iiinova — where your digital self keeps evolving

Ben Rosenstein. MD, MA @berosensteinmd.bsky.social · 14/10/2026

Guinea-Bissau didn't. But the bigger (biggest) issue is the US, via RFK Jr. et al, did.

Reposted by Ben Rosenstein. MD, MA

APHA @apha.org · 16/09/2026

A new report from the Campaign for the Public's Health, an APHA initiative, along with @protectourcare.org, examines the impact of cuts to federal food assistance: vist.ly/5iqfm

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Ben Rosenstein. MD, MA @berosensteinmd.bsky.social · 03/08/2026

Clinically, COVID could be less likely. Less. Removing precautions allowed decreased PPE use, open an ICU bed, decrease nursing time. But, if I were wrong, the exposure would be massive. Do I remove precautions? I support the man who emphasized a need for more and better tests. x/

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Ben Rosenstein. MD, MA @berosensteinmd.bsky.social · 03/08/2026

Do I remove precautions? A simple yet horrifying question in Spring 2020. Was the person's shortness of breath heart failure? Bacterial Pneumonia? COVID19? We didn't have tests to tell us. 1/

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Reposted by Ben Rosenstein. MD, MA

Art Walaszek, MD @walaszek.art · 12/04/2026

Delirium after hip fracture surgery is associated with increased cognitive decline - especially in people without cognitive impairment at baseline. Could better prevention of delirium lead to better cognitive outcomes? www.ajgponline.org/article/S106... #medsky #dementia #delirium

Longitudinal modeling of cognitive outcome (CDR-SB) over time as a function of postoperative delirium (Blue- no delirium, Red- delirium) in the cognitively unimpaired cohort (top plots, solid lines) and in the cognitively impaired subgroup (bottom plots, dotted lines). Note that higher CDR-SB indicates worsening of dementia severity rating scale, as such Y axis is inverted to show decline. Model output denoted by fit line in the graph, while observed data points are computed by averaging the outcome (CDR-SB) over subjects that experienced postoperative delirium (red) and those that did not experience delirium (blue).

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Reposted by Ben Rosenstein. MD, MA

Art Walaszek, MD @walaszek.art · 29/03/2026

What therapies work best to ⬇️behavioral & psychological symptoms of #dementia? - agitation (pacing, wandering, aggression, sexual disinhibition): simulated presence therapy (SPT) - mood disturbance (depression, apathy): multisensory stimulation (MST), SPT www.ajgponline.org/article/S106... #medsky

Network of interventions for (A) behavioral disturbance (B) mood disturbance (C) agitation (D) global cognitive function. Each node represents a different intervention. The size of each node is proportional to the total sample size for that intervention. The thickness of the connecting lines (edges) reflects the number of direct comparisons between interventions.

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Reposted by Ben Rosenstein. MD, MA

JAMA Health Forum @jamahealthforum.com · 28/03/2026

In a cohort of older adults, Medicaid home and community-based services initiation was associated with decreased emergency department use and inpatient discharges, indicating reduced reliance on acute care. ja.ma/4uWPLzd

Two graphs titled 'Any emergency department use' and 'Any inpatient discharge.' Both show coefficient versus months to HCBS initiation, ranging from -6 to 5. Trends show changes in healthcare utilization before and after HCBS initiation.

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Reposted by Ben Rosenstein. MD, MA

Elizabeth Jacobs, PhD @elizabethjacobs.bsky.social · 17/03/2026

The preliminary injunction in the lawsuit against RFK Jr. “stays the heavily revised vaccine schedule issued…on January 5, overturns the…Secretarial Directive on COVID-19 vaccine recommendations, and reverses the…Hepatitis B vaccine recommendations”. What’s this unfamiliar feeling? HAPPINESS.

apha.org

Federal Judge Blocks Immunization Schedule Changes, Stays ACIP Member Appointments

Preliminary Injunction stays Secretary Kennedy's pediatric vaccine schedule. Secretary Kennedy's 13 appointments to the Advisory Committee for Immunization Practices (ACIP) are stayed for likely havin...

