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
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
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 #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
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
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
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: Dx and Tx
From December 2016, Ear Pain is but a MemoryRob and Dr. Shawn Hersevoort discuss a psychiatric approach to evaluating and managing depression in patients with dementia. •
12min 45Rob Orman, MD and Shawn Hersevoort, MD, MPH
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
Paperchase 2: Hypertension Management for Octogenarians
From September 2016, Best Weight, Best Exercise!5min 30Andrew Buelt, DO and Joe Weatherly, DO
Paper Chase 2: Antipsychotics + Parkinson’s Disease = Bad Combination
From July 2016, Creme de la ThyroidIn this study, use of antipsychotics was associated with a significantly increased mortality risk in patients with Parkinson Disease. •
5min 59Andrew Buelt, DO and Joe Weatherly, DO
Paper Chase 1: PPI’s and Increased Risk of Dementia, It’s Far-Fetched.
From June 2016, C Diff Shows No Mercy!Discuss findings from the recent study by Gomm, Willy, et al. "Association of Proton Pump Inhibitors With Risk of Dementia: A Pharmacoepidemiological Claims Data Analysis." JAMA neurology (2016).
6min 36Andrew Buelt, DO and Joe Weatherly, DO
Hypogonadism Part 1: Diagnosis
From March 2016, Where Has All The Testosterone Gone?‘Low T’ by itself is not an indication for testosterone supplementation.
17min 24Margaret Wierman, MD and Andrew Buelt, DO
Hypogonadism Pt 2: Initiating Treatment, Risks of Therapy, Monitoring Patients
From March 2016, Where Has All The Testosterone Gone?Obese patients with low testosterone may get significant benefit from weight loss.
19min 14Joe Weatherly, DO and Margaret Wierman, MD
Hypogonadism Part 3: Treatment Specifics
From March 2016, Where Has All The Testosterone Gone?Review different modalities of testosterone delivery, testosterone monitoring, goal testosterone levels.
11min 16Andrew Buelt, DO and Margaret Wierman, MD
Condolence Letters
From February 2016, Condolence LettersA patient you're caring for, but don’t know very well, dies in the hospital. You feel awkward about writing a condolence letter since there isn’t much of a relationship with the family. Should you write one? Will it bring up unpleasant memories for the family? Eric Lamotte and Susan Merel explore …
6min 27
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