Podcasts about geriatric care

Episode Notes:Scott shares the recent rapid decline of his father's health and the emotional toll it has takenHow missed diagnostic details revealed a larger issue in communication and coordinationThe critical role of a Senior Solutions Advisor in bridging care gapsWhy primary care must evolve to become the quarterback of patient navigationA look back at models from 2012 and why older frameworks may hold the key to future innovationThe call to hire 287+ RN Case Managers for the 23,000+ homebound patients currently servedPersonal reflections on legacy, family, and the power of leading with empathy  www.YourHealth.Org

Deborah Kado is a geriatrician who believes her field is misunderstood. Her interest in the science of aging began with a childhood encounter in a nursing home but recently resulted in intriguing work in which Kado linked microbes in the gut to vitamin D metabolism and poor sleep. Kado refuses to blame aging alone for health problems, advocating for better care regardless of age. It's never too late to strive for better health, Kado tells host Russ Altman on this episode of Stanford Engineering's The Future of Everything podcast.Have a question for Russ? Send it our way in writing or via voice memo, and it might be featured on an upcoming episode. Please introduce yourself, let us know where you're listening from, and share your question. You can send questions to thefutureofeverything@stanford.edu.Episode Reference Links:Stanford Profile: Deborah KadoConnect With Us:Episode Transcripts >>> The Future of Everything WebsiteConnect with Russ >>> Threads / Bluesky / MastodonConnect with School of Engineering >>> Twitter/X / Instagram / LinkedIn / FacebookChapters:(00:00:00) IntroductionRuss Altman introduces guest Deborah Kado, a professor of medicine and epidemiology at Stanford University.(00:03:22) Origin Story in GeriatricsHow a childhood encounter led to Deborah's career in geriatrics.(00:06:04) Geriatrics vs. GerontologyThe clinical and research distinctions between the two related fields.(00:06:58) Rethinking AgingReframing aging as a lifelong process rather than decline and loss.(00:08:34) Patient Care ApproachWhy symptoms should be investigated, not dismissed as inevitable aging.(00:11:33) Linking Bone Health, Gut, and BrainThe surprising relationship between microbiomes, bones, and cognition.(00:14:34) Vitamin D: Storage vs. Active FormWhy only the active form of vitamin D correlates with microbiome health.(00:17:22) Gut Health and SleepHow better sleep quality is linked to healthier microbiomes.(00:21:20) Medical Education & Geriatric TrainingThe shortage of geriatrics training in U.S. medical schools.(00:23:08) Measuring Geriatric KnowledgeThe challenges and efforts to measure student knowledge about aging.(00:27:24) Takeaways for Medical ProfessionalsTwo anecdotes where symptoms were misattributed to old age.(00:30:51) Empowering Aging PatientsAdvice to aging individuals: agency, purpose, and not settling for less care.(00:34:02) Conclusion  Connect With Us:Episode Transcripts >>> The Future of Everything WebsiteConnect with Russ >>> Threads / Bluesky / MastodonConnect with School of Engineering >>>Twitter/X / Instagram / LinkedIn / Facebook

Send us a textRob Spindler saw a problem in his local ravine and decided to do something about it. What started out as a one-man operation has blossomed into an annual community event.Cindy Ho and Joseph Tam thought that a Geriatric Care facility might appreciate and benefit from their singing and performing skills.  Their "C & J" show now warms the hearts of residents on a regular basis.All three are proof that individuals can have a huge impact on their local community.​Thanks for listening! Please visit our website at hiddengemstoronto.netFollow us on Instagram at hiddengems.torontoand Facebook at hiddengems.toronto

In this episode, we'll explore the communication barriers that clinicians encounter in delivering coordinated care for geriatric patients, including the role of sensory impairments like hearing or vision loss. We'll uncover best practices for engaging families in decision-making, addressing complex geriatric syndromes, and managing conflicts around patient autonomy. Finally, we'll discuss the importance of collaborative training and measurable models to improve communication and outcomes across healthcare systems.In this episode, we're joined by Georgie Gill, a Trainee Advanced Paramedic Practitioner working in  South East England. After working as a Paramedic in an NHS Ambulance Service she moved to work as a Teaching Fellow for the Department of Elderly Medicine, balancing contributing to MDTea podcast, teaching multidisciplinary teams, and serving on the front door frailty team in the emergency department, bringing insight and expertise to paramedic practicein this area. Following this, she moved to a Community Frailty Practitioner Service undertaking advanced care planning with older adults residing in community settings, before moving back to pre-hospital care to undertake the Trainee Advanced Paramedic Practitioner role and ACP MSc. We are also joined by Iain Wilkinson. Iain is a Consultant Geriatrician and Clinical Director at Surrey and Sussex Healthcare NHS Trust. As Clinical Lead for the Ageing WellGroup, MDTea podcast host, Vice President (Education and Training) for the British Geriatrics Society, and educator with Health Education England, Iain has a wealth of invaluable expertise.MDTea podcast can be found here: https://podcasts.apple.com/gb/podcast/the-mdtea-podcast/id1073719746This podcast is sponsored by PAX.Whatever kind of challenge you have to face - with PAX backpacks you are well-prepared. Whether on water, on land or in the air - PAX's versatile, flexible backpacks are perfectly suitable for your requirements and can be used in the most demanding of environments. Equally, PAX bags are built for comfort and rapid access to deliver the right gear at the right time to the right patient. To see more of their innovative designed product range, please click here:⁠https://www.pax-bags.com/en/⁠

Send us a textWhole-person care is the gold standard for treating elderly patients by delivering care where they need it when they need it, but traditional healthcare models make it tough to scale.Can value-based care and home-based medicine change that?In this episode of CareTalk, host John Driscoll speaks with Jeffrey Kang, CEO of WellBe, to explore the challenges and opportunities of geriatric care, the evolution of Medicare risk adjustment, and why integrating whole-person care into value-based models is key to keeping vulnerable patients healthier.

What does it take to revolutionize geriatric care and bring quality medical services directly to older adults? Meet Dr. Arun Rao, a fellowship-trained and board-certified geriatrician. As the founder and CEO of Geriatrics Planning & Solutions, Inc., Dr. Rao is dedicated to providing medical care through a direct-pay house call service, ensuring that seniors receive the attention they need in the comfort of their home. Through leadership roles at Weill Cornell Medical College and Penn Medicine Princeton Health, he joins Kurt to share his expertise, insights, and passion for redefining geriatric care. 

Dr. Molly Ehlman joins Chris and Amy to discuss the critical shortage of geriatricians in the U.S., with only one available for every 10,000 older Americans, and the impact this has on senior care. She addresses the challenges facing the field, including the complexity of care, lower compensation, and declining interest among physicians. Dr. Ehlman also highlights the innovative 65 Prime Plus clinic model by Mercy, which provides older adults with longer appointments, smaller patient panels, and enhanced support—all without extra costs to patients.

Marla Berg-Weger, Ph.D., professor emerita in social work and Max Zubatsky, Ph.D., associate professor in family and community medicine joins Megan Lynch to detail a new grant that will help expand training to help caregivers for an ever-expanding geriatric generation. They joined Megan Lynch.

Fresh off their successful pre-session at Emergency Nursing 2024, Hershaw Davis, Dr. Chris Carter and Michelle Moccia join the ENA Podcast to share highlights of their presentation that explored how blind spots can negatively impact the care of older adults and how these can contribute to health inequities with this particular population.

Dr. Caroline Yang: https://www.linkedin.com/in/caroline-a-yang/Chris Hoyd: https://www.linkedin.com/in/chrishoyd/For the full YouTube video: https://youtu.be/FeclsIWOwsk?si=4_LU3nexH0EPZLC_Mass General Brigham Website: https://www.massgeneralbrigham.org/en  0:00 Introduction0:44 Dr. Yang's journey into healthcare at home1:55 Technological advancements enabling home-based care3:01 Recent project launches and technological integration5:27 Stakeholder collaboration and product integration7:56 Measuring success and patient experiences10:27 Evolution of technology in home hospital care14:09 Future of AI in clinical medicine18:51 Managing stakeholders and prioritizing in product development23:06 MGB's hospital at home program scale and growth26:41 Demographics of hospital at home recipients30:21 Closing remarks and contact information Product in Healthtech is community for healthtech product leaders, by product leaders. For more information, and to sign up for our free webinars, visit www.productinhealthtech.com.

In this episode, Dr. Cassandra Vonnes, DNP, GNP-BC, APRN, AOCNP, CPHQ, FAHA, a Gerontological Nurse Practitioner, and member of the GAPNA Communication Team, talks with Dr. Karen Mack, DNP, MBA, APRN, the Executive Director at Nurses Improving Care for Healthsystem Elders at Rory Meyers College of Nursing at New York University in New York, New York.Karen Mack, DNP, MBA, APRN, is the Executive Director at Nurses Improving Care for Healthsystem Elders at Rory Meyers College of Nursing at New York University in New York, New York.  Cassandra Vonnes, DNP, GNP-BC, APRN, AOCNP, CPHQ, FAHA, is the Nurses Improving Care for Healthsystem Elders (NICHE) Coordinator, Geriatric Oncology, at the Moffitt Cancer Center, in Tampa, Florida. She is a member of the Gerontological Advanced Practice Nurses Association Communication Team and is a host of the GAPNA Chat podcast series.Discover GAPNA: https://www.gapna.org/Production management by Anthony J. Jannetti, Inc., for the Gerontological Advanced Practice Nurses Association.Opening Music by:Optimistic / Inspirational by Mixaund | https://mixaund.bandcamp.com
Music promoted by https://www.free-stock-music.comClosing Music by:Scott Holmes.http://www.scottholmesmusic.com

Geriatric Care: Oral Hygiene Challenges in Care Facilities By Sonya Dunbar, RDH Original article published on Today's RDH: https://www.todaysrdh.com/geriatric-care-oral-hygiene-challenges-in-care-facilities/ Need CE? Start earning CE credits today at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://rdh.tv/ce⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Get daily dental hygiene articles at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.todaysrdh.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow Today's RDH on Facebook: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/TodaysRDH/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow Kara RDH on Facebook: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/DentalHygieneKaraRDH/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow Kara RDH on Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/kara_rdh/⁠⁠⁠⁠⁠⁠

