Laura Perry, MD Profile picture
Geriatrician and primary care doc with @UCSFGeriatrics. Working on building a health care system based on listening. she/her
20 Mar
There are about to be very large numbers of sick and dying old people in this country.

To All Doctors: What You (Yes, You) Can Do to Help as a Bunch of Old People Are About to Get Sick and Die, from your friendly local geriatrician

We need all of the doctors of the U.S. – even you @DGlaucomflecken – to help take care of this nation’s sick and dying elders. Many of you had procedures and appointments cancelled, and you’re probably wondering how to help. Here’s my advice:

Risk stratify your older patients beyond who is just age 60+. Every one of us knows that a 61 year-old is different than a 91 year-old. Use rapid screening tools like the clinical frailty scale to prioritize your patients.

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Read 11 tweets
12 Mar
#Covid_19 and older patients: a thread.
A group of my friends asked me for advice on preparing for #coronavirus. I emailed them:
- You do not need to be scared for your kids.
- You DO need to be scared for the old people in your lives.
Everything we have learned so far is that the disease is far more dangerous to older adults than any other group.
Many illnesses present differently in older adults than in younger adults. While at this point, we don’t know specifics about COVID, common features of other respiratory illnesses are:
Read 23 tweets
11 Nov 19
This week, I taught the @UCSF IM residents about tools for cognitive assessment in hospitalized patients. For my very first #tweetorial – I’m sharing my pearls with #medtwitter! #FOAM #geriatrics #MedEd 1/
@UCSF Throughout my training, I was taught to use the MoCA (Montreal Cognitive Assessment). But after a few months seeing patients at @VABostonHC, I noticed that most of my patients were getting a score of 21-23. Everyone especially seemed to think this was a hippo. 2/
@UCSF @VABostonHC I wanted to know why! So I looked into the development and validation of the MoCA a bit. Turns out, a cognitive test developed in a mostly white, highly educated, bilingual population (aka the people of Montreal) hasn’t really panned out for use among other groups. 3/
Read 16 tweets