Podcasts about Geriatrics

KB & Coach Guzman are BACK and kick the show off discussing a gut-wrenching loss to ACIT last Friday night, 20-19. They discuss the issues with Special Teams, the offense beginning to find themselves, and give tons of praise to the Homegrown Player of the Week Xyleek Travis. Then they discuss the plethora of injuries sustained against ACIT, get some possible good news about a key player on offense, and then they talk about the JV season starting and the benefits of giving a young roster more playing experience. Then they round out the show with a preview of Thursday Night Football against Eastern, laugh about some past history with Eastern, discuss the legacy of Don Adams, and prepare for what will hopefully be the first win of the season for the Fighting Clan! Support our partners! Allen Associates: Visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠allenassoc.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ to learn more and access their services or call 856-692-2250! The City of Vineland: Visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.vinelandcity.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ and stay connected with the community and learn about important announcements, programs, and services offered by the city! Vineland, New Jersey... Where It's Always Growing Season! Family Medical Equipment: As a full home medical equipment company, Family Medical Equipment offers specialty equipment for Pediatrics through Geriatrics. Since 2001, Family Medical Equipment has been a trusted service throughout New Jersey, Pennsylvania, and Delaware for essential healthcare needs. Visit their Vineland retail shop at 106 W Landis Ave Unit 10 or visit their website, ⁠⁠www.familymedicalequipment.net/⁠⁠ and experience the difference that a family business provides. Follow us! Twitter: Vineland Football: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@VinelandFB⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Underground Sports Philadelphia: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@UndergroundPHI⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Instagram: Vineland Football: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@vineland_football⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Underground Sports Philadelphia: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@undergroundphi⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ YouTube: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.youtube.com/@UndergroundSport…ia⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Intro/Outro Music:⁠⁠⁠⁠ #subscribe #football #Vineland #HighSchoolFootball #fyp #Week1 #ACIT #GuzmansGridiron

Shout out to all the elderly bad b*tches! This week, Good Moms explore what it means to revisit old passions with fresh eyes, the importance of community support when stepping into new (and old) chapters of your life, and the reality of balancing dreams with everyday responsibilities. Timestamps: (02:10) gray hair, and the quest for youthful vibes (10:35) Erica’s return to acting: first in-person audition in six years (18:45) Wrestling with rejection, pressure, and rediscovering joy in creativity (26:09) Tabitha Brown is rightttttt, some of you need to keep that job, no shade! (27:00) How openly sharing fears and progress within supportive communities (like our "Girl Guess What?" Discord channel) helps sustain motivation and combats the loneliness inherent in creative work. (34:20) Conversations with kids about dreams, affirmations, and fear (35:48) Saying YES to delusion but also saying YES to reality! (36:33) RIP BADDIE WINKLE , that baddest old lady on the net! (42:15) Embracing imperfection: why the process beats perfection every time. 43:52- Why the ages 35-40 are critical for your geriatric bad bitch-dom! (46:30) Milah is getting an age change (47:22) CLT + ALT + DEL Theory (52:23) Bad choice of the week Segment (57:30) Tarot Segment Connect With Us: @GoodMoms_BadChoices @TheGoodVibeRetreat @Good.GoodMedia @WatchErica @Milah_Mapp ------------------------------------------------

Tune in to hear about my plan to 2x my income! Work with me at KatieDodd.com

This is a fascinating podcast episode from Dr. Lipid himself on desmosterol.  What is it?  How do we measure it?  Why should we care? Pharmacists are well-positioned to guide patients in understanding the role of desmosterol, how medications may influence its levels, the options for measuring it, and the steps to take if levels are too high or too low. Dr. Thomas Dayspring: linkedin.com/in/thomas-dayspring-md-facp-fnla-3aaa876 or @DrLipid on X  Tamara Ruggles, PharmD: linkedin.com/in/tamara-ruggles-491882251 Resource on lipids recommended by Dr. Dayspring: https://familyheart.org/ Wages PA, Kim HH, Korade Z, Porter NA. Identification and characterization of prescription drugs that change levels of 7-dehydrocholesterol and desmosterol. J Lipid Res. 2018 Oct;59(10):1916-1926. doi: 10.1194/jlr.M086991. Epub 2018 Aug 7. PMID: 30087204; PMCID: PMC6168312.  Available at:  https://pubmed.ncbi.nlm.nih.gov/30087204/  The Geriatric Pharmacy Focus podcast is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professionals for any such conditions.

Save 20% on all Nuzest Products WORLDWIDE with the code MIKKIPEDIA at www.nuzest.co.nz, www.nuzest.com.au or www.nuzest.comThis week on the podcast Mikki speaks to Prof Arny Ferrando about his work in protein, essential amino acids, protein timing, aging, anabolic resistance, and how to optimise muscle retention and fat loss.Arny Ferrando is a Professor of Geriatrics at the University of Arkansas for Medical Sciences (UAMS), where he co-directs the Center for Translational Research in Aging & Longevity (CTRAL) and holds the position of Wes Smith Distinguished Chair in Geriatrics for Longevity, Health Promotion and Frailty Prevention.His research deploys stable isotope techniques to dissect muscle protein metabolism under stress—from spaceflight, burn injury, joint arthroplasty, renal and heart failure, to aging and surgical recovery. He pioneers nutritional, pharmacological, and exercise-based strategies to counteract muscle wasting and functional decline.After earning a Ph.D. in Nutrition & Physiology from Florida State University, he conducted postdoctoral work at NASA's Johnson Space Center. He served as a U.S. Army pilot and armor officer, retiring as Lieutenant Colonel. He's driven by a lifelong athletic spirit: from West Point gymnast to powerlifter, bodybuilder, masters track athlete, and now Krav Maga instructor.He drives multiple research programs funded by NIH, the U.S. Army, and industry, and since 2023 holds a Visiting Senior Research Scientist appointment at IHMC, extending his work to human performance in extreme environments.https://www.ihmc.us/groups/arny-ferrando/ Curranz Supplement: Use code MIKKIPEDIA to get 20% off your first order - go to www.curranz.co.nz  or www.curranz.co.uk to order yours Contact Mikki:https://mikkiwilliden.com/https://www.facebook.com/mikkiwillidennutritionhttps://www.instagram.com/mikkiwilliden/https://linktr.ee/mikkiwilliden

Listen Saturday mornings at 8 as Dr. Msonthi Levine discusses medical issues and takes your calls on News Talk 560 KLVI. Dr Levine is board certified in Internal Medicine and Geriatrics. His office is located at 3080 Milam in Beaumont, Texas. He can be reached at 409-347-3621.

Brian Reader made his name as “The Guv'nor” in the 1960s and 70s by pulling off daring, Ocean's Eleven-style heists that turned him into a tabloid sensation. By the 2010s, his glory days were long gone – but when the lure of one final big score proved irresistible, Reader and a crew of aging criminals plotted one last job over Easter weekend in 2015. But the heist that was meant to cement their legend instead turned into a tabloid spectacle – and the downfall of a man who couldn't leave his past behind.Be the first to know about Wondery's newest podcasts, curated recommendations, and more! Sign up now at https://wondery.fm/wonderynewsletterListen to Scamfluencers on the Wondery App or wherever you get your podcasts. You can listen early and ad-free on Wondery+. Join Wondery+ in the Wondery App, Apple Podcasts or Spotify. Start your free trial by visiting wondery.com/links/scamfluencers/ now.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

KB & Coach Guzman are back and kick things off recapping a rough Week 0 loss to Delsea and what the team has learned from a loss like that. Then they discuss the first Player of the Week for 2025 and what the week ahead will look like as ACIT comes to town. Coach Guzman also has a strong message for fans attending games at Gittone Stadium and making games a safe and fun experience for all. Then they wrap with some shoutouts and get you set for Friday Night Lights at Gittone Stadium! Support our partners! Allen Associates: Visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠allenassoc.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ to learn more and access their services or call 856-692-2250! The City of Vineland: Visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.vinelandcity.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ and stay connected with the community and learn about important announcements, programs, and services offered by the city! Vineland, New Jersey... Where It's Always Growing Season! Family Medical Equipment: As a full home medical equipment company, Family Medical Equipment offers specialty equipment for Pediatrics through Geriatrics. Since 2001, Family Medical Equipment has been a trusted service throughout New Jersey, Pennsylvania, and Delaware for essential healthcare needs. Visit their Vineland retail shop at 106 W Landis Ave Unit 10 or visit their website, ⁠⁠https://www.familymedicalequipment.net/⁠⁠ and experience the difference that a family business provides. Follow us! Twitter: Vineland Football: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@VinelandFB⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Underground Sports Philadelphia: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@UndergroundPHI⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Instagram: Vineland Football: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@vineland_football⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Underground Sports Philadelphia: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@undergroundphi⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ YouTube: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@UndergroundSportsPhiladelphia⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Intro/Outro Music:⁠⁠⁠⁠ #subscribe #football #Vineland #HighSchoolFootball #fyp #Week1 #ACIT #GuzmansGridiron

Host Dr. Riley Kirk is joined by Dr. Janice Makela, MD for part one of a two part episode; the conversation was so interesting they couldn't cut it short! They discuss the evolving landscape of cannabis medicine, particularly for the geriatric population. She emphasizes the importance of education for both patients and physicians, addressing common misconceptions and the need for responsible dosing. The discussion covers various consumption methods, including edibles and tinctures, and highlights the potential benefits and risks associated with cannabis use in older adults. Dr. Makela also shares insights on the importance of safe and legal access to cannabis products. The discussion delves into the risks associated with smoking, including bronchitis and COPD, and highlights the benefits of using vaporizers over traditional smoking methods. The speakers also discuss the efficacy of cannabis topicals for pain relief and their role in wound care, and the importance of considering drug interactions. The speakers advocate for a cautious approach to cannabis use, especially among older adults and those with existing health conditions. Please consult your physician or health care team for questions that relate specifically to your health. Find out more about Dr. Janice Makela, MD: https://www.janicemakelamd.com/ Want Exclusive Content and ad-free episodes? Join the Bioactive Patreon community for as little as $1/month to ask guests your burning questions, access exclusive content, and connect with Dr. Kirk one-on-one.⁠⁠⁠⁠⁠⁠⁠ www.Patreon.com/Cannabichem⁠⁠⁠⁠⁠⁠⁠

On today's podcast, we talk about an innovative specialized primary care model for older veterans called the Geriatric Patient Aligned Care Team (GeriPACT) program.  It's designed with smaller patient panels and enhanced social worker and pharmacist involvement, and its approach is aimed at improving care and outcomes for our aging population. We unpack the intriguing findings of a recent JAMA Network Open study authored by one of our guests, Susan “Nicki” Hastings, looking at GeriPACT that compares it to a traditional Patient Aligned Care Team (PACT).  While GeriPACT successfully delivered more attention to geriatric conditions, it surprisingly didn't translate into expected improvements like more time at home or better self-rated health. We discuss the potential reasons behind this with our other two guests, one a geriatrics fellow, Kristie Hsu, and the other a recurring guest and host of the podcast, Ken Covinsky.  Was it just that it didn't work, or were there other things going on, from the intensity of "usual care" to the challenges of measuring complex health outcomes and the possibility that 18 months simply wasn't long enough to see the full benefits? Despite what was ostensibly a negative trial, we highlight some reassuring aspects and future hopes for GeriPACT and how we can all incorporate some of these components into the care of our patients. We'll also pose critical questions for future research, emphasizing why continued development and evaluation of new care models are essential for the health of our older population.

