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The Big Picture: Elderhood Part 2

Louise Aronson MD MFA and Neda Frayha, MD
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For most of us, people over the age of 65 make up a huge portion of the patients we see and the energy we pour into clinical care. And yet most of us receive woefully inadequate training to provide the best care for these patients and to overcome structural, systemic biases against the elderly. In this special conversation, Neda sits down with Dr. Louise Aronson, geriatrician and Professor of Medicine at UCSF and author of the fantastic book Elderhood to learn more about how we can take better care of our over-65 patients.

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Stephen P. -

What a privilege to listen to Dr Aronson! Thank you Primary Care Rap for hosting her. This stimulated so many questions such as cancer care in the geriatric patient. It is very difficult to know if oncologist is really informing patient of the pro's and con's of treatment and outside of my expertise to advise. What are more specific guidelines on stopping screening, immunizations, etc? Maybe a return visit or topic for future?

Neda F., MD -

Thank you so much, Stephen! Isn't Dr. Aronson amazing? I asked her your question, and here's her response:

"Agree it's hard to advise and I think we PMDs can really help by defining the patients goals, priorities and values, and by asking whether the outcomes the oncologist is promising are derived from studies that included people of the patient's age and functional status. For screening, we tend to divide people into risk/approach groups according to health status, functional status, likely life expectancy, and personal preferences. Those factors really help in determining risks and benefits. Happy to discuss more!"

Hope this helps. Thanks for writing in! -- Neda

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Hippo Primary Care November 2020 Written Summary 254 KB - PDF

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