s life.
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@GeriatricDr
Grumpy Geriatrician
2 years
I am always in awe of the wisdom older people have. When I asked a lady what she thought of a teams decision to delay her discharge due to “some risks identified” she said: “You youngsters never learn…….Life is dangerous”.
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@GeriatricDr
Grumpy Geriatrician
2 years
RT @GeriSoc: Fantastic to hear news of this significant research funding to explore older people's responses to stressor events and the bio….
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@GeriatricDr
Grumpy Geriatrician
2 years
Should specialist Geriatrician services see all Older patients with LD, should we see younger patients who are considered clinically frail (should age be a barrier to see a complexologist), to all the boffins out there this should be a research topic!.
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@GeriatricDr
Grumpy Geriatrician
2 years
It’s important that all patients can benefit from CGA where appropriate. Patients with Learning Disabilities are vulnerable to health inequalities. There is currently no agreed validated tool.for frailty in this group. What adjustments do you make to support these patients?
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@GeriatricDr
Grumpy Geriatrician
2 years
Next time you see someone say “Surgically fit…or medics to take over care” Remind them that it was a Surgeon: Parkinson who was the first to describe the condition which now bears his name. If we want to succeed for patients we need to collaborate as we once did.
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@GeriatricDr
Grumpy Geriatrician
2 years
Time after time we see more evidence that tightly controlling physiological parameters does not improve outcome (I.e recent inpatient BP data). In hospital environments are artificial and patients are there due to a stressor. #TreatPatientsNotNumbers
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nejm.org
Randomized, controlled trials have shown both benefit and harm from tight blood-glucose control in patients in the intensive care unit (ICU). Variation in the use of early parenteral nutrition and ...
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@GeriatricDr
Grumpy Geriatrician
2 years
To be clear, no one can become specialised in Geriatric Medicine by default! Geriatric Medicine is specialised and requires dedicated additional training.
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@GeriatricDr
Grumpy Geriatrician
2 years
RT @JKDhesi: Brilliant news!! Great to see POPS services blossoming!! Well done to the whole team!! Looking forward to next cohort of hosp….
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@GeriatricDr
Grumpy Geriatrician
2 years
RT @GeriSoc: 📢NEW GUIDANCE📢 @NHSEngland has published an 'Intermediate care framework for #rehabilitation, reablement and recovery followin….
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