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Reposted by Ben Rosenstein. MD, MA

Alasdair MacLullich @amaclullich.bsky.social · 21/02/2026

"You can't properly assess for delirium when someone already has dementia." Wrong. New meta-analysis (Keane et al. 2026): 4AT shows 88% sensitivity, 79% specificity in dementia populations. 5 studies. 1,304 patients. International data. #delirium #dementia

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Reposted by Ben Rosenstein. MD, MA

Dimitri Drekonja, MD, MS @dimitridrekonja.bsky.social · 30/01/2026

Proud to join ~500 other MN docs in signing on to this @nejm.org piece. Proud of my colleagues. Proud of Ben Trappey for signing his name to it and taking the inevitable heat from some quarters. Stand up and be counted 💪🏼💪🏼

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Ben Rosenstein. MD, MA @berosensteinmd.bsky.social · 28/01/2026

I usually see 8-10 pts per clinic shift. In the last 2 wks I've seen fewer...total. They're cancelling, not scheduling, &not coming in. They're scared to leave home; risk being harassed, taken, or worse; leaving medical needs uncared for. That's not making us safe. That's making us inhumane.

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Reposted by Ben Rosenstein. MD, MA

Yashar Ali 🐘 @yasharali.bsky.social · 25/01/2026

NEW Statement from the family of Alex Pretti:

Statement from the family of Alex Pretti:

"We are heartbroken but also very angry.

Alex was a kindhearted soul who cared deeply for his family and friends and also the American veterans whom he cared for as an ICU nurse at the Minneapolis VA hospital. Alex wanted to make a difference in this world. Unfortunately he will not be with us to see his impact. I do not throw around the hero term lightly. However his last thought and act was to protect a woman.

The sickening lies told about our son by the administration are reprehensible and disgusting. Alex is clearly not holding a gun when attacked by Trump’s murdering and cowardly ICE thugs. He has his phone in his right hand and his empty left hand is raised above his head while trying to protect the woman ICE just pushed down all while being pepper sprayed.

Please get the truth out about our son. He was a good man.”

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Ben Rosenstein. MD, MA @berosensteinmd.bsky.social · 25/01/2026

Not until the last few weeks. There was not a dangerous situation here. There was not a problem to be solved. The problem was manufactured and a dangerous situation has been created by those who wanted to make it. Leading to fear, chaos, and fatal consequences.

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Ben Rosenstein. MD, MA @berosensteinmd.bsky.social · 25/01/2026

I've lived in MN since I was born. I've lived in the suburbs, I have lived in the cities. I've taken the train, driven, cycled all over. I've always felt safe, always felt my friends and family were living in safe places. I have never had concerns going to downtown Minneapolis or St. Paul.

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Reposted by Ben Rosenstein. MD, MA

Art Walaszek, MD @walaszek.art · 11/01/2026

People with intellectual & developmental disabilities are at higher risk of #dementia but face significant barriers to care. The authors propose a public health framework to address this intersection of #disability & brain health. academic.oup.com/gerontologis... #medsky

The Gerontologist, 2025, 65(S1), S60–S67
https://doi.org/10.1093/geront/gnaf222
Advance access publication: 1 October 2025
Supplement: Healthy Brain Initiative (HBI) and Building Our Largest Dementia
Infrastructure (BOLD): Dementia as a Public Health Imperative: Forum

Advancing inclusive brain health and dementia care for
people with intellectual and developmental disabilities: a
public health framework
Beth Marks, PhD, RN, Jasmina Sisirak, PhD, MPH, Matthew P. Janicki, PhD, Kathryn P. Service, RN, MS, FNP-BC, Karen Watchman, PhD

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Ben Rosenstein. MD, MA @berosensteinmd.bsky.social · 10/01/2026

After this week, it's hard to explain why this feels so different. We've heard and read about so many abuses from this govt. But we saw this. I'm reminded of these words from West Wing (and I know it's not a perfect comparison) youtu.be/0qoj7ICwU6w?...

