Geriatric physician San Francisco

Choosing the Right Facility

Choosing the Right Facility

Here’s a recent horror story that may make the point: I had a patient with complicated medical issues who had a hip replacement operation. To my dismay, the hospital discharged this man to “assisted living.”

Should Elders with Dementia Have Sex?

Should Elders with Dementia Have Sex?

"I’m sorry this is just not the behavior of an experienced politician. It’s also not the behavior of a person whose brain is working normally."  When dementia is involved, sexuality can be very complicated.

Just Walk!

Just Walk!

Even if you walk slowly, even if you walk uncertainly, even if your joints are a little sore, even if you’re a little afraid of falling, even if walking makes you tired, just walk! 

A Call for Greater Dementia Awareness

A Call for Greater Dementia Awareness

 We don’t have to duplicate Britain’s National Health Service and their 'Health and Well-Being Boards', but elders would be so much better served in the U.S.  if we could work toward earlier screening and coordinated care for dementia patients.

Denial and the Patient: “It’s not intentional. It’s brain damage.”

Denial and the Patient: “It’s not intentional. It’s brain damage.”

Every time you feel at the end of your rope. Every time you feel hurt, or out of patience, whisper this to yourself: “It’s not intentional, it’s brain damage.”