What is Causing this Person’s Weight Loss?

In my last post I talked about a patient who had some bleeding in her brain. That was the obvious diagnosis. However, I'm frustrated because an important diagnosis was missed. It was immediately obvious that she was severely underweight. I looked through her chart carefully. Her weight had gone from 89 pounds to 74 pounds in a little bit over a year. No one had mentioned this.

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Why did my patient have a Subdural Hematoma?

Last week I was busy taking care of some patients. I reviewed the chart on a patient who recently had some falls and bleeding in the brain. She had a “subdural hematoma”. What is a Subdural Hematoma? Subdural hematoma is a medical term for bleeding between the brain and the skull. The bleeding can be a small or large amount and is easily seen on CT scan of the brain. The bleeding is due to bursting of veins on the surface of the brain. This is usually related to an injury to the head although […]

AARP “Saved my Life!!”

Did you know that November is National Family Caregivers Month? AARP Hawaii definitely knows and puts a tremendous amount of effort into a series of activities throughout the entire month. The AARP champion behind the scenes is Jackie Boland. A caregiver told her that AARP “saved my life!!”. In this short video Jackie tells that story, talks about “the Art of Caregiving”, “Sky Blossom” and Amy Goyer:

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I expect to be frail at some time in my life. What decisions will I make?

Most of us will become frail before we pass away, especially if we live to an old age. Will we still be happy when we become frail and need help from others? How can we be both happy and not a burden to loved ones? My friend Shannon has poor vision but in other ways she sees things very well.

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How Strong is Your Funny Muscle?

If you’re too busy to have fun, that’s not correct at all. The busier you are, the more important it is to have fun. Because Fun gives energy.

Do you have stress? Caregivers definitely have stress. There are many good ways to manage stress. One way is by having some fun. It’s hard to be having fun, laugh and be stressed at the same time. If you don’t know how to have fun, there’s a perfect gift for you coming out just before Christmas:

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My Auntie says “Why Didn’t You” Over and Over

Ask the Doctor

As I help my mom's sister and her husband get my 88-year-old uncle (my mom's single brother who helped me care for my mother when she had cancer) who has dementia that's not so far along that he doesn't remember basics, but advanced enough along that he can't live alone any more it has been very difficult for my auntie.

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How do I Find a Good Geriatrician?

“How do I find a good geriatrician?” is a question I am asked all the time now. That wasn’t true 30 years ago when I went into Geriatrics. The more common question then was “Isn’t Geriatrics depressing?”

Geriatric Medicine is not the most glamorous specialty.  On the other hand, geriatricians have the highest career satisfaction of all specialties. (See the PDF below.) I would like to tell you why I would do the same thing all over again.

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I Didn’t Expect This to Happen

Many of us will, at some time in our lives, fall into an unexpected situation. We will be called upon to become caregivers. OR, even more difficult to imagine, we will find ourselves in need of caregiving. Will we be gracious at that point? We recently met Alix (Why is it so Hard to Find a Reliable Caregiver?) Her eyes got really big when I first told her that I am a geriatrician. Then we talked on and on about care of seniors. She is in her sweet spot. She loves being a caregiver. As […]

Why is it so Hard to Find a Reliable Caregiver?? Hint: It’s Not Just the Money

I've heard it over and over again. It's impossible to find a caregiver. Or worse yet, the caregiver never showed up. We all know that hired caregivers are in short supply. We also know that the work is demanding and low paying. But I interviewed Alix, who started a home care agency. She states there is one huge under-recognized factor.

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