“Who am I to stop taking my medication?" Patient Perspectives on Antithrombotic Therapy in Advanced Cancer #cancer #thrombosis #geriatrics #medsky #medication #sdm #palliative oncodaily.com/voices/simon...

🧠 "#AI not one-size-fits-all”? It’s not even one thing! #AI is many has many faces: 🧮 Predictive models: Structured data — labs, claims, vitals — outcomes, stratify risk,. 🗣️ NLP, LLMs, and Generative AI: Messy, human language — summarize, interpret, engage Read more on LinkedIn: buff.ly/mbYjbxB

“𝗪𝗵𝗼 𝗮𝗺 𝗜 𝘁𝗼 𝘀𝘁𝗼𝗽 𝘁𝗮𝗸𝗶𝗻𝗴 𝗺𝘆 𝗺𝗲𝗱𝗶𝗰𝗮𝘁𝗶𝗼𝗻?” - 𝘢 𝘱𝘢𝘵𝘪𝘦𝘯𝘵 𝘢𝘴𝘬𝘦𝘥 𝘪𝘯 𝘰𝘶𝘳 𝘳𝘦𝘤𝘦𝘯𝘵 𝘴𝘵𝘶𝘥𝘺. That question stayed with me. When doctors want to stop medication, wefocus on the clinical reasoning: Risk of bleeding. Limited benefit. A burden. ✔️ All true — but not enough. Read more on LinkedIn buff.ly/QxOg1f5

❓ 𝐓𝐡𝐞 𝐦𝐨𝐬𝐭 𝐩𝐨𝐰𝐞𝐫𝐟𝐮𝐥 𝐭𝐨𝐨𝐥 𝐢𝐧 𝐦𝐲 𝐜𝐚𝐫𝐞 𝐟𝐨𝐫 𝐨𝐥𝐝𝐞𝐫 𝐩𝐞𝐨𝐩𝐥𝐞? 𝐋𝐢𝐬𝐭𝐞𝐧𝐢𝐧𝐠! ➡️ 𝐀𝐧𝐝 𝐭𝐡𝐚𝐭 𝐢𝐬 𝐞𝐱𝐚𝐜𝐭𝐥𝐲 𝐰𝐡𝐲 𝐈 𝐛𝐞𝐥𝐢𝐞𝐯𝐞 𝐢𝐧 𝐭𝐡𝐞 𝐩𝐫𝐨𝐦𝐢𝐬𝐞 𝐨𝐟 𝐀𝐈 𝐢𝐧 #Geriatrics Reed more on LinkedIn www.linkedin.com/feed/update/... #medmastodon #ai #chatbot

Help, my AI has a delirium 😵💫 Last week - as a test - I asked an AI "who is Simon Mooijaart?" It gave me a confident, detailed answer... about someone else entirely 🙃 As a geriatrician, this instantly reminded me of delirium - a condition I see daily at the bedside: #delirium 🧵 1/8

Well said. Not including older adults in research studies about diseases that primarily affect older adults is just ageism, pure and simple. slate.com/technology/2...

Incredible evening launching @acha020.bsky.social having a peek into the amazing research and community work for the population of East London planned with the fabulous @proflizsampson.bsky.social & @adamgordon1978.bsky.social

☑️ The original CAM does work when used by trained raters ‼️ But an unvalidated CAM variant - with no cognitive testing/interview - is widely used in clinical practice ⚠️ This 'CAM-Lite' has dangerously low sensitivity ➡️ New blog on this critical issue in #delirium care Link below⏬

🥳 Superproud of this bunch: the management team of the CoClarity #RCT. Submitted the trial protocol today. #CoClarity: A Shared Decision Support Tool to reconsider the use of Anti-Thrombotic Therapy in patients with #cancer in the last phase of life: ✅ Lower risk of #thrombosis 🛑 Risk of bleeding

Very nice #thesis defense by Jonathan Bogaerts earlie this week. 🧑🏻‍🎓 Depresribing of antihypertensive medication in the very old, an inspiring topic for lively (and funny) discussion! 🥳 Congratulations, Jonathan! #geriatrics #hypertension #medsky

The latest in our @acha020.bsky.social blog series - Shared Opportunities and Challenges - ACHA forges a research collaboration with the LUMC Centre for Medicine for Older People. @wilcoachterberg.bsky.social @drsimonpm.bsky.social @proflizsampson.bsky.social acha.qmul.ac.uk/research/sha...

