A new report from the Campaign for the Public's Health, an APHA initiative, along with @protectourcare.org, examines the impact of cuts to federal food assistance: vist.ly/5iqfm
Ben Rosenstein. MD, MA
@berosensteinmd.bsky.social
Geriatrician. Faculty University of MN. Cyclist, rower, power lifter. Medicine is inherently political.
Do I remove precautions? A simple yet horrifying question in Spring 2020. Was the person's shortness of breath heart failure? Bacterial Pneumonia? COVID19? We didn't have tests to tell us. 1/
Delirium after hip fracture surgery is associated with increased cognitive decline - especially in people without cognitive impairment at baseline. Could better prevention of delirium lead to better cognitive outcomes? www.ajgponline.org/article/S106... #medsky #dementia #delirium
What therapies work best to ⬇️behavioral & psychological symptoms of #dementia? - agitation (pacing, wandering, aggression, sexual disinhibition): simulated presence therapy (SPT) - mood disturbance (depression, apathy): multisensory stimulation (MST), SPT www.ajgponline.org/article/S106... #medsky
In a cohort of older adults, Medicaid home and community-based services initiation was associated with decreased emergency department use and inpatient discharges, indicating reduced reliance on acute care. ja.ma/4uWPLzd
The preliminary injunction in the lawsuit against RFK Jr. “stays the heavily revised vaccine schedule issued…on January 5, overturns the…Secretarial Directive on COVID-19 vaccine recommendations, and reverses the…Hepatitis B vaccine recommendations”. What’s this unfamiliar feeling? HAPPINESS.
Federal Judge Blocks Immunization Schedule Changes, Stays ACIP Member Appointments
Preliminary Injunction stays Secretary Kennedy's pediatric vaccine schedule. Secretary Kennedy's 13 appointments to the Advisory Committee for Immunization Practices (ACIP) are stayed for likely havin...
apha.org
Proud to join ~500 other MN docs in signing on to this @nejm.org piece. Proud of my colleagues. Proud of Ben Trappey for signing his name to it and taking the inevitable heat from some quarters. Stand up and be counted 💪🏼💪🏼
I usually see 8-10 pts per clinic shift. In the last 2 wks I've seen fewer...total. They're cancelling, not scheduling, ¬ coming in. They're scared to leave home; risk being harassed, taken, or worse; leaving medical needs uncared for. That's not making us safe. That's making us inhumane.
I've lived in MN since I was born. I've lived in the suburbs, I have lived in the cities. I've taken the train, driven, cycled all over. I've always felt safe, always felt my friends and family were living in safe places. I have never had concerns going to downtown Minneapolis or St. Paul.
...something, something...taxation without representation...
a man wearing a crown and a robe says " don 't change the subject "
Alt: King from Hamilton live where he sings " don 't change the subject "
media.tenor.com
Trump: "Starting Feb 1, all above mentioned Countries (Denmark, Norway, Sweden, France, Germany, UK, Netherlands, & Finland), will be charged a 10% Tariff. On June 1, it will be increased to 25%. It will be due until such time as a Deal is reached for the Complete and Total purchase of Greenland."
People with intellectual & developmental disabilities are at higher risk of #dementia but face significant barriers to care. The authors propose a public health framework to address this intersection of #disability & brain health. academic.oup.com/gerontologis... #medsky
After this week, it's hard to explain why this feels so different. We've heard and read about so many abuses from this govt. But we saw this. I'm reminded of these words from West Wing (and I know it's not a perfect comparison) youtu.be/0qoj7ICwU6w?...
