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)

“Immunizations work, they are very effective and safe, and they save lives. Vaccines are among the most rigorously studied and effective tools in public health.” Kudos to AAFP, AAP, ACOG, ACP, IDSA for this. www.statnews.com/2025/06/26/v...

Dr. Lei Yu and colleagues identified 3 distinct biomarker profiles, among which one profile exemplifies older adults with high burden of AD pathology, and another exemplifies those with more severe vascular conditions. doi.org/10.1093/brai...

Nutrition in Medicine: Malnutrition in Older Adults nej.md/43OlrLP #MedSky #GastroSky #Geriatrics

A great editorial on why FDA should expand approval for all formulations of buprenorphine to treat cancer pain. jamanetwork.com/journals/jam...

Heading out to (peacefully) exercise your 1st amendment rights this weekend? Keep public health in mind with your messaging! 🪧 bit.ly/apha_speak4h... #SpeakForHealth

Learned something new today - the Determinants of Malnutrition in Aged Persons (DoMAP) Model, showing potential determinants of malnutrition in older adults. Dark green is central etiologic mechanisms, then it goes farther out for more indirect mechanisms. #medsky www.nejm.org/doi/full/10....

Do an abstract attack.

Secretary Kennedy’s allegations about the integrity of CDC’s Advisory Committee on Immunization Practices are completely unfounded and will have a significant negative impact on Americans of all ages. Our statement: bit.ly/3SGaDcb

If a politician or an organization is not calling for RFK Jr. to be removed from office immediately, then all other statements expressing concern are just empty words on paper.

Brave NIH employees have written and signed the Bethesda Declaration, outlining the ways in which Director Bhattacharya is failing science and scientists. They exhibit more courage than any Republican in Congress. apnews.com/article/nih-...

This was a fun article to work on. Hope you enjoy it. Things We Do for No Reason™: Avoiding IV iodinated contrast material in patients with acute kidney injury or chronic kidney disease Journal of Hospital Medicine shmpublications.onlinelibrary.wiley.com/doi/10.1002/...

Implementing physician-delivered delirium screening via electronic health records improved the identification of delirium among older hospital patients. ja.ma/3SiZQ7t

What's infuriating about these "reports" or accusations (w/similar ones made during COVID 2020-2022) is the disingenuous assumption that what physicians do is sooo easy. We apply nuance to individuals, use diagnostic scrutiny, provide counseling and guidance through uncertainty.

Bad news for the medical care of U.S. veterans: mass resignations of nurses, huge backlog of unread radiology exams, "destroyed morale," shortage of security staff, closure of clinical units. #medsky www.theguardian.com/us-news/2025...

"These results suggest that a lack of adequate representation of older adults in clinical trials for new drug evaluation can present challenges for optimal use and prescribing." jamanetwork.com/journals/jam...

Misplaced keys? Forgotten items? Is it more than aging? In @JAMAInternalMed, @ewidera.bsky.social & @kencovinsky.bsky.social urge caution on the marketing push for Alzheimer’s blood biomarkers in primary care. jamanetwork.com/journals/jam...

What an incredible occasion - Commencement at UW-Madison, celebrating the accomplishments of ~10,000 graduates! It serves as a reminder of the power of higher education to uplift us all. On, Wisconsin! @uwmadison.bsky.social #wisconsin #uwmadison #highered #meded

Sing-along state of the science at #AGS2025 by @alexsmithmd.bsky.social @kencovinsky.bsky.social @ewidera.bsky.social complete with light sticks at 8:45 am #WeAreGeriatrics

Majority of adults who start dialysis are over age 65, 1/3 are over age 75

#thickenedliquidchallenge #AGS25 Ask 1) Why 2) How long 3) What's the person's concerns and preferences

I'm sure @paulnwilliams.bsky.social would love this aptly named study showing limited benefits of invasive tx for NSTEMI in older adults. #AGS25 lit review @amergeriatrics.bsky.social

CBTI WORKS for insomnia! Masked tapering can help but may not be entirely necessary. #ags25 #agslitreview @amergeriatrics.bsky.social

Starting the #AGS25 lit review strong with a call for equity in care for older adults @amergeriatrics.bsky.social

Of the 694 NIH grants that the Trump administration has terminated so far, 128 were funded by the National Institute on Mental Health - a massive blow to mental health research. #medsky #psychsky jamanetwork.com/journals/jam...

A thread: NIH Fellows United is committed to showing up, even when leadership won’t. 🧪

Greatly enjoyed the discussion of high intensity rehab with @jslapsley.bsky.social from @cu-restore-team.bsky.social with improvements in quality of life and function. #AGS25 @amergeriatrics.bsky.social www.cuanschutz.edu/graduate-pro...