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drkatemiller.bsky.social
Senescence Nerd
@drkatemiller.bsky.social
Mother, wife, FRACP geriatrics. History and bad jokes buff. Opinions are my own.

@medsky.social
Reposted by Senescence Nerd
Studies increasingly find links between higher concentrations of certain pollutants in the air and the prevalence of dementia. Yet such findings are emerging when the U.S. government is dismantling efforts to continue reducing air pollution by shifting from fossil fuels to renewable energy sources.
What the Air You Breathe May Be Doing to Your Brain
Studies increasingly find links between higher concentrations of certain pollutants and the prevalence of dementia.
nyti.ms
November 1, 2025 at 9:55 PM
Vale Robert Redford. I had no idea you were 89 and that Sneakers, my favourite movie of yours, was from 1992...
September 16, 2025 at 12:28 PM
Another day, another attempted coup at the RACP… #medsky
August 24, 2025 at 9:32 PM
I'm so lucky to work at a hospital that has a music therapy (MT) department. The patients are even luckier. The other day my unwell patient was agitated and delirious - security were readied to sedate them. In walks the MT and a guitar. 70s acoustic rock ensued.

No sedation required.

#medsky
August 14, 2025 at 9:50 AM
Reposted by Senescence Nerd
Asimov's R. Giskard Reventlov, who saves mankind from itself
August 2, 2025 at 1:32 PM
What are you best examples of good AI application in science fiction?

For me the gold standard was the computer in Star Trek the Next Generation. Didn't replace jobs so much as it replaced time spent doing jobs, and was an excellent decision support tool.

Mr Data OTOH...security nightmare #AI
August 2, 2025 at 1:10 AM
Reposted by Senescence Nerd
AI is going to add jobs in the field of correcting AI.
July 28, 2025 at 11:34 PM
Arrived on the ward to find the junior doing the shouting MMSE match with her deaf older patient (many older people don’t know sign language Both laughing trying to understand each other.
Tell your juniors about hearing amplifers #medsky !
July 24, 2025 at 11:47 PM
Reposted by Senescence Nerd
I was explaining to my Ukrainian colleague the phrase ‘There’s no such thing as a free lunch’. She told me the equivalent in Ukrainian is ‘The only free cheese is in the mousetrap’ - which is so much better
July 16, 2025 at 6:39 AM
also - when patients are called consumers or clients...!
also!!! you don't consume art you experience it!!!
i fuckin hate when art is called content and when food is called product
July 16, 2025 at 9:48 AM
Someone please explain to me why we have wars again? And what is happening to the brains of those exposed over and over to blasts? Say, in Gaza and Israel?

www.abc.net.au/news/2025-07...
Brain injury of Australian soldier matches that of dead US Navy SEALS
Australian scientists find the first evidence of an unusual pattern of brain scarring only seen in people repeatedly exposed to blast waves.
www.abc.net.au
July 15, 2025 at 12:20 PM
Reposted by Senescence Nerd
#MedSky #OncSky #IDSky
Prosp cohorts (China, N=74K):
At 8-10 yrs, EBV VCA-IgA was assoc w/:
Overall cancer risk ⬆️ 5x
Lung cancer 1.8x
Liver cancer 1.7x
Nasopharyngeal cancer 26x Lymphoma 3.2x
Dose-response +.

🔑 We need ways to prevent/treat mono.

#DrugDevelopment
www.nature.com/articles/s41...
July 11, 2025 at 6:04 AM
I was talking with the interpreter after a visit today with a non-English speaking patient. He thanked me for staying kind with a challenging patient, as he often has to sit through not so kind situations and try to remain impartial. No one talks about vicarious trauma for interpreters. #medsky
July 10, 2025 at 10:08 AM
Government level bargaining power vs private industry collusion with shareholders in government. #medsky
July 9, 2025 at 6:18 AM
Ah yes, definitely misery, teenage, and female. Definitely not the complex interplay and understudied factors involved in the transition to adulthood, cyclical hormone fluctuations and their impact on immunity, and the effect of viruses on that highly dynamic state.
This article is why people hide their disabilities

Why we push our bodies, play through the pain and say we’re fine

I can’t in good conscience link to it because of the harmful stereotypes it includes

Covid causes POTS. The increase in cases is due to unmitigated COVID spread. Not teenage misery
July 9, 2025 at 6:16 AM
So President Trump is threatening 200% tariffs on Australian imported pharmaceuticals (including plasma) because apparently having immense bargaining power (ie the government doing the entirety of drug price negotiation rather than private insurance companies) is 'anticompetitive'.
July 9, 2025 at 4:05 AM
Happy Medicare rorts season! Except this time it's not $8 billion, it's now $10 billion we're allegedly rorting, claimed by yet another organisation with a conflict of interest. How about we re-regulate practices back to clinicians instead of big business, a la pre-Howard era?

#ausmedsky
July 6, 2025 at 1:03 PM
Just your semi regular reminder that if you're 50 and above, heck, even earlier if you like, to go and get your hearing tested. And if required, get the damn hearing aids and put your ego in the bin about it. Your brain will thank you.

#dementia #medsky #longevity #bluesky
June 30, 2025 at 12:50 AM
Reposted by Senescence Nerd
They’re planning on building a detention center for migrants in the middle of the fetid swamps of Florida.

If you think this is something new, the first internment camp they sent me and my family to in 1942 was a barbed wire prison called Rohwer. It was located in the swamps of Arkansas.
June 24, 2025 at 9:43 PM
Reposted by Senescence Nerd
Is it too late to give Sacha Baron Cohen an Oscar for this? Not a damn lie told. 🇺🇸
June 22, 2025 at 7:53 PM
Medicare altering item criteria to effectively say make an initial management plan for a complex patient and try to plan for different outcomes, but don't intend to follow them because if you do intend to follow them up you can't bill the followup code, you can only use the shorter time codes and...
June 23, 2025 at 12:37 AM
Reposted by Senescence Nerd
This is not about the merits of Iran’s nuclear program. No president has the authority to bomb another country that does not pose an imminent threat to the US without the approval of Congress. This is an unambiguous impeachable offense.
June 22, 2025 at 12:26 AM
Reposted by Senescence Nerd
AOC: “It is absolutely and clearly grounds for impeachment.”
June 22, 2025 at 2:03 AM
Reposted by Senescence Nerd
If you were too young in 2003 here is what Bush told the American people:

1) The Iraq War won’t cost a lot of money
3) We won’t need a lot of troops
4) We’ll bring peace and freedom to Iraq
5) We’ll find WMDs
6) We’ll be welcomed as liberators
7) It will be easy
8) It won’t take long

All lies.
June 22, 2025 at 2:47 AM
Reposted by Senescence Nerd
Remembering this great tweet on the Summer Solstice
June 21, 2025 at 10:03 AM