Amitabh Chandra is a professor of public policy at the Harvard Kennedy School of Government and a professor of business administration at Harvard Business School. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. A. Chandra and M. Shepard. The Corporatization Deal — Health Care, Investors, and the Profit Priority. N Engl J Med 2025;393:833-835.

Grandpa Bill talks about Qi Gong-Hello and thank you for tuning into "Workouts for Geriatrics, AKA, Silver Streakers, Good for All Kids from 1-92!" I'm your host, Grandpa Bill, and today on the BH Sales Kennel Kelp Holistic Healing Hour Podcast, we're diving into a practice that's as ancient as it is effective for a long and healthy life: Qi Gong.Now, you might have heard of Tai Chi, but Qi Gong is its close cousin, and in many ways, its parent. The name itself is a clue: "Qi" (pronounced "chee") is the life force or energy that flows through our bodies, and "Gong" means cultivation or work. So, Qi Gong is the art of cultivating and working with our life energy.An Overview of Qi GongSo, what exactly does a Qi Gong session look like? Well, it's not about breaking a sweat or lifting heavy weights. It's about slow, mindful movements, coordinated with deep, diaphragmatic breathing. Think of it as a moving meditation.The core principles are:Gentle Movement: The movements are soft, fluid, and circular. We're not pushing our bodies to their limits; we're coaxing them into a state of balance.Mindfulness: The mind is focused on the body, on the breath, and on the feeling of Qi flowing. This helps to calm the nervous system and reduce stress.Deep Breathing: We breathe from the belly, not the chest. This helps to oxygenate the blood, calm the mind, and energize the body.Example: The Wall ExerciseNow, for a simple and effective Qi Gong exercise you can do right now, I'm going to teach you "The Wall Exercise." All you need is a wall.Find your spot: Stand with your back against a wall, about a foot away.Slide down: Slowly slide your back down the wall until your knees are bent at a 90-degree angle, as if you're sitting in an invisible chair. Make sure your back is flat against the wall.Breathe deeply: As you hold this position, breathe deeply and slowly. Feel the strength in your legs, but also the calm in your mind.Rise up: After a few breaths, slowly and gently push yourself back up the wall to a standing position.Repeat: Do this a few times, increasing the hold time as you feel more comfortable.This exercise is fantastic for building leg strength, improving balance, and calming the mind. It's safe, effective, and can be done by anyone, no matter their age or fitness level.Why Qi Gong is a perfect workout for "Silver Streakers"Joint-friendly: The slow, gentle movements are easy on the joints, making it a great alternative to high-impact exercises.Improves balance: Many Qi Gong exercises focus on balance, which is crucial for preventing falls as we age.Reduces stress: The combination of mindful movement and deep breathing is a powerful stress-reliever.Increases energy: By cultivating Qi, we can increase our vitality and energy levels, helping us to feel younger and more vibrant.So, whether you're 19 or 92, Qi Gong has something to offer. It's a journey into your own inner energy, a way to connect with your body and mind, and a path to a healthier, more balanced life.#QiGong,#GeriatricFitness,#GrandpaBill,#SilverStreakers,#WorkoutsForGeriatrics,#HolisticHealing,#BHSalesKennelKelpHolisticHealingHour,#MindfulMovement,#Longevity,#AncientWisdom,

Listen Saturday mornings at 8 as Dr. Msonthi Levine discusses medical issues and takes your calls on News Talk 560 KLVI. Dr Levine is board certified in Internal Medicine and Geriatrics. His office is located at 3080 Milam in Beaumont, Texas. He can be reached at 409-347-3621.

KB & Coach Guzman are BACK for Season 8 of the Vineland High School Football Coach's Show and Season 3 with Coach Guzman. The duo kick things off catching up about the offseason and summer and what fans can expect from this year's Varsity Football Team. Then they dive into some player discussions, some new roles on the coaching staff this season, and diving into how young this year's team is and how beneficial that is for growth and development. Then they preview the Week 0 matchup with Coach Jason Volpe and the visiting Delsea Crusaders. Then they wrap with a congratulations to Tyreem Powell on signing with the Saints and Jamil Demby, Isiah Pacheco, and Tess Fisher on their induction into the Vineland High School Athletic Hall of Fame. Support our partners! Allen Associates: Visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠allenassoc.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ to learn more and access their services or call 856-692-2250! The City of Vineland: Visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.vinelandcity.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ and stay connected with the community and learn about important announcements, programs, and services offered by the city! Vineland, New Jersey... Where It's Always Growing Season! Family Medical Equipment: As a full home medical equipment company, Family Medical Equipment offers specialty equipment for Pediatrics through Geriatrics. Since 2001, Family Medical Equipment has been a trusted service throughout New Jersey, Pennsylvania, and Delaware for essential healthcare needs. Visit their Vineland retail shop at 106 W Landis Ave Unit 10 or visit their website, ⁠https://www.familymedicalequipment.net/⁠ and experience the difference that a family business provides. Follow us! Twitter: Vineland Football: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@VinelandFB⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Underground Sports Philadelphia: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@UndergroundPHI⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Instagram: Vineland Football: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@vineland_football⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Underground Sports Philadelphia: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@undergroundphi⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ YouTube: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@UndergroundSportsPhiladelphia⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Intro Music: Arkells "⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Relentless⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠" Outro Music: Arkells "⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Relentless⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠" #subscribe #football #Vineland #HighSchoolFootball #fyp #Week0 #Delsea #GuzmansGridiron

How can we improve care for older adults while supporting their independence and dignity? In this episode, we speak with Ellen Flaherty, PhD, MSN, APRN, vice president of the Dartmouth Health Geriatric Center of Excellence, about the 4 M’s of age-friendly care: what matters, medication, mind, and mobility. She shares how older adults can advocate for their needs, why proper medication management is vital, and what red flags caregivers should watch for, including delirium and cognitive changes. We also explore the importance of staying active and resources like the My Health Checklist, a workbook to help adults 65+ prepare for healthcare visits. Discover how the 4 M’s can guide more personalized care that honors each person’s goals. Check out The John A. Hartford Foundation at https://www.johnahartford.org/.See omnystudio.com/listener for privacy information.

The vast majority of the world's countries are experiencing a demographic revolution: dramatic, sustained, and likely irreversible population aging. States' median ages are steadily increasing as the number of people ages 65 and older skyrockets. Analysts and policymakers frequently decry population aging's domestic costs, especially likely slowing economic growth and massive new public expenditures for elderly welfare. But aging has a major yet largely unrecognized international benefit: it significantly reduces the likelihood of international war. Although wars continue to rage in parts of the world, almost none involve aged countries. This book provides a comprehensive and groundbreaking argument why population aging will be a powerful force for peace. Aging will significantly reduce states' military capabilities available for war while also boosting leaders' and citizens' preferences for peaceful foreign policies. At the same time, the effects of aging will help prevent the emergence of a power transition between the United States and China, which would be a development that is particularly likely to devolve into armed hostilities. If an aged country does initiate war, the effects of aging will create major barriers to military success. The more aging reduces the probability of victory, the greater the disincentives to aggressing. Detailed case studies show how aging has affected the capabilities and preferences in Japan, China, the United States, and Russia. Guest: Mark L. Haas is a Professor of Political Science at Duquesne University. He is the author of The Geriatric Peace: Population Aging and the Decline of War (Oxford University Press, 2025); Frenemies: When Ideological Enemies Ally (Cornell University Press, 2022); The Clash of Ideologies: Middle Eastern Politics and American Security (Oxford University Press, 2012); The Ideological Origins of Great Power Politics, 1789-1989 (Cornell University Press, 2005), and co-editor of Ideologies and International Relations (Routledge Press); The Middle East and the United States: History, Politics, and Ideologies (Routledge, 2018, sixth edition) and The Arab Spring: The Hope and Reality of the Uprisings (Routledge, 2017). Host: Jenna Pittman (she/her), a Ph.D. student in the Department of History at Duke University. She studies modern European history, political economy, and Germany from 1945-1990. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/new-books-network

The vast majority of the world's countries are experiencing a demographic revolution: dramatic, sustained, and likely irreversible population aging. States' median ages are steadily increasing as the number of people ages 65 and older skyrockets. Analysts and policymakers frequently decry population aging's domestic costs, especially likely slowing economic growth and massive new public expenditures for elderly welfare. But aging has a major yet largely unrecognized international benefit: it significantly reduces the likelihood of international war. Although wars continue to rage in parts of the world, almost none involve aged countries. This book provides a comprehensive and groundbreaking argument why population aging will be a powerful force for peace. Aging will significantly reduce states' military capabilities available for war while also boosting leaders' and citizens' preferences for peaceful foreign policies. At the same time, the effects of aging will help prevent the emergence of a power transition between the United States and China, which would be a development that is particularly likely to devolve into armed hostilities. If an aged country does initiate war, the effects of aging will create major barriers to military success. The more aging reduces the probability of victory, the greater the disincentives to aggressing. Detailed case studies show how aging has affected the capabilities and preferences in Japan, China, the United States, and Russia. Guest: Mark L. Haas is a Professor of Political Science at Duquesne University. He is the author of The Geriatric Peace: Population Aging and the Decline of War (Oxford University Press, 2025); Frenemies: When Ideological Enemies Ally (Cornell University Press, 2022); The Clash of Ideologies: Middle Eastern Politics and American Security (Oxford University Press, 2012); The Ideological Origins of Great Power Politics, 1789-1989 (Cornell University Press, 2005), and co-editor of Ideologies and International Relations (Routledge Press); The Middle East and the United States: History, Politics, and Ideologies (Routledge, 2018, sixth edition) and The Arab Spring: The Hope and Reality of the Uprisings (Routledge, 2017). Host: Jenna Pittman (she/her), a Ph.D. student in the Department of History at Duke University. She studies modern European history, political economy, and Germany from 1945-1990. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/military-history

