Ben Rosenstein. MD, MA
Geriatrician. Faculty University of MN.
Cyclist, rower, power lifter.
Medicine is inherently political.
- Reposted by Ben Rosenstein. MD, MAProud 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 💪🏼💪🏼
- Solid advice from @glaucomflecken.bsky.social youtube.com/shorts/z4dy0...
- I usually see 8-10 pts per clinic shift. In the last 2 wks I've seen fewer...total. They're cancelling, not scheduling, ¬ 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, MANEW Statement from the family of Alex Pretti:
- 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.
- 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.
- ...something, something...taxation without representation...
- Reposted by Ben Rosenstein. MD, MAPeople 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
- 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?...
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- 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
- 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
- Reposted by Ben Rosenstein. MD, MAChildren 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/
- 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...
- Reposted by Ben Rosenstein. MD, MAThis 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👇
- link without paywall: archive.ph/vXqVf#select...
- Quite the long-game strategy to solve the geriatrician shortage 🫤🙄
- Let me introduce you to prices in medicine: Financial toxicity: a common problem affecting patient care and health - PMC pmc.ncbi.nlm.nih.gov/articles/PMC...
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- 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🚨
- LMFTFY: 👉 CDC panel Defies Experts with Hep B vaccine vote.
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- Reposted by Ben Rosenstein. MD, MA1- 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...
- Reposted by Ben Rosenstein. MD, MAPrescribing 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....
- Reposted by Ben Rosenstein. MD, MAGood 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....
- Pay more. Get less. www.cbsnews.com/minnesota/ne...
- Reposted by Ben Rosenstein. MD, MAAgeism 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.
- Reposted by Ben Rosenstein. MD, MA“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
- Reposted by Ben Rosenstein. MD, MAThe 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...
- Reposted by Ben Rosenstein. MD, MAWhat 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
- Reposted by Ben Rosenstein. MD, MA“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...
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- Reposted by Ben Rosenstein. MD, MANew 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...
- Reposted by Ben Rosenstein. MD, MAThe 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...
- Reposted by Ben Rosenstein. MD, MAThis 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 👍🏻👍🏻👍🏻
- Reposted by Ben Rosenstein. MD, MAJust 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....
- Reposted by Ben Rosenstein. MD, MAFront line medical staff are leaving the VA in large numbers, jeopardizing the healthcare of our veterans. #medsky www.militarytimes.com/veterans/202...
- Reposted by Ben Rosenstein. MD, MAThanks 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-...
- Reposted by Ben Rosenstein. MD, MAToday’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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- Medicaid suddenly not available to man who shoots himself in the foot.
- Researchers' hold a 'science fair' for projects cut by the Trump administration www.npr.org/2025/07/09/n...
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- Reposted by Ben Rosenstein. MD, MAProud of you, @idsainfo.bsky.social 👏🏻👏🏻👏🏻
- BREAKING: Six leading medical organizations filed a lawsuit on Monday against Robert F. Kennedy Jr., the health secretary, and the health dept, charging that recent decisions limiting access to vaccines were unscientific and harmful to the public. (Gift link) www.nytimes.com/2025/07/07/h...
- Reposted by Ben Rosenstein. MD, MA1- It's refreshing to think about what could be possible if communities, healthcare systems & families could be aligned to support the resilience of older adults. The authors propose the SUNSHINE framework, conceptualizing resilience as both a means & an end. www.ajgponline.org/article/S106...
- You know, it's interesting. I've never seem to have a patient with too much insurance coverage. 🤷 #medsky
- Reposted by Ben Rosenstein. MD, MANearly 800 rural hospitals are at risk of closure. Here’s the MN breakdown from Beckers Hospital Review. Heckuva time, Congress, to cut nearly a trillion out of Medicaid funding.
- GWEP funding notices are *finally* being sent And we're seeing cuts of 25-60%.
- The HHS restructuring proposal is a disservice to Americans. I offered my perspective regarding geriatrics programs. #gerisky #medsky www.startribune.com/opinion-what...
