Podcasts about geriatricians

Geriatricians are doctors that specialize in providing medical care for older adults. They start by assessing the person to find out what medical conditions they may have. They also review their medications and care needs. They then make suggestions for care options and services in the community. There are many reasons someone should see a geriatrician such as a change in their ability to move around (walk etc.), an increase in falling or a change in their thinking skills. Geriatricians are also crucial members of our provincial health care team. In this episode of the DocTalks Podcast, host Ian Gillespie interviews St. Joseph's President and CEO Roy Butler and Chief of Geriatrics Dr. Sheri-Lynn Kane to understand when people should seek geriatric care and what St. Joseph's is doing to prepare for the tsunami of older adults needing health care.  For more information visit www.sjhc.london.on.ca/podcast or follow us on Twitter @stjosephslondon. Brought to you in partnership with St. Joseph's Health Care Foundation.Note: The content of St. Joseph's DocTalks Podcasts is for informational purposes only. The material is not intended for and should not be used as a substitute for direct medical advice from a licensed health care practitioner.Produced by The Pod Cabin and Kelsi Break Help a Patient Who Can't Go Home for the Holidays!Season of Celebration began with a single question from the care-giving team, "How can we make Christmas a little brighter for those in our care, who can't go home for the holidays?" What began as a single wish, has now become a beloved community campaign in support of St. Joseph's mission of care. Did you know there are more than 1,000 inpatient beds at St. Joseph's? We are a home for Veterans, residents in our long-term care facility, people in our mental health program and those requiring specialized care. Many of these people will not have the option of leaving our care to visit family over the holidays.Your gift to Season of Celebration will support the purchase of care and comfort items that make a hospital feel more like home — everything from accessible furniture and exercise equipment to blanket warmers and interactive technology that keeps those in hospital connected to the outside world.

We've talked at length on prior podcasts about the failures of aducnumab, Biogen, and the FDA's decision to approve it.   But wait, there's a shiny new anti-amyloid drug, lecanemab!  (No it's not just the French version of Aducanumab).   In an article in the NEJM (a published article this time, wonder of wonders!) lecanemab was shown to slow the rate of cognitive decline by 0.45 points on an 18 point cognitive scale compared to placebo.  Wow!  Wow?  Wait, what?   On today's podcast we talk with Jason Karlawish, who we've had on previously talking about his book The Problem of Alzheimer's and with Aaron Kesselhim, to discuss FDA approval of Aducanumab, as well as frequent guest and host Ken Covinsky.   They debate today's central question: is it time for geriatricians to get on board with lecanemab?  Along the way we address: Is this degree of slowed cognitive decline meaningful to patients or care partners? What about the burdens, risks, and harms? Every 2 week visits for infusions, regular monitoring for brain swelling and bleeding, case report level risk of death? Did the study do enough to address issues of inclusion and diversity by age, race and ethnicity, and multimorbidity? What does this study say about the amyloid hypothesis? Should the FDA approve, and under what conditions? Their answers may surprise you.   As a preview of final thoughts at the end of the episode, Ken and Jason agree that the FDA should approve lecanemab conditional on a post-approval monitoring system and public access to study data, geriatricians should be prepared to have thoughtful conversations with patients about the risks and benefits of lecanemab in view of their values and priorities, and ultimately, that geriatricians should be open to prescribing it.  Wow! The times, they are a changin. -@AlexSmithMD 

