Discover and read the best of Twitter Threads about #thisisgeriatrics

Most recents (3)

#medtwitter #meded #primarycare @primarycarechat

Sorry going long, not sorry

1/?

Letterhead

From: All primary care docs (community, employed in large network, academic medical centers)

To: #healthcare system writ large, administrators/financial lever pullers
2/

Primary care docs are in a precariously fatigued way

We deliver longitudinal relational care, which is foundational to the whole person rewarding work we need to be professionally happy, and to the revenue and reputational growth you need to maintain community market
3/

Primary care docs fulfill an indispensable role not just in the local setting, but we provide what all the country and our society desperately needs - coordination and high value care in a system that overspends and doesn’t provide universal access nor competitive outcomes
Read 23 tweets
Geriatrics: a love poem to duality, ambiguity, and whole-heartedness. Thread 1/8
As our society age exponentially, why are only 1/3 of geriatric fellowships nationally get filled? Agism, low-pay, but most importantly, the rare combination of LOVE for uncertainty and complexity in the face of mortality and decline 2/8
An innate tension between preservation of independence and grief over loss; a joy that the whole person is always more than the individual organs and diseases 3/8
Read 9 tweets
1/ How will our patients with #cognitiveimpairment keep #masks on and/or abide by #socialdistancing rules as stay at home orders are relaxed in the coming year.

#COVID has had me concerned for #socialisolation of my #geriatric patients, but I hadn't had time to think about
2/ the #consequences of the #pandemic on them in regards to the further #isolation that will occur

Today I had a visit w/ an incredible #dementia caregiver, truly a #superwoman. She was tearful sharing her concern about
3/how #socialisolation will continue for her and her husband much longer given he is unable to tolerate a mask on and/or abide by #socialdistancing rules.

I felt ashamed that I hadn't thought about this until now. I didn't have a solution for her and felt horrible.
Read 5 tweets

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