Kevin Nasky D.O.

It’s 2025, and EMRs still lump true allergies in with adverse effects.
The result? Real allergies get buried in a sea of side effects.

Both matter, but they’re not the same.
This is a safety issue. Fix it.

#MedTwitter #PharmacyTwitter #ClinicalInformatics #EHR #HealthIT #HITsm #MedEd

5/ The reality is, the ER can’t solve systemic gaps in dementia care or long-term care placement. It’s frustrating for everyone, but crises aren’t the time to start these conversations. Proactive planning makes all the difference—for you and for your loved one.

4/ To families: I know this is heartbreaking, but waiting until the holidays to act limits everyone’s options. If you only see your loved one once a year, it’s easy to miss signs of decline. Early planning and regular engagement are critical to managing dementia effectively.

3/ Placement is complex. It requires medical assessments, legal paperwork, capacity evaluations, and often lengthy waitlists. None of this can happen in a single ER visit, especially during the holidays when facilities are either full or simply not accepting new residents.

2/ Here’s the thing: dementia doesn’t happen overnight, and the ER is not equipped to solve chronic care crises. Our job is to manage acute emergencies, not to shortcut the months-long process of evaluating, planning, and securing a long-term care placement.

1/ Every holiday season, a familiar pattern: families see grandma for the first time all year, realize her dementia has worsened, and bring her to the ER, expecting us to “fix” it. Suddenly, we’re supposed to diagnose, stabilize, and place her in long-term care—on Christmas Eve, no less.

Bingo!

“Show me a patient diagnosed with treatment resistant depression, and the likelihood is that I will show you someone whose underlying personality dynamics were never understood or addressed in psychotherapy.”

Treatment Resistant Depression — A Collective Failure of Imagination What does TRD tell us about the assumptions guiding clinical care?

Treatment Resistant Depression — A Collective Failure of Imagination

www.psychiatrymargins.com/p/treatment-...

Back *home* this morning (I’m OUCOM Class of ‘05), teaching a “Geriatric Mood Disorders” class.

I gotta say, this place definitely has early 2009-2010 twitter vibes. Still trying to convince mutuals to make the jump. If you are interested in addiction psychiatry, child psychiatry or are also terminally online please follow me!

Physicians Flock to Bluesky, Hoping to Leave X Behind Many compare it to the early days of Twitter

Pleasure to share my thoughts with @medpagetoday.bsky.social about why so many of us are moving from #MedTwitter to #MedSky

www.medpagetoday.com/special-repo...

I was in that class. Yes, too long. Next course I’m taking will be the 3 evening 4 hours courses (instead of the 8+4).

You finish the builder project yet?

🙋‍♂️