In this episode we sit down with the Chief of Trauma, Surgical Critical Care, Burns,  & Acute Care Surgery at the University of Arizona, Dr. Bellal Joseph, who share with us his thoughts and research findings on hot topics including frailty, geriatric trauma, leadership, and more.Timestamps:00:12  Introductions01:30  What is frailty? Your physiologic NOT chronologic body.06:58  Injured elderly trauma patients can have good outcomes07:30  Trauma specific frailty index10:48  Failure to rescue13:57  Geriatricians and the trauma surgeons 15:08  4Ms-What Matters, Mobility, Mentation, Medication16:48  Geriatric cohorting/wards22:24  ACS geriatric centers of excellence 29:35  Brain Injury Guidelines (BIG)38:17  The importance of teamwork & servant leadership40:28  Imposter syndrome43:19  Leadership considerations45:25  Final thoughtsReferences:Joseph B, Friese RS, Sadoun M, Aziz H, Kulvatunyou N, Pandit V, Wynne J, Tang A, O'Keeffe T, Rhee P. The BIG (brain injury guidelines) project: defining the management of traumatic brain injury by acute care surgeons. J Trauma Acute Care Surg. 2014 Apr;76(4):965-9. doi: 10.1097/TA.0000000000000161. PMID: 24662858.Joseph B, Obaid O, Dultz L, Black G, Campbell M, Berndtson AE, Costantini T, Kerwin A, Skarupa D, Burruss S, Delgado L, Gomez M, Mederos DR, Winfield R, Cullinane D; AAST BIG Multi-institutional Study Group. Validating the Brain Injury Guidelines: Results of an American Association for the Surgery of Trauma prospective multi-institutional trial. J Trauma Acute Care Surg. 2022 Aug 1;93(2):157-165. doi: 10.1097/TA.0000000000003554. Epub 2022 Mar 28. PMID: 35343931.vJoseph B, Pandit V, Haider AA, Kulvatunyou N, Zangbar B, Tang A, Aziz H, Vercruysse G, O'Keeffe T, Freise RS, Rhee P. Improving Hospital Quality and Costs in Nonoperative Traumatic Brain Injury: The Role of Acute Care Surgeons. JAMA Surg. 2015 Sep;150(9):866-72. doi: 10.1001/jamasurg.2015.1134. PMID: 26107247.Joseph B, Pandit V, Sadoun M, Zangbar B, Fain MJ, Friese RS, Rhee P. Frailty in surgery. J Trauma Acute Care Surg. 2014 Apr;76(4):1151-6. doi: 10.1097/TA.0000000000000103. PMID: 24662884.Orouji Jokar T, Ibraheem K, Rhee P, Kulavatunyou N, Haider A, Phelan HA, Fain M, Mohler MJ, Joseph B. Emergency general surgery specific frailty index: A validation study. J Trauma Acute Care Surg. 2016 Aug;81(2):254-60. doi: 10.1097/TA.0000000000001120. PMID: 27257694.Support the show

Paula Lester, MD, FACP, Chair of the NYACP Geriatrics Task Force wished for Geriatricians to have a seat at the table with decision makers.  Through patience, perseverance, and building relationships, the Task Force is elated to announce that they now have an NYACP representative on the NYS Re-imagining Long Term Care Task Force.  What did it take?  How did it feel when the bill was signed?  What's next?  Find out more from an exuberant Dr. Lester.  Her energy is contagious!

Bobbi & Mike talk with Geriatrician and Primary Care Physician, Dr. Aaliya Amer. A caregiver for both her grandmother and mother with dementia, Dr. Amer understands the needs of her patients and those who are caring for them. From understanding family traditions and customs to balancing quality of life and safety, she believes Geriatricians should take the whole person into consideration as they provide treatment for patients with dementia. This conversation opens our eyes to the importance of taking a holistic approach to caregiving and how incorporating the insights of a specialist can be so beneficial in your decision-making.  Don't forget to follow, download, and review to share your thoughts about the show! To find out more about Bobbi and Mike or the inspiration behind this podcast, Rodger That, head over to rodgerthat.show. ***************************************** Rodger That is produced by Missing Link—a podcast media company that is dedicated to connecting people to intelligent, engaging and informative content. Also in the Missing Link line-up of podcasts is The Designated Drinker Show —a high-spirited show featuring craft cocktails and lively banter with the people who create (and quaff) them. Now, if you are looking for a whole new way to enjoy the theatre, check out Between Acts—an immersive audio theatre podcast experience. Each episode takes you on a spellbinding journey through the works of newfound playwrights—from dramas to comedies and everything in between.

