Dr. Bruce Leff is my friend and colleague. I admire him greatly. Decades ago, he came to the realization that hospitalization of older adults can cause major problems. Instead, he wanted to bring hospital services to the home. In this post, Dr. Leff talks about how Hospital at Home works.
In our last post, Dr. Bruce Leff talked about Hospital at Home. When someone becomes acutely ill or injured, hospital care is needed to treat the problem. But hospitalization causes its own problems. One of Dr. Leff’s patients described the hospital as a “crappy hotel.” I’ll describe three things that make the hospital feel like a crappy hotel.1. Who’s in charge? 3 different doctors in 2 days???When a patient is hospitalized at night, the nighttime doctor examines the patient and writes the orders. The next morning, the doctor goes home. Another provider assumes care. However, […]
The hospital can be a dangerous place, especially for older patients. Decades ago, I met a physician named Dr. Bruce Leff. He asked the question: Can we bring the hospital to the home? There’s a reason he asked that question. He has a great explanation.
Diabetes is one of the most common conditions managed by doctors. Diabetes results in increased risk for cardiovascular, kidney, eye diseases, infections, and amputations. Is Diabetes well managed in older adults? From a geriatrician’s perspective, management could be much better. The reason why might be unexpected. Many older adults are over treated, not under treated, with serious consequences.