I have always been amazed by the amount of medications Americans take. Sometimes it seems that drugs stick to a person’s medical history and are never questioned or reconsidered. Maybe it’s because we are afraid of what might happen if we stop taking them. Maybe we are afraid to question what another Practitioner has added …
fear the walking dead – Adventures in polypharmacy Read More »
2 days ago one of my very frail, blind, diabetic elderly patients with a history of heart disease and obesity tested positive for covid. The good news; we had previously discussed his do not resuscitate wishes and he had his final wishes in writing by way of a State sponsored POLST. He is in ICU …
Impotence (no, not the type you are thinking about) Read More »
For a long time now we have all heard how women have a longer lifespan than men. The span is widening. Even with the knowledge of how bad cigarette smoking is and how beneficial fitness is, we men are just dying sooner. High-risk activities play a part in this. Men typically engage in more high-risk …
This group of patients typically are those over 65 years old. But that doesn’t necessarily mean you need a geriatrician. Distinguishing features for true Geriatric patients has to do with frailty, or lack thereof. Do you have home-limiting medical problems, those that make it difficult for you to go to routine check ups and specialist …
Now that we know coronavirus is deadly and during this process we have devastated our economy, let’s get back to work. We know this: Protect the vulnerable population. This means any densely populated facilities such as senior housing, nursing homes, and assisted living will require extra precautions to continue. This should be done regularly during …
Half of hospital beds are full, yet only 31 Patients with COVID reported by the Health Dept. are currently hospitalized. The math doesn’t add up. Look around most medium to larger cities and you will see high rise towers on hospitals and health care campuses around the country. Do you believe for a minute that half …
As we think about restarting our devastated economy, we must also consider why we had to go overboard, to begin with. I will tell you why. We follow like lemmings and listen without question when our so-called leaders tell us what to do. They treat an entire state with restrictions so tough as to close outdoor spaces …
They say as you age you lose short term memory, so here goes. My long term memory intact recalls the wake-up call at 0700 on Saturday mornings. “Your turn to go with Daddy on his Rounds”. What the hell does that mean? It means on a Saturday Morning, in Phoenix, Arizona, I don’t get to …
My Geriatric Patients have, in many cases, multiple chronic medical conditions that I can help manage with frequent visits. The most pressing concern these days is worsening loneliness and isolation, now worsened by the viral concerns in the community. Families are not allowed to visit. In some cases, my house calls have been their only contact with …
The Plaquenil controversy has been a hot topic during coronaviral pandemic. In this Country we seem to believe that only our science counts. The drug hydroxychloroquine has been studied since the last century and most recently shown effectiveness against COVID. My family took doses during a recent trip to Africa and are still alive. When …