Despite an ever-aging population, the number of geriatricians has steadily decreased.    Geriatricians are needed in hospitals, in nursing homes, long-term care facilities, primary care, and more.   During the Covid-19 pandemic, nursing homes received some additional attention, but more work needs to be done, and it must continue after the pandemic is gone.   We talked to geriatrician Dr. Asif Merchant about: What's leading to the shortage of geriatricians  What it was like working in nursing homes during the covid-19 pandemic Challenges nursing homes face The importance of the patient-doctor relationship His story of becoming a geriatrician The importance of patients clearly sharing their wishes Message to his patients and fellow medical colleagues   Dr. Asif Merchant is the Chief of Geriatrics at Newton-Wellesley Hospital, Chair of the Geriatrics Committee for Mass Medical Society, and is an Associate Clinical Professor at Tufts University.   He works with the elderly population in both hospitals and nursing homes.    Connect with Dr. Asif Merchant: https://www.linkedin.com/in/asif-merchant-md/    Topical time codes:  00:47 - Working in nursing homes during covid 1:57 - Covid, one year later 3:43 - Challenges nursing homes face 5:54 - Funding for nursing homes 6:50 - Shrinking number of geriatricians 9:18 - Becoming a geriatrician  10:38 - Advocating for geriatrics though professional societies 13:13 - Growth of hospitalists & decline of geriatricians  15:04 - What others don't know about being a geriatrician 17:26 - Relationship with patients  19:53 - Importance of communication 25:15 - Future of nursing homes - funding & collaboration  27:22 - Message to families  28:25 - Message to medical colleagues ____________ AiRCare Health is a supporter of the Speaking Of, Making Healthcare Work show.  The Making Healthcare Work for You mission, interviews, and other content is not influenced or directed by any supporter. About AiRCare Health: https://aircarehealth.com We envision a world where the emotional and mental wellbeing of individuals is seen as the most important component of overall health. No individual will suffer in silence and every human being will receive the emotional tools and support they need to thrive.

With our rapidly aging society, there is a growing question around what it means to be geriatric and what will happen to each of us when we reach that stage in our lives. Dr. Michael Harper has had a long and satisfying career in the field of geriatric medicine and, in this episode, brings his expertise and knowledge to the discussion. Unlike a lot of other specialities, in many medical schools, there is no specific geriatric training, other than end of life care,  It is also a field of medicine that has many fellowship training spots unfulfilled each year. Therese Markow and Dr. Harper discuss why this may be, as well as the growing needs of geratric patients.       Key Takeaways: There are a lot of variations in how we age and every person is different. As we get older, those differences become more stark than when a person was younger. Those in the geriatric speciality, have one of the highest career satisfaction ratings in medicine.  Geriatricians know how to keep people out of the hospital, how to prevent unnecessary care, and more, if we give them the chance to share.    "We need to increase our exposure of young people, before medical school, to older adults." —  Dr. Michael Harper     Connect with Dr. G. Michael Harper: UCSF Profile: Michael Harper, MD   Book: Geriatrics Review Syllabus (10th Edition)     Connect with Therese: Website:   www.criticallyspeaking.net Twitter: @CritiSpeak Email: theresemarkow@criticallyspeaking.net     Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.      

