Manifold benefits to participants and researchers from testing how intergenerational engagement can improve health.

Well done. Delirium as a preventable cause of dementia deserves study. Much of it arises unrecognized from unnecessarily hazardous routine care of older patients who live with frailty. Polypharmacy, untreated pain, immobilization, and chronic indifference all take a costly toll.

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.

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

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.

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?

It remains a valuable resource, which is a little sad. It’s so old that Tommy Brothers 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.

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. Simon Conroy Daniel Davis Sam Karen Nicholls Don Melady

Well done Nebraska Public Media “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.

Excited to announce the release of the book, "Frailty: A Multidisciplinary Approach to Assessment, Management, and Prevention"! Dive into a comprehensive exploration of managing frailty with insights from various fields. link.springer.com/book/10.1007/9…

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.

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.

🤔 "...in Phase III trials of monoclonal anti-amyloid antibodies ... patients in the treatment arm show near-complete cerebral amyloid clearance, but still exhibit cognitive decline ... if AD is equal to amyloid PET positivity, would the treated patients be considered AD-free?"

Many thanks to Dae Kim for his energy and infinite patience with this.

Good luck with the pitch

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.

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.

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.