Proud to join ~500 other MN docs in signing on to this @nejm.org piece. Proud of my colleagues. Proud of Ben Trappey for signing his name to it and taking the inevitable heat from some quarters. Stand up and be counted 💪🏼💪🏼

Solid advice from @glaucomflecken.bsky.social youtube.com/shorts/z4dy0...

I usually see 8-10 pts per clinic shift. In the last 2 wks I've seen fewer...total. They're cancelling, not scheduling, &not coming in. They're scared to leave home; risk being harassed, taken, or worse; leaving medical needs uncared for. That's not making us safe. That's making us inhumane.

I am gifting the link. www.wsj.com/opinion/tim-...

NEW Statement from the family of Alex Pretti:

I've lived in MN since I was born. I've lived in the suburbs, I have lived in the cities. I've taken the train, driven, cycled all over. I've always felt safe, always felt my friends and family were living in safe places. I have never had concerns going to downtown Minneapolis or St. Paul.

...something, something...taxation without representation...

People with intellectual & developmental disabilities are at higher risk of #dementia but face significant barriers to care. The authors propose a public health framework to address this intersection of #disability & brain health. academic.oup.com/gerontologis... #medsky

After this week, it's hard to explain why this feels so different. We've heard and read about so many abuses from this govt. But we saw this. I'm reminded of these words from West Wing (and I know it's not a perfect comparison) youtu.be/0qoj7ICwU6w?...

Grammar aside - the intent and depravity of the statement shouldn't be lost Coverage by - ACA. Constantly attacked. Just became wildly more expensive - Medicaid and CHIP. Literally gutted by 'BBB' - VforC. Especially important in rural/underserved areas where we've seen closures d/t Medicaid cuts

Not just children! This change is also ableist and ageist. High # of admissions I had to the hospital and post-acute care because of Flu A and RSV just this week. ➡️Mostly older adults. Who often have more severe cases ➡️Many with dementia who cannot easily treat or manage on their own

Children will die with RFK Jr.'s new vaccine recommendations. We're NOT doing the "experts disagree" game. The US vaccine schedule was painstakingly constructed through a deep & thorough process by experts with unquestionable expertise. This is policy by fiat. It is pre-meditated murder. 1/

And, for an administration that was supposed to be about cutting everyday costs 🙄, beyond the direct health impacts of these perverse "recommendations," This is just ridiculously expensive. www.cdc.gov/mmwr/volumes...

This OpEd, by the inspirational @drdemetre.bsky.social in today’s @washingtonpost.com, is one of the best pieces of science writing of 2025 I’ll be assigning it to my students next semester in my class on ‘policy writing—turning evidence into public health action’ Thx Ed, for the free access link👇

Quite the long-game strategy to solve the geriatrician shortage 🫤🙄

Let me introduce you to prices in medicine: Financial toxicity: a common problem affecting patient care and health - PMC pmc.ncbi.nlm.nih.gov/articles/PMC...

I'm told that Roger Marshall is a medical doctor, like with a degree and everything, and yet every single time he opens his mouth to discuss health care it's like they pulled a random guy out of the beer line at a Royals game.

My patients are very aware of prices. Often more so than me. Especially older adults on fixed incomes. Because of that awareness, true, in the short term, they may not spend as much f.e. Medicare dollars. 🚨By forgoing necessary care🚨

LMFTFY: 👉 CDC panel Defies Experts with Hep B vaccine vote.

Grateful for the clear messages coming from @ameracadpeds.bsky.social @idsainfo.bsky.social @apha.org

1- Insomnia in older adults can be difficult to address. CBT-insomnia is the gold standard - and the safest intervention. Yet low-dose quetiapine is being used more to treat insomnia. How safe is it? The authors of this study sought to find out. #medsky link.springer.com/article/10.1...

Prescribing 1st-generation antihistamines (e.g., diphenhydramine, hydroxyzine, meclizine) to hospitalized older adults is associated w/ ⬆️risk of delirium, according to this study of 328k inpatient admissions in Canada. Just don't do it! #medsky agsjournals.onlinelibrary.wiley.com/doi/full/10....

Good social policy has health benefits. In an analysis of the Health & Retirement Study, participating in SNAP is assoc w/ slower cognitive decline in adults 50+ yo. However, the protective effect was less in Black & Hispanic adults. #medsky agsjournals.onlinelibrary.wiley.com/doi/full/10....

Pay more. Get less. www.cbsnews.com/minnesota/ne...

Ageism is pervasive in media coverage of political figures. While raising concern about cognition may be reasonable, conflating age with cognitive or other impairments, is not.

