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Geriatrics

ReachMD

science & medicine medicine

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Issues in Long Term Care Medicine: Reaction from the...

Geriatrics ·

2009/06/18

Guest: Peter Hollmann, MD Guest: Ronald Crossno, MD Host: Eric Tangalos, MD Guest: Charles Cefalu, MD MS What are the most significant issues to be addressed in long term care medicine, and how will long term care medicine be affected by healthcare reform in the years ahead? Tune in to hear host Dr. Eric Tangalos reporting from the 2009 American Medical Association House of Delegates Meeting, where he is joined by Dr. Ronald Crossno, from the American Academy of Hospice and

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Test050709

Geriatrics ·

2009/05/07

Guest: Sandra Aamodt, PhD test

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New Successes with Gene Therapy

Geriatrics ·

2009/04/27

Guest: Savio Woo, PhD Host: Lee Freedman, MD Although gene therapy has encountered a few significant setbacks in its two-decade history, it has recently demonstrated several notable successes. What conditions have been successfully treated with gene therapy, and might gene therapy some day be used to treat cancer? What are some of the obstacles we face with gene therapy? Dr. Savio Woo, professor and founding chairman of the department of gene and cell medicine at the Mount Sinai

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Growing Prevalence of Asthma in Seniors

Geriatrics ·

2009/04/23

Guest: Richard deShazo, MD Host: Lee Freedman, MD When older patients present with shortness of breath or fatigue, physicians may test for heart failure. Asthma is another diagnosis to consider, since a growing number of seniors have the condition. Dr. Richard deShazo, the Billy S. Guyton Distinguished Professor and professor of medicine and pediatrics at the University of Mississippi Medical Center, explains how older patients often experience asthma symptoms differently than

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Young Doctors in Love with Long Term Care

Geriatrics ·

2009/03/25

Guest: Cari Levy, MD Host: Eric Tangalos, MD A growing number of young physicians are choosing to work in long term care medicine— a specialty in which high job satisfaction isgenerallyreported. Dr. Cari Levy, assistant professor and director of palliative care at the Denver Veterans' Affairs Medical Center, tells host Dr. Eric Tangalos what she finds most appealing about working in long term care medicine. They take a wide-angle look at the field, from how physicians working

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The Culture Change Model in Long Term Care Medicine

Geriatrics ·

2009/03/25

Guest: Karen Leible, MD, CMD Host: Eric Tangalos, MD Does the 'culture change' model at long term care facilities involve a simple re-design of aesthetics, or does this model encourage an entirely different way of structuring long term care? How challenging is it to implement a culture change, or patient-centered model, especially at facilities that have operated under a traditional model for decades? Dr. Karen Leible, chief clinical officer forPinon Management, along term care

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Researching Ways to Treat Aortic Stenosis

Geriatrics ·

2009/01/20

Guest: William Fearon, MD Host: Bruce Japsen Aortic stenosis is a disease that impacts heart valves but is often very difficult to treat in elderly and very sick patients. Dr. William Fearon,assistant professor of cardiovascular medicine at the Stanford University School of Medicine,tells host Bruce Japsen about work being done to improve treatment for these difficult populations of patients.

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Working With Caregivers of Dementia Patients

Geriatrics ·

2009/01/07

Guest: Karen B. Hirschman, PhD, MSW Host: Susan Dolan, RN, JD Is there a best-practice approach to working with families of patients with dementia? Dr. Karen Hirschman, research assistant professor in the department of nursing and a fellow at the Institute on Aging in the Department of Medicine at the University of Pennsylvania joins host Susan Dolan, RN to discuss many aspects of caring for patients with dementia in the hospital and at home. She also shares the progress of the

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Why I See Only Nursing Home Patients: A Doctor's...

Geriatrics ·

2008/12/17

Guest: Gregory Zydiak, MD Host: Eric Tangalos, MD There are quite a few misconceptions about long term care and geriatric medicine. Many young physicians shy away from long term care medicine because they fear they won't be able to make enough money, or that they will burn out quickly. But Dr. Gregory Zydiak, medical director of a skilled nursing facility in Saint Louis, thinks the opposite is true. He believes long-term care medicine is a fruitful, rewarding and challenging

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How Do We Assess Long Term Care Facilities?

Geriatrics ·

2008/12/17

Host: Eric Tangalos, MD Guest: Charles Crecelius, MD, PhD There are many different types of long term care facilities, including nursing homes, skilled nursing facilities and assisted living facilities. Dr. Charles Crecelius, clinical instructor of internal medicine and geriatrics at Washington University School of Medicine in St. Louis, explains the services these different facilities provide, and offers some suggestions to physicians about ways to assess long-term care

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Communicating With Families: Maintaining Realistic...

