Junior Doctor. Interested in geriatrics & medical education.
London, England
Joined November 2018
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- Following102
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And a brilliant consultant leading the team of course! @DrMarcJGeorge1 @uclh
Just finished 12 days covering General Medicine @uclh. Thanks to our brilliant trainees @_NatalieEY_ @DrAliHosin and those not in the selfie @thompson_dav @ConorFeely Tom and Victoria. Lie in tomorrow!
Natalie Y retweeted
Systematic Review of Thoraco-Lumbar Spinal Orthoses (TLSO)
- no benefit in pain, kyphosis or loss of height
- longer length of stay >3 days
🤨
journals.lww.com/spinejourna…
Please can we all just agree to ditch the use of these torture devices in older people. Kthxbye
Interesting BGS Loneliness Webinar today!
"• Lonely older adults 50% more likely to access emergency services
• more likely to live with frailty & increased risk of admission to care home
• but less likely to say when struggling with their mental health" #BGStogether @GeriSoc
Great idea to help patients (and staff!) see who we are under our masks. It can be hard to connect with people while wearing PPE. Designed by one of our fab staff in A&E at @GSTTnhs
#nhs #nhsrainbowbadge #COVID19
Excellent thread
nitter.cf/AmitAryaMD/status/1237…
What is the importance of #palliativecare during a viral epidemic such as #COVID19? Surprised to see this critical need is not being openly addressed. Thread to follow about how we should prepare, and some of the expected challenges.
#publichealth #cdnhealth #medtwitter
Natalie Y retweeted
easily the best @bmj_latest infographic i’ve seen bmj.com/content/368/bmj.m149 incredibly useful clinical tool, especially in primary care. great work, @medmyths
Natalie Y retweeted
1/3 Day 2:
Thickening liquids does NOT change any patient outcomes & may be harmful.
Compared to thin liquids, pt on thickened liquids have:
⬆️ dehydration risk
⬆️ fever
⬆️ UTIs (d/t ⬇️UOP from low fluid intake?!)
⬇️⬇️quality of life ☹️
There is NO ⬇️pna or ⬇️aspiration!
"Labelling a patient with acopia says more about the coping skills of the clinician than the patient."
Great article about atypical presentations of older adults in ED
onlinelibrary.wiley.com/doi/…
Natalie Y retweeted
Dearest health care providers, engage the person in front of you (or SDM) in discussions re: merits of completing vs omitting investigations & go so far as to entertain what one might do with said results 🤷♀️. #ChoosingWisely theatlantic.com/ideas/archiv…
Natalie Y retweeted
Dire need of Delirium follow up clinics all over the world – at Cairns, Queensland
People with #delirium may have undiagnosed #dementia, and/or have after-effects of delirium including post-traumatic stress symptoms or cognitive decline.
The 2019 SIGN Guidelines on Delirium recommends follow-up of delirium.
Full guideline: sign.ac.uk/sign-157-delirium…
Natalie Y retweeted
NEW #research from @gemresearchuk: Delirium is prevalent in older hospital inpatients and associated with adverse outcomes: results of a prospective multi-centre study on World #Delirium Awareness Day
Read more here: bit.ly/2YV2Ni2
Finished a set of night shifts working in A&E, where you can see the strain the NHS is under...now off to vote to protect the #NHS
#GeneralElection19
#dogsatpollingstations2019
Natalie Y retweeted
Women in medicine are not given the respect they deserve, from their male colleagues or patients | Gender pay gap | The Guardian theguardian.com/commentisfre…
Natalie Y retweeted
It's election time so get ready for...
Current prominent UK politicians as NHS consultants: A THREAD
Natalie Y retweeted
Older patients often prefer other outcomes than survival... need to discuss this at multidisciplinary meetings!! #SIOG19 #gerionc @EnriqueSoto8
"Antibiotic use in emergency departments in English hospitals has doubled since 2015... yet no clear effect on mortality has been shown."
thelancet.com/journals/lance…