Use of #AI decreases with increasing age. ✅ #AI offers a lot of promises also in care for older people ❌ #AI is not tailored to needs of older people ➡️ We have work to do 🔗 JAMA, buff.ly/2jxuUhz #geriatrics #digital #medsky

Very nice #thesis by Jonathan Bogaerts: 📓 High blood pressure and its treatment in the very old - balancing benefits and risks 🧑‍🎓 Defense April 16th at #Leiden University 😀 really looking forward #geriatrics #hypertension #medsky

Nice presentation by #PhD candidate Denise Abbel about the complex choice to use #antithrombotic therapy in patients with #cancer in the last phase of life: ✅ prevention of thrombic events ❌ risk of bleeding ❓what is more important? #oncology #geriatrics

Nice hike 🥾 exploring the surroundings of the Symposium 😀

Signing in at the European #Pancreas Islet Transplantation Association Symposium for a talk tomorrow on #transplantation in older people 📍Igls, Innsbruck, #Austria #geriatrics

🥳 Kudos to Eva Kempers! 📝 Our study in #Thrombosis and #Haemostasis explores anticoagulant use in life-limiting diseases ➡️ most patients continued until end-of-life with comparable risks of bleeding or clots after stopping 🔗 10.1055/a-2524-5334 #palliativecare #geriatrics

🚨 Excited to share our work : "Systemic treatment among frail older patients with cancer". ✅ 3-month OS 81.8% when guided by geriatric assessments. ⚠️ Loss of ADL and cumulative frailty factors associated with poorer survival 🔗https://www.geriatriconcology.net/article/S1879-4068(24)00450-8/abstract

Artificial intelligence (AI) in health care has seen remarkable growth. What is the potential of AI to improve care management, clinical decision-making efficiency, and more? 📑 Read this Review in The Lancet Digital Health: bit.ly/3DwAJtD

On "Face Age" >300,000 people have taken Novos free #AI test (a company that sells longevity kits & supplements) without published data wsj.com/health/welln... "People who use face-age tests to estimate their biological age should take the results with a grain of salt" @andrewlbeam.bsky.social

Attitudes of medical researchers towards #AI #chatbots: ✳️ interested ❓ more training needed Nice study in The Lancet Digital Health! 🔗 https://buff.ly/4gwhLSK #medsky

#ChatGPT passes Japanese #Medical Licensing #Exam ✅ The correct response rate reached the qualification level ❓Performance varied by year / question type ➡ My take: development needed (medical #LLM), but soon will pas with flying colors

40% of ED attendances are over 65yrs. Average wait for admission in>75yrs =12 hours. 10% attendances from care homes. Waiting is especially bad for older -risk of delirium, deconditioning, acute kidney injury/LOS. But much could be done to avoid these probs @gerisoc.bsky.social @rcem.bsky.social

Older AI (LLM) on the brink of needing a nursing home…! Maybe it’s time we start thinking about digital elder care! 😉

Sunday afternoon ride on Traning Peaks Virtual 🚴‍♂️ #cycling #TPV 🔗 http://tpks.ws/IMLFGMTKUIJKNWYA2WCXJGA5WY

🌧️ 💨 ☁️ Typical depressingly grey, cloudy, windy and rainy weather on the shortest day of the year 🌧️ 💨 ☁️ BUT: ☀️ 😎 longer days, more light and more sun from today onwards ☀️ 😎

To think about during this Holiday Season: “… encounters with #friends were seen as more pleasant than with #family”… 😳 I will be enjoying both myself 😀 Why later life can be a golden age for friendship

The link between physical inactivity and accelerated brain aging alz-journals.onlinelibrary.wiley.com/doi/full/10....

