What We Can Learn From Geriatric Care


Wonder if we could get into. What did you uniquely study for geriatrics. And what do you now treat. That's different in older patients than younger ones. So different about geriatrics is really this atypical presentation of disease. It's sort of like internal medicine. Plast older people present differently. An older person can have pneumonia and might not have a cough. Might not have a true fever. Because older person's immune systems are different and many are essentially immuno-compromised in so an older failed or person with the pneumonia. Might just be tired. They might have a little bit of laughed shift to on their labs on their on their way butts account but they might not have a truly elevated white bledsoe account and they might just have a low grade temperature if they have an ammonia because they have a lower basal body temperature to begin with. They don't have much of an immune response. That's just one example of the atypical presentation of disease and older people. Does that make diagnosis more difficult in older people. He definitely does it. It more challenging. And i think that was one of the main things that i was drawn. To in geriatric medicine was really that extra challenge of atypical presentation of disease. You know it's interesting in my world. Do practice some internal medicine just because some of the pulmonary patients that we see in the office are asking for me to be their internist at times. And certainly in the icu. Fifty percent of our patients are elderly and yet. How do we integrate your specialty with what i do on a day-to-day basis. All the sino are not giving up their elderly patients to to geriatricians and get should they be or what should we be doing to capitalize on your training to better understand and treat our patients. I i'll just put this in context of how many older person's there are in the united states. We have currently thirty five million people over the age of sixty five and that's gonna more than dabble in less than a decade to more than seventy million but basically the first answer questions. No way would we want patients to you. Know change from their internist or interest. Do not take care of their older patients number one. It wouldn't be possible because aren't enough geriatricians and number two wouldn't be right because internists or family medicine. Doctors primary care physicians are gonna take care of. The majority of older patients really injury at tricks nationally. What we're looking at is implementing best practices and geriatric models of care in health systems to optimally care for this aging patient

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