The vast majority of the world's countries are experiencing a demographic revolution: dramatic, sustained, and likely irreversible population aging. States' median ages are steadily increasing as the number of people ages 65 and older skyrockets. Analysts and policymakers frequently decry population aging's domestic costs, especially likely slowing economic growth and massive new public expenditures for elderly welfare. But aging has a major yet largely unrecognized international benefit: it significantly reduces the likelihood of international war. Although wars continue to rage in parts of the world, almost none involve aged countries. This book provides a comprehensive and groundbreaking argument why population aging will be a powerful force for peace. Aging will significantly reduce states' military capabilities available for war while also boosting leaders' and citizens' preferences for peaceful foreign policies. At the same time, the effects of aging will help prevent the emergence of a power transition between the United States and China, which would be a development that is particularly likely to devolve into armed hostilities. If an aged country does initiate war, the effects of aging will create major barriers to military success. The more aging reduces the probability of victory, the greater the disincentives to aggressing. Detailed case studies show how aging has affected the capabilities and preferences in Japan, China, the United States, and Russia. Guest: Mark L. Haas is a Professor of Political Science at Duquesne University. He is the author of The Geriatric Peace: Population Aging and the Decline of War (Oxford University Press, 2025); Frenemies: When Ideological Enemies Ally (Cornell University Press, 2022); The Clash of Ideologies: Middle Eastern Politics and American Security (Oxford University Press, 2012); The Ideological Origins of Great Power Politics, 1789-1989 (Cornell University Press, 2005), and co-editor of Ideologies and International Relations (Routledge Press); The Middle East and the United States: History, Politics, and Ideologies (Routledge, 2018, sixth edition) and The Arab Spring: The Hope and Reality of the Uprisings (Routledge, 2017). Host: Jenna Pittman (she/her), a Ph.D. student in the Department of History at Duke University. She studies modern European history, political economy, and Germany from 1945-1990. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/political-science

Dr. Cris Bergerot and Dr. Enrique Soto join the podcast to discuss the new global guideline on geriatric assessment. This guideline provides evidence-based, resource-stratified recommendations across the basic, limited, and enhanced settings. Dr. Bergerot and Dr. Soto discuss who should receive a geriatric assessment, the role of geriatric assessment, which elements of geriatric assessment can help predict adverse outcomes, and how a geriatric assessment is used to guide care and make treatment decisions. They comment on the importance of this guideline worldwide, and the impact of this guideline for a wide range of clinicians, patients, researchers, policymakers, and health administrators.   Read the full guideline, “Geriatric Assessment: ASCO Global Guideline” at www.asco.org/global-guidelines." TRANSCRIPT This guideline, clinical tools, and resources are available at www.asco.org/global-guidelines. Read the full text of the guideline, view clinical tools and resources, and review authors' disclosures of potential conflicts of interest in the JCO Global Oncology,       https://ascopubs.org/doi/10.1200/GO-25-00276       Brittany Harvey: Hello, and welcome to the ASCO Guidelines podcast, one of ASCO's podcasts delivering timely information to keep you up to date on the latest changes, challenges, and advances in oncology. You can find all the shows, including this one, at asco.org/podcasts. My name is Brittany Harvey, and today I'm interviewing Dr. Cris Bergerot from OncoClínicas & Co and Dr. Enrique Soto from the University of Colorado, co-chairs on “Geriatric Assessment: ASCO Global Guideline”. Thank you for being here today, Dr. Bergerot and Dr. Soto. Dr. Cris Bergerot: Thank you. Dr. Enrique Soto: Thanks for the invitation, Brittany. Brittany Harvey: And then before we discuss this guideline, I'd like to note that ASCO takes great care in the development of its guidelines and ensuring that the ASCO conflict of interest policy is followed for each guideline. The disclosures of potential conflicts of interest for the guideline panel, including Dr. Bergerot and Dr. Soto who have joined us here today, are available online with the publication of the guideline in JCO Global Oncology, which is linked in the show notes. So then to jump into the guideline here, Dr. Soto, could you start by providing an overview of the scope and the purpose of this global guideline on geriatric assessment? Dr. Enrique Soto: Of course, Brittany. So, this guideline comes from a request from the global oncology community and from the geriatric oncology community, who is very interested in making sure that geriatric oncology recommendations that are used in the United States can be adopted and used globally. So, this was a very highly rated topic when we had our call for proposals for guidelines, and that's why we decided to do this. The idea of this guideline is to provide resource-stratified recommendations for the use of geriatric assessments and interventions in older adults with cancer across different settings, right? And that these guidelines can be applied by clinicians working in low- and middle-income countries, but also, in a way, by clinicians working in community settings where the availability of resources may be limited. And the idea of these recommendations is to help clinicians evaluate older people with cancer better and also understand which interventions can be implemented with the resources they have and which interventions have a bigger bang for the buck, so to speak. And as all evidence-based, stratified guidelines that ASCO conducts, we stratified resources as basic, limited, or enhanced. And that means resources that go from those that provide the greatest benefits for patients in terms of outcomes to those that are evidence-based but provide additional additive benefits. And those resource-stratified recommendations can be found in the ASCO website as to how these guidelines are developed, and that's pretty standard for most resource-stratified guidelines. Brittany Harvey: Great. I appreciate that background and the impetus for this guideline, and thank you for providing that resource-stratified framework of basic, limited, and enhanced. I think that helps provide context for the guideline recommendations here. So then, Dr. Bergerot, I'd like to next review the key recommendations of this guideline across the four clinical questions that the guideline addresses. So, across those settings, the basic, limited, and enhanced settings, what is the role of geriatric assessment in older adults with cancer to inform specific interventions? Dr. Cris Bergerot: I think this is one of the most important points, so let's break it down. First off, who should actually receive the geriatric assessment? And the recommendation is clear. All patients aged 65 and older who are being considered for systemic cancer therapy should undergo a geriatric assessment. Now, depending on the available resources, for example, in basic setting, a quick screening may be enough, but in enhanced setting, a comprehensive geriatric assessment is encouraged. And for our next question, in which elements of the geriatric assessment can help predict poor outcomes, the core domains to focus on include things like physical function, comorbidities, polypharmacy, cognition, nutrition, social support, and psychological health. And there are also validate tools like the G8, the CGA, and the CARG that can be used depending on the setting and resources available. Now, talking about how we actually use the geriatric assessment to guide care, the assessment results can guide interventions to reduce treatment-related toxicities and maintain the patient functions. So, even in basic settings, the result can help guide those adjustments or identify the need for supportive care. And in more resource settings, we can implement more tailored intervention based on those findings. And finally, for our fourth question: How can geriatric assessment help guide treatment decisions? So, GA can influence decisions about how aggressive treatment should be, help clarify goals of care, and determine whether a curative or palliative approach makes the most sense. And again, even in settings with limited resources, a simplified GA can still provide meaningful guidance. Brittany Harvey: Great. Thank you, Dr. Bergerot, for that high-level overview of the recommendations of this guideline. So then, following that, Dr. Soto, which geriatric assessment tools and elements should clinicians use to predict adverse outcomes for older patients receiving systemic therapy across the basic, limited, and enhanced settings? Dr. Enrique Soto: Yeah, so that is an excellent question because it's something that people want to know, right? When people start developing a geriatric oncology clinic, one of the first things they want to know is which tools should I use. And we hope that this guideline will provide some clarity regarding this. So, our overarching recommendation is that every patient, regardless of the level of resources, should receive some sort of geriatric assessment. And that geriatric assessment can go from a simple screening tool, such as the G8 tool, which is available online and very easy to do, and that can be done in basic settings, to a more sophisticated geriatric assessment. The important thing, and what we emphasize in the guideline, is that regardless of the tool you use, it should include those high-priority domains that are associated with outcomes in older adults with cancer. And those include an assessment of physical function, of cognition, emotional health, comorbidities, polypharmacy, nutrition, and social support. In addition to that, an important thing that the guideline does is endorse the recommendation from our parent guideline, the guideline from high-income settings, the practical geriatric assessment, which is a tool that was actually developed by the ASCO Geriatric Oncology Group, which is a self-administered tool that people can use to evaluate their patients in a prompt and fast manner. And what we actually did for this guideline is include the validation of the various tools included in the practical geriatric assessment in the five most widely spoken languages in the world, including Hindi, Chinese, Spanish, and French, and Portuguese. And so, most of these tools are validated in these languages. So, we believe that the practical geriatric assessment is a tool that can be utilized across settings and that doesn't require a lot of resources. I think an important future step is making sure that we get the practical geriatric assessment translated into various languages, and we're working with the ASCO team in getting that done. Brittany Harvey: That's an excellent point. And yes, we'll hope to have the practical geriatric assessment translated into more languages. And that tool is available linked in the guideline itself, and we'll also provide a link for listeners in the show notes of this episode (Practical Geriatric Assessment). So then, following that, Dr. Bergerot, in resource-constrained settings, what general life expectancy data should clinicians use to estimate mortality and inform treatment decision-making? Dr. Cris Bergerot: So, in basic and limited resource environments, you might not have access to every tool or specialist, but you can still make informed and thoughtful decisions. So, what the guideline recommends is to start with population-level life expectancy tables. These are available through the WHO Global Health Observatory, and they offer useful starting points. And if available, clinicians should also look for country-specific or regional survival data. That kind of local information can be even more relevant to your patient population. The clinical judgment is also key here, and it becomes even more powerful when it's guided by the patient's geriatric assessment results. And when possible, use age- and comorbidity-adjusted models, like the Lee index or tools from the ePrognosis. This can help refine estimates of mortality risk and also inform how aggressive treatment should be. Brittany Harvey: Absolutely. I appreciate you providing those specifics as well. So then, following that, Dr. Bergerot mentioned this a little bit earlier, but Dr. Soto, how should geriatric assessment be used to guide management of older patients with cancer across the basic, limited, and enhanced settings? Dr. Enrique Soto: Yeah, and again, that's another important focus, right? Because if we assess things and then don't do anything about them, then why even assess them, right? And in many settings, people say, “Well, I don't have the tools to provide the interventions that these patients actually need.” And a very significant part of building this guideline was coming up with a resource-stratified and evidence-based way in which to prioritize which interventions provide most benefits for older adults with cancer. And so, for each level and each domain, we have a series of interventions that have been stratified according to importance and evidence base, and that is actually one of the coolest features of the guideline. We included a table, and then we have for each of the domains, including falls, functional status, weight loss, et cetera, what are the interventions that oncologists can do in their clinical visit without needing a lot of resources, including providing some specific information, giving some recommendations to patients, to more high-level things that can be done when the healthcare system allows it, such as working with a nutritionist, providing supplements, testing for particular cognitive impairments, et cetera. So, I encourage people to take a look at that table. It was really a lot of work putting that table together, and that table has specific recommendations for each setting, and I think people will find it very useful. Brittany Harvey: Absolutely. That table certainly contains a lot of information that's very helpful for clinicians. I think it's important to call out those tailored interventions to improve care and quality of life for every patient. So then, we've just reviewed all of the recommendations in this guideline. So, I'd like to ask you, Dr. Bergerot, in your opinion, what should clinicians know as they implement these recommendations across resource levels? Dr. Cris Bergerot: I would say that clinicians should remember that even a brief geriatric assessment can make a meaningful difference. You don't need a full suite of tools to improve quality of care, but clinicians should tailor all the tools that are available in their local context and always keeping in mind the core geriatric domains that we have mentioned in the very beginning of our podcast. And let's be clear, the goal of the assessment isn't just to gather data, as Enrique mentioned; it's to use this information to guide treatment decision and also to improve outcomes. And whenever possible, clinicians should engage interdisciplinary teams that might include nurse, psychologist, social workers, community health workers, or anyone who can help address the patient's broader needs. And flexibility really matters. So, especially in settings with limited access to specialists or diagnostics, we should prioritize what is feasible and what will truly help our patients during their journey. And above all, we should keep this in mind that equity in care delivery is essential. Just because resources are limited doesn't mean we can't deliver age-sensitive and even patient-centered care. Brittany Harvey: Definitely. That multidisciplinary care that you mentioned is key, and also thinking about what is feasible across every resource level to provide optimal care for every single patient. So then, to expand on that just a little bit and to wrap us up, Dr. Soto, what is the impact of this guideline for older adults with cancer globally? Dr. Enrique Soto: Well, what we hope this guideline will lead to is to a boom in geriatric oncology worldwide, right? That is our final goal. And what we want is for clinicians interested in starting a geriatric oncology program or setting up a geriatric oncology clinic to use these guidelines in order to justify the interventions that they're going to do, to pick the important partners they need for their multidisciplinary team, to choose the tools that they're going to implement. And then, with that, to present this to leaders in their hospitals, leaders in their healthcare system so that they can start these clinics that will ultimately lead to better outcomes for older adults with cancer. So, I encourage people to view this as high-quality, evidence-based recommendations that are done by a group of experts and with a thorough review of the literature and also based on our parent guidelines. The fact that these guidelines are resource-stratified does not by any mean signify that they're of less quality or that the recommendations that are included in those are not proven to improve outcomes, cancer-specific and also general outcomes, in older adults with cancer. Another thing that I think these guidelines could do in the future is motivate researchers in low- and middle-income countries to fill in the gaps that we have identified in these guidelines. We've made it very clear across the guidelines where evidence is lacking. And I think that this should prompt researchers across the globe to start trying to fill in these gaps with high-quality research. And finally, I also think that this is a call for policymakers, health administrators, and people interested in public health to start scaling up resources so that places with basic resources can eventually become places with more sophisticated resources. And I think this does not only apply to low- and middle-income countries, but also to community oncologists in the US who may be facing resource constraints. And I think that these guidelines can help them stratify and understand what things should be implemented first and how to scale up. So yeah, that's the dream that with this guideline, more people will start implementing geriatric oncology around the globe and that ASCO will continue to be a leader in setting the stage for what should be done in geriatric oncology and for improving care to older adults with cancer, regardless of where they live. Brittany Harvey: Absolutely. This guideline is wide-reaching and has important impacts worldwide. So, I want to thank you both so much for the huge amount of work you took to develop this evidence-based guideline, and thank you for joining me on the podcast today, Dr. Bergerot and Dr. Soto. Dr. Cris Bergerot: Thank you so much. Dr. Enrique Soto: Thank you for the invitation. It was a pleasure. Brittany Harvey: And finally, thank you to our listeners for tuning in to the ASCO Guidelines podcast. To read the full guideline, go to www.asco.org/global-guidelines. You can also find many of our guidelines and interactive resources in the free ASCO Guidelines app, which is available in the Apple App Store or the Google Play Store. If you have enjoyed what you've heard today, please rate and review the podcast and be sure to subscribe so you never miss an episode. The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement.  

