Jen Woodard, MD
@jwoodardmd.bsky.social
870 followers 900 following 130 posts
Geriatrician+Hospitalist @ UW Madison | Geri Fellowship APD | passionate about older adults, HIV care, QI, and communication | cat mom | views my own
Posts Media Videos Starter Packs
jwoodardmd.bsky.social
Also go get vaccinated! Walgreens does NOT require a prescription for flu or COVID.
jwoodardmd.bsky.social
Finally a day off after 8 days of work/conferencing and I'm so glad it's fall candle season because this Mulled Cider candle is ~hitting~
jwoodardmd.bsky.social
My biggest contribution to medicine this year has been via memes about Taylor and Travis and I think I feel pretty good about it? @jhospmedicine.bsky.social #twdfnr
jwoodardmd.bsky.social
So proud of all the med students and residents submitting case reports with me 😭
jwoodardmd.bsky.social
Deprescribing insulin for older adults is my *favorite* - less discomfort all around!
jwoodardmd.bsky.social
Great narrative medicine session this morning at #SGIM25 with a great crew! @societygim.bsky.social
jwoodardmd.bsky.social
Thickened liquids have *thin* evidence for mortality benefit. Risks for dehydration, decreased food intake, decreased quality of life with modified liquids.
#ags25 #agslitreview @amergeriatrics.bsky.social #thickenedliquidchallenge
jwoodardmd.bsky.social
Limitations - timing unclear, missing confounders, dietary fluidity in groups.
jwoodardmd.bsky.social
Higher rates of respiratory complications in thick liquids, lower risk of intubation. No change in in-hospital mortality.
jwoodardmd.bsky.social
Over 13k patients, 1/3 received thickened liquids for most of hospital stay.
jwoodardmd.bsky.social
One RCT showed no difference between thickened liquids and chin tuck (aspiration risk was the same)
jwoodardmd.bsky.social
Thick liquids and outcomes in Alzheimer's disease - retrospective cohort study comparing hospitalized patients with dementia who had thick vs thin liquids for >75% of hospital stay.
jwoodardmd.bsky.social
Routine cath/PCI is not indicated in patients over 75 admitted for NSTEMI! #ags25 #agslitreview @amergeriatrics.bsky.social
jwoodardmd.bsky.social
All cause mortality was higher in invasive group (36.1%) vs conservative (32.3%) - though not statistically significant. HR 1.13 (CI 0.95-1.34)
jwoodardmd.bsky.social
SENIOR-RITA RCT looked at 1518 people admitted with NSTEMI. Looked over 4.1 years for CV death or non-fatal MI - similar rates invasive vs conservative (HR 0.94).
jwoodardmd.bsky.social
What to do with NSTEMI patients over age 75? Conservative therapy vs PCI
jwoodardmd.bsky.social
Specifically looked at PSA testing, urine testing, and diabetes over treatment.
No differences between study groups for hospitalizations, harms. Some previously controlled diabetics had increased A1c > 9%
jwoodardmd.bsky.social
Can we reduce unnecessary testing for older adults?
18 mo study in primary care clinics with intervention nudges, case education
jwoodardmd.bsky.social
The more difficult it is for patients to see us, the more they are seeing us. How can we decrease the burden on patients?
#ags25 #agslitreview @amergeriatrics.bsky.social
jwoodardmd.bsky.social
Factors associated with increased healthcare contact -
Increased age, female sex, ADL difficulty, behavioral characteristics (do you see the doctor as soon as you are feeling bad?)
jwoodardmd.bsky.social
Health care contact days for older adults with the health system - it is a burden on patients and caregivers to see us and patients may prefer to spend their time in activities other than medical visits.
jwoodardmd.bsky.social
Maybe blood markers are useful in mild dementia or MCI if deciding on anti-amyloid therapy. NOT useful in normal cognitive function, moderate or severe dementia. 🧠
#ags25 #agslitreview @amergeriatrics.bsky.social