🤩 Very excited and proud to have received the #PhD #thesis of Carlijn Voorend 📖 Appropriate care for older people approaching #kidney failure. Design and implementation of geriatric assessment in kidney care 👩‍🎓 Looking forward to the defense on January 27th ! #geriatrcs #nephrology #gerisky

✳️ Exciting day for the LUMC #Research Theme on #Lifecourse #Epidemiology and #Geroscience on January 27th 2025. 🤩 Looking forward to a lot of inspiration by our talented #PhD and #Postdoc researchers! #geriatrics

Semantics or not? I would say: in this study, #statins did not “improve” survival, but “statin usee associated with better survival compares to non-statin use”. ➡️ “Improves” to me suggests it became better over time, which suggests effectiveness of intervention. ❓What do you think?

🥳 Our latest publication in #Thrombosis Research! 📖 Emily Martens led this important study on #deprescribing #antithrombotic therapy in end-of-life #cancer care ❗ Lots of practice variation across #Europe ➡️ More #evidence needed 🔗 https://buff.ly/4gDMGMD #geriatrics #gerisky #medsky

Guideline directed medical therapy for heart failure for older people with frailty may do more harm than good, say Henry Woodford and colleagues www.bmj.com/content/387/...

Much common sense in this feature in last week’s @bmj.com on older adults with atrial fibrillation (AF). It’s four pages long, but the punchline is that you need to look at the patient as well as the ECG and work out WITH THEM what the goals and priorities are. #MedSky www.bmj.com/content/386/...

No idea why it’s coming up with a title Atrial Fibrillation ! It’s about Heart Failure in people w frailty and I hope you will like it ! What do you think?

What is #ageing? Even the field’s researchers can’t agree. 😂 "People joke in the field that there are more theories than people" News article in #Nature: 🔗 https://buff.ly/3D9MqpV #geriatrics

Disagreement on foundational principles of biological #aging This survey published in #PNASNexus reveals that aging researcher experts disagree on: 1️⃣ definition of aging? 2️⃣ when does it start? 3️⃣ is it a disease? #ageing #geriatrics #gerisky 🔗 https://buff.ly/4eZ6Hfd

#ChooseGeriatrics Profile: David Oliver @mancunianmedic.bsky.social gives 10 reasons 1. It requires excellent all round general medical skills meaning you have to be a confident generalist. @CMO_England Chris Whitty strongly agrees #ChooseGeriatricsforGeneralists @gerisoc.bsky.social 👉🏻Repost

Impressive progress and endless opportunties of #AI and #GenAI like #ChatGPT in Healthcare. Also in #geriatrics, I think. ❓ but how do we ensure safety? ‼️ Timely and important issue and viewpoint!

😱 Unbelievable! It has only been 2 (!) years since #ChatGPT is around. 💬 Already so impactful and yet so much more to come in the near future. A revolution! Euronews: https://buff.ly/4gehaV0

Many teams are using the excellent “Clinical Frailty Scale” developed by the wonderful @krockdoc.bsky.social. (Often referred to as “the one with the pictures”!) BUT it needs to be used properly, so I was pleased to see this infographic with some top tips on how to do that. #MedSky #GeriSky #EOLC

🥳 Huge congratulations to Estelle Tran Van Hoi ! 📔 Blood based #immune #biomarkers associated with clinical #frailty scale in older patients with #melanoma receiving checkpoint inhibitor #immunotherapy ❓association with outcomes? 🔗 https://buff.ly/414Xf6O #geriatrics #oncology

So true! So much work to be done still, requires specific knowledge and skills. #geriatrics #ehealth

💉 Leqembi (#lecanemab) approved by EMA for European market for APOE carriers with early #Alzheimers #dementia 🧠 ❓should we routinely determine APOE status now ❓ is anybody doing that already? #geriatrics #neurology search.app/NFHufSyavLFR...

Prof Tash Masud at the #Leiden day for #medicine for older people "Hippocrates was a #geriatrician" 😀 We are in good company! #geriatrics

😀Full house at the Leidse #Ouderengeneeskunde dag (#Leiden day of care for older people) at the #LUMC#Leiden 👵👴 In co-creation with older people 👩‍⚕️👨‍⚕️ Multi-disciplanary professionals 📋 #Acute #geriatrics, complex care, #oncology#Acute ✅ >300 attending

🎶 Thoroughly enjoyed #TheHowlAndTheHum in #Amsterdam tonight! 🎤 great voice, great performance! #music#Amsterdam

Sunday indoor #cycling on Training Peaks Virtual. 🚴🏻 three laps around the sunny island 😎🌴☀️