The vast majority of the world's countries are experiencing a demographic revolution: dramatic, sustained, and likely irreversible population aging. States' median ages are steadily increasing as the number of people ages 65 and older skyrockets. Analysts and policymakers frequently decry population aging's domestic costs, especially likely slowing economic growth and massive new public expenditures for elderly welfare. But aging has a major yet largely unrecognized international benefit: it significantly reduces the likelihood of international war. Although wars continue to rage in parts of the world, almost none involve aged countries. This book provides a comprehensive and groundbreaking argument why population aging will be a powerful force for peace. Aging will significantly reduce states' military capabilities available for war while also boosting leaders' and citizens' preferences for peaceful foreign policies. At the same time, the effects of aging will help prevent the emergence of a power transition between the United States and China, which would be a development that is particularly likely to devolve into armed hostilities. If an aged country does initiate war, the effects of aging will create major barriers to military success. The more aging reduces the probability of victory, the greater the disincentives to aggressing. Detailed case studies show how aging has affected the capabilities and preferences in Japan, China, the United States, and Russia. Guest: Mark L. Haas is a Professor of Political Science at Duquesne University. He is the author of The Geriatric Peace: Population Aging and the Decline of War (Oxford University Press, 2025); Frenemies: When Ideological Enemies Ally (Cornell University Press, 2022); The Clash of Ideologies: Middle Eastern Politics and American Security (Oxford University Press, 2012); The Ideological Origins of Great Power Politics, 1789-1989 (Cornell University Press, 2005), and co-editor of Ideologies and International Relations (Routledge Press); The Middle East and the United States: History, Politics, and Ideologies (Routledge, 2018, sixth edition) and The Arab Spring: The Hope and Reality of the Uprisings (Routledge, 2017). Host: Jenna Pittman (she/her), a Ph.D. student in the Department of History at Duke University. She studies modern European history, political economy, and Germany from 1945-1990. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/world-affairs

The vast majority of the world's countries are experiencing a demographic revolution: dramatic, sustained, and likely irreversible population aging. States' median ages are steadily increasing as the number of people ages 65 and older skyrockets. Analysts and policymakers frequently decry population aging's domestic costs, especially likely slowing economic growth and massive new public expenditures for elderly welfare. But aging has a major yet largely unrecognized international benefit: it significantly reduces the likelihood of international war. Although wars continue to rage in parts of the world, almost none involve aged countries. This book provides a comprehensive and groundbreaking argument why population aging will be a powerful force for peace. Aging will significantly reduce states' military capabilities available for war while also boosting leaders' and citizens' preferences for peaceful foreign policies. At the same time, the effects of aging will help prevent the emergence of a power transition between the United States and China, which would be a development that is particularly likely to devolve into armed hostilities. If an aged country does initiate war, the effects of aging will create major barriers to military success. The more aging reduces the probability of victory, the greater the disincentives to aggressing. Detailed case studies show how aging has affected the capabilities and preferences in Japan, China, the United States, and Russia. Guest: Mark L. Haas is a Professor of Political Science at Duquesne University. He is the author of The Geriatric Peace: Population Aging and the Decline of War (Oxford University Press, 2025); Frenemies: When Ideological Enemies Ally (Cornell University Press, 2022); The Clash of Ideologies: Middle Eastern Politics and American Security (Oxford University Press, 2012); The Ideological Origins of Great Power Politics, 1789-1989 (Cornell University Press, 2005), and co-editor of Ideologies and International Relations (Routledge Press); The Middle East and the United States: History, Politics, and Ideologies (Routledge, 2018, sixth edition) and The Arab Spring: The Hope and Reality of the Uprisings (Routledge, 2017). Host: Jenna Pittman (she/her), a Ph.D. student in the Department of History at Duke University. She studies modern European history, political economy, and Germany from 1945-1990. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/national-security

The vast majority of the world's countries are experiencing a demographic revolution: dramatic, sustained, and likely irreversible population aging. States' median ages are steadily increasing as the number of people ages 65 and older skyrockets. Analysts and policymakers frequently decry population aging's domestic costs, especially likely slowing economic growth and massive new public expenditures for elderly welfare. But aging has a major yet largely unrecognized international benefit: it significantly reduces the likelihood of international war. Although wars continue to rage in parts of the world, almost none involve aged countries. This book provides a comprehensive and groundbreaking argument why population aging will be a powerful force for peace. Aging will significantly reduce states' military capabilities available for war while also boosting leaders' and citizens' preferences for peaceful foreign policies. At the same time, the effects of aging will help prevent the emergence of a power transition between the United States and China, which would be a development that is particularly likely to devolve into armed hostilities. If an aged country does initiate war, the effects of aging will create major barriers to military success. The more aging reduces the probability of victory, the greater the disincentives to aggressing. Detailed case studies show how aging has affected the capabilities and preferences in Japan, China, the United States, and Russia. Guest: Mark L. Haas is a Professor of Political Science at Duquesne University. He is the author of The Geriatric Peace: Population Aging and the Decline of War (Oxford University Press, 2025); Frenemies: When Ideological Enemies Ally (Cornell University Press, 2022); The Clash of Ideologies: Middle Eastern Politics and American Security (Oxford University Press, 2012); The Ideological Origins of Great Power Politics, 1789-1989 (Cornell University Press, 2005), and co-editor of Ideologies and International Relations (Routledge Press); The Middle East and the United States: History, Politics, and Ideologies (Routledge, 2018, sixth edition) and The Arab Spring: The Hope and Reality of the Uprisings (Routledge, 2017). Host: Jenna Pittman (she/her), a Ph.D. student in the Department of History at Duke University. She studies modern European history, political economy, and Germany from 1945-1990. Learn more about your ad choices. Visit megaphone.fm/adchoices

