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Our last podcast was with Laura Petrillo in 2018 – 5 years ago seems ancient history – though many of the points still apply today (e.g. Alex Smith: And we’re delighted to welcome back Alex Lee, who’s an epidemiologist and assistant professor at UCSF in the division of geriatrics. Goldilocks zone).
Summary Transcript Summary The comprehensive geriatric assessment is one of the cornerstones of geriatrics. But does the geriatric assessment do anything? Evidence has been mounting about the importance of the geriatric assessment for older adults with cancer, the subject of today’s podcast. Precision medicine?
Daneila Lamas wrote about this issue in the New York Times this week -after we recorded – in her story, a family requested an herbal infusion for their dying mother via feeding tube. And I think there’s a really good analogy when we talk about feeding tubes in people with advanced dementia. And your article dives into that.
This idea that for critically ill patients in the ICU, geriatric conditions like disability, frailty, multimorbidity, and dementia should be viewed through a wider lens of what patients are like before and after the ICU event was transformative for our two guests today. I want to say like 2017, 2018, something like that. Alex: Yeah.
Raj: 40 years later in 2018, they got together at Astana, the then capital of Kazakhstan, and brought out another resolution, which ask member countries to give control over healthcare to the community. So, she was in a pathetic stage and she had no way of coming and seeing the mother because she had to feed the children from her earnings.
Alex 00:54 And Jasmine Santoyo-Olsson, who’s a social behavioral scientist and a fellow in the T32 Research Fellowship at the UCSF Division of Geriatrics. So intubation, cpr, feeding tubes. Eric 19:31 So it was interventions like feeding tubes, mechanical ventilation, dialysis at the very end of life. Excited to be here.
And so the definition of advance care planning really switched in, I think, 2017, 2018, there was kind of a United States definition and then an international consensus definition. Or the cases where someone actually said, “I never want a feeding tube.” Why did they choose to be DNR or not have a feeding tube?
Redwing: So I grew up in a pretty intellectual family, but my brother and sister were six and 10 years older than me, and they were always feeding me literature and poetry. Eric: What do you think attracted you to it? When I was about nine-years-old, they gave me a book of poems of Edna St. Vincent Millay.
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