We're joined by the legendary Carol Lewis, a renowned physical therapist specializing in geriatric care. We dive deep into the strategies that every physical therapist and healthcare provider should know to prevent falls and improve the quality of life for older adults. Carol shares her insights on why giving away valuable content for free can be the key to building trust and authority in the healthcare industry.Links Mentioned:www.ptannualvisit.com  https://lifeguidehealth.org/player/play/balancewww.greatseminarsonline.comwww.Exerciseforagingwell.com If you're a clinician, caregiver, or anyone interested in the well-being of older adults, this conversation is packed with actionable advice and inspiring stories that you won't want to miss.Main Topic/Theme: The crucial role of physical therapy in preventing falls and enhancing the lives of older adults, with a focus on how to communicate effectively with this demographic.Key Points Discussed:The importance of simplifying communication with older adults to avoid jargon and make healthcare advice more relatable and actionable.The power of giving away valuable content for free to build trust and establish authority in the field of physical therapy.The concept of 7-11-4 in building trust and relationships with patients and clients.How to scale impact through digital platforms like YouTube and podcasts to reach and help more older adults.The vision for a future where every senior receives annual physical therapy assessments to prevent common issues like falls and back pain.Special Guests:Carol Lewis, PT, DPT - Expert in Geriatric Physical TherapyTarget Audience:Physical therapists, clinicians, caregivers, and healthcare providers focused on geriatric care.Individuals interested in improving the health and well-being of older adults.Content creators in the healthcare space looking to expand their digital presence.

Unlock the secrets to forging strong partnerships in the home care industry with our special guest, Kathy Jacobs, owner of Together in Caring Geriatric Care Management. Kathy shares her expert insights on what geriatric care managers look for in home care agencies, the habits behind their referrals, and the factors that influence their choices. Learn how to enhance communication and trust to elevate client care, understand clients' readiness for home care, and navigate their resistance to accepting help. Dive into the pivotal role adult children play in the transition to home care and discover how geriatric care managers collaborate with them to ensure comprehensive support for their elderly parents. We'll also discuss the crucial challenges family caregivers, especially spouses, face and how introducing home care services can prevent burnout and provide much-needed relief. You'll hear from Annette and Gabby on the additional support needed in various care facilities and get practical advice on selecting a qualified geriatric care manager. Finally, we explore the positive impact Geriatric Care Managers (GCMs) have on healthcare outcomes, from reducing hospitalizations to better chronic disease management. Celebrate wellness with creative ideas for special occasions and learn about strategies for team appreciation and caregiver support. Don't miss Kathy's invaluable advice on fee structures, matching the right professional to specific needs, and ensuring ongoing support tailored to each family's unique circumstances. Join us for a comprehensive discussion packed with essential information to enhance your approach to geriatric care management.

Description:In this episode, we dive into the 5 M's of geriatric care with Dr. Jackie Osbourne and Dr. Ken Miller. Learn how these key concepts can enhance the care of older adults and improve their quality of life.Timestamps:00:28 - Welcome back to the podcast00:47 - Introduction to the 5 M's of geriatrics02:03 - Medications: Impact on movement and cognition05:00 - Mobility: Holistic treatment and early mobilization13:05 - Mind: Cognitive function and mental health23:03 - Multi-conditions: Managing complex health issues38:48 - Matters Most to Me: Patient-centered care and goals45:03 - Conclusion and parting shotsGreat news from APTA Geriatrics – the Certified Exercise Expert for Aging Adults course is now hybrid! This means you can get profession-leading knowledge without the travel and extra costs. Choose the hybrid path with online modules and live webinars, plus a hands-on weekend, or stick with the traditional in-person weekends. Either way, you'll gain expert skills to design effective exercise programs for aging adults. Elevate your practice and save time and money. Learn more at APTAGeriatrics.org!Breakdown:Recap and Topic Introduction: Overview of the five best tests for fall risk and introduction to the five M's of geriatrics by Dr. Mary Tinetti.Medications (Meds): Discussion on how medications affect functional movement, cognitive, and physical function. Examples include treatments for Parkinson's disease and mood disorders.Mobility: Emphasis on treating musculoskeletal conditions holistically, understanding age-related changes, and the importance of early mobilization.Mind: Importance of cognitive function in physical abilities and safety. Discussion on mental health conditions like depression and dementia.Sponsor Message: Information about APTA Geriatrics and the Certified Exercise Expert for Aging Adults (CEEAA) program. Learn more about CEEAAMulti-Conditions: Managing multiple chronic health conditions in older adults, such as diabetes, cancer, and COPD. Importance of a holistic approach.Matters Most to Me: Focus on patient-centered care, understanding patient goals and wishes, and aligning treatment plans accordingly.Conclusion and Parting Shots: Summarizing the five M's and encouraging clinicians to incorporate them into their practice.

Discover how to forge meaningful relationships with geriatric care managers and elevate your home care business in our latest episode. Featuring insights from seasoned professionals Lisa Marsolais, Annette Ziegler, and Valerie Van Booven, we unpack the critical roles these experts play in ensuring the well-being of elderly clients. Learn from Annette's firsthand experiences about the invaluable support geriatric care managers provide, especially during complex medical and psychological situations.This episode shines a light on the exceptional services offered by geriatric care managers, from crisis intervention to navigating transitions from hospitals to home care. With costs ranging from $150 to $300 per hour, these professionals are indispensable for families facing challenging care decisions. Understand the pivotal connections they have with elder law attorneys, social workers, and hospitals, and how these referrals can enhance the quality of care for your clients.Connect with us as we highlight Kathy, an accomplished geriatric care manager whose dedication goes above and beyond, sometimes offering free services to her clients. We also provide creative networking tips, including themed giveaways for events like National Hydration Day and Father's Day, designed to build lasting relationships with potential referral sources. Tune in for a blend of practical advice, inspiring stories, and unique strategies to leverage partnerships in home care and geriatric care management.

As we journey through life, ageing is an inevitable process that brings with it both challenges and wisdom. In this insightful discussion, we delve into the realm of Geriatric Medicine with Dr. NN Prem, a distinguished Elder Care Specialist Physician based in Mumbai, India. Join us as we unravel the myths surrounding ageing, explore the significance of multidisciplinary care, and discover strategies for maintaining the quality of life in older adults with chronic illnesses.  [00:34] - About Dr. NN Prem Dr. Prem is the Chief Consultant of Geriatric Medicine. He is an Elder Care Specialist Physician at Jaslok Hospital, Mumbai. Dr. Prem is passionate about Geriatric Care and he has published several books and papers. --- Support this podcast: https://podcasters.spotify.com/pod/show/tbcy/support

We welcome back Dr Wendy Baltzer to discuss geriatric and osteoarthritis management. Topics discussed include: When is a pet considered geriatric and what factors can affect this stage of life. Dr Baltzer regularly performs mid-life assessments in her patients. She explains what this involves and how her approach can differ between cats and dogs. Cats affected with osteoarthritis will display different symptoms to dogs. Wendy discussed what pet owners should be looking for. The impact that diet can have and how it needs to change as pets age. Once there's a diagnosis of OA, what does a personalised management plan look like? Dr Wendy talks about the different modalities that she uses to manage OA and what she is trying to achieve with these. How can supplements help and what part they play in managing OA? When is it appropriate to use NSAIDS? Wendy goes in depth on recognising the end-of-life stage in dogs and cats and how to navigate this with pet owners. See omnystudio.com/listener for privacy information.

This episode with guest, Gay Gingrich, RN, BSN, and host Mary Anne Oglesby-Sutherly, shares how both women met through their studies with Teepa Snow's “Positive Approach to Care.” The discussion begins with two new friends with shared interests and passion for those with dementia as well as Gay's obvious love of her work as a Geriatric Psych Nurse.   Gay's approach to caring for those living with dementia is that of relationships, compassion, and a different perspective of care. She discusses how she believes it's a better approach when these principles are adhered to. Gay's faith is of utmost importance to her daily walk and the care given to her patients. It's an unwavering belief that there is a better more compassionate way to care for and give hope to families along with those living with dementia. There is a much better way to help those with no voice in today's society. We must all come together and seek that better way.  www.verandaministries.org

Mary Anne Oglesby-Sutherly's guest is Brenda Powers, a registered nurse specializing in geriatric care, with a strong focus on supporting the aging population, especially those with dementia. Brenda has actively contributed enhancing geriatric care through workforce development panels, aiding in devloping dementia education programs like the Vanderbilt Nurse Practitioner School and participating on boards dedicated to the health care improvement within the aging community. This episode is a difficult reality to hear, speciifically addressing the truth about unment needs and the use of medications for those living with dementia. Families of demetia loved ones need to heed and be aware. Practical, insightful and filled with hands-on advocacy, this episode is just the beginning of the dialogue between Brenda and Mary Anne. www.verandaministries.org

In observance of International Holocaust Rememberance Day (Jan. 27) we're listening to and discussing Silent Tears: The Last Yiddish Tango, the acclaimed 2023 CD with new music and songs based on poetry and other writing by several women who are, or were, Holocaust survivors in Toronto. These songs recall their terrible and traumatic experiences during the Holocaust, including sexual abuse and torture. Some of the songs were collected and adapted by Dr. Paula David, a social worker, from a group of survivors in the Terrace Holocaust Survivors Group at the Baycrest Centre for Geriatric Care in Toronto who wrote poetry together to deal with their trauma. Others were adapted from the diary of Molly Applebaum, a Holocaust survivor in Toronto. The music, which is mostly new for this CD, is performed by Toronto's Payadora Tango Ensemble along with several soloists. Our guest to discuss Silent Tears is Vicky Ash-Shifris. She lives in Jerusalem and works as a Yiddish teacher and translator. She translated four of the songs on the CD into Yiddish. For additional info on Silent Tears, visit Executive Producer Dan Rosenberg's website: https://danrosenberg.net/silent_tears_the_last_yiddish_tango_info_and_press or, to audition and purchase the CD, visit its Six Degrees Records album page: https://payadoratangoensemble.bandcamp.com/album/silent-tears-the-last-yiddish-tango Music: Aviva Chernick with Payadora Tango Ensemble: Silent Tears (Words: Terrace Holocaust Survivors Group, Paula David, Dan Rosenberg; Music: Rebekah Wolkstein) Aviva Chernick with Payadora Tango Ensemble: The Numbers on My Arm (Words: Terrace Holocaust Survivors Group, Paula David, Dan Rosenberg; Music: Rebekah Wolkstein) Aviva Chernick and Olga Avigail Mieleszczuk with Payadora Tango Ensemble: Don't Let Us Starve (Words: Molly Applebaum, Dan Rosenberg; Music: Artur Gold) Lenka Lichtenberg: A Victim Of Mengele (Words: Terrace Holocaust Survivors Group, Paula David, Dan Rosenberg; Music: Rebekah Wolkstein) Henry Carrey: Tu Beshvat (Music and Lyrics by Beyle Schaechter-Gottesman) Intro instrumental music: DEM HELFANDS TANTS, an instrumental track from the CD Jeff Warschauer: The Singing Waltz Air date: January 24, 2024

Dr. Kernisan & Michelle Allen, LCSW, explain how Aging Life Care Professionals (also known as geriatric care managers) help older adults and their families.