The vast majority of the world's countries are experiencing a demographic revolution: dramatic, sustained, and likely irreversible population aging. States' median ages are steadily increasing as the number of people ages 65 and older skyrockets. Analysts and policymakers frequently decry population aging's domestic costs, especially likely slowing economic growth and massive new public expenditures for elderly welfare. But aging has a major yet largely unrecognized international benefit: it significantly reduces the likelihood of international war. Although wars continue to rage in parts of the world, almost none involve aged countries. This book provides a comprehensive and groundbreaking argument why population aging will be a powerful force for peace. Aging will significantly reduce states' military capabilities available for war while also boosting leaders' and citizens' preferences for peaceful foreign policies. At the same time, the effects of aging will help prevent the emergence of a power transition between the United States and China, which would be a development that is particularly likely to devolve into armed hostilities. If an aged country does initiate war, the effects of aging will create major barriers to military success. The more aging reduces the probability of victory, the greater the disincentives to aggressing. Detailed case studies show how aging has affected the capabilities and preferences in Japan, China, the United States, and Russia. Guest: Mark L. Haas is a Professor of Political Science at Duquesne University. He is the author of The Geriatric Peace: Population Aging and the Decline of War (Oxford University Press, 2025); Frenemies: When Ideological Enemies Ally (Cornell University Press, 2022); The Clash of Ideologies: Middle Eastern Politics and American Security (Oxford University Press, 2012); The Ideological Origins of Great Power Politics, 1789-1989 (Cornell University Press, 2005), and co-editor of Ideologies and International Relations (Routledge Press); The Middle East and the United States: History, Politics, and Ideologies (Routledge, 2018, sixth edition) and The Arab Spring: The Hope and Reality of the Uprisings (Routledge, 2017). Host: Jenna Pittman (she/her), a Ph.D. student in the Department of History at Duke University. She studies modern European history, political economy, and Germany from 1945-1990.

Listen Saturday mornings at 8 as Dr. Msonthi Levine discusses medical issues and takes your calls on News Talk 560 KLVI. Dr Levine is board certified in Internal Medicine and Geriatrics. His office is located at 3080 Milam in Beaumont, Texas. He can be reached at 409-347-3621.

-Welcome to The BH Sales Kennel Kelp Holistic Healing Hour, your daily dose of natural wellness hosted by Grandpa Bill. For eight years and running, we've been on a mission to bring you simple, practical "workouts for geriatrics, AKA, Silver Streakers" that are truly good for all kids from 1 to 92. From mind-sharpening meditations to natural remedies and healthy habits, join our daily journey to a more vibrant, healthy life.Grandpa Bill Asks:Are you ready to discover the simple secrets to feeling younger and more energetic, no matter your age?What if a healthier, happier you was just 12 minutes away?Alright, my friends! Grandpa Bill's here, and I've got my thinking cap on. This is a grand idea. Let's get everything spick and span for the BH Sales Kennel Kelp Holistic Healing Hour and our growing family of Silver Streakers and kids of all ages. Here's how we'll get it done.Welcome to The BH Sales Kennel Kelp Holistic Healing Hour, your daily dose of natural wellness hosted by Grandpa Bill. For eight years and running, we've been on a mission to bring you simple, practical "workouts for Geriatrics, AKA, Silver Streakers" that are truly good for all kids from 1 to 92. From mind-sharpening meditations to natural remedies and healthy habits,.Thanks for continuing to join our daily journey to a more vibrant, healthy life.Grandpa Bill Asks:Are you ready to discover the simple secrets to feeling younger and more energetic, no matter your age?What if a healthier, happier you was just 12 minutes away?Grandpa Bill Asks:What's the one health habit you wish you started years ago? Share it with our community!Can a simple 12-minute daily practice really change your brain? Subscribe to see the proven science for yourself.Grandpa Bill Asks:

In today's podcast we talk with Eric Wong, geriatrician-researcher from Toronto, and Thiago Silva, geriatrician-researcher from Brazil, about the comprehensive geriatrics assessment.  We spend the first 30 minutes (at least) discussing what, exactly is the comprehensive geriatric assessment, including: What domains of assessment are essential/mandatory components of the comprehensive geriatrics assessment? Who performs it? Is a multidisciplinary team required? Can a geriatrician perform it alone? Can non-geriatricians perform it? Who is the comprehensive geriatrics assessment for? Who is most likely to benefit? Eric Widera suggests not as much benefit for very sick and very healthy older adults, more benefit in the vast middle. Why do the comprehensive geriatrics assessment? What are the interventions that it leads to (we cover this more conceptually, rather than naming all possible interventions) How does the comprehensive geriatrics assessment relate to the 4Ms (or 5 Ms)? How long does it take to conduct a comprehensive geriatrics assessment? What's the evidence (BMJ meta analysis) for the comprehensive geriatrics assessment?  What are the outcomes we hope for from the comprehensive geriatrics assessment?   That final point, about outcomes, bring's us to Eric Wong's study, published in JAGS, which evaluates the cost effectiveness of the comprehensive geriatrics assessment performed by a geriatrician across settings (e.g. acute care, rehab, community clinics). As an aside, as the editor at JAGS who managed this manuscript, I will say that we don't ordinarily publish cost effectiveness studies at JAGS, as the methods are opaque to our clinical audience (e.g. raise your hand if you understand what ‘CGA provided in the combination of acute care and rehab was non-dominated' means). We published this article because its bottom line is of great interest to geriatricians.  In Eric's study, geriatricians performing CGA were more cost effective than usual care in Every. Single. Setting. And of course cost effectiveness is only one small piece of the argument for why we do the comprehensive geriatrics assessment in the first place (no patient in the history of the world has ever asked for a test or treatment because it's cost effective for the health care system). I'll close with a couple of “mic drop” excerpts from Thiago's accompanying editorial: Finally, it is instructive to compare the cost-effectiveness of geriatric services and CGAs with other interventions. A recent analysis of lecanemab for early-stage Alzheimer's disease found that gaining one QALY would cost approximately $287,000 (USD). In contrast, Wong et al. estimated that adding community-based CGA would cost about $1203 (CAD) per quality-adjusted life month (QALM) (equating to roughly $10,105 (USD) per QALY, using $1 USD = $0.7 CAD), making geriatrician-led CGA nearly 30 times more cost-effective. Put simply, for each dollar spent to improve quality of life for a year through CGA, one would need to spend almost $30 to achieve the same benefit with lecanemab.  Ultimately, the question is not whether geriatricians represent a worthwhile investment (they are) but how healthcare systems can ensure that every older adult requiring specialized, comprehensive care can access it. Wong et al.'s modeling study provides a valuable contribution by showing that geriatricians placed in acute and rehabilitation settings offer the most cost-effective deployment given current workforce limitations. Despite some caveats, the overarching message remains clear: geriatric expertise not only enhances care quality but can also align with health-economic objectives, especially in high-acuity environments. However, we cannot allow an inadequate geriatric workforce to become a permanent constraint, forcing painful decisions about which older adults and which settings will miss out on optimal geriatric care. Instead, we should continue to strive to increase the number of geriatricians through robust training programs and payment model reform to ensure that cost-effective care can be provided for this large and growing vulnerable population.  -Alex Smith  

Schizophrenia may develop in people of all ages, and the early signs of the disorder vary greatly from person to person. While the symptoms are the same, the presentation of them can change due to age of onset, gender, and severity. Host Rachel Star Withers, a diagnosed schizophrenic, and co-host Gabe Howard explore how the early signs of schizophrenia can present differently and specific behaviors to watch for. Joining them is Dr. Gus Alva, a distinguished fellow of the American Psychiatric Association and board certified by the American Board of Psychiatry and Neurology and the American Board of Geriatrics. As an author and coauthor, Dr. Alva's work has been published in peer-reviewed medical journals, including the International Journal of Geriatric Psychiatry and the Journal of the American Psychiatric Association. He has been featured on numerous media outlets and has served as an expert guest in various television programs, such as CNN News. About Our Guest & Hosts Our guest, Dr. Gus Alva, is a Distinguished Fellow of the American Psychiatric Association. He is also Board Certified by the American Board of Psychiatry and Neurology and the American Board of Geriatrics. He completed his residency training at the University of California, Irvine Medical Center in the Department of Psychiatry and Human Behavior, where he served as chief resident during his final year of residency. He also served as an associate professor and deputy director in the department of psychiatry at U.C. Irvine Medical Center, and he is currently serving as an assistant professor at U.C. Riverside Medical School, Department of Neuroscience. As author or co-author, his work has been published in peer-reviewed medical journals, including the International Journal of Geriatric Psychiatry, The Journal of the American Psychiatric Association, and Clinics in Geriatric Medicine. He has published numerous articles and presented at national and international meetings and conferences. He was the recipient of the First Annual Senior Care Humanitarian Award as Outstanding Physician in Dementia Care and the Physician's Recognition Award by the American Medical Association. He has been featured in numerous media outlets and has served as an expert guest in various television programs, such as CNN News, Inside OC, Salud Es Vida, Despierta America, The Morning Blend, Healthy Body, Healthy Mind. Our host, Rachel Star Withers, (Link: www.rachelstarlive.com) is an entertainer, international speaker, video producer, and schizophrenic. She has appeared on MTV's Ridiculousness, TruTV, NBC's America's Got Talent, Marvel's Black Panther, TUBI's #shockfight, Goliath: Playing with Reality, and is the host of the Healthline podcast “Inside Schizophrenia”. She grew up seeing monsters, hearing people in the walls, and having intense urges to hurt herself. Rachel creates videos documenting her schizophrenia, ways to manage, and letting others like her know they are not alone and can still live an amazing life. She has created a kid's mental health comic line, The Adventures of ____.  (Learn more at this link: https://www.amazon.com/Adventures-Fearless-Unstoppable-Light-Ambitious/dp/B0FHWK4ZHS ) Fun Fact: She has wrestled alligators.  Our cohost, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. He also hosts the twice Webby honored podcast, Inside Bipolar, with Dr. Nicole Washington. To learn more about Gabe, please visit his website, gabehoward.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

In episode 131, Ste is joined by Eyla Cuecna for a deep discussion about birth. Eyla shares valuable insight on the harsh realities of medicalized birth, geriatric pregnancies, and what the true causes of the postpartum depression epidemic are.  Eyla also explores the best strategies that women can follow for a healthy pregnancy, how feminism impacts relationships, and how parents can make informed decisions about birth.  Radical Health Radio is produced by Heart & Soil, a beef organ supplements company helping hundreds of thousands of people achieve radical health. Heart & Soil was founded by Dr. Paul Saladino, a double board-certified MD and founder of the animal-based eating philosophy. Visit heartandsoil.co to reclaim your birthright to radical health with the most nutrient-dense foods on the planet.