A geriatrician is a physician who specializes in the care of older adults. These doctors monitor and coordinate treatment for ailments, disabilities, and medications their patients need, but also determine what’s most important for their well-being and quality of life. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/harrietcammock/message Support this podcast: https://anchor.fm/harrietcammock/support

Session 110 Geriatric medicine is both stimulating and satisfying for Dr. Shannon Tapia. We’ll talk about housecalls, mortality, and the importance of having a sense of humor. Meanwhile, be sure to check out all our other resources on Meded Media for more help as you journey along this awesome field of medicine! Listen to this podcast episode with the player above, or keep reading for the highlights and takeaway points. [01:20] Interest in Geriatrics Having a father who's a geriatrician was Shannon's first exposure to medicine. Growing up, medicine was different back then but she got to witness how it was being a physician. She liked the cognitive aspects of medicine. She could do procedures but she just never really got stoked about it. Being exposed to it early on and realizing how cognitively challenging geriatrics is, she was essentially drawn to it. Shannon compares geriatrics with being the Sherlock Holmes of doctors. Aside from a huge kinetic variability if they live long enough, they also have a lifetime of choices. With geriatric patients, many of them could be suffering from dementia and other cognitive issues, making it difficult for them to express how they feel. So geriatricians have to get a collaborative history from their family and know the environment.  Shannon finds this to be very interesting, challenging, and satisfying. Half the time, it's med side effects from the specialists. They throw a med at them which they should never have been on. You will also realize there's not an answer so you need to be working with the patient and their family. It basically covers all aspects of medicine. You have to be constantly thinking of options and navigate it with your patients and their families. [05:00] Types of Patients The majority of 30-50-year-olds are rare diagnoses but most of them present pretty similar cases. They come in and the doctor asks appropriate questions and they give an accurate history for the most part. This excludes people who are actively psychotic. In the older population, you have to expand your differential in what they say because a lot of things present differently. They have dampened immune systems. They have neuropathy and they don't feel pain in the same way. Until you spend a lot of time with your geriatric patients, it's hard to truly describe the extent of how different it is. You're essentially dealing with a variety of factors when you're trying to approach a problem. Then there are a lot more limitations on what the achievable goals are. So you have to reconcile those to arrive at a realistic outcome and that people can be comfortable with. [07:19] Traits that Lead to Being a Good Geriatrician Shannon says that having a healthy sense of humor is good. You have to be patient and not afraid to get into the thick of things. You never know what you're going to walk into half of the time. Don't take things too seriously otherwise you're going to end up missing what the patient really needs and that of their family. Being empathic and being comfortable with mortality are two other important traits of a good geriatrician. Shannon believes that if you're not someone who can stop doing things to people, you should not be a geriatrician. There's this mentality in medicine where doctors intervene when there's a problem and they're going to fix it. As patients get older, the only truth is we all die. There's always more we could do but you have to be able to step back. Think about the quality of life and prognosis for the patient if you did it. How would it look like not only after they recover but also in two years down the road? Essentially, you have to take it one patient at a time and take their goals and preferences at a time. Have your opinions but separate yourself from that. Moreover, there's a lot of misinformation even for geriatric patients and their families as to what's achievable in medicine. You have to get to know both the patient and their family. Be honest with them about what you think and whatever intervention they're considering. If it's a treatment situation, you have to be able to take their goals and translate what the realistic prognosis would be for them, knowing what their wishes are. That's not easy always because there's a lot of misinformation about what the medical community can achieve at a certain point." [11:00] A Typical Bread and Butter Day Shannon explains how geriatrics is struggling in terms of how they're under Medicare plans. But it's a cognitive field. It's not a procedure that they can always do and can rack up reimbursement for.  Especially if you're in private practice, it's really hard to pay off your student loans and do it well.  Unfortunately, there are very few private practice geriatricians anymore because it's tough and the pressures in the private practice world are hard. Not to mention that there are only a few great academic institutions that have great geriatric support programs.  