“Since 1998, independent researchers have conducted more than 40 high-quality studies involving over 5.6 million people. The conclusion is clear and unambiguous: There’s no link between vaccines and autism." -Dr. Susan Kressly, AAP President on recent changes to the CDC's website

The New England Journal of Medicine (@nejm.org) and the Center for Infectious Disease Research and Policy (@cidrap.bsky.social) will share regular public health alerts - information formerly provided by the CDC MMWR. #medsky www.statnews.com/2025/10/21/c...

What is the risk of stroke associated with risperidone use in persons living with dementia? New study (N=28k risperidone, 136k control) from UK Clinical Practice Research Datalink found ⬆️risk, esp. in those w/ previous stroke. Helpful for quantifying risk vs benefit of risperidone use. #medsky

“Until we can again trust the recommendations made by our federal government, AAP will continue stepping up and working with our local, state and federal partners to make sure every child in every community continues to have access to immunizations.” #medsky www.aap.org/en/news-room...

What happens when older patient gets admitted to hospital from ER but hospital has no beds? Often they "board" on stretcher in ER Hallway Great article describes this terrible experience from patient perspective "Hallways Feel Like Homelessness" agsjournals.onlinelibrary.wiley.com/doi/10.1111/...

New paper w/ Brian McGarry, Ashvin Gandhi, and Drew Wilcock in @jamainternalmed.com! Hospitals are complaining across the US that patients are "stuck" waiting for rehab beds at nursing homes when they are medically stable and ready for discharge. What is going on?? jamanetwork.com/journals/jam...

The latest on healthcare professionals leaving the VA: Inspector general found: - 94% of VA facilities face severe shortage of doctors - 79% face shortage of nurses - 57% face shortage of psychologists 50% increase in shortages vs last year #medsky www.theguardian.com/us-news/2025...

This study was published in Annals of Internal Medicine; kudos to the editor: “"I see no reason for retraction," Dr. Christine Laine, editor in chief of the Annals” More guts than all the broligarchs 👍🏻👍🏻👍🏻

Just out in @agsjournal.bsky.social! We developed and piloted an AI + care coach intervention to support ED-to-home transitions for people with dementia or cognitive impairment + their caregivers. 🧠↑ caregiver self-efficacy 📉↓ caregiver burden Read more: doi.org/10.1111/jgs....

Front line medical staff are leaving the VA in large numbers, jeopardizing the healthcare of our veterans. #medsky www.militarytimes.com/veterans/202...

Thanks to Wisconsin Public Radio's Larry Meiller Show for the opportunity to talk about aging well and addressing depression, anxiety, memory loss, and alcohol/cannabis use in older adults. #geronsky www.wpr.org/shows/larry-...

Today’s FDA panel on SSRIs in pregnancy lacked balance and failed to reflect the evidence. Untreated depression and anxiety can lead to serious health risks for pregnant patients—SSRIs can be lifesaving. Patients deserve access to evidence-based, compassionate care. Learn more: buff.ly/NcCZno8

Thread on today's Congressional Budget Office finally released cost estimates of the budget reconciliation law and its draconian #Medicaid cuts. But we are still waiting on detailed coverage estimates (1/x): www.cbo.gov/publication/...

Medicaid suddenly not available to man who shoots himself in the foot.

Researchers' hold a 'science fair' for projects cut by the Trump administration www.npr.org/2025/07/09/n...

Steps to better bone health. #osteoporosis

Proud of you, @idsainfo.bsky.social 👏🏻👏🏻👏🏻

1- It's refreshing to think about what could be possible if communities, healthcare systems & families could be aligned to support the resilience of older adults. The authors propose the SUNSHINE framework, conceptualizing resilience as both a means & an end. www.ajgponline.org/article/S106...

You know, it's interesting. I've never seem to have a patient with too much insurance coverage. 🤷 #medsky

Nearly 800 rural hospitals are at risk of closure. Here’s the MN breakdown from Beckers Hospital Review. Heckuva time, Congress, to cut nearly a trillion out of Medicaid funding.

GWEP funding notices are *finally* being sent And we're seeing cuts of 25-60%.

As a Jewish person concerned about a whole lotta other $#!¥ going on: If your concern about a politician's Muslim background and how he voices support of Muslims is b/c you're concerned how that'll play with (usually Dem) Jews, that's both islamaphobic and antisemitic.

One more thread on a new provision in Senate reconciliation bill that Senate GOP will misleadingly tout as expanding access to home- and community-based services for seniors and people with disabilities (section 71123) but in context of the bill, it won't be meaningful (1/x)