What up, Beasts. Welcome back to the show! In this episode, I had the absolute pleasure of talking with Dr. Jeannie May, whose story blew me away. She shared her near-death experience during the birth of her first child, which completely shifted how she saw life, medicine, and what it means to truly heal. That moment cracked her open to the fact that there's more to this world than the rigid, scientific lens she had been living through as a physician. Years later, on what she thought was just a casual breathwork training, she discovered a practice that allowed her to process emotions and traumas in a way years of talk therapy and medication never could. Hearing her describe how a single session felt like five years of therapy gave me chills.What I loved about our conversation is how she made something as simple as breathing feel like the most underutilized superpower we all have. We talked about everything from anxiety, depression, and stress, to how shallow chest breathing actually keeps our bodies stuck in “danger mode.” Dr. May shared practical tips like box breathing, 4-4-6 breath, and even the surprising sleep hack of taping your mouth at night to help your body rest and heal. And no, before you let your brain go there, this isn't some kinky thing. It's about better sleep, less snoring, and clearer sinuses. Honestly, this episode felt like an invitation to stop white-knuckling our way through stress and start using the power we already carry inside us.As always, I hope something lands with you today. I hope something you hear tugs at your heart strings and/or I hope you laugh.Bio: Dr. Jeannie May is a board-certified physician helping people regulate emotions and heal through the power of breath. With certifications in Internal Medicine, Geriatrics, Hospice and Palliative Care, and Addiction Medicine, she bridges Western science with ancient wisdom to combat chronic stress and its health effects. Based in Nashville, she shares breathwork globally through her platform, TheBreathMD, and her book Breath: The Remote Control to Inner Calm.Music by Prymary: Sean Entrikin (my hot husband) on guitar, Chris Quirarte on drums, Smiley Sean on keyboards, Rob Young on bass, and Jaxon Duane on vocals.Connect with Dr. Jeannie May!Website: TheBreathMD.comFree gift: a 2 minute video called "90 Seconds to Calm" - to receive, text "Breath" to 26786Book: Breath: The Remote Control to Inner Calm - https://www.amazon.com/Breath-Remote-Control-Inner-Calm-ebook/dp/B0D79GC1FBFacebook: https://www.facebook.com/TheBreathMDLifewave patches (Live younger with less pain): LifeWave.com/DrJeannieWhere else can you find me?Linktree: https://linktr.ee/beautifulbeastwithinstudiosWhat if health wasn't about rules or restriction?What if it felt more like trust, ease, and actually liking the person in the mirror?I help people rebuild their relationship with food, movement, and themselves, so health becomes something you live, not something you chase.Ready for a different kind of conversation?Let's talk. No pressure.https://beautifulbeastwithinstudios.com/exploration-chat-schedulingAffiliate LinksBreakthrough Coaching Certification: If you feel called to help others heal or grow, Sean Smith's Breakthrough Coaching Certification is where that calling becomes real. https://coachseansmith.ontraport.net/t?orid=27037&opid=43Opus Clip: I use Opus Clip mostly for captions, and it's a game-changer for turning long videos into usable clips. If you use my link, it supports the show, and I appreciate you big time! https://www.opus.pro/?via=1118d2Mary Kay: Listen… I've been using Mary Kay since I was 17. I'm 40 now and people still ask me what college I go to. Not really, but you get the idea. Grab your faves here: https://www.marykay.com/kaitienoelleBeastly Merch: https://beautifulbeastwithinstudios.com/merchUnveil the Beautiful Beast Within YOU!Zoom Background:By Behr

Joining us on Well Said is Dr. Maria Torroella Carney, Northwell Aging Institute, System Chief of the Division of Geriatrics and Palliative Medicine, Medical Director for Continuing Care, and Professor of Medicine at the Zucker School of Medicine, to discuss the reality of aging in America and what we need to do now to prepare […]

Host: Jennifer Caudle, DO Guest: Blen Girmay, MD Because standard-dose vaccines usually produce only modest immunogenic responses in people age 65 years and older, the Advisory Committee on Immunization Practices, as of June 2022, recommended this age group receive either an adjuvanted or higher-dose seasonal influenza vaccine.1,2,3 A pragmatic, head-to-head randomized study compared FLUAD and the high-dose influenza vaccine over the course of two influenza seasons.2 Joining Dr. Jennifer Caudle to discuss this study and its findings from the first season (2023-2024) is Dr. Blen Girmay, a Johns Hopkins fellowship-trained primary care geriatrician at Inova Health System in Fairfax, Virginia. References: Coleman BL, Sanderson R, Haag MDM, McGovern I. Effectiveness of the MF59-adjuvanted trivalent or quadrivalent seasonal influenza vaccine among adults 65 years of age or older, a systematic review and meta-analysis. Influenza Other Respir Viruses. 2021;15(6):813-823. Klein N. Oral presentation presented at: IDWeek 2024 Meeting; October 16-19, 2024. Los Angeles, CA. Grohskopf LA, Ferdinands JM, Blanton LH, Broder KR, Loehr J. Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices - United States, 2024-25 Influenza Season. MMWR Recomm Rep. 2024;73(5):1-25.

he Workouts for Geriatrics Secret to Vitamin D | Silver Streakers' Safe Sun PlanDescription:

Summary In this truncated replay from a session at the 2025 SF Derm Annual Conference, Dr. Daniel Butler discusses the relationship between allergic diseases, particularly chronic itch, and aging. He highlights the increasing prevalence of itch in older adults, the complexities of diagnosing and treating it, and the role of the immune system in this process. The conversation emphasizes the need for dermatologists to understand the unique challenges faced by geriatric patients and to improve the approach to treating chronic itch. Takeaways - Itching is a significant indicator of the aging process. - The population of older adults is rapidly increasing. - Chronic itch is often misdiagnosed or oversimplified. - Understanding the immune system's role is crucial in treating older patients. - Aging skin presents unique challenges for dermatologists. - The connection between itch and aging is well-documented. - Geriatric dermatology is relevant for all dermatologists. - Senescent cells contribute to chronic inflammation in aging. - Education on chronic itch needs to be improved in dermatology. - Historical perspectives on itch can inform current practices. Chapters 00:00 - Introduction to Allergic Diseases in Dermatology 02:57 - The Connection Between Itch and Aging 05:38 - Historical Perspectives on Itch in Older Adults 08:47 - Understanding the Aging Immune System and Inflammation

The demographics of HIV care are rapidly changing, and with them, the clinical needs of patients aging with HIV. In this episode, host Dr. Tony Urbina, Medical Director for CEI's HIV Primary Care and Prevention Center of Excellence, sits down with geriatrician Dr. Angela Condo to explore the unique intersection of geriatric medicine and HIV care.   Dr. Angela Condo is a board-certified internist and geriatrician at Mount Sinai's Icahn School of Medicine, where she established the Comprehensive Program of Integrated Care for Older Adults with HIV at the Peter Krueger Clinic. With initial support from the Keith Herring Foundation and additional HRSA funding through the Aging with HIV initiative, her interdisciplinary program has been serving patients for five years using an innovative embedded consultation model. Related Content:  NYS DOH AI Guidance on Addressing the Needs of Older Patients in HIV Care: https://www.hivguidelines.org/guideline/hiv-aging/ CEI Clinical Consultation Line 1-866-637-2342 A toll-free service for NYS clinicians offering real-time clinical consultations with specialists on HIV, sexual health, hepatitis C, and drug user health. ceitraining.org

This podcast was created using NotebookLM. This podcast emphasizes the increasing importance of geriatric dentistry due to the aging population and highlights how case reports are fundamental to educating future oral healthcare providers in this field. 

How can we prevent our older adults with prediabetes from developing diabetes?  Susan is a board certified health and wellness coach.  She is a certified with the CDC diabetes prevention program and owner of Weighting4You.  She will walk us through the use of continuous glucose monitors (CGMs) to assist with lowering HgbA1c, counseling tips for patients on GLP-1 RAs, and more.  I hope you enjoy our conversation.   The Geriatric Pharmacy Focus podcast is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professionals for any such conditions. Connect with Tamara here:  www.linkedin.com/in/tamara-ruggles-491882251 www.thedeprescribingclinic.com Connect with Susan here:linkedin.com/in/susanward https://weighting4you.com/

December 28th, 1991 - January 3, 1992 This week Ken welcomes Las Vegas comedian behind the new special "Highly Intelligent", Shanna Christmas.  Ken and Shanna discuss the heat, growing up in Las Vegas, how they were both 6'3" at age 14, being a jock, the nerd school, buying booze underage, hanging in night clubs, enjoying the word "Geriatric", dumb kids Ken grew up with, Jerry's Kids, how you never see teenage boys, having your own TV, wrestling, skillsets younger people miss out on, 1-900 spank lines, being between the Holidays, being born at Christmas, John Goodman, New Year's Eve, Moonlighting, unlikely movie stars, working at hotels, staying home on New Year's Eve, avoiding the strip, Marky Mark, the hit on the head cool guy character cliche, Family Matters, canceling shows that are already made, Sinbad, never watching stand up growing up, forgetting Sidney Poitier directed Ghost Dad, Fox making moves, In Living Color super bowl half time show, Summer Seasons, Beverly Hills 90210, befriending the homeless/downtrodden in the 80s and fixing all their problems with a bath, Murphy Brown, Blossom, Home Improvement, JTT posters, child acting aging weirdly, Ken's bias against the South, Rescue 9-1-1, homework, Neil Breen, New Year's Day, Jetsons meet the Flintstones, Jake and the Fatman, Wilfred Brimley, the technology on The Flintstones, Lisa Bonet, A Different World, how Ken wanted to go to an all black university, Hanging with Mr. Cooper, Holly Robinson, how there are no black people on Seinfeld, Soapdish, America's Most Wanted, Married...with Children, Martin, and how Ken should write a book. 

Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners.This episode covers South Asian mental health with Dr. Farooq Naeem, a senior scientist with the Institute for Mental Health Policy Research and a psychiatrist at the Centre for Addiction and Mental Health. He is also a professor of psychiatry at the University of Toronto.Dr. Naeem pioneered techniques for culturally adapting CBT. These techniques have been used to adapt CBT in South Asia, North Africa, Middle East, Kenya and China. His research areas include CBT, psychosis, and culture, with an overall aim to improve access to CBT. He has also published on issues related to health services and quality improvement. He works with a team of IT experts and has developed a CBT-based therapy program — called eGuru — that can be delivered through web and smartphone apps.The learning objectives for this episode are as follows:By the end of this episode, you should be able to…Recognize the unique mental health challenges and barriers faced by South Asian communitiesUnderstand how cultural nuances shape mental health presentations and assessmentsDescribe culturally adapted CBT and its benefits for South Asian patientsIdentify initiatives and future directions in transcultural psychiatry for South AsiansGuest: Dr. Farooq NaeemHosts: Hira Ahmad, Gurvir Rai, Nikhita SinghalAudio editing by: Nikhita SinghalShow notes by: Nikhita SinghalResources:PsychEd Episode 29: Cultural Psychiatry with Dr. Eric JarvisCulturally Adapted Cognitive Behavioural Therapy for Canadians of South Asian OriginSouth Asian Canadian Mental Health FoundationSociety for the Study of Psychiatry and CultureReferences:Gadalla, T.M. (2010). Ethnicity and seeking treatment for depression: a Canadian national study. Canadian Ethnic Studies 41(3), 233-245. https://doi.org/10.1353/ces.2010.0042Karasz, A., Gany, F., Escobar, J., Flores, C., Prasad, L., Inman, A., Kalasapudi, V., Kosi, R., Murthy, M., Leng, J., & Diwan, S. (2019). Mental health and stress among South Asians. Journal of Immigrant and Minority Health, 21(S1), 7–14. https://doi.org/10.1007/s10903-018-0790-4Kumar, A., & Nevid, J. S. (2010). Acculturation, enculturation, and perceptions of mental disorders in Asian Indian immigrants. Cultural Diversity and Ethnic Minority Psychology, 16(2), 274–283. https://doi.org/10.1037/a0018352Lai, D. W. L., & Surood, S. (2008). Socio-cultural variations in depressive symptoms of ageing South Asian Canadians. Asian Journal of Gerontology and Geriatrics, 3(2), 84-91.Leung, P., Cheung, M., & Tsui, V. (2011). Asian Indians and depressive symptoms: Reframing mental health help -seeking behavior. International Social Work, 55(1), 53–70. https://doi.org/10.1177/0020872810372801Masood, N., Okazaki, S., & Takeuchi, D. T. (2009). Gender, family, and community correlates of mental health in South Asian Americans. Cultural Diversity and Ethnic Minority Psychology, 15(3), 265–274. https://doi.org/10.1037/a0014301Vakil, K., Desse, T. A., Manias, E., Alzubaidi, H., Rasmussen, B., Holton, S., & McNamara, K. P. (2023). Patient-centered care experiences of first-generation, South Asian migrants with chronic diseases living in high-income, Western countries: systematic review. Patient Preference and Adherence, 17, 281–298. https://doi.org/10.2147/PPA.S391340For more PsychEd, follow us on Instagram (@psyched.podcast), Facebook (PsychEd Podcast), X (@psychedpodcast), and Bluesky (@psychedpodcast.bsky.social‬). You can email us at psychedpodcast@gmail.com and visit our website at psychedpodcast.org.

Drs. Malcolm DeBaun and Suman Medda discuss the many fixation options in the management of geriatric distal femur fractures.  For additional educational resources visit OTA.org

Questions answered on this episode... are we "geriatric"? Is an African safari a good travel idea? What do squirrel teeth earrings look like? Did you hear the one about the time Jamie got punched in the face? There's more, but that's probably enough to get you to listen. Enjoy! 

Can you really turn back time? Well, what about by just not ever acknowledging how old you are?56-year-old Mariah Carey has come out to say that she “doesn't allow ageing” and that is what keeps her young...Really?Consultant Physician in Geriatric and Stroke Medicine, Ronan Collins, joins Seán to discuss.

Hey friends, I'm back with a new solo episode on working with geriatric patients!I wanted to create a quick episode on the importance of how we treat these patients, including things to keep in mind when MeeMaw is giving you a hard time, as well as what is true and false when treating elderly patients.Listen here, your favourite podcast network or watch on YouTube!Produced by Master Your MedicsSend us a text

On this 100th episode, we're looking back on the wild ride of fertility talk, toddler meltdowns, unsolicited opinions, and real AF conversations that got us to episode 100… but really?! The follow through! We're not just celebrating the past—we're spilling what's coming next. Think: Meet us in the reels, more stories, and a whole new energy for ‘Geriatric' Mamas. This episode is your backstage pass to where we're headed—and trust us, you're gonna want to be along for the ride. This one's for the moms who've been with us since day one—and the ones just now finding their people. Listen in, laugh a little, cry if you need to. Thanks for listening! Please subscribe & tell a friend! Send Us Your Story here!  You can find the'Geriatric' Mamas on Instagram, TikTok, and on our Facebook Group! View the video for this episode on YouTube here! Introducing the Real Maine Mom Summer Bucket List Pass For Summer 2025!

