Newfoundlander. Geriatrician, internist. Big on sharing Comprehensive Geriatric Assessment, individualization, and the joy of geriatrics to enable frailty care.
Joined May 2015
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9 Aug 2024
We’ve all seen renaming mistaken for progress. Who wouldn’t say they hate the name cancer too, especially if primed with this:
“a practice or phenomenon perceived to be evil or destructive and hard to contain or eradicate”? Progress requires us to focus on the condition.
9 Aug 2024
I couldn't agree more with this @Krockdoc
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9 Aug 2024
Yes! And the benefit from grades of frailty. Also favours treatment trials, with patient-centred goals, and special attention to the early treatment response. See: “Frailty affects the initial treatment response/time to recovery admitted to hospital…” Age Ageing. PMID: 28104595.
8 Aug 2024
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9 Aug 2024
Good on ya. In my experience, it’s not the word to which people object, it’s the state. Better than renaming, understand frailty and tackle it. Often in hospitals, no matter the word, many are comfortable in denigrating the people who live with it. That’s what needs to change.
8 Aug 2024
I am going to try to read this with an open mind.. the word "frailty " just makes me uncomfortable.
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9 Aug 2024
Good luck with the pitch
9 Aug 2024
Excellent & important review that we used for a pitch for a potential German frailty network right on the day it appeared 😀 whatta timing 🎉 #frailty @NEJM @AgeingRes
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9 Aug 2024
Many thanks to @DaeKimMD for his energy and infinite patience with this.
7 Aug 2024
YAAAAAAYYYYYYY
Frailty in Older Adults | New England Journal of Medicine nejm.org/doi/full/10.1056/NE…
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21 Jun 2024
Changing practice is an uphill climb. An amazing privilege in my current job (one of them, with Nova Scotia’s Frailty & Elder Care Network) is helping to shape policy. We’ve started with a mobilization strategy. Collecting data still, but the clinical impressions are encouraging.
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20 Jun 2024
Works the other way too. Early recovery portends a better prognosis. Holds for bed mobility with hospitalisation
Hatheway OL, et al., Frailty affects the initial treatment response and time to recovery of mobility in acutely ill older adults... Age Ageing. 2017;46:920-5 and in/
19 Jun 2024
The longer someone is unwell for, without improvement, and the more illnesses they develop, the lower their chances of recovery. Remember frailty is about deficit accumulation as much as phenotype. Accumulating lots of deficits in a short period is a bad sign
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20 Jun 2024
Clinical response to a ChEI Stanley J, et al., The Clinician's Interview-Based Impression of Change (Plus caregiver input) and goal attainment in two dementia drug trials: Clinical meaningfulness and the initial treatment response. Alzheimers Dement. 2021 May;17(5):856-865.
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15 Jun 2024
The signal is in the instability. Deficits accumulate when damage goes unremoved/unrepaired. In a sufficiently safe environment there is time for recovery to work when repair times are not prolonged. Unsafe environments challenge by a higher damage rate and longer repair times.
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Kenneth Rockwood retweeted
2 Jun 2024
Excited to announce the release of the book, "Frailty: A Multidisciplinary Approach to Assessment, Management, and Prevention"! Dive into a comprehensive exploration of managing frailty with insights from various fields. link.springer.com/book/10.10…
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1 Jun 2024
Well done @NebPublicMedia “The paintings [of patients and care providers] serve another purpose, to soften the medical gaze.” Beautifully encapsulates what is so compelling about your work and why it should have wide exposure. A valuable 8 minutes for us all. Congratulations.
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27 May 2024
I was honoured to have been part of it. This has the makings of one of those few PhD theses that can change practice: an RCT of frailty screening CGA in Emergency. @GERED_DOC @dhj_davis @SearleDoc @KarenNi94040245 @geri_EM
Huge congratulations 🎊 to our wonderful colleague Dr Aoife Leahy on her successful PhD viva defence today.
Aoife was examined by @McCreesh_Karen & the foremost International expert on frailty @Krockdoc 🇨🇦
📸 with supervisors @galvin_rose and Prof Mgt O'connor @ULHospitals
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21 May 2024
It remains a valuable resource, which is a little sad. It’s so old that @tdbrothers who played the beleaguered resident, was then a med school applicant. Now he’s TD Brothers MD PhD FRCPC - a passionate internist and Addictions Medicine specialist. Please God, let Dal hire him.
20 May 2024
Thanks for sharing - had ringside seat for this recently and your prior posting equipped me to recognise this
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13 May 2024
Only back here to complain about an academic thing. Journal Editors: I just spent hours reviewing a paper. Tried to log in: why require my username and password? What stops you from offering one option for logging in directly? Wouldn't that optimize for receiving reviews on time?
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21 Apr 2024
I’m sorry for that. The CFS began using judgment to integrate items in a Comprehensive Geriatric Assessment. Health deficits accumulate to impair high-order function: in mobility, daily activities, /- cognition. That’s ≠ impairment from single-system disorders in young people.
18 Apr 2024
I was classed as frail simply for using a self propelled wheelchair for c30 years. CFS has limitations especially the e version.
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17 Apr 2024
Congratulations Ilaria. As you know, that award has an impressive pedigree. To which your name adds further lustre.
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12 Apr 2024
Congratulations on this. I know that it’s been a mountain of work. It’s an important topic for the field, and very nicely handled.
12 Apr 2024
Our new review in @Cell_Metabolism on the relationship between Metabolism and Frailty is now live! Discusses how maintaining a youthful metabolism in later life can help prevent frailty. Congrats to co-authors including @Alice_E_Kane @mmishrabio
authors.elsevier.com/a/1ivyQ…
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28 Mar 2024
Well done. Delirium as a preventable cause of dementia deserves study. Much of it arises unrecognized from unnecessarily hazardous routine care of older patients who live with frailty. Polypharmacy, untreated pain, immobilization, and chronic indifference all take a costly toll.
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14 Mar 2024
Manifold benefits to participants and researchers from testing how intergenerational engagement can improve health.
13 Mar 2024
having lots of fun at the NSW Seniors expo for the Integrity Intergenerational study @georgeinstitute @JoinUsRegister
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14 Mar 2024
Great leadership by @SearleDoc to mobilize a large squad and collect these data.
13 Mar 2024
It doesn’t matter what service you are admitted under in Nova Scotia:
1 in 5 Nova Scotians are delirious in hospital
@Krockdoc
@NSHealthHub
@DalhousieU
@DalMedSchool
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