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May 6 • 5 tweets • 4 min read
Hyponatraemia. The topic we all find so difficult!

And no, it’s NOT all SIADH!

#bgsconf
It’s a diagnosis of exclusion. Rule out the other things first. And do check urine sodium!
#bgsconf
Low sodium worsens falls risk.

I’m sorry I don’t really understand the graph either!

#bgsconf
How to treat hyponatraemia? It’s actually really tricky!

#bgsconf
Tolvaptin isn’t commonly used but may have a role.

#bgsconf

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More from @Trisha_the_doc

Trisha Elliott Profile picture
May 6
Some further slides from today’s #bgsconf, this time on Pharmacy support to care homes.

Spoiler: it is a bit variable! ImageImageImageImage
It’s particularly variable how many care homes each Pharmacy team is supporting…

#bgsconf ImageImageImage
So what are the roles undertaken by Pharmacy teams in #CareHomes?

Lots of different things!

#bgsconf Image
Read 6 tweets
Trisha Elliott Profile picture
May 6
A lovely presentation from Dr Pam Seenan on her team’s work with the Beatson Oncologists to improve care of older people with cancer.

Geriatric Oncology is a whole new sub specialty.

Call the COPS! (Cancer of Older People) team.

#bgsconf ImageImageImageImage
Funnily enough, having a Comprehensive Geriatric Assessment helped people a great deal!

Well done team! 👏👏👏

#bgsconf Image
The team worked with the Maggie’s centre to develop classes and holistic care for the patients attending the Beatson Oncology Centre.

#bgsconf ImageImageImage
Read 8 tweets
Trisha Elliott Profile picture
May 6
Well that was truly awesome. A presentation from a medical student Maddie Pritchard from Aberdeen on the effects of social deprivation on outcomes for frail older patients.

A complex subject! #bgsconf #SDOH (social determinants of health). ImageImageImageImage
I’ll tweet some of Maddie’s graphs. Some fascinating results, that aren’t straightforward to explain….

#bgsconf Image
Check them out. It’s complicated because frail people in some parts of Scotland are younger than in some other parts. So judging outcomes related to age and frailty vs deprivation is complicated.

#SDOH #bgsconf ImageImageImageImage
Read 5 tweets
Trisha Elliott Profile picture
May 6
A very interesting account from my colleague and friend, Dr Jane Bishop Miller, at the #bgsconf.

Talking about the #COVID19 pandemic and their local response but a few key findings to share. ImageImageImageImage
Interesting results. The clinicians usually guessed right when the patient did or didn’t have #COVID19.

#bgsconf ImageImageImage
More results. Patients referred with possible #COVID19 had a whole variety of diagnoses!

#bgsconf ImageImageImage
Read 5 tweets
Trisha Elliott Profile picture
May 6
Lovely to see @l_whyte at the #bgsconf today in Glasgow!

Lots of great work in @NHSLanarkshire on #Frailty and their work as a community multidisciplinary team. 👏👏 ImageImageImageImage
There is research evidence to back up what’s being done. GPs and Primary Care Teams can do this, but don’t have time so having the MDT is working well.

#bgsconf ImageImageImage
Lots of progress being made and connections strengthened.

#bgsconf ImageImageImage
Read 10 tweets
Trisha Elliott Profile picture
May 6
Next up at the #bgsconf meeting is @GrahamEllis247, talking about the Older People’s Strategy.

How do we address the health inequalities that afflict our country so badly?

#SDOH #inequality
So many challenges. Older people are often discriminated against and yet are also often quite passive in accepting what they experience.

#bgsconf
Older people are most likely to breach the #FourHourTarget in the #EmergencyDept.

#bgsconf
Read 26 tweets

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