How Paramedics Can Make a Difference in Geriatric Care by Christina Shenvi

In part two, physician experts discuss the key takeaways from part one and go through the next patient scenario to demonstrate best practices in geriatric care using behavioral health integration (BHI). Physician guests are David Baron, MSEd, DO; Karen Dionesotes, MD, MPH, psychiatry resident; Stephanie Nothelle, MD, assistant professor of medicine. For more about the BHI Collaborative Overcoming Obstacles Series, go to www.ama-assn.org/bhiresources.

Take charge of your mental health and recognize the difference between feeling "down" and clinical depression.....This episode brings to light a topic that is often overlooked - mental health among the elderly, with our highly esteemed guest, Amanda Marker. She's not just the director of business development for Windmoor Healthcare, but also a licensed mental health counselor. While age is just a number, it seems the world often forgets that. We examine the  darker side of ageism, observing how it can lead to depression, isolation, and increased suicide risk. To end on a positive note, we explore the steps to improve mental health in seniors.  As the holiday season approaches, we also address the deep-seated stigma surrounding mental health and how to manage it. SeniorLivingGuide.com Podcast sponsored by TransMed Care Long Distance Medical TransportationThe background music is written, performed and produced exclusively by purple-planet.com.https://www.purple-planet.com/*SeniorLivingGuide.com Webinars and Podcast represents the opinions and expertise of our guests. The content here is for informational and educational purposes. It does not necessarily represent the views, recommendations, opinions or advice of Fairfax Publishing/SeniorLivingGuide.com or its employees

Three physicians highlight best practices in geriatric care and actions their teams can take using behavioral health integration (BHI) to provide quality, whole-person care to the patient and their caregivers. Physician guests are David Baron, MSEd, DO; Karen Dionesotes, MD, MPH, psychiatry resident; Stephanie Nothelle, MD, assistant professor of medicine. For more about the BHI Collaborative Overcoming Obstacles Series, go to www.ama-assn.org/bhiresources.

Celia Ringstad, DCDr. Celia Ringstad shares her chiropractic story and Blair Upper Cervical Specific Care in particular. A third-generation Alaskan and one of nine kids, the trajectory of her future was quickly altered when a drunk driver changed the course of her life. She spent weeks in the hospital and underwent numerous surgeries and treatments for a multitude of injuries. She had traumatic brain injury, spontaneous episodic paralysis, along with multiple broken bones. After months and months, the doctors told her parents there was nothing more they could do for her. After six months of Blair Upper Cervical Chiropractic Care, the pain, the fog, the fatigue, the pain meds, the difficulty sleeping …. All of that just completely resolved. It went away. She had her life back.She's an Alaskan girl. She is a highly sought-after International Speaker and Trainer, where she truly shines by sharing her authentic sparkle like no other.Among other things, this episode covers these topics:Changing from being an orthopedic surgeon/ neurologist to a Blair Upper Cervical Chiropractor after her traumatic car accidentHer neurologist referred her to Blair Upper Cervical because of nerve damage that he could not fix.In nine months, she was able to walk again without assistance, the pain was gone, the brain fog lifted, and she was able to talk again.Dr. Celia Ringstad has been practicing Blair Upper Cervical Chiropractic for 30 years. Her location is Roseville, CA.In her practice there is a lot of joy and happiness. It feels like a family affair. We have people who fly in all over the world to come in to see us and talk about gratitude. People fly in from all over the world to see her and Dr. Pierce. Dr. Ringstad helps people with their lifestyle based on their goals. She wants to focus on every system: emotional, physical, chemical, spiritual, financial, and sleep.Her favorite part of her job is taking care of little kids. That makes her heart jam because that changes their life forever.Another favorite is helping people with Parkinson's Disease.Her mentors, Dr.Muncy and his wife Millie, set the expectation for excellence in her early career. There was no room for ALMOST good enough.Dr. Ringstad consults and mentors young professionals with an emphasis on young female doctors. Communication, Confidence, and breaking it all down make a demanding life and career doable.Most importantly, believe in yourself and never stop learning.The uniqueness in relationships where couples work together in healing professions.To contact Dr. Ringstad:https://rosevilleblairchiro.com/contact-ushttps://www.facebook.com/celia.ringstadTo contact Ruth, go to https://www.blairclinic.comruth@blairclinic.comhttps://www.facebook.com/rutelinEpisodes where Dr. Muncy is mentioned:https://www.blairclinic.com/podcast-episode-summaries/a-true-love-story-that-leads-to-an-upper-cervical-February 6: A True Love StoryMay 16th: Perry Rush episode 1.

Afraid!? Here's Why You WON'T End Up Old, Lonely, & Isolated Ep. 267 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++

In this episode Sowmya Prabhakar, Malathi Renati & Nidhi Chawla delve into two tangents of aging - elderly welfare & elderly care. They grapple with some solutions & explore how other countries are tackling them, and conclude with the role of society, government & markets.  Do check out Takshashila's public policy courses: https://school.takshashila.org.in/courses We are @‌IVMPodcasts on Facebook, Twitter, & Instagram. https://twitter.com/IVMPodcasts https://www.instagram.com/ivmpodcasts/?hl=en https://www.facebook.com/ivmpodcasts/ You can check out our website at https://shows.ivmpodcasts.com/featured Follow the show across platforms: Spotify, Google Podcasts, Apple Podcasts, JioSaavn, Gaana, Amazon Music Do share the word with your folks!  See omnystudio.com/listener for privacy information.

Join Yvonne Brandenburg, RVT, VTS SAIM and Jordan Porter RVT, VTS SAIM as we talk about: End of life care and the roles that veterinary professionals play. But we can do more, right? Luckily AAHA created some guidelines we can utilize to help have tough conversations and keep in touch with our end of life patients.     Resources We Mentioned in the Show   AAHA/IAAHPC End-of-Life Care Guidelines: https://www.aaha.org/aaha-guidelines/end-of-life-care/end-of-life-care-guidelines/    Thanks so much for tuning in. Join us again next week for another episode!  Want to earn some RACE approved CE credits for listening to the podcast? You can earn between 0.5-1.0  hour of RACE approved CE credit for each podcast episode you listen to.    Join the Internal Medicine For Vet Techs Membership to earn and keep track of your continuing education hours as you get your learn on!   Join now! http://internalmedicineforvettechsmembership.com/   Get Access to the Membership Site for your RACE approved CE certificates Sign up at https://internalmedicineforvettechsmembership.com  Get Access to the Technician Treasure Trove  Sign up at https://imfpp.org/treasuretrove    Thanks for listening!  – Yvonne and Jordan     

Joining us is Dr. Kerry Ricker, Medical Director for Eddy SeniorCare. Dr. Ricker is a board-certified family physician whose practice now focuses exclusively on geriatric medicine. 800-348-2551. Ray Graf hosts.

Are you ready to navigate your way through the world of Medicare with confidence as you approach your 65th birthday? Join me, Darleen Mahoney, and my guest Lora Felger, a Medicare Advisor and Community Outreach for First Carolina Care, as we simplify the enrollment process and uncover the best ways to maximize your coverage and exactly what those different types of coverages are.  You'll learn about the seven-month enrollment window and how to make the most of your health savings account (HSA) to cover certain expenses. In this episode, we will explore the importance of shopping around for the plan that suits your needs best, allowing you to age gracefully and fully enjoy your golden years. So let's celebrate that milestone birthday together and uncover all the opportunities and possibilities that come with it!SeniorLivingGuide.com Podcast sponsored by Parrish Healthcare/Parrish Medical CenterThe background music is written, performed and produced exclusively by purple-planet.com.https://www.purple-planet.com/*SeniorLivingGuide.com Webinars and Podcast represents the opinions and expertise of our guests. The content here is for informational and educational purposes. It does not necessarily represent the views, recommendations, opinions or advice of Fairfax Publishing/SeniorLivingGuide.com or its employees