youtu.be

The West Wing - We Saw A Lynching

YouTube video by Dex

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Ben Rosenstein. MD, MA @berosensteinmd.bsky.social · 06/01/2026

Grammar aside - the intent and depravity of the statement shouldn't be lost Coverage by - ACA. Constantly attacked. Just became wildly more expensive - Medicaid and CHIP. Literally gutted by 'BBB' - VforC. Especially important in rural/underserved areas where we've seen closures d/t Medicaid cuts

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Ben Rosenstein. MD, MA @berosensteinmd.bsky.social · 06/01/2026

Not just children! This change is also ableist and ageist. High # of admissions I had to the hospital and post-acute care because of Flu A and RSV just this week. ➡️Mostly older adults. Who often have more severe cases ➡️Many with dementia who cannot easily treat or manage on their own

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Reposted by Ben Rosenstein. MD, MA

Gregg Gonsalves @gregggonsalves.bsky.social · 05/01/2026

Children will die with RFK Jr.'s new vaccine recommendations. We're NOT doing the "experts disagree" game. The US vaccine schedule was painstakingly constructed through a deep & thorough process by experts with unquestionable expertise. This is policy by fiat. It is pre-meditated murder. 1/

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Ben Rosenstein. MD, MA @berosensteinmd.bsky.social · 06/01/2026

And, for an administration that was supposed to be about cutting everyday costs 🙄, beyond the direct health impacts of these perverse "recommendations," This is just ridiculously expensive. www.cdc.gov/mmwr/volumes...

cdc.gov

Health and Economic Benefits of Routine Childhood...

This report describes health and economic benefits from routine childhood vaccines among children born during 1994–2023.

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Reposted by Ben Rosenstein. MD, MA

Prof Gavin Yamey MD MPH @gavinyamey.bsky.social · 29/12/2025

This OpEd, by the inspirational @drdemetre.bsky.social in today’s @washingtonpost.com, is one of the best pieces of science writing of 2025 I’ll be assigning it to my students next semester in my class on ‘policy writing—turning evidence into public health action’ Thx Ed, for the free access link👇

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Ben Rosenstein. MD, MA @berosensteinmd.bsky.social · 20/12/2025

Quite the long-game strategy to solve the geriatrician shortage 🫤🙄

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Reposted by Ben Rosenstein. MD, MA

Kevin M. Kruse @kevinmkruse.bsky.social · 11/12/2025

I'm told that Roger Marshall is a medical doctor, like with a degree and everything, and yet every single time he opens his mouth to discuss health care it's like they pulled a random guy out of the beer line at a Royals game.

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Ben Rosenstein. MD, MA @berosensteinmd.bsky.social · 11/12/2025

My patients are very aware of prices. Often more so than me. Especially older adults on fixed incomes. Because of that awareness, true, in the short term, they may not spend as much f.e. Medicare dollars. 🚨By forgoing necessary care🚨

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Ben Rosenstein. MD, MA @berosensteinmd.bsky.social · 10/12/2025

LMFTFY: 👉 CDC panel Defies Experts with Hep B vaccine vote.

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Reposted by Ben Rosenstein. MD, MA

Madhu Pai, MD, PhD @madhupai.bsky.social · 05/12/2025

Grateful for the clear messages coming from @ameracadpeds.bsky.social @idsainfo.bsky.social @apha.org

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Reposted by Ben Rosenstein. MD, MA

Art Walaszek, MD @walaszek.art · 30/11/2025

1- Insomnia in older adults can be difficult to address. CBT-insomnia is the gold standard - and the safest intervention. Yet low-dose quetiapine is being used more to treat insomnia. How safe is it? The authors of this study sought to find out. #medsky link.springer.com/article/10.1...

Flowchart of study subjects: 193,510 age 65+ who started quetiapine, trazodone or mirtazapine -> 17,703 eligible included, including 375 on quetiapine -> after 1:4 propensity matching: 1500 on trazodone and 1500 on mirtazapine.

