geriatrician

I Know You Love Me, Now Let Me Die

I Know You Love Me, Now Let Me Die

What is better for the end of life, being at home with family or in the hospital with all the life saving equipment and technology available?  

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.

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.”

Denial and the Family

Denial and the Family

Adult children and other family members often struggle to accept that an elder has dementia. Sometimes they believe that the elder is doing things 'on purpose'. Sharing experiences and listening to others' experiences can help understand the disease and the behaviors and realize that it is the 'disease' that is causing the behaviors.