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.

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.

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.

Good luck with the pitch

Many thanks to @DaeKimMD for his energy and infinite patience with this.

RT @David_D_Ward: 🤔 "...in Phase III trials of monoclonal anti-amyloid antibodies ... patients in the treatment arm show near-complete cer…

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.

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.

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.

RT @GlobalFrailty: Excited to announce the release of the book, "Frailty: A Multidisciplinary Approach to Assessment, Management, and Preve…

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.

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

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.

@LeedsFrailtyEd Great, Sean. Thanks. At-a-glance pattern recognition of brief tests done well lets us help others to see what we see. For the many countries that had a baby boom, what we see in hospitals now reflects that in 2021, the leading edge of the boomer wave began to turn 75. Buckle up!

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?

@dr_shibley @David_D_Ward Like many geriatricians, I’m a wary optimist. I see it pregnant with prevention. And a way to approach the many pathological features. My bet: hallmarks of aberrant repair. This permits understanding the diversity of pathologies: with age, more damage goes unrepaired/unremoved.

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.

Congratulations Ilaria. As you know, that award has an impressive pedigree. To which your name adds further lustre.

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.