Age is a main factor when determining cancer care. In this ASCO Education podcast we speak to one of the top leaders in treatment for older patients who has also credited mentorship as a foundation for his career. Dr. Hyman Muss describes his childhood in Brooklyn, serving as a general physician for troops in Vietnam (6:18), the doctor who influenced his choice of hematology and oncology (7:48) and creating one of the first geriatric oncology fellowships in in the country (21:58).  Speaker Disclosures Dr. David Johnson: Consulting or Advisory Role – Merck, Pfizer, Aileron Therapeutics, Boston University Dr. Patrick Loehrer: Research Funding – Novartis, Lilly Foundation, Taiho Pharmaceutical Dr. Hyman Muss: None More Podcasts with Oncology Leaders  Oncology, Etc. – Devising Medical Standards and Training Master Clinicians with Dr. John Glick Oncology, Etc. – Rediscovering the Joy in Medicine with Dr. Deborah Schrag (Part 1) Oncology, Etc. – In Conversation with Dr. Richard Pazdur (Part 1) If you liked this episode, please follow the show. To explore other educational content, including courses, visit education.asco.org. Contact us at education@asco.org. TRANSCRIPT Pat Loehrer: Welcome to Oncology, Etc., an ASCO Education Podcast. I'm Pat Loehrer, director of Global Oncology and Health Equity at Indiana University.  Dave Johnson: And I'm Dave Johnson of Medical Oncology at the University of Texas Southwestern in Dallas, Texas. If you're a regular listener to our podcast, welcome back. If you're new to Oncology, Etc., the purpose of our podcast is to introduce listeners to interesting and inspirational people and topics in and outside the world of Oncology. We have an inspirational guest today. Pat?  Pat Loehrer: If you ask anyone who's achieved any level of success and how they've achieved it, most likely they'll mention a number of people who've influenced them along the way. Quite often, these people reflect on their mentors, and after a certain time of accomplishment and reflection, they begin to mentor others. This is very much what our next guest has done. Dr. Hyman Muss has been a mentor to me and to Dave, and he's one of the most outstanding, wonderful people in the world, and we're so excited to have him today.   Dr. Hyman Muss served in the US Army in Vietnam, where he was awarded the Bronze Star Medal. He's an experienced Clinician Scientist, the Mary Jones Hudson Distinguished Professor of Geriatric Oncology at the University of North Carolina School of Medicine, and the Director of Geriatric Oncology Program at the UNC Lineberger Comprehensive Cancer Center Program. His interest in education and research is focused on cancer and older patients, and he is internationally recognized in this area. He's been the co-chair of the Alliance Committee on Cancer and Older Adults and won the BJ Kennedy Award from ASCO in Geriatric Care. His particular interest in research expertise is in the care of breast cancer patients, with a focus on the management of women who are of older ages. He's had a major interest in breast cancer survivorship and long-term toxicity of treatment and also served as the co-chair of the Breast Committee for the Alliance Group. He serves as a mentor for medical students, medical residents, junior faculty, and more recently, his Geriatric Oncology fellows. He served on the Board of Directors of the ASCO Foundation and on the ABIM, the American Board of Internal Medicine, where both Dave and I were privileged to work with him and witness his leadership and his deep breadth of knowledge.  Dr. Muss, thanks for joining us today. Dr. Hyman Muss: What a pleasure to be here. Thank you so much for inviting me. My mother would have loved the introduction.  Pat Loehrer: Well, speaking of that, tell us a little bit. You grew up in Brooklyn, so tell us a little bit about your parents. Your father was a dentist, I think, and your uncle was a general practitioner. So give us a little bit of the early life of Hy Muss. Dr. Hyman Muss: So I grew up in Brooklyn, New York. I was born and bred there. I went to Brooklyn Technical High School. I almost went to Brooklyn College, but I came back and went to Downstate Medical Center, which was just terrific. My tuition was $600 a year, but that's another story. My parents lived in the same neighborhood. My dad was a dentist, so we knew all the people. My uncle was the GP. You came into their office, sat down, and they saw you anytime, day or night, almost 24/7, something we're probably not going back to, but they had a profound influence on me. My uncle, as a GP, used to take me on house calls in Brooklyn when they were done, and he had an old Buick with MD plates. And I would go into these families, and they loved him, and they would give me ice cream and things. Maybe that's what made me a doctor. But it was a terrific and indelible experience. I had terrific parents. In those days, doctors and medical people usually lived in the same neighborhoods as their patients, so they really knew their people well. It was a terrific upbringing. I got to love medicine and have never had a look back. Dave Johnson: So your inspiration for a career in medicine obviously started at home. Tell us more about your formal education. You mentioned your high school education. What about college? And shortly thereafter?  Dr. Hyman Muss: Yeah, well, I went to Lafayette College. I was not the best high school student, but I had good college board scores or whatever they called them then. And I went to Lafayette and I thought I was going to be a chemist, a chemistry major. But I took enough premed courses and I spent a summer in a lab building cyclic ketones. And everybody was outside sitting on the lawn of the campus. And I was in there with all these distillation apparatus, and I said, “I don't think I can do this the rest of my life.” So I applied to medical school, and I got into several medical schools. But my father at that time was dying of metastatic bladder cancer. He had been a heavy smoker, and he was still working as a dentist. He worked until the day he unfortunately died. But I got into Downstate. We lived in Brooklyn, and my uncle, the GP, said, "Hy, you need to come home and help take care of your dad." I'm an only child, so I did. And I had a wonderful experience at Downstate.   Several years ago, I was listening to NPR and heard that one of my professors had won the Nobel Prize. Dr. Furchgott in physiology, one would have never thought. And I had a wonderful education and subsequently got into what was then Peter Bent Brigham in Boston, did my internship and residency there, joined the army and medical school, so I wasn't drafted, it was a program then. And then after first year of residency, I went to Vietnam, worked with an artillery battalion, a mystical experience, but no regrets. And then subsequently came back and did hematology and oncology at Brigham and at what was then the Jimmy Fund and Sidney Farber Cancer Center. And Tom Frei had just come. And I did hematology with a guy named Bill Moloney in Boston at Harvard. I'll tell you, a wonderful man. He was like a surrogate father. My dad had died by then, and I just feel I've had every opportunity to have a wonderful education and terrific mentors along the way. Dave Johnson: So we want to ask you about both of those gentlemen, but I would like to just, if I may, drop back to your experience in Vietnam. What was that like?  Dr. Hyman Muss: Well, I was 27 years old and I was put as the doctor for 500 men in artillery. My job was to take care of the general health of the troops. Fortunately, we didn't have many casualties. It wasn't a front war like my uncle, who was a GP actually in World War II, landed in Normandy about a week later and went all through World War II as a doctor. But Vietnam was an unusual war, there wasn't really a front. So my experience was I would go out to fire bases, which were units of about 100 men in the jungle, go out three days in a week in a helicopter, do sick call, check people. I dealt with really alcohol problems, unfortunately, a lot of drug problems. You had young people with really not a lot to do during the day, nothing much to do, and no real goal of being there. I did that for a while, and actually, the reason I got the Bronze Star was because I set up– It was nothing like standing in front of a machine gun. I'm not that kind of brave guy, but I set up a drug amnesty program so I got a lot of support from our regular field people to do this, so we didn't have to keep sending kids home with dishonorable discharges. And I learned a lot. I think we were reasonably successful. I learned a lot about artillery. I think overall it was a great experience in my life. Dave Johnson: Tell us how your interest in hematology and oncology originated. Where did that come from?  Dr. Hyman Muss: When I was an intern at the Brigham, Dr. Moloney was a very famous Harvard professor. He had studied war casualties after Hiroshima, he was one of the people that found the Philadelphia chromosome in CML. He was a guy that rounded on every single one of his leukemia patients every day. So I was an intern. So in those days I would go and see all the hematology people rounding because all the acute leukemia patients and all the serious cancer patients were right on the floors, right on the wards. We had 17-bed wards, and then we had some private rooms. And he loved what he did. And before I left for Vietnam, we didn't have Ara C and daunomycin. So every leukemia patient I saw died. This is '68 to '70. Yet we tried all these different regimens. Occasionally you got someone who did well for six months, a year. But his bedside manner was absolutely wonderful to me. He knew all the patients. He'd ask them about where they lived in Boston. His humanism was terrific, and yet I loved the diseases he treated. The stakes were high. We didn't have good treatment, and I decided that that's probably what I want to do.   So when I was in Vietnam, I applied and got back in the Hematology Fellowship and came back and did that. I saw Ara C and daunomycin. I gave the chemotherapy to them, and he'd say, "Go up and treat Harry Smith with Ara C and daunomycin." I had the syringes in my pocket, guys. Forget about hoods and mixing. And I'd go up and treat them and the marrow would be gone within four or five days. I did a bone marrow. They published their regimen in the New England Journal called COD, C-O-D because they also gave vincristine. So it was cytarabine, vincristine, and daunomycin, the COD regimen. It fit Boston. And I saw it was like the emergence of cisplatin after Larry Einhorn. You saw people that never survived going into remission and I saw some remissions in AML and it cemented it.  About my second year of residency, we had a child. I was running out of money. I was being paid $6,000 a year and I had the GI Bill. I went into Dr. Moloney and he talked with Dr. Franny Moore, who was head of surgery at the Brigham, and they made me the Sidney Farber Research Fellow, doubled my salary and I had to go to the Jimmy Fund and see cancer patients. And it so happened that was when Tom Frei came to Dana-Farber. And so I started rounding with Dr. Frei and seeing those patients. And I think the first day I walked in, I knew I wanted to do more than just leukemia because I saw groups of patients with every disease. We treated everybody with CMFEP, it didn't matter what cancer they had. And I just loved it and said, "My God, there's so much we can learn. What a great career." And so that got me into the oncology portion.   And then I was offered to stay at Harvard. They were going to make me an assistant professor, but they wanted me to do lab work. And I knew my personality, it just wasn't for me. I worked with a lovely guy named Frank Bunn, one of the world's great hem guys in his lab, and he's still a close friend in his 80s. And he told me one day, he said, "Hy, I don't think the lab is for you." And he actually helped me get my first job at Wake Forest University, which turned out to be wonderful. So that's how I ended up with my circuitous in HemOnc. And it's really from great mentors, it's from Bill Moloney, it's from Tom Frei, Dave Rosenthal, tons of wonderful people along the way that not only taught me a lot, but they seemed to love what they do, which is a gift in life to love what you do and love the people you're doing it with. They instilled that in me. Pat Loehrer: From there you went to Wake Forest and there's a couple of colleagues down there, I believe, that inspired you, Charlie Spurr and Bill Hazzard, who was the founding founder of geriatrics. Tell us about that experience and how'd that shape your life.  Dr. Hyman Muss: I was looking for a clinical job and I looked at Rochester, and I got snowed in one night in Wake Forest, and I said, “Where's the contract?” And I signed it. And my mother, who was living in New York City, didn't know where North Carolina was. My mother was from a family, was born over a candy store in Greenwich Village, and said, “Where are you going?” And then I showed her where it was, and she says, “They're going to kill you down there.” And it turned out to be one of the best decisions of my life. My wife Loretta, who both of you know so well, we got out of our VW with our dog and our daughter when we moved here, and VW bug, by the way, not a van, and she cried. It turned out it was one of the best opportunities.  Charlie Spurr was an iconic oncology leader. He actually did some of the early work on nitrogen mustard in Chicago during the war, the first chemotherapy drug. He was a terrific leader. He had patients programmed in on those IBM punch cards. He had little cards for the protocols, CMFEP, CMF, AC on little laminated index cards. I learned so much from him, and he was to me, great leaders and great mentors morph from things they do themselves to teaching other people, and whose brains have the ability of having the same dopamine shot when you see one of your fellows or young faculty present a wonderful study as you do. And your brain isn't saying, “I wish I was up there.” It's saying, “Isn't this so cool that this young man or woman or fellow or medical student is doing such a wonderful job?” And I had something to do with providing the soil for this seed to grow. That's the kind of guy he was. And so it was wonderful there.  And as I moved on, we got a new Chief of Medicine, Bill Hazzard. And I still hear from Bill on rare occasions, but Bill was one of the first geriatricians in the United States. He wrote the textbook, and his wish was that all the faculty and all the specialties get involved in a geriatric project. And so I had all those little index cards, and I looked and saw how many older people with metastatic breast cancer we'd given chemotherapy to. And these were little protocols, nothing like the protocols today, no 50-page consent forms, 50 pages of where your data is stored. They were like, here's the treatment, here's the dose mods. And I looked at those 70 patients with one of our residents, Kathy Christman, she may be retired now, but in any event, we wrote a paper and showed the old people did as well as the young with breast cancer. And we published it in JAMA. And it's one of the few papers in my career, I got no reviewers. They accepted the paper. I got no reviewers. So because I'm from Brooklyn, and my English is not what it should be, I had my friends read it to just make sure I didn't say anything egregious. But it got published and the next thing I know, my friends in medical oncology in the state were calling me. They said, “I got a 75-year-old woman here.” I'm saying, “Guys, I just wrote this paper. I really don't know anything about older people.” But slowly, with Bill Hazzard and others, I got more and more interested. I started reading about Geriatrics and I ended up making it a focal point of my career. It was kind of happenstance. And Bill was a wonderful mentor.  And then as I subsequently moved on, I worked with terrific people like Harvey Cohen, Lodovico Balducci, and Martine Extermann, all of them heavily involved with ASCO over the years as well, and B.J. Kennedy. They were wonderful to work with. And BJ was inspirational because BJ would get up at an ASCO meeting and he'd say when he saw the age cut off, he'd say, “How come you didn't let old people on that study? There'd be 1000 people in the audience.” And so he really was a great mentor. And I had the bittersweet opportunity of writing his obit for JCO years ago and kept up with his family a few years, but he was a wonderful man. Dave Johnson: I'm just reflecting on the fact that today, patient registries are sort of mainstream, but certainly in the ‘70s, ‘80s, even into the ‘90s, having a list of patients with a particular disorder seemed almost novel in many respects. And to have that was a godsend.  Dr. Hyman Muss: It was a godsend. I still remember those little file cards. And he called it the Oncology Research Center and it was a godsend. And you've got to remember, this is like ‘74, ‘75, it's a long time ago. Dave Johnson: So many of our listeners may not be as familiar with Wake Forest as they are with Duke and North Carolina, the other medical schools located there. But you were at right at a point where I mean, it was one of the top oncology programs in the country at that time. Still is, I don't mean to diminish it, but there was a who's who of people there at the time. And you were also involved in creating, I think, one of the first cooperative groups of sorts. It was the Piedmont Oncology Group. Tell us about that.  Dr. Hyman Muss: Oh, yeah, well, that brings back memories. So the NCI at that time wanted to get more, I think, rural and other smaller places involved in research. And they put out an RFA to form like regional cooperative groups. And we formed the Piedmont Oncology Association, the POA. We actually did well for a few years. We wrote some really good studies. We got one or two New England Journal articles. I worked with all the people, mainly in the community, community docs who would go on, and put people on the protocol. I mean, I looked at all the X-rays and scans in a lot of these patients myself as part of the studies we did. And it turned out to be a wonderful organization and it's still run today by Bayard Powell, who is one of our terrific fellows who's the head of Oncology at Wake Forest.  But after a while, we just couldn't compete with CALGB, of which I was a member of also, and ECOG and SWOG, even North Central Group, which was kind of formed in a similar venue, eventually merged. So we did a wonderful job for a while but the truth is we just didn't have the manpower to write studies for every disease site. So eventually we kind of petered out as a clinical trials group. But it's been maintained for educational programs and it's really served as a good resource for a lot of good education for the community oncologists who give most of the care in this country in the state. So it's been good. I think Pat kind of exceeded us with HOG, the Hoosier Oncology Group, which was in a similar vein. But it was a great experience and it was all Dr. Spurr, who thought of doing this and built it.  Dave Johnson: Certainly, it was inspirational in many people in and outside of Wake Forest. So with such an idyllic life, what in the world possessed you to move north to Vermont?  Dr. Hyman Muss: Well, you get this urgent life. You want to be a leader, you want to be a chief. Now, I tell younger people, if they love what they do, don't do it. So I got a wonderful opportunity at the University of Vermont to go up there and be Head of HemOnc. Chief of Medicine was a terrific guy, Burt Sobel. The university at that time, at one time it had a wonderful Oncology program. It had a federally funded cancer center with Irwin Krakoff and Jerry Yates, two other iconic guys. I don't know what the politics were but it had lost a tremendous amount of faculty, especially its clinical faculty, and they needed to rebuild it. And I went up and I thought, “Well, I'm in my 50s. This is going to be a great opportunity. If I don't do it now, I may never get the chance.” So I went up there and actually, it was a great opportunity. We hired terrific people. We got CALGB and we participated. We had actually a very good accrual for a small place and we had a very small but very effective cancer center. So it turned out to be a really good experience.  I worked with wonderful people. I recruited some wonderful people. But over time, the issues of the business of medicine, all the issues that happened, I'm saying I'm kind of losing my focus on clinical care and clinical trials, which I love to do. I don't need to tell either of you. I mean, Dave, you've been chief and department chair and Pat has run cancer centers. After a while, the administrative tasks just were so overwhelming and I didn't enjoy them, that I said, “I've got to get back in some type of more clinical focus.” And that's when I decided to look around and fortunately found what's turned out to be a dream job at UNC.  But it was a time of life. Maybe my ego got in the way of my logic. I don't regret it. I met and I think we rebuilt a wonderful clinical program. But you realize some of the resources of big places with-  we never had the research infrastructure to hire a lot of people and get big programs going on and great translational programs, just didn't have the funding. But it was great, and I have no regrets. And I learned how to tolerate the cold weather. And I have a lovely daughter, Sarah, who still lives up there. So we get back occasionally. And I've kept up with a lot of the people there. There are some wonderful people at UVM.  Pat Loehrer: From there, though, you were pulled down to North Carolina, where you've, again, built an incredible breast program there is outstanding. But you've created a Geriatric Oncology program, one of the first geriatric fellowships in oncology in the country. So tell us a little bit about that and what you feel may be your legacy is there at North Carolina.  Dr. Hyman Muss: Well, I had the opportunity over the years when I was at Wake, really, I got to know Shelley Earp, who's our cancer center director. I think maybe you were close to him, Pat. The longest surviving cancer center director on the planet, or among them. And we were good friends. And North Carolina's legislature actually gave the University of North Carolina substantial funding to improve cancer care in North Carolina, not just research. And so I had talked with Shelley about maybe moving, and because of the generosity of the state, really, he was able to really get me going, start a Geriatric Oncology program. And what I wanted to do was develop trials. As Dave says, I built a registry in 2009 here for older cancer patients using geriatric assessment. I have 2000 patients, which has been a resource for all types of faculty and fellows, and students to write papers. But I was able, with the support, to do things like this right from the get-go. And plus, I joined probably one of the best breast groups on the planet with Lisa Carey and Chuck Perou, and Larry, terrific people, Claire Dees. I had great luck in doing this, so I was able to really focus, get great support from my colleagues to build studies focusing on older people.  And then I had the great fortune of meeting Ned Sharpless, our prior NCI director. And Ned is one of the world's great aging biologists. And I don't mean aging as an adjective, he's really been a master on why we age, the biology of aging, cell senescence. So Ned taught me all about cell senescence and the mechanisms, especially the gene expression p16, which is like our own CDK inhibitor. And so I was able to start using his lab, collect samples, treat people with chemotherapy, follow them off with geriatric assessment. It was a great opportunity to do that here, and we got a lot of studies going and we showed what the pediatricians have known for years, that chemotherapy dramatically ages people, not just children, but adults. But it also allowed me to work with my colleagues in lymphoma and lung cancer to do little studies along the way.  And we eventually then built a T32 program. We got a T32, which we're kind of completing now our first five years to train oncology specialists in geriatrics. So the way we do it is they can be surgical oncologists, GU, we had a GYN oncologist, medical. With their HemOnc training, they do a year where they work with the geriatricians, so they go on geriatric inpatient service for a month and they really learn about older people. And part of it is a project. So we've been able to build that and develop a lot of programs with that. And I should say we've been very successful with mentorship and with ASCO support for things like YIAs, the late and great Arti Hurria, who absolutely an amazing woman. Some of her legacy at ASCO, the YIAs, and things. We've been successful in applying for some. So we've been able to build a whole spectrum of med and hematologists. We have an interest in Myeloma and AML focusing on older people. We've been able to build a whole team approach, including translational projects related to older people. And it's just been a great opportunity, and hopefully, my legacy here will be, too, and I'm working on it.  We have a wonderful guy, Bill Wood, who is very effective and has built this incredible coaching program to continue this legacy. Like many of us in this field, we are bothered because we all know the stats, we all know that first slide of the demographics of cancer, and yet it's been very hard in our culture to provide a lot of the services and build the clinical trials we need to best care for older people. It's still a major problem in this country. So as I cut back on my clinical care, I'm going to still advocate to try to improve the care of older people. Do geriatric assessment, build it into your clinical programs, get your hospitals to support you, convince them, build business plans, et cetera. And hopefully, that'll be my ultimate legacy, that we've made greater awareness of the older people, other than the usual stats, and we're really trying to care for them in a much more global sense, in a much more holistic sense than we've done. I hope we'll be successful. It's a slow haul, but we've got lots of great young people coming up through the pipelines, ASCO has been a great player in this. Many of you know people like Supriya Mohile and William Dale, Heidi Klepin, people, the next generation that's going to keep building this. So I hope the legacy will be that we get more buy-in, more interest, more trained people in other oncology-related subspecialties RadOnc, SurgOnc that will really focus on the care of older people. Dave Johnson: I don't think there's any doubt that that will be a part of your legacy Hy, but I think your legacy will be much broader than the world of geriatric oncology. Your mentorship leadership, your clinical skills, your educational capabilities, all of that will certainly last for many, many years in the future.  Well, I don't want to bring up a touchy topic, but you yourself are geriatric and we're wondering what your plans are for your semi-retirement. I recognize you're not retiring, but what do you like to do outside of medicine? Dr. Hyman Muss: I'll tell everybody who's interested in hearing this. On Tuesday, I had my 80th birthday.  Dave Johnson: Congratulations.  Dr. Hyman Muss: And I think I'm one of the most blessed guys. I'm pretty healthy. I married up -  my wife Loretta, who both of you, Pat Loehrer and Dave Johnson, know well.  Dave Johnson: Yeah, you definitely married up.  Dr. Hyman Muss: Yes. It's really carried me most of my life. She's great and so she flew up our three kids and we celebrated and I'm very fortunate. I have the enthusiasm and strength to do more clinical medicine. But I think the time has come for me to cut back my clinical medicine, so I'm going to do that in June. The hardest thing I've done is say goodbye to so many of my patients here.  We've been blessed. We have a lovely family. We're pretty close. I'm never bored, probably you two know well, I love to do things like fishing, outdoor stuff. I've really gotten into woodworking, so I'm not going to be bored. But there will be a small piece out of me when I walk out of that clinic in June. I know that and my two close psychiatry friends think it's going to really be a hard fall, but I don't think so. I still have some grants. In fact, I'm working with a fellow in City of Hope, Mina Sedrak, who's been very involved in ASCO, too. We are hoping to get an R01 looking at senolytic drugs that may prevent aging, and exercise in older women with breast cancer to see if we can reverse the trends of chemo. So my brain is still on that stuff, but the clinical care is going to be tough.  I had a note and for some reason, we talked about so many things. I wanted to mention that one of my great opportunities was joining the CALGB and then the Alliance and getting the support of Dr. Schilsky, Rich Schilsky, who's been one of the icons of ASCO to build cancer in the elderly working group with Dr. Harvey Cohen at Duke. And Harvey is one of the world's great geriatricians. And using that to get studies done, to incorporate studies with Arti Hurria on geriatric assessment, and really have it as a place where a lot of younger investigators could get started on a career in geriatric oncology. And that was really a great opportunity. It was kept on by Dr. Bertagnolli, who now is our NCI director, and I think was really the first group to really give good support for this. Dave Johnson: So we want to thank you very much for being our guest today.  We also want to thank our listeners of Oncology, Etc. This is an ASCO Educational Podcast where we talk about oncology medicine and much more. So if any of our listeners have an idea or a guest they would like for us to interview, please email us at education@asco.org. To stay up to date with the latest episodes and explore other educational content, visit ASCO's website at education.asco.org.   Thanks again for being our guest, Hy.  Dr. Hyman Muss: My pleasure. Thank you so much. 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.  