The West Wing - We Saw A Lynching
YouTube video by Dex
youtu.be
Grammar aside - the intent and depravity of the statement shouldn't be lost Coverage by - ACA. Constantly attacked. Just became wildly more expensive - Medicaid and CHIP. Literally gutted by 'BBB' - VforC. Especially important in rural/underserved areas where we've seen closures d/t Medicaid cuts
Copy Editing Matters, from HHS's release on the new childhood vaccine schedule: All the diseases will still be available to anyone who wants them
Not just children! This change is also ableist and ageist. High # of admissions I had to the hospital and post-acute care because of Flu A and RSV just this week. ➡️Mostly older adults. Who often have more severe cases ➡️Many with dementia who cannot easily treat or manage on their own
Children will die with RFK Jr.'s new vaccine recommendations. We're NOT doing the "experts disagree" game. The US vaccine schedule was painstakingly constructed through a deep & thorough process by experts with unquestionable expertise. This is policy by fiat. It is pre-meditated murder. 1/
Children will die with RFK Jr.'s new vaccine recommendations. We're NOT doing the "experts disagree" game. The US vaccine schedule was painstakingly constructed through a deep & thorough process by experts with unquestionable expertise. This is policy by fiat. It is pre-meditated murder. 1/
And, for an administration that was supposed to be about cutting everyday costs 🙄, beyond the direct health impacts of these perverse "recommendations," This is just ridiculously expensive. www.cdc.gov/mmwr/volumes...
Health and Economic Benefits of Routine Childhood...
This report describes health and economic benefits from routine childhood vaccines among children born during 1994–2023.
cdc.gov
And as these headlines show, antivaccine disinformation is pro-school closures.
This OpEd, by the inspirational @drdemetre.bsky.social in today’s @washingtonpost.com, is one of the best pieces of science writing of 2025 I’ll be assigning it to my students next semester in my class on ‘policy writing—turning evidence into public health action’ Thx Ed, for the free access link👇
link without paywall: archive.ph/vXqVf#select...
Quite the long-game strategy to solve the geriatrician shortage 🫤🙄
It is utterly catastrophic that RFK Jr. plans to end CDC recommendations for most childhood vaccines. It’s a betrayal of science, ethics, compassion, and the people of the United States. And it was also a specific goal of Project 2025 (page 254).
Let me introduce you to prices in medicine: Financial toxicity: a common problem affecting patient care and health - PMC pmc.ncbi.nlm.nih.gov/articles/PMC...
Financial toxicity: a common problem affecting patient care and health
Financial toxicity describes the negative effects of the economic burden of medical care on patients that potentially lead to poor well-being and quality of life. Co-ordinated efforts at the care provider, health system, insurance and government ...
pmc.ncbi.nlm.nih.gov
I'm told that Roger Marshall is a medical doctor, like with a degree and everything, and yet every single time he opens his mouth to discuss health care it's like they pulled a random guy out of the beer line at a Royals game.
I'm told that Roger Marshall is a medical doctor, like with a degree and everything, and yet every single time he opens his mouth to discuss health care it's like they pulled a random guy out of the beer line at a Royals game.
Roger Marshall: "We want patients to become consumers again. We want patients to see what the actual prices are. We believe that if we would add the price tags to this bill, that it would save the country a trillion dollars a year."
My patients are very aware of prices. Often more so than me. Especially older adults on fixed incomes. Because of that awareness, true, in the short term, they may not spend as much f.e. Medicare dollars. 🚨By forgoing necessary care🚨
Roger Marshall: "We want patients to become consumers again. We want patients to see what the actual prices are. We believe that if we would add the price tags to this bill, that it would save the country a trillion dollars a year."
LMFTFY: 👉 CDC panel Defies Experts with Hep B vaccine vote.
We Must Absolutely Ignore Them': Experts Defy CDC Panel's Hep B Vaccine Vote — Medical societies, health departments, insurers continue to support birth dose. www.medpagetoday.com/pediatrics/v...
Grateful for the clear messages coming from @ameracadpeds.bsky.social @idsainfo.bsky.social @apha.org
1- Insomnia in older adults can be difficult to address. CBT-insomnia is the gold standard - and the safest intervention. Yet low-dose quetiapine is being used more to treat insomnia. How safe is it? The authors of this study sought to find out. #medsky link.springer.com/article/10.1...