- As a Jewish person concerned about a whole lotta other $#!¥ going on: If your concern about a politician's Muslim background and how he voices support of Muslims is b/c you're concerned how that'll play with (usually Dem) Jews, that's both islamaphobic and antisemitic.
- We can debate phrasing after we make sure we have a 1st Amendment right to have that debate.
- Reposted by Ben Rosenstein. MD, MAOne more thread on a new provision in Senate reconciliation bill that Senate GOP will misleadingly tout as expanding access to home- and community-based services for seniors and people with disabilities (section 71123) but in context of the bill, it won't be meaningful (1/x)
- Reposted by Ben Rosenstein. MD, MA“Immunizations work, they are very effective and safe, and they save lives. Vaccines are among the most rigorously studied and effective tools in public health.” Kudos to AAFP, AAP, ACOG, ACP, IDSA for this. www.statnews.com/2025/06/26/v...
- Reposted by Ben Rosenstein. MD, MADr. Lei Yu and colleagues identified 3 distinct biomarker profiles, among which one profile exemplifies older adults with high burden of AD pathology, and another exemplifies those with more severe vascular conditions. doi.org/10.1093/brai...
- Reposted by Ben Rosenstein. MD, MA
- Reposted by Ben Rosenstein. MD, MAA great editorial on why FDA should expand approval for all formulations of buprenorphine to treat cancer pain. jamanetwork.com/journals/jam...
- Reposted by Ben Rosenstein. MD, MAHeading out to (peacefully) exercise your 1st amendment rights this weekend? Keep public health in mind with your messaging! 🪧 bit.ly/apha_speak4h... #SpeakForHealth
- Reposted by Ben Rosenstein. MD, MALearned something new today - the Determinants of Malnutrition in Aged Persons (DoMAP) Model, showing potential determinants of malnutrition in older adults. Dark green is central etiologic mechanisms, then it goes farther out for more indirect mechanisms. #medsky www.nejm.org/doi/full/10....
- Do an abstract attack.
- Reposted by Ben Rosenstein. MD, MASecretary Kennedy’s allegations about the integrity of CDC’s Advisory Committee on Immunization Practices are completely unfounded and will have a significant negative impact on Americans of all ages. Our statement: bit.ly/3SGaDcb
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- Reposted by Ben Rosenstein. MD, MAImplementing physician-delivered delirium screening via electronic health records improved the identification of delirium among older hospital patients. ja.ma/3SiZQ7t
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- What's infuriating about these "reports" or accusations (w/similar ones made during COVID 2020-2022) is the disingenuous assumption that what physicians do is sooo easy. We apply nuance to individuals, use diagnostic scrutiny, provide counseling and guidance through uncertainty.
- Reposted by Ben Rosenstein. MD, MABad news for the medical care of U.S. veterans: mass resignations of nurses, huge backlog of unread radiology exams, "destroyed morale," shortage of security staff, closure of clinical units. #medsky www.theguardian.com/us-news/2025...
- "These results suggest that a lack of adequate representation of older adults in clinical trials for new drug evaluation can present challenges for optimal use and prescribing." jamanetwork.com/journals/jam...
- Well said. Not including older adults in research studies about diseases that primarily affect older adults is just ageism, pure and simple. slate.com/technology/2...
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- Reposted by Ben Rosenstein. MD, MAWhat an incredible occasion - Commencement at UW-Madison, celebrating the accomplishments of ~10,000 graduates! It serves as a reminder of the power of higher education to uplift us all. On, Wisconsin! @uwmadison.bsky.social #wisconsin #uwmadison #highered #meded
- Reposted by Ben Rosenstein. MD, MASing-along state of the science at #AGS2025 by @alexsmithmd.bsky.social @kencovinsky.bsky.social @ewidera.bsky.social complete with light sticks at 8:45 am #WeAreGeriatrics
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- #thickenedliquidchallenge #AGS25 Ask 1) Why 2) How long 3) What's the person's concerns and preferences
- I'm sure @paulnwilliams.bsky.social would love this aptly named study showing limited benefits of invasive tx for NSTEMI in older adults. #AGS25 lit review @amergeriatrics.bsky.social
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