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Reposted by Ben Rosenstein. MD, MA

Art Walaszek, MD @walaszek.art · 27/11/2025

Prescribing 1st-generation antihistamines (e.g., diphenhydramine, hydroxyzine, meclizine) to hospitalized older adults is associated w/ ⬆️risk of delirium, according to this study of 328k inpatient admissions in Canada. Just don't do it! #medsky agsjournals.onlinelibrary.wiley.com/doi/full/10....

Probability of delirium associated with the proportion of each physician's admissions that include a first-generation antihistamine prescription, using mixed effects logistic regression. The red line represents the effect estimate and the gray shading represents the 95% confidence interval.

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Reposted by Ben Rosenstein. MD, MA

Art Walaszek, MD @walaszek.art · 27/11/2025

Good social policy has health benefits. In an analysis of the Health & Retirement Study, participating in SNAP is assoc w/ slower cognitive decline in adults 50+ yo. However, the protective effect was less in Black & Hispanic adults. #medsky agsjournals.onlinelibrary.wiley.com/doi/full/10....

Annual decline in global cognition, memory, and executive function in SNAP users and non-users by race/ethnicity.

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Reposted by Ben Rosenstein. MD, MA

Art Walaszek, MD @walaszek.art · 21/11/2025

Ageism is pervasive in media coverage of political figures. While raising concern about cognition may be reasonable, conflating age with cognitive or other impairments, is not.

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Reposted by Ben Rosenstein. MD, MA

The American Academy of Pediatrics @ameracadpeds.bsky.social · 20/11/2025

“Since 1998, independent researchers have conducted more than 40 high-quality studies involving over 5.6 million people. The conclusion is clear and unambiguous: There’s no link between vaccines and autism." -Dr. Susan Kressly, AAP President on recent changes to the CDC's website

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Reposted by Ben Rosenstein. MD, MA

Art Walaszek, MD @walaszek.art · 27/10/2025

The New England Journal of Medicine (@nejm.org) and the Center for Infectious Disease Research and Policy (@cidrap.bsky.social) will share regular public health alerts - information formerly provided by the CDC MMWR. #medsky www.statnews.com/2025/10/21/c...

statnews.com

NEJM and public health group are launching rival to CDC’s MMWR publication

Two institutions are coming together to create an alternative to the CDC’s vaunted Morbidity and Mortality Weekly Report

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Reposted by Ben Rosenstein. MD, MA

Art Walaszek, MD @walaszek.art · 13/10/2025

What is the risk of stroke associated with risperidone use in persons living with dementia? New study (N=28k risperidone, 136k control) from UK Clinical Practice Research Datalink found ⬆️risk, esp. in those w/ previous stroke. Helpful for quantifying risk vs benefit of risperidone use. #medsky

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Reposted by Ben Rosenstein. MD, MA

Art Walaszek, MD @walaszek.art · 20/09/2025

“Until we can again trust the recommendations made by our federal government, AAP will continue stepping up and working with our local, state and federal partners to make sure every child in every community continues to have access to immunizations.” #medsky www.aap.org/en/news-room...

AAP recommended child & adolescent immunization schedule

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Reposted by Ben Rosenstein. MD, MA

Ken Covinsky @kencovinsky.bsky.social · 16/09/2025

What happens when older patient gets admitted to hospital from ER but hospital has no beds? Often they "board" on stretcher in ER Hallway Great article describes this terrible experience from patient perspective "Hallways Feel Like Homelessness" agsjournals.onlinelibrary.wiley.com/doi/10.1111/...

agsjournals.onlinelibrary.wiley.com

Hallways Feel Like Homelessness: The Geriatric Boarder Experience

Older adults who are admitted to the hospital but boarding in the Emergency Department (ED) can have varied experiences depending on whether they board in an ED room, a hallway, or in a room in a ded....

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Reposted by Ben Rosenstein. MD, MA

Michael L. Barnett @mlbarnett.bsky.social · 08/09/2025

New paper w/ Brian McGarry, Ashvin Gandhi, and Drew Wilcock in @jamainternalmed.com! Hospitals are complaining across the US that patients are "stuck" waiting for rehab beds at nursing homes when they are medically stable and ready for discharge. What is going on?? jamanetwork.com/journals/jam...

