Tag Archives: geriatrics

Elders Need Docs Who Understand Them (ft. Louise Aronson, MD)

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Elders are not just sickly adults.

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Louise Aronson, MD, author of Elderhood.

Ours is an aging society, and as the populations skews older, medicine has begun to realize that treating elder patients isn’t the same as treating adults or children.  Treating the conditions of older people means that clinicians have to understand them in ways that go beyond diseases and drugs.  Hence, the science of geriatrics.  Dr. Louise Aronson is a geriatrician and the author of Elderhood: Redefining Aging, Transforming Medicine, Reimagining Life (Bloomsbury 2019).  It’s a beautifully written book the focuses on the stories of our elders and what they can teach us about their needs both biological and psychological.  Among the things co-hosts Miranda Schene, Emma Barr, Mason LaMarche and Nick Lind learned:

  • Older people respond in unpredictable ways to medications.  Often the work of a geriatrician is to ‘deprescribe’ medicines that are hurting them.
  • Never undervalue the things that are important to elders just because they aren’t medicines or procedures.  If the patient needs something from their doctor that increases their success in life, then it’s important.
  • Recognizing when you as a doctor are doing things for you, vs. when you’re doing things for your patient is important.
  • Older people are no longer beyond help simply due to age.  With the right training and an in-depth understanding of the science of aging, huge gains can be made in treating the serious disorders of elderhood.
  • American medicine’s concept of “the Good Death” (aka, dying at home surrounded by loved ones) isn’t a given for elders.  Understanding what elders want, rather than subscribing to some monolithic idea, is important.

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Continue reading Elders Need Docs Who Understand Them (ft. Louise Aronson, MD)

The World is Burning

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Photo by egevad, per

Dave’s feeling a bit concerned for the future of the world these days. As a consumer of science fiction movies and books, he’s long noticed a theme therein: that of the old people holding on to the reigns of power, both economic and political, while the young people struggle for a foothold.  As society continues to skew older–with medicine becoming better and better at keeping the elderly healthy longer–will the youngsters lose whatever agency they have?  John Pienta, Nick Sparr, Tony Rosenberg and Taz Khalid humor Dave by talking about it.  Also, since Tony’s here, there is  somehow more talk of poop.

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Terrence Holt interview audio only

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smjHaving a little trouble with iTunes, so I’m posting this to (try to) make sure listeners get our discussion with Dr. Holt delivered to their iDevices properly. See the previously posted episode description here. I hope this works!

A Doctor’s Story with Terrence Holt

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Terrence Holt, MD
Terrence Holt, MD

On this week’s show, Dr. Terrence Holt, author of Internal Medicine: A Doctor’s Stories visits with Writing and Humanities Program Director Jason Lewis, and students Cole Cheney, Ethan Forsgren, Aline Sandouk, and a studio audience. Dr. Holt is a geriatrician at the University of North Carolina in Chapel Hill.  His book is about residency, and is an exploration of how doctors find the compassion and strength to care about their work and patients.  The first chapter,  “A Sign of Weakness,” takes us through an inexperienced doctor’s confrontation of his own helplessness against the impending death of his patient.  You may want to read it before you listen. (Look for the link below the audio player.)

 Dr. Holt has a lot to offer med students in terms of wisdom.  How having a deep and thoughtful appreciation of your own humanity helps If you’re going to practice medicine humanely.  The role doubt plays in the life of a doc, and the fact that If you’re not having doubt multiple times in the course of a day, you’re not paying close enough attention.  The things that keep him going as a doctor and as a writer. How the connection between writer and reader gives writers advantages that other kinds of artists may not have. And using literature as a way of getting the kinds of experience that you wouldn’t otherwise have access to.

Episode 048: A Doctor’s Story with Terrence Holt

Excerpt: Internal Medicine: A Doctor’s Stories, “A Sign of Weakness”

Excerpted from Internal Medicine: A Doctor’s Stories by Terrence Holt. Copyright © 2014 by Terrence Holt. With permission of the publisher, Liveright Publishing Corporation. All rights reserved

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The opinions expressed in this feed and podcast are not those of the University of Iowa or the Roy J. and Lucille A. Carver College of Medicine.