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 link.medium.com/uIHVxDxPZ4

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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:

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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.
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Everything we have learned so far is that the disease is far more dangerous to older adults than any other group.
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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:
-Malaise
-Orthostasis
-Delirium
-Tachypnea
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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