Lona Mody's guest appearances

Lona Mody

GeriPal

John Newman

Scott Bauer

BJ Miller

Andy Cohen

Aaron Kesselheim

Louise Aronson

Haider Warraich

Lewis Cohen

Stephanie Rogers

Tim Anderson

Jessica Zitter

Susan Block

John Mills

Katie Fitzgerald

John Nelson

OwlTail

Rasheeda Hall

Sonali Advani

Devika Nair

When I’m on service these days there is inevitably a moment when a resident says “Patient so-and-so is on X” - and I have absolutely no idea what X is.  Modern subspecialist practice advances at such a remarkably rapid pace, it can be hard to keep up. In this context, we’re excited to hear from infectious disease experts and nephrologists about updates in the care of older adults.  Sonali Advani and Lona Mody talk about their recent  JAGS article highlighting three recent articles that every clinician caring for older adults should be aware of in the treatment of infectious diseases (hint: I’ve never finished a course of antibiotics, and maybe your patients don’t need that full course either).  Devika Nair and Rasheeda Hall talk about their  JAGS article highlighting updates from nephrology in the care of older adults, including a link to this  new eGFR calculator that does NOT include race.  We have a discussion about the decision to remove race, a social construct, from clinical risk calculators (though I’m not 100% sold that race should always be removed - if removal is likely to  worsen disparities for example - at least until a superior race-blind calculator can be developed). These articles are part of a new series called  Clin-Star Corner, a new series in JAGS that reviews practice changing articles in the care of older adults.  And yeah, they made me sing a Miley Cyrus song…(but not this hilarious parody about UTIs). Enjoy! -@AlexSmithMD

When I’m on service these days there is inevitably a moment when a resident says “Patient so-and-so is on X” - and I have absolutely no idea what X is.  Modern subspecialist practice advances at such a remarkably rapid pace, it can be hard to keep up. In this context, we’re excited to hear from infectious disease experts and nephrologists about updates in the care of older adults.  Sonali Advani and Lona Mody talk about their recent <a href="https://agsjournals.onlinelibrary.wiley.com/doi/10.1111/jgs.17907" rel="nofollow" target="_blank"> JAGS article</a> highlighting three recent articles that every clinician caring for older adults should be aware of in the treatment of infectious diseases (hint: I’ve never finished a course of antibiotics, and maybe your patients don’t need that full course either).  Devika Nair and Rasheeda Hall talk about their <a href="https://agsjournals.onlinelibrary.wiley.com/doi/full/10.1111/jgs.17942" rel="nofollow" target="_blank"> JAGS article</a> highlighting updates from nephrology in the care of older adults, including a link to this <a href="https://www.kidney.org/professionals/kdoqi/gfr_calculator" rel="nofollow" target="_blank"> new eGFR calculator</a> that does NOT include race.  We have a discussion about the decision to remove race, a social construct, from clinical risk calculators (though I’m not 100% sold that race should always be removed - if removal is likely to <a href="https://jamanetwork.com/journals/jama/article-abstract/2773807" rel="nofollow" target="_blank"> worsen disparities</a> for example - at least until a superior race-blind calculator can be developed). These articles are part of a new series called <a href="https://agsjournals.onlinelibrary.wiley.com/doi/10.1111/jgs.17908" rel="nofollow" target="_blank"> Clin-Star Corner</a>, a new series in JAGS that reviews practice changing articles in the care of older adults.  And yeah, they made me sing a Miley Cyrus song…(but not this hilarious <a href="https://www.youtube.com/watch?v=twHBPLPyGC4" rel="nofollow" target="_blank">parody about UTIs</a>). Enjoy! -@AlexSmithMD

Updates in ID and Nephrology: Lona Mody, Rasheeda Hall, Devika Nair, Sonali Advani

Covid19 is changing the way we interact with each other (from 6 feet away or via Zoom) the way we care for out patients (increasingly by video or telephone) and for some unfortunate few, the way we die (alone, in a hospital for days, isolated from family and friends). This is the first podcast in a series of podcasts about Covid 19. In this first podcast we talk with Lona Mody, Professor of Medicine at Michigan Medicine and John Mills, Associate Epidemiologist with Michigan Medicine. We cover terminology, epidemiology of the disease, and what we can do to protect our older and vulnerable patients. We also provide a new suggestion for a 22 second song you can sing while washing your hands in lieu of happy birthday (some of us are sick of singing happy birthday so many times a day). Our next podcast, to be released tomorrow, will be with Doug White and James Frank on the ethics of rationing ventilators. In both podcasts, we refer to this New York Times Daily podcast with Dr. Marco in Milan Italy titled, “It’s Like a War.” Every day they admit 50-70 patients with severe pneumonia due to Coronavirus infection to their 1000 bed hospital. More than half of the hospital is filled with Coronavirus infections. 460 nurses are home sick or in home quarantine due to contact with infected patients. They’re admitting their colleagues. 20 patients died from Coronavirus in one day. He talks about rationing ICU beds by age. He says, “My colleagues, both physicians and nurses, they cry everyday.” Important take away from both podcasts: Flatten. The. Curve. Now. -@AlexSmithMD

Covid19: Podcast with Lona Mody and John Mills