Shannon describes her typical day as being different from an academician. It's basically different depending on what realm you practice in. If you're in academic geriatrics, you're going to do a mixture of geriatric consult service at a hospital you're affiliated with. You will be on service with heavy clinic and lots of didactics. It's hard for academic institutions to do long-term care providing. It's a whole different set of private regulations that tend to be challenging in an academic setting. As a private practice geriatrician, your day is variable depending on whether you're clinic-based or when you're doing house-based care. When Shannon's new job starts, her practice will be in one geographic area with the goal to see 10 patients a day. Four will be in one assisted living facility and the other four from another assisted living facility, and then two independent homes within the same geographic region. Moreover, Shannon has done some expert witness and chart reviews. There is so much chat vomit in terms of what they're required to put in the medical records. So much of it is just completely useless information. [14:50] Doing House Calls Before Shannon moved to Denver, she used to do direct primary care house calls. She was fortunate in her geriatrics fellowship to get good exposure to it. The problem with geriatric fellowships is they're hugely variable. Some are more research-focused, some are more clinical. Shannon did it for a year but it was clinically focused on every level.  While Shannon loved her fellowship training, she also saw how bad what you walk into could get. But part of why she loves doing this is that because of the patient population they serve. Just because you're Medicare age does not mean you need a geriatrician. It's really based on your physiology and the individual patients. Shannon explains that doing house calls could be best for the majority of the patients. This way, you also get to figure out what's going on with them. Whether it's physical debility or even a mile cognitive debility, getting them to the doctor is a huge deal. This also gives Shannon as their physician so much more information. Plus, the relationship you're able to build with them goes to another higher level. Being invited to their home, you kind of become part of their family. There is a much more intimate relationship with your patients. There is a lot more trust involved. Whereas just receiving patients in your clinic and you only have to go on the face with what they say that they're taking their medicines or they're eating. But it's different when you walk into their homes and see how they're taking their medications. So you get this unique perspective when you get to go to their home. [17:45] Work-Life Balance and Geriatrics Being a Low-Reimbursement Field Shannon says there's a potential to have a very good work-life balance as a geriatrician but it depends on how much money you need for your life balance. Again, it's a low-reimbursement field. So if you are one of those people that wants to take extravagant vacations, it is not for you. As a single mom and not having to be tied to an office, Shannon says this is really huge for her. When you're doing house calls or going to a long term care facility or nursing home, there's a timeframe. There's that flexibility of time that comes with having children but still being able to go out and do clinical work. The only challenge is the documentation requirements that put a lot of pressure on you so you end up taking more work home. Medicare sets the fees even for private insurances. So everything in medicine is all based on trying to figure out how much they're going to pay you and how many RVUs (relative value unit) you've got for a visit. The way the system works out is that time gets very few RVUs unless you do a ton of volume. But procedures get a ton. It's inherent that it's highly cognitive and diagnostic but it's not like you should be ordering tons of tests because usually, those tests are bad for the patients. People who do nursing home care sometimes do pretty well because they can do high volume as they're able to see a ton of people in one place.  Also, the reimbursement system is different in nursing homes than in an assisted living or even in house calls. In nursing home care, how reimbursement works is that it's not just face-to-face visits but it works like at a hospital where it's billed for all the time you spent on the patient. If you're in an outpatient clinic or in a house call, your time is all face-to-face time with them.  [21:35] The Training Path You can either do internal medicine or family practice to become a geriatrician. She was originally going to do internal medicine. Then she had great mentors in family medicine that told her that geriatrics is really an outpatient field and that if your patients are in the hospital, it's not good. Because of this, Shannon wanted to go to a field that emphasizes outpatient and she got a sense in medical school that family medicine did this. So she decided to do family medicine the last minute. After residency, you have to go through either a one or two-year fellowship thereafter. Whichever one you choose, you have to take both boards.  