Alex Norcott, MD MSc
@AlexNorcott
A geriatrician, researcher, & improv enthusiast @MichiganMedicine. Cognition| Preoperative care for elective surgery|Older adults|@LucyTheDogLike. Views my own
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So thankful for the unsung heroes who keep our hospitals afloat during #COVID19 . And @iamnursejin who helped me write this piece! @umichmedicine @ACPinternists @AmerMedicalAssn freep.com/story/opinion/…
Fascinating quantification of how much time Medicare populations spend in contact with the healthcare system and where. Most tests did not occur on same day as doc visit. Not captured: how much time for each contact spent arranging appt, transport, waiting acpjournals.org/doi/10.7326/M2…
• United Health will PROFIT about $22.3 billion this year. • 50% of hospitals will lose money this year. • 47% of US healthcare workers plan to leave within the next 3 years. That is the current state of US healthcare, and it should terrify everyone.
PSA from your local geriatrician: older adults with dementia are affected by the time change too!! #geriatrics #melatonin #delirium
#familycaregivers are an under-recognized,and under- appreciated vital component to the health of many older adults. thank a caregiver for their hard work when you see them. And don’t forget to involve them in making medical plans for your patient’s care!! #geriatrics
#NationalFamilyCaregiversMonth is celebrated each Nov. to honor and recognize family caregivers nationwide. Join us as we lift the voices of #familycaregivers, raise awareness of caregiving issues, and reduce the stigma surrounding caregivers. #CaregiversConnect
Happy Halloween!! #MedEd
A woman with hypertension presented to the clinic with a 4-day history of abnormal sounds in her ear. On examination, a small spider was seen moving within the external auditory canal of the left ear. The molted exoskeleton of the spider was also present. nej.md/45CHWB0
"Getting patients care they need at home is complex. Most people dont plan ahead. They think about home care in a crisis. MDs sometimes suggest it but few of us have been trained on the topic and we lack the bandwidth to walk patients through the maze" jamanetwork.com/journals/jamai…
Responsibility with no authority is the most demeaning thing…and it’s the story of healthcare. Clinicians have responsibility to answer their patients’ questions…but no authority to book patients for more than 10-minute visit lengths. That’s the time squeeze set by…
This is why the comprehensive geriatric assessment is so crucial!!! Use this info with your health systems to support #geriatrics!!! #BGS23
CGA has a NNT = 9 for admission avoidance and 30 for avoiding long term care; but also 8 for avoidance of treatment toxicity for patients with cancer. A signal CGA can be used effectively across healthcare pathways. #BGSconf
Does avoiding general anesthesia reduce delirium after surgery for persons with cognitive impairment? That’s the question we ask in new work from @PCORI REGAIN trial, out today in @alzdemjournals @alzassociation Read more here 👇
Outcomes with spinal versus general anesthesia for patients with and without preoperative cognitive impairment: Secondary analysis of a randomized clinical trial alz-journals.onlinelibrary.wiley.com/doi/epdf/10.10…
The Silver Club memory programs have greatly benefited my older patients with #ADRD. Please consider joining the event and/ or bidding on silent auction items (just not the golf ones, my husband’s birthday is coming up 🙄)! #geriatrics @AmerGeriatrics
Big Hearts for Seniors, a special fundraising event & auction that provides critical resources to 6 @umichmedicine older adult community programs, is coming up soon! Learn more about the event, purchase tickets & bid on silent auction items: mmheadlines.org/2023/05/local-…
An important fact to consider as we treat older adults for urinary incontinence!! Miralax/high fiber diet>>>>>>>oxybutynin!! #geriatrics #polypharmacy #beerscriteria @AmerGeriatrics
Still thinking about the morning report where I learned that America is the number one leader in constipation.. IN THE WHOLE ENTIRE WORLD. USA! USA! USA!
endless #AGS23 pearls: what about lecanemab for dementia?? ➡️findings support LESS DECLINE in cog only! (NOT same as improvement, which would be 🔑 to discuss w/patients & care partners!) ➡️clinical benefit unclear ➡️risk of harms may be greater than benefit #geriatrics
“When a baby cries, you don’t medicate and restrain them, you figure out the root cause.” An excellent reminder of how we need to change our approach to helping older adults with agitation from @LSinvani. And ideas for what to do instead! #AGS2023 #AGS23
Excellent call to action by @NimitAgarwalMD for all #geriatricians to continue to define our #valueproposition! #ags23
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