In this episode, the hosts interview Janice Goldman, a gerontology consultant, about navigating through geriatric care issues with aging parents. Janice talks about her background and training in gerontology and her goal of creating the highest quality of life possible for her clients. She also shares her personal experience as a caregiver for her parents who both had Alzheimer's disease, with her father passing away recently.  The interview offers valuable insights and tips for those dealing with aging parents. [00:01:01] Geriatric care and consulting.  [00:06:31] Long-distance caregiving.  [00:09:31] Estate planning checklist.  [00:12:15] Estate planning and organization.  [00:16:37] Letting go of possessions.  [00:23:56] Government programs for eldercare.  [00:24:16] Aging and financial considerations.  [00:29:18] Long term care insurance.  [00:32:21] Long-term care insurance.  [00:36:09] Doctor-patient relationships.  [00:39:20] Patient-Doctor Communication.  [00:44:15] Fears and concerns of aging.  [00:48:06] Caring for parents with dementia.  [00:55:00] Infantile reflexes in dementia.  [00:55:50] Grieving multiple losses. [01:02:19] Talk about everything.  [01:04:22] Preventing falls and staying safe.  [01:08:39] Normalizing end-of-life conversations. Links! Janice is in the process of creating programs and resources for her audience. Keep in touch via her website at www.talkaboutaging.com  FB @Janicecanhelp LI @janicegoldmintz Our Advice! Everything in this podcast is for educational purposes only. It does not constitute the practice of medicine and we are not providing medical advice. No Physician-patient relationship is formed and anything discussed in this podcast does not represent the views of our employers.  The Fine Print! All opinions expressed by the hosts or  guests in this episode are solely their opinion and are not to be used as specific medical advice.  The hosts,  May and Tim Hindmarsh MD, BS Free MD LLC, or any affiliates thereof are not under any obligation to update or correct any information provided in this episode. The guest's statements and opinions are subject to change without notice. Thanks for joining us! You are the reason we are here.  If you have questions, reach out to us at doc@bsfreemd.com or find Tim and I on Facebook and IG. Please check out our every growing website as well at  bsfreemd.com (no www)  GET SOCIAL WITH US! Website: bsfreemd.com Rumble: https://rumble.com/search/video?q=bsfreemd Instagram:: https://www.instagram.com/bsfreemd/ Facebook: https://www.facebook.com/bsfree Coming Soon: YouTube Channel!

