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
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.
#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. 2/
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:
@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/