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GeriPal Hits 2 Million Pageviews


The Places Where GeriPal is Read

Last week GeriPal hit 2 million pageviews.  We celebrated quietly when the counter showed a whole line of 0's, but I thought it would be worth creating a list of the top 25 most read posts to commemorate the occasion.  Enjoy!
  1. The Dangers of Fleet Enemas
  2. Length of Stay in Nursing Homes at the End of Life
  3. End Stage Dementia: A Terminal Disease Needing Palliative Care 
  4. What to give Uncle Ernie, Grandma Mabel and Great Aunt Rose? 
  5. Dying without Dialysis 
  6. Beers Criteria Contest: Submit the Craziest Medication Combinations 
  7. When Surrogates Override the DNR: A Terrific Geriatrics and Palliative Care Teaching Video 
  8. MMSE and Copyrights Part II: Is the MMSE Derivative of Some Other Work? 
  9. Atul Gawande New Yorker Article "Letting Go" 
  10. Coffee Is Bad For You. Coffee is Good For You. Why Am I So Confused? 
  11. Survival from severe sepsis: The infection is cured but all is not well 
  12. Why is Forest Laboratories discontinuing Namenda? 
  13. TAVR: Life-prolonging and palliative or risky and costly?
  14. A New Treatment For Atrial Fibrillation in the Elderly?: The (IR)relevance of Clincial Resarch to Geriatric Populations 
  15. Death of the Gerontological Nurse Practitioner: Part 1 of 2 
  16. Loneliness 
  17. Watchful Waiting or Surgery for Prostate Cancer? 
  18. “Elders?” “Older Adults?” “Seniors?” Language Matters 
  19. A Call for Hospice Reform: Nurse Practitioners Lead the Way 
  20. A Study of Dignity Therapy on Distress and the End-of-Life Experience 
  21. 3 Issues of Hospice 
  22. How do you explain hospice? 
  23. Being Accused of Murder 
  24. Inappropriate Medications in the Hospice Setting
  25. Copyrights and Copylefts in Medicine: The Case of the Wayward MMSE

by: Eric Widera (@ewidera)


Comments

Congratulations on 2 million views! Eric and Alex, you have done a fantastic job of getting really interesting topics out to a wide audience. Honestly looking back at those top 25 posts is a testament to the good medical journalism you have done.

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Enjoy! -@AlexSmithMD




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Transcript

Eric: Welcome to the GeriPal podcast. This is Eric Widera.

Alex: This is Alex Smith.

Eric: And Alex, I'm really excited about toda…

The Dangers of Fleet Enemas

The dangers of oral sodium phosphate preparations are fairly well known in the medical community. In 2006 the FDA issued it’s first warning that patients taking oral sodium phosphate preparations are at risk for potential for acute kidney injury. Two years later, over-the-counter preparations of these drugs were voluntarily withdrawn by the manufacturers.  Those agents still available by prescription were given black box warnings mainly due to acute phosphate nephropathy that can result in renal failure, especially in older adults. Despite all this talk of oral preparations, little was mentioned about a sodium phosphate preparation that is still available over-the-counter – the Fleet enema.

Why Oral Sodium Phosphate Preparations Are Dangerous 

Before we go into the risks of Fleet enemas, lets spend just a couple sentences on why oral sodium phosphate preparations carry significant risks. First, oral sodium phosphate preparations can cause significant fluid shifts within the colon …