In this Better Edge podcast episode, Anna Liggett, MD, and Alexandra Petrakos, MD, both assistant professors of Internal Medicine and of Geriatrics at Northwestern Medicine, discuss the importance of patient-centered care and "What Matters Most" in geriatric medicine. Their conversation focuses on the five M's of age-friendly health care: medications, mentation, mobility, multi-morbidity and what matters most. Dr. Petrakos and Dr. Liggett share their research methods and findings, including survey responses from patients who were in a skilled nursing facility in the last six months.

The COVID-19 pandemic caused hospitals to rethink how and where they offered care to their patients. What if you could receive the same high-quality care you'd expect from a stay at the hospital in your own home? VCU Health specialist, Dr. Julia Breton, is here today to tell us more about their Home Hospital services - the first hospital-at-home program in central Virginia.

This week we answer questions about friends who are fading away and claiming boundaries, the guilt of having elders that need care, and how to deal with a phobia of snakes. Listen ad-free, get the show a day early and enjoy the pre-show hang out on the same app you're using RIGHT NOW at www.Patreon.com/Therapy where you can also access our vast library of deep dives, interviews, skill shares, reviews and rants as well as our live discord chat!Interested in Nick's mental health approach to fitness? Check out www.MentalFitPersonalTraining.comCheck out Dr. Jim's book "Dadvice: 50 Fatherly Life Lessons" at www.DadviceBook.comGrab some swag at our store, www.PodTherapyBaitShop.comSubmit questions to:www.PodTherapy.netPodTherapyGuys@gmail.comFollow us on Social Media:www.Facebook.com/PodTherapywww.Instagram.com/PodTherapyGuyswww.Twitter.com/PodTherapyGuysResources:Suicide Prevention Lifeline - 1-800-273-8255.Veterans Crisis Line - 1-800-273-8255.Substance Abuse & Mental Health Services Administration (SAMHSA) National Helpline - (1-800-662-HELP (4357)OK2Talk Helpline Teen Helpline - 1 (800) 273-TALKU.S. Mental Health Resources Hotline - 211

Do you have guilt because you go home at night while your spouse is living in a long term care facility? Are you afraid to want to live your best life because someone you love is no longer on that journey with you? In this episode, we are joined by Adrianne Cordero, a care manager with Viera Health & Rehabilitation. She is able to share her patient experiences and resources that are so very important to provide you with the tools you need, empowering you to live your best life. Not only will you want to live your best life, but the best of you is just what your loved one needs.  SeniorLivingGuide.com Podcast sponsored by Parrish Healthcare/Parrish Medical CenterThe background music is written, performed and produced exclusively by purple-planet.com.https://www.purple-planet.com/*SeniorLivingGuide.com Webinars and Podcast represents the opinions and expertise of our guests. The content here is for informational and educational purposes. It does not necessarily represent the views, recommendations, opinions or advice of Fairfax Publishing/SeniorLivingGuide.com or its employees