Since she did family medicine, she would have to take a family medicine board every ten years and the geriatrics board. She also has to do a ton of things that family medicine requires that are focused on peds and women's health, which are not related to what she's currently doing. In terms of subspecialty, there really isn't that much. You can do geriatrics/psychiatry but you would have to also go into psychiatry residency. [24:04] Bias Against DOs There is apparently no bias against DOs. Geriatricians are badly needed. Unfortunately, there are people who do fellowships just for filler because they can but they don't really have intention of really practicing the specialty. [25:33] Working with Primary Care and Other Specialties Shannon wishes to say to internal medicine and family medicine physicians that geriatrics is a specialty. This has been her biggest frustration with some family doctors. There are some that think that they've got it all and they don't need help from geriatricians. But they are trained to recognize a lot of things that can help their patients out. Geriatricians are very good at recognizing and helping treat dementia, Alzheimer's, and most vascular dementias.  They're actually better suited to treat it than neurologists because they are also generalists in the whole area. They're able to take a more big-picture approach. They can stay involved with the families and get them connected to the resources they need, more than just do a cognitive evaluation once a year and give them medicine. For family medicine or internal medicine physicians that have patients that are of the geriatric population or have geriatric syndromes such as Parkinson's disease and certain types of early-onset dementia, you would benefit from a geriatrician. Other specialties they work the closest with include cardiology, ophthalmology, and neurology, and gastroenterology. She also works with nephrology but not as much. They also work closely with trauma surgeons because so much of the geriatric trauma are related to unrecognized geriatric syndromes. Getting a geriatrician involved can medicate delirium and help the patients get on the right track. [30:30] Special Opportunities Outside of Clinical Medicine One opportunity is being an expert witness. Shannon only does defense. There's a lot of physicians, especially academic physicians that are on the plaintiff side. For instance, if a geriatric person had a fall in a nursing home and a bad outcome, the family goes and sues. So she does the defense and expert witness if she's asked to. [31:45] Most and Least Liked Things What Shannon wished she knew about the specialty that she knows now is that the system is not great for geriatric patients. And Shannon thinks it's even gotten a lot worse. If she had to do it all over again, she would still have gone into geriatrics. She just wished she had known how things would change in the system for the worse.  For her, it would have been easier to accept things if she knew about it going in, sort of like an informed consent process. Just like when she didn't know she had to take the family medicine boards every ten years that doesn't even apply to geriatric patients. So she was really frustrated about it. And had she known it, it would have been a different story. There's a disconnect between the general population's understanding of how the medical system works and how the system actually works. What she likes the most about being a geriatrician is the patient population. It's fun to be dealing with people. You get to know them and their families. She likes how these people have a lot of wisdom. If you go into it with a sense of humor, you can have a lot of fun with it. On the flip side, what she likes the least about her specialty is the system. She really believes how detrimental the system is to the patient population. It's a growing population and it's costly.  Eventually, she wants to get involved in advocacy for changing the system because she really doesn't think we can sustain the way we do things now. [37:08] Major Changes in the Field Shannon admits that she stopped subscribing to the Journal of American Geriatrics Society as she didn't see it necessary. She doesn't think there are major changes in the field but she hopes that there will be changes in terms of the system and Medicare.  On a side note, Shannon also does hospice, which a lot of geriatricians do because of a similar mentality. And she really hopes politics will recognize the need for qualified geriatricians. [39:15] Final Words of Wisdom It's one of the most fascinating medical fields you can go into. You have to constantly use your mind and be an expert at pharmacology and psychiatry in some ways. The physiology is fascinating as well as the pathophysiology. So if you love to think and you love relationships, it's a great field for you.  But be aware that everybody is different in terms of their student debt burden and the kind of support systems. That being said, it's not the field that's going to make you the most money the fastest. Links: Meded Media

