A nurse working at night in the hospital calls the doctor asking for help: “I have a patient, Mrs Jones. She’s very agitated. Can you order some Imagine being the doctor in the above situation. The request can have multiple outcomes. The night doctor does not know the patient well. In addition, the doctor is busy and does not want more phone calls about the patient. In the worst-case scenario, a high dose of the medicine is ordered. The patient subsequently becomes over sedated and the next day she chokes on her food leading to […]
Author Archive: Dr. Warren
She Doesn’t Want to Do Anything? Is that Depression? Maybe Not
“Mom used to enjoy shopping, seeing friends, and going out to eat. After she was diagnosed with mild Alzheimer’s Disease, she’s changed. Now she just wants to stay at home and sit there.” It’s logical to think that a person with Alzheimer’s Disease might be depressed. After all, isn’t it a depressing disease? Depression IS commonly seen in Alzheimer’s Disease and other types of dementia. Loss of interest is a key feature. However, there is another possibility that is frequently overlooked. That person may have apathy, a loss of interest in doing things. Let’s take […]
The Brain is Like a Computer | Is It just Getting Older, or Is It Getting Dementia?
What is dementia? Here are some simple concepts to start with: The brain does three very important things. Each of these is impacted when a person develops dementia. The brain can be thought of as an amazing, living super computer. Dementia is a general term for diseases that injure the brain over time. An old brain is not the same as an injured brain. Three Important Things a Brain Does The first moments of life are unforgettable. A baby is born and starts crying. From that moment forward, the brain will experience a lifetime of […]
Is Mom in the Hospital? Remember the 8 Ds
Dr. Warren Wong
Mom’s Hospitalized – Time to Cross our Fingers
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, […]
Managing Diabetes Better in Older Patients – What does that mean?
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.
I hear you: Listening with your heart
I say it over and over again: There's no one more important than the caregiver in the daily life of a frail person.
Warmest Aloha,
“I hear you” by Jane Mahakian, PhD and Alyson Kuhn
is available at amazon.com, barnesandnoble.com,
and through your local bookseller