The Big Picture: Facing Death with Dr. BJ Miller
From January 2021, Welcome, 2021!Why are we so afraid of death? What is the vicarious death bed test, and what role does love play? How can we help our patients face death on their own terms, and how can we all live our best lives beforehand? We ask these questions and more of Dr. BJ Miller, a palliative care specialist with …
25min 22BJ Miller MD and Neda Frayha, MD
Dizziness in the Older Adult
From December 2020, So Long, 2020Does it make you dizzy to hear a complaint of dizziness? Here, Michael Baca-Atlas will break down dizziness in the older adult with Family Medicine residency program director and expert in geriatrics, Dr. Mallory McClester Brown. We hope it helps your head stop spinning!
21min 40Mallory McClester Brown, MD and Michael Baca-Atlas, MD
The Big Picture: Elderhood Part 2
From November 2020, Respect Our EldersFor 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 …
19min 33Louise Aronson MD MFA and Neda Frayha, MD
The Big Picture: Elderhood Part 1
From November 2020, Respect Our EldersFor 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 …
22min 6Louise Aronson MD MFA and Neda Frayha, MD
Delirium: Part 1
From October 2020, SurvivorDelirium affects up to ⅓ of older patients in the hospital and is associated with significant morbidity and even mortality. How do we recognize it? Treat it? Better yet, prevent it? Geriatrician Dr. Jenny Litrivis sits down with Neda to help us provide better care to our patients at risk for …
19min 24Evgenia Litrivis MD and Neda Frayha, MD
Delirium: Part 2
From October 2020, SurvivorDelirium affects up to ⅓ of older patients in the hospital and is associated with significant morbidity and even mortality. How do we recognize it? Treat it? Better yet, prevent it? Geriatrician Dr. Jenny Litrivis sits down with Neda to help us provide better care to our patients at risk for …
15min 19Evgenia Litrivis MD and Neda Frayha, MD
Medicare Annual Wellness Visit
From August 2020, Faces and PlacesG codes and split billing and abbreviations, oh my! If the Medicare Annual Wellness Visit boils your brain, listen in as Neda and Dr. Jay-Sheree Allen break it down into a simplified checklist. •
28min 33Jay-Sheree Allen, MD and Neda Frayha, MD
Death Certificates
From June 2020, Cause of Death?Does the thought of completing a death certificate scare you half to death? In this month’s intro segment, Neda and Aisha get into the nitty gritty of how to accomplish this (sometimes) daunting task. •
15min 5Neda Frayha, MD and Aisha Lofters, MD
Wandering in Dementia
From May 2019, This Mailbag is About to Rupture!In this segment, Brandon Grove reviews the literature on wandering in patients with dementia and some innovative strategies to help keep these patients safe.
11min 7Brandon Grove, MD
Elder Abuse
From May 2018, The Buzz That Won't QuitElder abuse affects approximately 1 in 10 people and is associated with increased morbidity, mortality, and health care costs. Unfortunately, it is easy for elder abuse to go unrecognized in many health care encounters. Elder abuse may be physical or sexual, but it can also be psychological and …
19min 31Jeff Holmes, MD and Matthew DeLaney, MD, FACEP, FAAEM
Deprescribing in Elderly Patients - A follow-up to January 2018 PC-RAP
From April 2018, Will You Be My Facebook Friend?In this segment, Neda Frayha and Dr. Nicole Brandt, a Professor of Pharmacy and Science at the University of Maryland School of Pharmacy, explore the importance of deprescribing in our elderly patients, common challenges of deprescribing, and a systematic approach to deprescribing medications in …
20min 1Neda Frayha, MD and Nicole Brandt, PharmD
Paper Chase #1 | Calcium and Vitamin D Supplements Don’t Always Help
From April 2018, Will You Be My Facebook Friend?In this meta-analysis of randomized clinical trials, the use of calcium, vitamin D, or both was not associated with a lower risk of fractures. We should stop prescribing or recommending them for this purpose.
5min 50Andrew Buelt, DO and Joe Weatherly, DO
Paper Chase #4 | Preventing Falls in Older Adults
From February 2018, The Tragically Sore Hipthis study looked at numerous interventions and their impact on fall reduction in an older adult population. Study participants who received the interventions reported fewer fall than those receiving usual care.
5min 33Andrew Buelt, DO and Joe Weatherly, DO
Aging
From July 2017, Be Kind and Enjoy LifeIn this patient interview, we explore one patient’s narrative on aging. She models “successful aging”; adapting to increasing frailty and decreasing independence, finding purpose and maintaining a sunny disposition. We examine the impact of grief and loss as well as the importance of connectedness …
11min 35Heidi James, MD and Brandon Grove, MD
Paper Chase 4: Effect of Cranberry Capsules on Bacteriuria Plus Pyuria
From March 2017, The Benzos & Fungus Among UsIn this nursing home population, the use of cranberry supplements was not associated with a decrease in either bacteriuria or pyuria. •
4min 50Andrew Buelt, DO and Joe Weatherly, DO
Osteoporosis, Part 2
From January 2017, Bones Lose Their AutonomyWho should care about osteoporosis? Everybody. It affects 1 in 3 women and 1 in 5 men. Dr. Heidi James and Dr. Sylvie Ouellette discuss the evaluation and treatment of patients at risk for, and who have, osteoporosis.
24min 4Heidi James, MD and Sylvie Ouellette, MD
Osteoporosis, Part 1
From January 2017, Bones Lose Their AutonomyWho should care about osteoporosis? Everybody. It affects 1 in 3 women and 1 in 5 men. Dr. Heidi James and Dr. Sylvie Ouellette discuss the evaluation and treatment of patients at risk for, and who have, osteoporosis. •
17min 55Heidi James, MD and Sylvie Ouellette, MD
Loss of Autonomy
From January 2017, Bones Lose Their AutonomyPsychiatrist Shawn Hersevoort touches on some of the legal, medical, financial and emotional concerns that arise as someone loses the ability to care for themselves. •
11min 35Shawn Hersevoort, MD, MPH and Rob Orman, MD
Paper Chase 5: Falls, Treadmill Training and Virtual Reality
From December 2016, Ear Pain is but a MemoryFor older adults at high risk for falls, treadmill training plus virtual reality led to a reduced fall rate compared with treadmill training alone. •
5min 48Andrew Buelt, DO and Joe Weatherly, DO
Depression in Dementia: Advanced Tx
From December 2016, Ear Pain is but a MemoryPart two of Shawn Hersevoort's Guide to Managing Dementia in Depression. In this segment we focus on: use of stimulants, medications directed at slowing dementia, and managing depression associated with Parkinson's Disease. •
19min 5Rob Orman, MD and Shawn Hersevoort, MD, MPH
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