Ms. Kim Woofter and Dr. John Cox discuss the latest updates to the evidence-based standards on oncology medical homes developed by ASCO and COA. These standards serve as the basis for the ASCO Certified program. They share the new and revised standards around topics including the culture of safety and just culture in oncology practice, geriatric assessment and geriatric assessment-guided management, and multidisciplinary team management. They expand on the importance of these standards for clinicians and oncology practices to ensure every patient receives optimal care. Read the complete standards, “Oncology Medical Homes: ASCO-Community Oncology Alliance Standards Update” at www.asco.org/standards. TRANSCRIPT These standards, clinical tools, and resources are available at www.asco.org/standards. Read the full text of the guideline and review authors' disclosures of potential conflicts of interest in the JCO Oncology Practice, https://ascopubs.org/doi/10.1200/OP-25-00498 Brittany Harvey: Hello and welcome to the ASCO Guidelines podcast, one of ASCO's podcasts delivering timely information to keep you up to date on the latest changes, challenges, and advances in oncology. You can find all the shows, including this one, at asco.org/podcasts. My name is Brittany Harvey, and today I'm interviewing Ms. Kim Woofter, a registered nurse in practice leadership and administration from AC3 Inc in South Bend, Indiana, and Dr. John Cox, a medical oncologist and adjunct faculty member from UT Southwestern Medical Center in Dallas, Texas, co-chairs on "Oncology Medical Homes, American Society of Clinical Oncology – Community Oncology Alliance Standards." Thank you for being here today, Ms. Woofter and Dr. Cox. Dr. John Cox: You bet. Ms. Kim Woofter: Thank you. Brittany Harvey: And then before we discuss these standards, I'd just like to note that ASCO takes great care in the development of its standards and ensuring that the ASCO Conflict of Interest Policy is followed for each guidance product. The disclosures of potential conflicts of interest for the expert panel, including Dr. Cox and Ms. Woofter, who have joined us here today, are available online with the publication of the standards in JCO Oncology Practice, which is linked in the show notes. So then, to dive into what we're here today to talk about, Dr. Cox, could you start us off by explaining what prompted an update to these ASCO-COA standards and what the scope of this update is? Dr. John Cox: Well, the ASCO-COA standards relative to defining and outlining Oncology Medical Home were initially published four or five years ago. At the time, we planned a regular update of the standards. So, in essence, this is a planned update. The whole program is built on the idea of continuous improvement. So, this update and future updates are prompted and defined by our literature, our science, the science of care delivery, and new developments and insights gained from studies and evaluations of care delivery methods, and informed by the practice. These standards are in place to underpin a program of care delivery by ASCO, the ASCO Certified, and as practices engage in this program, we are learning from them. The whole idea is to enlarge and improve how patients are cared for in practice. Brittany Harvey: Absolutely. It's great to have this iterative process to continue to review the evidence and update these standards that form the basis for ASCO Certified. So then, following that background, Ms. Woofter, I'd like to review the key points of the revised standards for our listeners. First, how do the revised standards address the culture of safety and just culture in oncology practice? Ms. Kim Woofter: I think safety is of utmost importance to all of us. So let me say that first and foremost. And what we know in oncology is our QOPI standards already address safety in the infusion suite process. So, safe delivery of chemotherapy agents and antineoplastics. It also talked about near misses and medication errors - absolutely essential, for sure. But what we need to do is look at a more systemic approach to safety because we know is processes throughout an organization they'll often cause you trouble. To do that, we know you need what we call a just culture, which is a very common term in today's workplace. But what it really means is it's a culture of open reporting of any potential for error, any potential for malfunction, and it can be in any place in the organization. So, what we are doing in our new standard is to say, look at your entire processes throughout the organization, and approach that in an open-minded way so that people don't feel scared to report things, and it's a really positive approach to intervening early and making sure that errors don't occur anywhere in the workplace. Brittany Harvey: Taking that systemic approach to look at overarching processes seems really key to ensuring safety in oncology practices. So then, the next new section, Dr. Cox, what are the new OMH standards surrounding geriatric assessment and geriatric assessment–guided management? Dr. John Cox: This is a challenging update for our standards. As many folks in practice recognize, there is a deep literature on recognizing the geriatric population in oncology. Geriatric - those in my age group over age 60, 65 - make up the majority of cancer patients in this country. And yet, there are many aspects that should be taken into account as you address treatment decisions in this population. ASCO's recognized this. There has been a guideline previously on geriatric assessment. It's been updated, and we really felt it's time that it be incorporated in any iteration of what oncology care delivery means, so, within the oncology medical home standards. In short, what the standard outlines is that practices that are using these standards, that are using this benchmark, should have a geriatric assessment for patients within the practice care and use that information to guide management. Now, the standard allows wide exploration of how practices meet this standard, but it really puts on the table that if an oncology practice in the United States, or anywhere in the world really, is adhering to a good practice, that they're going to include and recognize these assessments in practice. Ms. Kim Woofter: I would like to add that this is a highly discussed and reviewed standard. Many of our community practices were concerned that they would have the time and manpower to perform this assessment. We all know it reduces toxicities if done appropriately at treatment planning, and so the outcomes are better. And we really left it to the practices to define how they're going to implement it, understanding that it will evolve to every single patient, but maybe day one, it was a step approach to be able to implement. So, I was really proud of the team that - the expert panel - that said, okay, let's step into this, but we do think it's essential. Brittany Harvey: Absolutely. It's important to recognize that practices may have limited resources and time, and implementing it in the way that makes sense for them allows this to be a standard that can be used in practice. And it's great to have this geriatric assessment guideline integrated into these standards to improve care delivery. And we can provide a link to that guideline in the show notes of this episode as well (Practical Assessment and Management of Vulnerabilities in Older Patients Receiving Systemic Cancer Therapy: ASCO Guideline Update). So then, following that section of the standards, Ms. Woofter, how do the updated standards now address multidisciplinary team management? Ms. Kim Woofter: Well, we address multidisciplinary team management in a more comprehensive way in the updated standard. We always thought that that was a critical piece when doing treatment planning, and we kind of highlighted it in a bigger way, understanding that not everybody has the same resources available at the time of treatment planning. And again, this was a much-discussed standard, in that that multidisciplinary team approach doesn't necessarily have to be in a tumor board or a prospective analysis of every case. It is actually a conversation between specialists, between the surgeon and pathologist and the medical oncologist. And we are saying, do what works for you, but we know that that team approach, every specialty coming to the table at time of treatment planning, truly provides better outcomes for our patients. And so we kind of reiterated that, understanding that again, it doesn't have to be a formal tumor board, but it has to be a dialogue between specialties. And we highlighted that again in the new standard. Brittany Harvey: Open communication of all team members is really critical to providing optimal care. Dr. Cox, I'd like to ask you, in your view, how will these updated standards impact both clinicians and oncology practices? Dr. John Cox: Well, our whole goal with discussing a comprehensive care model for oncology practice is to have a benchmark, to have an iteration of what good oncology care delivery looks like. So, our hope is that practices, all practices, whether you're participating formally in ASCO Certified, the marquee quality program for ASCO, or if you are simply running a practice or a team within an academic environment or institutional environment, these standards are to apply across the board wherever oncology is practiced - that you can look at these standards as a benchmark and compare what you are doing in your practice and where are the gaps. So ideally, we drive improved care across the board. You know, one thing I've learned over the last couple of years as ASCO Certified is getting spun up and using and implementing these standards, is practices are remarkably innovative. We've learned a lot by seeing how pilot practices have met the standards, and that's gone into informing how we can improve care delivery for all of our practices and, importantly, for the team members who are delivering this care. The fourth rail of burnout and the like is inefficiency that occurs in practice. And when you know you've got a good, spun-up, effective team, less burnout, less stress for practice. I hope clinicians and oncology practices will use this to help drive improvements in their care and gain insight into how they can approach practice problems in a better way. Kim, you've been leading practices. I have to ask you, your thoughts in leaning into this question. Ms. Kim Woofter: I think very well said, I will say that first. And what I love about this is for practice leaders who are new to our ecosystem, if you will, they need a playbook. It's “Where do I begin?” And Dr. Cox said it very well, no one does everything perfectly day one, but it's a step-by-step self-assessment approach to say, “How do I get to this gold standard?” I really love the standards because they are very comprehensive, everything from treatment planning to end of life. So it's the spectrum of the care we deliver in the oncology setting. So as a leader and an administrator, it is the standard I want all of my departments to understand, adhere to, and engage, and be excited about. We now have a baseline approach, and what's even more important, these standards will evolve as our intelligence evolves, as literature evolves. It's a system that will always grow and change, and that's what we love about it. It's not a one-and-done. So, I'm very proud of the fact that it gives them a road map. Brittany Harvey: Yes, these evidence-based standards provide a critical foundation for practices in ASCO Certified, for those team members you mentioned, and for quality improvement beyond just those individuals and practices as well. So then finally, to wrap us up, Ms. Woofter, what do these revised standards mean for patients receiving cancer treatment? Ms. Kim Woofter: Well, I think that's the most exciting part, is we all do this for our patients and the best outcomes for our patients and the best treatment plans for our patients and their families. And these standards, that is their core, their absolute core. So what it's going to do for a patient is they can say, “Am I at a practice that implements ASCO standards?” And if that is a ‘yes', there's a confidence that, “I am in an evidence-based medicine thinking practice, I have a team around me, they will care for me not only at time of treatment planning but at the time of end of life, they will help me be part of that decision-making, and they will give me resources available to me in my community.” So, it is a true comprehensive approach. As a patient, I have that comfort, that it is bigger than just a great doctor. It is a great team. As a patient, that would be very important to me and important to my family. That being said, Kim Woofter would love every practice to be ASCO Certified. Understanding that that isn't feasible day one, just to know that the practice is implementing and engaging the standards is the great place to start. Every patient can't go to an ASCO Certified practice day one, but our dream would be that everyone would adhere to those standards, engage those standards, believe them, educate their staff on what they mean, so that patient outcomes and satisfaction will be optimized for everyone. The other piece to this that we all know is if you give evidence-based medicine, cost-effective, efficient care, it's better for the system as a whole. And I'm not saying that insurance is our driver - certainly patient outcomes are our driver - but the whole ecosystem of oncology benefits when you do the right thing. Dr. John Cox: It's hard to add anything to Kim's good statements, but I just highlight that this whole area began with the patient-centered medical home, and every time we've met, patients and how we deliver care to patients is top of mind. I think that reflects our community. It reflects oncology as a whole. I don't know any oncologist or practice that is focused on anything else as the prime goal. Brittany Harvey: That's what I was just going to say. The ultimate goal here is to provide patient-centered care across where every single patient is receiving treatment and at every stage of that treatment. So, I want to thank you both so much for your work to update these standards, to review the evidence, and discuss with the experts on the panel to come up with the solutions that will help drive quality improvement across care delivery. So, thank you for that, and thank you for your time today, Dr. Cox and Ms. Woofter. And finally, thank you to all of our listeners for tuning in to the ASCO Guidelines podcast. To read the complete standards, go to www.asco.org/standards. You can also find many of our standards and interactive resources in the free ASCO Guidelines app, which is available on the Apple App Store or the Google Play Store. If you have enjoyed what you've heard today, please rate and review the podcast, and be sure to subscribe so you never miss an episode. The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement.

Learning Objectives:Understand and analyze the key challenges facing healthcare systems in addressing the needs of an aging population with increasing rates of chronic and advanced illnesses.Describe the intersection of age-friendly care, geriatric and palliative care principles, and their synergistic application in improving the quality of life for individuals with multiple medical conditions.Identify strategies for implementing a more integrated and compassionate age friendly care approach that addresses the medical, functional, emotional, and social well-being of both patients and their family caregivers.Speaker:Maria Torroella Carney, MD, FACP, Professor, Institute of Health System Science, Feinstein Institutes for Medical Research; Chief, Geriatric and Palliative Medicine, Northwell Health; Associate Professor, Donald and Barbara Zucker School of Medicine at Hofstra/NorthwellModerator:Gary Greensweig, DO, FAAFP, System SVP/Chief Physician Executive, Physician Enterprise; Interim Chief Medical & Quality Officer (CMQO)Panelists:Barbara Martin, PhD, ACNP-BC, MPH, System Senior VP of Advanced PracticePrentice Lipsey, President & CEO, Senior Living & Transitional Care, CommonSpirit Health

About Dean:Dr. Dean Sherzai is a behavioral neurologist and neuroscientist whose entire life has been dedicated to behavioral change models at the community and population level. Dean completed his medical and neurology residencies at Georgetown University, followed by a subsequent fellowship in neurodegenerative diseases at the National Institutes of Health. He then pursued a second fellowship in Dementia and Geriatrics at the University of California, San Diego. He also holds two master's degrees in Advanced Sciences at UCSD and in Epidemiology from Loma Linda University. He has received a PhD in Healthcare Leadership, focused on community empowerment, from Loma Linda University/Andrews University. Additionally, he completed the Executive Leadership Program at Harvard Business School. His vision has always been to revolutionize healthcare by empowering communities to take control of their own health. Dr. Ayesha Sherzai is a vascular neurologist and a research scientist. After completing her residency, she completed a fellowship in vascular neurology and Epidemiology at Columbia University Neurological Institute of New York. Dr. Sherzai is at the tail end of a master's degree in public health in lifestyle epidemiology from Loma Linda University. Knowing the importance of empowering her patients and their communities, she completed an extensive culinary training program in New York and now teaches large populations how to make tasty, easy, and healthy meals for their brain health. They are the authors of two best-selling books, The Alzheimer's Solution (2017, HarperCollins) and The 30 day Alzheimer's Solution (2021, HarperCollins). They are currently leading the largest community-based brain health initiative in the country.

Patricia Mae Santos is an assistant professor in the Department of Radiation Oncology at Emory University School of Medicine. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. P.M.G. Santos, R. Jagsi, and C.I.A. Oronce. Who Will Care for America? Immigration Policy and the Coming Health Workforce Crisis. N Engl J Med 2025;393:105-107.

Shilpi was guided into a home birth through various channels — one of them being how the medical system was too keen to label hers as a geriatric pregnancy and potentially schedule her into a surgery.Often, women over 35 are labelled as geriatric — meaning care for old people in the medical system. This brackets them into care meant for the elderly, including the approach of looking at everything through a high-risk lens. This often complicates pregnancy more than it is complicated in itself.Shilpi's raw story takes us through her thoughts, preparation, as well as doubts and questions leading up to the birth. Her partner's support and preparation in birth, and more.This is also a story of learning to take self-responsibility in birth — no matter where you birth — in a hospital, a birth center, or at home. Nobody but you decides how you want to be taken care of and when you wish the care to change. It is a very personal space, and there is a big role of intuition in life and birth itself.Tune in to the story now.About the Guest:Part of my childhood was spent in the gorgeous valley of Dehradun, and then by the sea in Mumbai. I grew up in Mumbai and started my career there as a copywriter, but soon realised that documenting life visually attracted me the most. I learnt the art of visual narratives by assisting some internationally renowned American and European photojournalists based in Mumbai. It was while working as an editorial photographer with lifestyle magazines and newspapers that I felt a strong urge to explore the world of wedding photography. And it has been mesmerizing!Support the showSign up for Childbirth Preparation Programs! visit www.birthagni.com/birthclasses This episode is supported and made possible by podcast recording and hosting tool Zencastr, it is impeccably made! Use my link : https://zen.ai/vxmuJUgYKKGTF3JuTuFQ0g to sign up and record flawless remote podcast , USE my code : BIRTHAGNI Support the show:Donations (India) - https://birthagni.com/birthagnipodcast#podcast-listDonations (world) - buymeacoffee.com/birthagni If you like what you hear, leave us a rating on Spotify app and answer the question at each episode! a review on Apple podcasts. Share on Whatsapp/Insta/FB Share on Instagram and tag us @divyakapoorvox Support the production by making a donation at ...

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