Question Has hospital length of stay increased more for Medicare
Advantage beneficiaries than for traditional Medicare beneficiaries
since the COVID-19 pandemic?Findings In this cohort study involving more than 89 million
hospitalizations from 2017 to the third quarter of 2023, Medicare
Advantage beneficiaries experienced disproportionately greater
increases in extended hospital stays, especially among those
discharged to skilled nursing facilities.Meaning These findings suggest that the Medicare Advantage
plan design and practices may contribute to hospital discharge
delays, with implications for patient outcomes and hospital
capacity as enrollment continues to rise.

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Reposted by Ben Rosenstein. MD, MA

Art Walaszek, MD @walaszek.art · 13/08/2025

The latest on healthcare professionals leaving the VA: Inspector general found: - 94% of VA facilities face severe shortage of doctors - 79% face shortage of nurses - 57% face shortage of psychologists 50% increase in shortages vs last year #medsky www.theguardian.com/us-news/2025...

theguardian.com

‘Severe’ staff shortages at US veterans’ hospitals, watchdog finds

Inspector general report comes as department has lost thousands of ‘core’ healthcare workers under Trump

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Reposted by Ben Rosenstein. MD, MA

Dimitri Drekonja, MD, MS @dimitridrekonja.bsky.social · 11/08/2025

This study was published in Annals of Internal Medicine; kudos to the editor: “"I see no reason for retraction," Dr. Christine Laine, editor in chief of the Annals” More guts than all the broligarchs 👍🏻👍🏻👍🏻

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Reposted by Ben Rosenstein. MD, MA

Cameron Gettel MD MHS @camerongettel.bsky.social · 05/08/2025

Just out in @agsjournal.bsky.social! We developed and piloted an AI + care coach intervention to support ED-to-home transitions for people with dementia or cognitive impairment + their caregivers. 🧠↑ caregiver self-efficacy 📉↓ caregiver burden Read more: doi.org/10.1111/jgs....

doi.org

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Reposted by Ben Rosenstein. MD, MA

Art Walaszek, MD @walaszek.art · 02/08/2025

Front line medical staff are leaving the VA in large numbers, jeopardizing the healthcare of our veterans. #medsky www.militarytimes.com/veterans/202...

The VA has lost 751 doctors and 2129 nurses in the first 9 months of this fiscal year.

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Reposted by Ben Rosenstein. MD, MA

Art Walaszek, MD @walaszek.art · 24/07/2025

Thanks to Wisconsin Public Radio's Larry Meiller Show for the opportunity to talk about aging well and addressing depression, anxiety, memory loss, and alcohol/cannabis use in older adults. #geronsky www.wpr.org/shows/larry-...

wpr.org

News from Wisconsin's West Coast, Tips for aging well

We visit with Reggie McLeod about the July/August issue of Big River Magazine, which features the latest news from the Driftless Area of Wisconsin. Then, Jill Renken of the Wisconsin Institute for Hea...

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Reposted by Ben Rosenstein. MD, MA

ACOG @acog.org · 21/07/2025

Today’s FDA panel on SSRIs in pregnancy lacked balance and failed to reflect the evidence. Untreated depression and anxiety can lead to serious health risks for pregnant patients—SSRIs can be lifesaving. Patients deserve access to evidence-based, compassionate care. Learn more: buff.ly/NcCZno8

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Reposted by Ben Rosenstein. MD, MA

Edwin Park @edwincpark.bsky.social · 22/07/2025

Thread on today's Congressional Budget Office finally released cost estimates of the budget reconciliation law and its draconian #Medicaid cuts. But we are still waiting on detailed coverage estimates (1/x): www.cbo.gov/publication/...

cbo.gov

Estimated Budgetary Effects of Public Law 119-21, to Provide for Reconciliation Pursuant to Title II of H. Con. Res. 14, Relative to CBO’s January 2025 Baseline

Public Law 119-21 as enacted on July 4, 2025

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