Kim Ang

Safety of Baclofen and Tizanidine in Older Adults. #geriatrics agsjournals.onlinelibrary.wiley.com/doi/10.1111/jg…

Bottom lines from Updates in Geri #SGIM25. ⁦@SocietyGIM⁩ Outstanding Session!!! #Geriatrics ⁦@NMGeriatrics⁩

A person without symptoms with a positive p-Tau217 blood test should not be diagnosed with #Alzheimer's disease (my view) nature.com/articles/d4158… @Nature

More than 25% of older adults fall each year, and falls are the leading cause of injury-related death in persons aged 65 years or older. In a 3-part video series, we will show different tests that can determine the likelihood of falls in older adults. ja.ma/4e6Rto8

During terminal hospitalizations, Black patients were less likely than non-Hispanic White patients to have documented end-of-life care, which was more pronounced in non-teaching hospitals than in teaching hospitals. #geriatrics agsjournals.onlinelibrary.wiley.com/doi/10.1111/jg…

Postoperative use of sleep aids and delirium in older adults after major surgery: A retrospective cohort study. #geriatrics agsjournals.onlinelibrary.wiley.com/doi/10.1111/jg…

Clinical Practice: Management of Insomnia nej.md/3zMCiBW

Orthostatic Hypotension in Adults With Hypertension: A Scientific Statement From the AHA Risk stratified by drug class 👇

A review article synthesizes the current state of understanding of a topic.   It can summarize a large body of work into a cohesive and comprehensive overview. Here is how to write a review article: 🔽

Methylphenidate was no more helpful than placebo in treating cancer related fatigue. ascopubs.org/doi/10.1200/JC… #hapc #palliativecare @veladconmigo Daily rec?

Localized prostate cancer in older patients: Radical prostatectomy or radiotherapy versus observation geriatriconcology.net/article/S1879-… @WilliamDale_MD @rochgerionc @myCARG #GeriOnc #OlderAdults #OncoAlert #SIOG #YoungSIOG #Radiotherapy #Observation #MetaAnalysis

Limited data exist to inform prognostic decision-making for older adults with prolonged acute illness In this study in @JAMANetworkOpen, we used data from the Health & Retirement Study to describe survival, function, and cognition after an LTCH hospitalization

There's a lot of nonsense going on about how Tony Fauci "made up" the 6 feet social distancing rule So a little bit of context here would be helpful The 6 feet rule came from the CDC, not Dr. Fauci It was based on the flu model of disease spread -- where droplet transmission largely happens within 6 feet Flu is largely spread by droplets (little spit that comes out when we speak or cough) Those usually fall to the ground within 3-6 feet of the infected person A lot of public health agencies used the flu model in the early days of the COVID pandemic. That turned out to be wrong -- COVID largely spread by aerosols not droplets My critique of public health agencies has not been that they got the initial assessment wrong It was hard to get everything right initially It was that they didn't update fast enough -- once we knew that this was NOT being spread by droplets So yes, the 6 feet rule turned out to be wrong It was wrong because COVID did NOT spread like the flu Dr. Fauci did NOT make this rule He did push CDC to come up with better data 20/20 hindsight is easy Understanding what happened and being honest about how we got things right and wrong is how we move forward productively

#PalliativeCare for #KidneyFailure: The pros/cons of extending life through dialysis vs. maintaining quality time at home with conservative kidney management + more. Guests @SammyG , @sciacca_kate, & Joshua Lakin. Episode bit.ly/GeriPalEp311 - hosts @AlexSmithMD | @EWidera

An insightful review @NEJM on medical #AI and human values nejm.org/doi/full/10.10… @arjunmanrai @kunhsingyu @HarvardDBMI "Rather than replacing physicians, AI has made the consideration of values, as reflected by the guidance of a thoughtful physician, more essential than ever."

"Benefits and Risks Associated With Statin Therapy for Primary Prevention in Old and Very Old Adults: Real-World Evidence From a Target Trial Emulation Study" (Annals 2024) - acpjournals.org/doi/10.7326/M2…

It's about time to stop starving our patients pre cath. If there is an inpatient add on or any outpatient case that's not going in the morning, can we please give them a light breakfast at least? More data to add to what we have👇 jacc.org/doi/full/10.10…

Promotion of dedicated advice lines (or an area equivalent) needs to ensure that people with advanced illness are aware of how to access such support, but there is variation in how this is done. #hpm #hapc #hospice #palliativecare buff.ly/4aFfoJv

The length of time to death for most patients once they are comatose or barely rousable is 2 days. However, this study highlights the importance of clinicians acknowledging and conveying uncertainty in prognostic accuracy. #hpm #hapc #palliativecare buff.ly/3WXQzoV

Statins work well even in people aged 85 y and beyond for reducing stroke, heart attack, heart failure, all-cause mortality, CV mortality, and liver dysfunction, while proving to be safe acpjournals.org/doi/10.7326/M2… @AnnalsofIM @EricWan_HKU @Wanchun_Xu @HKU_FMPC