Geriatrician @UNCGeriatrics via @UMIntMed. Mom^3. ❤️ geri 1' care, LTC, fracture prevention. Tweets my own.
Joined August 2016
- Tweets 404
- Following 617
- Followers 730
- Likes 2,914
24 Photos and videos
Meredith Gilliam retweeted
18 Oct 2022
Did you know?
There is ✨no evidence✨ that texture modified diets
-Prevent death/pneumonia
-Improve QoL, nutrition status, oral intake
In oropharyngeal dysphagia
It's time to rethink mushy food&NPO
On top of thickened liquids!
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Meredith Gilliam retweeted
14 Jun 2022
A request to hospital clinicians: if you have never worked in a SNF (skilled nursing facility), please be humble when telling patients what to expect when they go there.
It's OK to say you don't know.
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2 May 2022
Fighting against antibiotic resistance and changing hospital culture around "UTIs" for older adults can feel like a losing battle. Godspeed @h0spitalista
30 Apr 2022
New patient list today and I am very disheartened to say 4 patients on my census are 90 Fs with mild dementia admitted for delirium. All started on abx in ER and continued by my colleagues on admission. None of the 4 had GU symptoms, fever, or even "appeared ill"
Worse yet:
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Meredith Gilliam retweeted
4 Apr 2022
We are excited to announce our upcoming conference, Age My Way: Educating and Empowering Caregivers and the Community around Dementia. The conference will include workshops, presentations, and a panel of speakers focused on topics related to brain health, dementia and caregiving.
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Academics have two and only two speeds:
1. Can you review this manuscript by this afternoon?
Or
2. Sorry I missed your email in 2016 - do you still want to chat?
#epitwitter #AcademicChatter #phdchat
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Meredith Gilliam retweeted
1 Mar 2022
Today I wrote "significant" and then deleted it and wrote "not insignificant" and I am such an internist and also the worst ever.
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Meredith Gilliam retweeted
23 Feb 2022
Almost every week I meet a patient moving from hospital to nursing home w/ plans to pursue low benefit rehab
Not because of personal choice
Because Medicare will cover their nursing home expenses if they do rehab but not if they elect hospice
Can we please do better?
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18 Feb 2022
Nursing facility rounds today on several pts with end stage disease. Orders written for miralax, stop the vitamins, do not hospitalize. For refractory muscle cramps, tonic water (placebo?). For the spirit, gin in the tonic water (a negotiated dose). A good day's work.
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Meredith Gilliam retweeted
13 Feb 2022
I’m working with a great senior right now.
One of the expectations that he set up the first day was: never worry alone.
if you’re worried about a patient, a finding, or anything, communicate that worry to the team.
Never worry alone.
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11 Feb 2022
Geriatricians of Twitter, what's in your living will? Besides limitations on ACLS/intubation. I'll start. No thickened liquids, ever. All orders for supplement drinks to be replaced with ice cream tid. What else? @KahliGoBlue @AroonsiriMD
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Meredith Gilliam retweeted
4 Jan 2022
New paper out today led by amazing @YaleMed student Tianna Zhou. We used @CMSGov formulary data to examine out-of-pocket costs associated with use of recommended medications by older adults with multiple chronic conditions (1/8) ja.ma/32NKsda via @JAMAInternalMed
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Meredith Gilliam retweeted
28 Dec 2021
@BostonGlobe published its photos of the year today. This one, of a 101-year-old lobsterwoman tossing one off the boat, is my favorite.
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Meredith Gilliam retweeted
3 Dec 2021
Does every admitted patient need a code status discussion? @AvrahamCooperMD and I propose a more individualized & patient centered approach. The current 'checkbox' practice leads to superficial discussions & inaccurate code status determinations.
sciencedirect.com/science/ar…
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30 Nov 2021
This #TarHealTuesday I'm grateful to Bryan, our UNC Geriatrics Clinic MSW who works tirelessly to get patients med supplies that insurance doesn't cover. Consider donating bit.ly/3pc7stp or supporting another @UNCHealthFdn cause unchf.org/tht2021 #ThisIsGeriatrics
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Meredith Gilliam retweeted
19 Nov 2021
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The tone you took when communicating with me masked all that you were saying. The words tumbled out.
Short.
Cursory.
Stripped of the gentle pleasantries and deference that we all learned at some point.
Although clearly you’d learned other rules, too.
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14 Nov 2021
Geriatricians and geri fellows! @UNCGeriatrics is recruiting for a clinical faculty position. Come care for older adults with the best colleagues you could ask for! unc.peopleadmin.com/postings…
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13 Nov 2021
#thisisgeriatrics
A 105-year-old runner created a new age bracket for the 100m — and set the record npr.org/2021/11/12/105500888…
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