In this two part interview, Dr. Gammon Earhart, PT, PhD, Director of the Program in Physical Therapy at Washington University in St Louis and Dr. Steven Ambler,  PT, DPT, PhD, MPH, Associate Director of Professional Curriculum in Physical Therapy at Washington University in St Louis revist the HET Podcast to once again discuss the competency-based curriculum, and the lessons they have learned along the way, and more, with host Dr. F Scott Feil. Biography: Dr. Gammon Earhart, PT, PhD, is a physical therapist and neuroscientist whose work focuses on the neural control and rehabilitation of movement, particularly gait and balance, in Parkinson disease. Dr. Earhart completed her physical therapy training at Arcadia University, her PhD at Washington University in St. Louis and a postdoctoral fellowship at Oregon Health & Science University. She is currently Professor of Physical Therapy, Neuroscience, and Neurology at Washington University School of Medicine, where she also serves as the Director of the Program in Physical Therapy at Washington University in St Louis. As director of the program in physical therapy, Dr. Earhart oversees the education, practice, and research missions of the program. She is past President of the American Physical Therapy Association Section on Research. Dr. Earhart has authored over 100 scientific publications and garnered grant support for her research from many sources including the National Institutes of Health, Parkinson's Disease Foundation, American Parkinson Disease Association and Davis Phinney Foundation. Dr. Earhart's research on the benefits of dance for people with PD has been featured in the New York Times, in Oliver Sacks' book Musicophilia, on National Public Radio, and in numerous other media outlets. Gammon's achievements have also been recognized by various honors including the Outstanding Faculty Mentor Award from Washington University in St. Louis, the Friedman Award for Outstanding Contributions to the Advancement of Geriatric Care, the Arcadia University Alumni Achievement Award, and the Eugene Michels New Investigator Award from the American Physical Therapy Association. If you would like to reach out to Dr. Gammon Earhart, please feel free to do so via: Email. Dr. Steven Ambler, PT, DPT, PhD, MPH, CPH, OCS is the Associate Director of Professional Curriculum in Physical Therapy and Associate Professor of Physical Therapy & Orthopaedic Surgery at Washington University in St Louis. Dr. Ambler received his Doctorate of Physical Therapy from Washington University in St Louis in 2005, his Master's of Public Health in 2014 and PhD in Higher Education in 2016 from University of South Florida. Dr. Ambler is actively involved in the American Physical Therapy Association, American Educational Research Association, and Federation of State Boards of Physical Therapy. Dr. Ambler's research interests are focused on access and affordability in higher education. Specifically, the return on investment in academic physical therapy. Dr. Ambler has received the Dean's Teaching Award from the Morsani College of Medicine at the University of South Florida and the Emerging Leader Award from the American Physical Therapy Association. If you would like to reach out to Dr. Steven Ambler, please feel free to do so via: Email and Twitter Resources Mentioned: Washington University in St Louis Program in Physical Therapy HET Podcast - March 2, 2020 - (Part 2) Competency Based Curriculum in DPT Education (Featuring Drs. Gammon Earhart & Steven Ambler) HET Podcast - February 29, 2020 - (Part 1) Competency Based Curriculum in DPT Education (Featuring Drs. Gammon Earhart & Steven Ambler) Special thanks to our sponsor, The NPTE Final Frontier, www.NPTEFF.com, and if you are taking the NPTE or are teaching those about to take the NPTE, use code "HET" for 10% off all purchases at the website...and BREAKING NEWS!!!! They now have an OCS review option as well... You're welcome! You can also reach out to them on Instagram Feel free to reach out to us at:  Website  |  Facebook | Twitter |  Youtube Instagram: HET Podcast  | Dawn Brown | F Scott Feil | Dawn Magnusson | Farley Schweighart | Mahlon Stewart | Lisa Vanhoose For more information on how we can optimize and standardize healthcare education and delivery, subscribe to the Healthcare Education Transformation Podcast on Apple Podcasts or wherever you listen to podcasts.

In this two part interview, Dr. Gammon Earhart, PT, PhD, Director of the Program in Physical Therapy at Washington University in St Louis and Dr. Steven Ambler,  PT, DPT, PhD, MPH, Associate Director of Professional Curriculum in Physical Therapy at Washington University in St Louis revist the HET Podcast to once again discuss the competency-based curriculum, and the lessons they have learned along the way, and more, with host Dr. F Scott Feil. Biography: Dr. Gammon Earhart, PT, PhD, is a physical therapist and neuroscientist whose work focuses on the neural control and rehabilitation of movement, particularly gait and balance, in Parkinson disease. Dr. Earhart completed her physical therapy training at Arcadia University, her PhD at Washington University in St. Louis and a postdoctoral fellowship at Oregon Health & Science University. She is currently Professor of Physical Therapy, Neuroscience, and Neurology at Washington University School of Medicine, where she also serves as the Director of the Program in Physical Therapy at Washington University in St Louis. As director of the program in physical therapy, Dr. Earhart oversees the education, practice, and research missions of the program. She is past President of the American Physical Therapy Association Section on Research. Dr. Earhart has authored over 100 scientific publications and garnered grant support for her research from many sources including the National Institutes of Health, Parkinson's Disease Foundation, American Parkinson Disease Association and Davis Phinney Foundation. Dr. Earhart's research on the benefits of dance for people with PD has been featured in the New York Times, in Oliver Sacks' book Musicophilia, on National Public Radio, and in numerous other media outlets. Gammon's achievements have also been recognized by various honors including the Outstanding Faculty Mentor Award from Washington University in St. Louis, the Friedman Award for Outstanding Contributions to the Advancement of Geriatric Care, the Arcadia University Alumni Achievement Award, and the Eugene Michels New Investigator Award from the American Physical Therapy Association. If you would like to reach out to Dr. Gammon Earhart, please feel free to do so via: Email. Dr. Steven Ambler, PT, DPT, PhD, MPH, CPH, OCS is the Associate Director of Professional Curriculum in Physical Therapy and Associate Professor of Physical Therapy & Orthopaedic Surgery at Washington University in St Louis. Dr. Ambler received his Doctorate of Physical Therapy from Washington University in St Louis in 2005, his Master's of Public Health in 2014 and PhD in Higher Education in 2016 from University of South Florida. Dr. Ambler is actively involved in the American Physical Therapy Association, American Educational Research Association, and Federation of State Boards of Physical Therapy. Dr. Ambler's research interests are focused on access and affordability in higher education. Specifically, the return on investment in academic physical therapy. Dr. Ambler has received the Dean's Teaching Award from the Morsani College of Medicine at the University of South Florida and the Emerging Leader Award from the American Physical Therapy Association. If you would like to reach out to Dr. Steven Ambler, please feel free to do so via: Email and Twitter Resources Mentioned: Washington University in St Louis Program in Physical Therapy HET Podcast - March 2, 2020 - (Part 2) Competency Based Curriculum in DPT Education (Featuring Drs. Gammon Earhart & Steven Ambler) HET Podcast - February 29, 2020 - (Part 1) Competency Based Curriculum in DPT Education (Featuring Drs. Gammon Earhart & Steven Ambler) Special thanks to our sponsor, The NPTE Final Frontier, www.NPTEFF.com, and if you are taking the NPTE or are teaching those about to take the NPTE, use code "HET" for 10% off all purchases at the website...and BREAKING NEWS!!!! They now have an OCS review option as well... You're welcome! You can also reach out to them on Instagram Feel free to reach out to us at:  Website  |  Facebook | Twitter |  Youtube Instagram: HET Podcast  | Dawn Brown | F Scott Feil | Dawn Magnusson | Farley Schweighart | Mahlon Stewart | Lisa Vanhoose For more information on how we can optimize and standardize healthcare education and delivery, subscribe to the Healthcare Education Transformation Podcast on Apple Podcasts or wherever you listen to podcasts.

In the September episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss medication for opioid use disorder as well as care for geriatric patients in the emergency department. As always, you'll hear about the hot topics covered in CDEM's regular features, including ectopic pregnancy in Clinical Pediatrics, occult talus fracture in Critical Cases in Orthopedics and Trauma, eye irrigation in The Critical Procedure, the community-acquired pneumonia in the Literature Review, and the importance of incidental findings in The Critical Image.

Meet Dr. George Hennawi, physician executive director of Geriatrics and Senior Services for MedStar Health. Caring for an elderly adult can be rewarding, but can come with many challenges. Caregiver burnout is common. So who is taking care of the caregiver? Learn more about how getting questions answered, explaining health conditions, and find resources can make a difference in the life of a caregiver. Go to MedStarHealth.org/SuccessfulAging  for more information about senior care.For interviews with Dr. George Hennawi, contact Debra Schindler, regional director of media & public relations: debra.schindler@medstar.net.

Ellen Douglas Alves sat with my family at a delicate point in the care for my now deceased mother and calmy offered insight and options to a family nearly paralyzed with sadness. She's part of a growing cadré of geriatric care managers who assist families who have very difficult decisions to make - love for a sick person, limited financial resources, lack of knowledge of options, the list goes on. With a rapidly aging society, demands for geriatric care managers are expected to soar. Meet Ellen Douglas, learn about her role as a "professional relative," and why you may need to reach out to someone like her some day.   Thanks to Show Sponsors: The Alabama Center for Real Estate (ACRE) Burr Forman Attorneys Angelo DePaola - The Coastal Connection Realty E3 Termite & Pest Control Allison Horner - State Farm Agent Trey Langus - Transworld Business Advisors Bud-Busch Distribution United Bank Persons Services Corps Roy Lewis Construction

In this podcast, Jonathan Appelbaum, MD, FACP, AAHIVS, summarizes the many medical challenges faced by aging people with HIV, including:Underrepresentation of older patients in medical researchConsequences of early experiences in the epidemic such as late HIV diagnosis and low CD4+ cell count nadir, incomplete or short-lived virologic suppression with early regimens, and toxicity associated with early antiretroviral agentsAdded challenges of multimorbidity and psychosocial challenges, especially mental health issues, loneliness, and social isolationThe need to provide care for the aging HIV population using a holistic approach Gaps in the current healthcare system in providing optimal care for aging people with HIVFaculty:Jonathan Appelbaum, MD, FACP, AAHIVSLaurie L. Dozier Jr, MD, Education DirectorProfessor of Internal MedicineChair, Department of Clinical SciencesFlorida State University College of MedicineTallahassee, FloridaLink to full program: https://bit.ly/3KkF4iZ

 On today's episode, I sit down with DeLon Canterbury, and we talk all things: ·      Geriatric Care ·      Benefits of working one on one with patients ·      Dealing with patient's primary care doctors GeriatRx is a pharmacist-led medication management company that focuses on helping overwhelmed caregivers stop their loved ones from being overmedicated using genetic-drug screening, deprescribing, and health cost savings strategies. We specialize in developing medication action plans for patients of all ages, but with a specialty in Geriatric care. Unlike your traditional pharmacist, we develop a three-month strategy to address overmedicated patients using a holistic and evidence-based approach in accordance with your prescriber so that there are no gaps in communication of care. Founder of the Deprescribing Accelerator, DeLon envisions all pharmacists and senior care providers as Deprescribing Advocates and coaches professionals how to integrate, leverage, and monetize Deprescribing into clinical practice! The Deprescribing Accelerator trains passionate nurses, pharmacists, and prescribers on how they can serve our overmedicated seniors by increasing your revenue's practice with referrals and a value-based, sustainable care model within your business.  Best way to schedule with DeLon is www.geriatrx.as.me  LinkedIn: https://www.linkedin.com/in/geriatrx/ is the best way to reach DeLon!