Geriatrics ·

2008/12/17

Guest: David Brechtelsbauer, MD Host: Eric Tangalos, MD When meeting a patient's family for the first time, what information should physicians be prepared to provide, and how can physicians best address the family's expectations? What are the goals of the family meeting that should be addressed? Dr. David Brechtelsbauer, associate professor of family medicine at the University of South Dakota School of Medicine, offers some communication tips for the first visit physicians have

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Understanding and Treating Chronic Constipation

Geriatrics ·

2008/12/16

Guest: David Peura, MD Host: Mark DeLegge, MD Constipation is a common symptom that presents more often in women and as patients get older. What are the primary and secondary causes of chronic constipation? What are some of the differentiating factors between chronic constipation and IBS-C? Dr. David Peura, professor of medicine at the University of Virginia School of Medicine, joins host Dr. Mark DeLegge to discuss algorithms for diagnosing chronic constipation. When are lifestyle

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Considerations in Treating Delirium

Geriatrics ·

2008/12/16

Guest: William Smucker, MD, CMD Host: Eric Tangalos, MD Delirium often goes unrecognized, even though it is a common condition in long-term care facilities. How can we be vigilant to the symptoms that might suggest dementia? Are patients with dementia most susceptible to developing delirium? What other conditions or medications might put patients at risk for developing delirium? Host Dr. Eric Tangalos welcomes Dr. William Smucker, professor of family medicine at Northeastern Ohio

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Physician Workforce Issues in the Nursing Home

Geriatrics ·

2008/12/16

Guest: Paul Katz, MD Host: Eric Tangalos, MD How can we address the shortage of physicians in nursing homes, and how does this relate to the broader issue of dwindling primary care physicians nationwide? Dr. Eric Tangalos addresses this topic with Dr. Paul Katz, professor of medicine at the University of Rochester School of Medicine and Dentistry in upstate New York. What are the advantages to working as a physician in a nursing home? Will a nursing home specialist model be likely

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Genetic Risk Factors of Age-Related Macular...

Geriatrics ·

2008/11/17

Host: Roy Levit, MD Guest: Albert O. Edwards, MD, PhD Geneticists think of age-related macular degeneration (AMD) as a complex trait in which multiple environmental and epidemiological risks combine to cause the disease. Dr. Albert O. Edwards is a consultant and an opthalmologist at the Mayo Clinic in Minnesota, discusses with host Dr. Levitt the genetic approach for identifying biological pathways involved in the disease, and explains how to interpret the genetic studies. Dr

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The Genetics of Methuselah

Geriatrics ·

2008/11/12

Guest: Nir Barzilai, MD Host: Maurice Pickard, MD What is the role of insulin growth factor in longevity? Dr. Nir Barzilai, director of the Institute for Aging Research at the Albert Einstein College of Medicine and chaired professor of medicine and molecular genetics, speaks about changes in insulin-like growth factor pathways in relation to longevity. The genotype of exceptional age is also associated with improved cognitive function.

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The Underpinnings of Exceptional Longevity

Geriatrics ·

2008/11/12

Guest: Nir Barzilai, MD Host: Maurice Pickard, MD What does the latest research tell us about longevity? Dr. Nir Barzilai, director of the Institute for Aging Research at the Albert Einstein College of Medicine and chaired professor of medicine and molecular genetics, discusses the development of a study in a homogenous founder population in order to identify the biological and genetic underpinnings of exceptional longevity. The genotype and associated phenotype may modulate aging

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Studying Our Aging Population to Improve Healthcare

Geriatrics ·

2008/11/10

Guest: William Hall, MD Host: Maurice Pickard, MD Dr. William Hall, director of the Center for Healthy Aging at Highland Hospital in Rochester, New York, discusses with host Dr. Maurice Pickard the unprecedented increase in members of our population age 85 and older, and the role this may play in exceptional longevity. We know more today than we ever have before about disease factors that cause disability and frailty, such as depression, neuromuscular stability, cognitive status

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Diagnosing Self-Neglect in the Elderly

Geriatrics ·

2008/10/24

Guest: Lisa Gibbs Host: Susan Dolan, RN, JD How is self-neglect defined and how prevalent is it in the elderly population? Dr. Lisa Gibbs, professor in the department of family medicine at the University of California, Irvine School of Medicine, defines self-neglect and explains why it is a geriatric syndrome. She describes how to conduct a comprehensive assessment for self neglect, and discusses the relevant research. Hosted by Susan Dolan.

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Evaluating Elder Competency and Elder Abuse

Geriatrics ·

2008/10/24

Guest: Lisa Gibbs Host: Susan Dolan, RN, JD Dr. Lisa Gibbs, associate professor in the department of family medicine at the University of California, Irvine School of Medicine, describes the different types of elder abuse and who is most vulnerable. She explains how physicians evaluate mental capacity and the difference between capacity and competency. She also discusses the latest research in elder abuse. Hosted by Susan Dolan.

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