Geriatrician: Why? A Geriatrician is much more than a physician who simply cares for old people. Geriatricians must, above all, have a genuine fondness for the elderly, and a deep and widening knowledge of the problems they face. Diane’s special guest this week, Dr. Laurie Jacobs, President of the American Geriatric Society is

Geriatric psychiatry returns. We tackle sleep problems and behavioral disturbances in patients with dementia with returning guest, and Geriatric Psychiatrist Dennis Popeo MD, Clinical Associate Professor of Psychiatry at NYU Langone Medical Center. Topics include: pharmacologic and nonpharmacologic management of insomnia; treating agitation and irritability; medical management of psychotic symptoms and paranoia; ethical concerns about the treatment of challenging behaviors in dementia; and the shortage of geriatricians and geriatric psychiatrists. Full show notes available at http://thecurbsiders.com/podcast. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com. Credits Written & Produced by: Jordana Kozupsky NP, Matthew Watto MD Artwork by: Kate Grant MD Hosts: Jordana Kozupsky NP, Matthew Watto MD Editor: Matthew Watto MD Guest: Dennis Popeo, MD Time Stamps 00:00 Intro and guest bio 01:55 Case of sleep disturbance in a patient with dementia; medications for sleep disturbances; nonpharmacologic strategies for sleep 11:32 Irritability and agitation versus paranoia, or psychotic symptoms; benzodiazepines in older adults 15:40 Antipsychotic medications, the black box warning and ethical concerns 23:50 Geriatricians, geriatric psychiatrists in short supply; Behavioral interventions 28:16 Outro Tags psychiatry, psych, geri, geriatrics, dementia, paranoia, psychosis, sleep, insomnia, agitation, antipsychotics, atypical, black, box, warning, adverse, zolpidem, benzodiazepine, side, effects, therapy, mirtazapine, gabapentin, assistant, care, doctor, education, family, FOAM, FOAMim, FOAMed, health, hospitalist, hospital, internal, internist, meded, medical, medicine, nurse, practitioner, professional, primary, physician, resident, student

Geriatricians naturally fit into the perioperative sphere. Shared decision making is an obvious aspect of this, as is preoperative assessment and the consideration of the risks and benefits of surgery. Also in this piece; when do you become geriatric? This piece is taken from a longer conversation to be found here: https://www.topmedtalk.com/rcoa-06-geriatric-care-and-the-value-of-teamwork/ Desiree Chappell and Monty Mythen interview their guest Dr Jugdeep Dhesi, Clinical Lead, POPS and Consultant Geriatrician, Guys and St Thomas’ NHS Trust. Join in the debate: contact@topmedtalk.com

Session 16.2: Frailty and ICU admission: a geriatricians viewpoint - Premila Fade, UK

Go to audibletrial.com/TUMS for a free 30-day trial membership and free audiobook! Help Ian get to 120 interviews! www.undifferentiatedmedicalstudent.com/suggestions Show notes! Dr. Brett Porter Dr. Porter is a geriatrician at Intermountain Senior Clinic in Salt Lake City, Utah. Dr. Porter completed his undergraduate degree in 2007 and his medical degree in 2012 both at the University of Vermont, as well as a masters certificate in gerontology in the intervening years at the University of Utah. He then completed an internal medicine residency at Loyola University in 2015, followed by a fellowship in geriatric medicine once again at the University of Utah. Dr. Porter is the recipient of the Southeast Center of Excellence In Geriatric Medicine Resident Award, given in recognition of excellence in and dedication to geriatric medicine. Dr. Porter’s clinical interests include dementia, end of life planning, and polypharmacy and limiting the use of prescribed medications in the elderly. In his free time, Dr. Porter enjoys Utah for the outdoor Mecca that it is, and his hobbies include mountain biking, skiing, backpacking, and canyoneering. Please enjoy with Dr. Brett Porter! Selected Show Notes New York Times article: Geriatricians as rare as the Central African okapi American Geriatrics Society. Simba at Pride Rock . The Alzheimer’s Association. Hearing aids that you can buy on Amazon. I forgot to ask about books :(

More than one in three Canadian Zoomers fill prescriptions for what are considered to be risky medications that researchers now believe should be avoided in patients over the age of 65.

eCareDiary will speak to Tom Edmondson, Physician Director, Ambulatory Solutions, Philips Hospital to Home about better managing patient care and using technology when faced with a shortage of geriatricians.

Pain is often under treated in older adults. This episode outlines the basics of pain and pharmacological measures. Presented by: Jo Preston & Iain Wilkinson, Geriatricians at Surrey and Sussex Healthcare NHS Trust. A BigFings Media Production - www.bigfings.com