Quercetin phytosome reduced allergy symptoms in clinical trial University of Shizuoka (Japan), July 11 2022.  A randomized trial described in the European Review for Medical and Pharmacological Sciences revealed a decrease in seasonal allergy symptoms among men and women who were given quercetin, a flavonoid that occurs in fruits, tea, onions and herbs.  The trial included 60 participants who reported experiencing eye and nasal symptoms related to pollen or house dust exposure. Half of the participants received 200 milligrams quercetin phytosome (a food-grade bioavailable formulation of quercetin) and the remainder received a placebo daily for 4 weeks. Blood samples were analyzed for various factors and quality of life questionnaires that evaluated eye and nasal symptoms were administered before the treatment period and at 2 and 4 weeks.  At the end of the study, eye itching, sneezing, nasal discharge and sleep disorder scores, were significantly improved among participants who received quercetin in comparison with participants who received a placebo. Severity of sneezing, nasal discharge and disturbance of daily living were lower at the end of various time points among supplemented participants compared to the placebo group.    Kiwi fruit powder shows gut health benefits Medicus Research (New Zealand), July 10, 2022 Kiwifruit containing Zyactinase called Kivia may enhance bowel movement frequency and improve other symptoms of occasional constipation, say new data from a randomized clinical trial. A daily 5.5 gram dose of Kivia powder was associated with a reduction in abdominal pain and flatulence in subjects with occasional constipation, according to findings published in the Nutrition Journal . While the exact mechanism of action is still to be elucidated, researchers led by Dr Jay Udani at Medicus Research note that kiwifruit extract is rich in enzymes able to aid in digestion, as well as potential prebiotics which may enhance the growth of beneficial bacteria in the gut. “Improvements were noted in the number of bowel movements, with increased bowel movements in the group using the studied extract,” they wrote. “There were also improvements observed in bowel health and stool formation. “This suggests that Kivia powder improved bowel habits in this group of subjects.” Results showed that the Kivia group experienced significant increases in spontaneous bowel movements at every week, compared to data from the start of the study. Significant differences were also observed between the kiwifruit extract group and placebo at weeks 3 and 4.     Lifestyle may be more important than age in determining dementia risk: Study Baycrest Centre for Geriatric Care, July 13, 2022 Individuals with no dementia risk factors, such as smoking, diabetes or hearing loss, have similar brain health as people who are 10 to 20 years younger than them, according to a new Baycrest study. The study found that a single dementia risk factor could reduce cognition by the equivalent of up to three years of aging. "Our results suggest lifestyle factors may be more important than age in determining someone's level of cognitive functioning. This is great news, since there's a lot you can do to modify these factors, such as managing diabetes, addressing hearing loss, and getting the support you need to quit smoking," says Dr. Annalise LaPlume, Postdoctoral Fellow at Baycrest's Rotman Research Institute (RRI) and the study's lead author. The study is one of the first to look at lifestyle risk factors for dementia across the entire lifespan. The study, published in the journal Alzheimer's & Dementia: Diagnosis, Assessment, and Disease Monitoring, a journal of the Alzheimer's Association, included data from 22,117 people aged 18 to 89. The researchers looked at participants' performance on memory and attention tests, and how this was impacted by eight modifiable risk factors for dementia: low education (less than a high school diploma), hearing loss, traumatic brain injury, alcohol or substance abuse, hypertension, smoking (currently or in the past four years), diabetes and depression. Each factor led to a decrease in cognitive performance by as much as three years of aging, with each additional factor contributing the same amount of decline. For example, having three risk factors could lead to a decrease in cognitive performance equivalent to as much as nine years of aging. The effects of the risk factors increased with age, as did the number of risk factors people had.   Research shows that drinking Matcha tea can reduce anxiety Kumamoto University (Japan), July 9, 2022 Many different countries have a tea culture, and Japanese Matcha tea is growing in popularity around the world. A group of Japanese researchers from Kumamoto University has shown that anxious behavior in mice is reduced after consuming Matcha powder or Matcha extract. Its calming effects appear to be due to mechanisms that activate dopamine D1 receptors and serotonin 5-HT1A receptors, both of which are closely related to anxious behavior. Matcha is the finely ground powder of new leaves from shade-grown (90% shade) Camellia sinensis green tea bushes.  In Japan, historical medicinal uses for Matcha included helping people relax, preventing obesity, and treatment of skin conditions. The researchers, therefore, sought to determine its various beneficial effects. The "elevated plus maze" test is an elevated, plus-shaped, narrow platform with two walled arms that provide safety for the test subject, typically a mouse. It is used as an anxiety test for rodents with the idea that animals experiencing higher anxiety will spend more time in the safer walled-off areas. Using this test, researchers found that mouse anxiety was reduced after consuming Matcha powder or Matcha extract.    Spirituality linked with better health outcomes, patient care Harvard School of Public Health, July 13 2022 Spirituality should be incorporated into care for both serious illness and overall health, according to a study led by researchers at Harvard T.H. Chan School of Public Health and Brigham and Women's Hospital. "This study represents the most rigorous and comprehensive systematic analysis of the modern day literature regarding health and spirituality to date," said Tracy Balboni, lead author and senior physician at Harvard Medical School. "Our findings indicate that attention to spirituality in serious illness and in health should be a vital part of future whole person-centered care, and the results should stimulate more national discussion and progress on how spirituality can be incorporated into this type of value-sensitive care."  According to the International Consensus Conference on Spiritual Care in Health Care, spirituality is "the way individuals seek ultimate meaning, purpose, connection, value, or transcendence." This could include organized religion but extends well beyond to include ways of finding ultimate meaning by connecting, for example, to family, community, or nature.  According to the researchers, the simple act of asking about a patient's spirituality can and should be part of patient-centered, value-sensitive care. The information gleaned from the conversation can guide further medical decision-making, including but not limited to notifying a spiritual care specialist.  "Overlooking spirituality leaves patients feeling disconnected from the health care system and the clinicians trying to care for them," said Koh. "Integrating spirituality into care can help each person have a better chance of reaching complete well-being and their highest attainable standard of health."    Kids Who Play Sports Are Happier, Healthier Than Those Who Go Straight To Their Screens University of South Australia, July 11, 2022   Kids who go straight onto their screens after school are more miserable and feel less healthy than those who do homework or play outside, a new study reveals. Researchers from the University of South Australia say those who meet up with friends, practice sports, or take music lessons feel much better about themselves. They also found that kids didn't have to get out and exercise to feel more positive than those on screens, as doing their homework or reading also contributed to better well-being. The team analyzed data from 61,759 school students in fourth through ninth grade to see what they did between 3 p.m. and 6 p.m. each day. Results show most students watched TV about four days a week and spent time on social media about three times a week. Researchers measured the activities against well-being factors such as happiness, sadness, worry, engagement, perseverance, optimism, emotion regulation, and life satisfaction. Overall, the study found that children's well-being improves when they participate in extracurricular activities but drops when they spend time on social media or using screens. Lead researcher Dr. Rosa Virgara says the research highlights an acute need to encourage children to participate in activities and cut down on screen time. “Our study highlights how some out-of-school activities can boost children's well-being, while others – particularly screens – can chip away at their mental and physical health,” Virgara says in a university release. “Screens are a massive distraction for children of all ages. Most parents will attest to this. And whether children are gaming, watching TV or on social media, there's something about all screens that's damaging to their well-being.” The study, published in the journal BMC Pediatrics, shows that students in lower socioeconomic backgrounds who frequently played sport were 15 percent more likely to be optimistic, 14 percent more likely to be happy and satisfied with their life, and 10 percent more likely to be able to regulate their emotions.  

Geriatric patients make up a large portion of the people who come to the ER.  In this episode Kevin and Dr. Wolf talk about what to look for in geriatric patients and how not to kill grandma when she shows up in triage.  

We all remember learning about geriatric care in dental hygiene school. In school we most likely experienced a few geriatric cases but was that enough? Once we enter the real world of dentistry we have learned enough to get by but could we be better? That's where the brilliant Sonya Dunbar comes in. Sonya is a dental hygienist, national public speaker, and author. Sonya is the Co-Founder of the National Mobile and Teledentistry Conference and Co-Founder of the American Mobile and Teledentistry Alliance. Sonya takes us through her journey of finding her passion. She provides us with tips on providing exceptional geriatric care.  This episode will leave you with an overwhelming feeling of inspiration to improve your geriatric care. It will remind you of the importance of our role as dental hygienists. Sonya Dunbar has 30 years of experience and her passion can be felt throughout this episode. If you are looking to become a more well rounded dental hygienist this is your place! Connect with Sonya Dunbar: https://sonyadunbar.com/ Instagram: @geriatric_toothfairy Connect with me: Instagram: @brushwithbritt Want to be on an episode?  Send an email to brushwithbritt@gmail.com

There will come a time when the tables turn and suddenly the parent becomes the child and the child is caring for the parent. Actress Brandee Evans shares her very personal story of taking care of her mother who has multiple sclerosis. She's on the hit show P-Valley now, but she didn't have a job when her mother came to live with her in Los Angeles. Then Ali taps the expertise of Mary Hulme, a geriatric specialist who actually helped Ali and her siblings as they were navigating changes with their mother. Mary talks about how siblings can work together, the importance of maintaining dignity and why safety shouldn't necessarily be the main consideration.  If you have questions or guest suggestions, Ali would love to hear from you. Call or text her at (323) 364-6356. Or email go-ask-ali-podcast-at-gmail.com. (No dashes) Links of Interest: Brandee Evans shares her experience with her mom: Instagram: @therealbrandee Mary Hulme: www.moonstonegeriatric.com Multiple Sclerosis: The National MS Society https://www.weareillmatic.com A patient advocacy organization with a mission to redefine what “sick” looks like for Black women living with MS.  See omnystudio.com/listener for privacy information.