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Prevention of Dementia: Kristine Yaffe

GeriPal

A lot of these are more vascular risk factors: hypertension, certainly; diabetes; obesity. If you could wave a magic wand to change one thing: sleep, blood pressure control, eradicate diabetes, get everybody exercising, what do you think would have the most bang for the buck in terms of dementia reduction? I like to tease.

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Guidelines or Goals in Heart Failure: A Podcast with Parag Goyal, Nicole Superville, and Matthew Shuster

GeriPal

And so, unfortunately, I think for a while, this condition, for many people, isn’t diagnosed until you end up seeing a cardiologist or a heart failure doctor who’s really honed in on this to say, actually, this is a heart failure syndrome. Is your impression that HFpEFde is under diagnosed in older adults?

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Substance Use Disorder in Aging and Serious Illness: A Podcast with Katie Fitzgerald Jones, Jessica Merlin, Devon Check

GeriPal

If somebody has cancer and they’re recently diagnosed, somebody has cancer and they’re undergoing active treatment, somebody has cancer and they’re in early remission, now they’re a year or two years, three years, four years out and they still have pain. Jessie: Yes. Why would that be? And then, looking at- Eric: Wow.

Illness 137
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Managing Urinary Symptoms and UTI’s in Older Adults

GeriPal

50 to 70% of people who are diagnosed with UTIs probably don’t have a UTI. How good are clinicians and nurses in following these guidelines or diagnosing a UTI? I hear it’s over diagnosed. And several of the BPH medications are very strongly associated with falls and orthostatic hypertension. Is that right?

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On Racism & Ageism: Ramona Rhodes, Sharon Brangman, Tim Farrell, and Nancy Lundebjerg

GeriPal

So GFR was adjusted based on race, which it probably did lead to African-American patients being diagnosed with chronic kidney disease later in their disease trajectory, as compared to others. Because we know- Sharon: Maybe diabetes and hypertension, which is so prominent in African Americans can impact your amyloid deposition.

IT 92
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Cachexia and Anorexia in Serious Illness: A Podcast with Eduardo Bruera

GeriPal

We have an epidemic of BMI and therefore never use the way the patient looks like to diagnose cachexia. So cachexia, I would put it involuntary weight loss is the number one way to diagnose it. It can be quite problematic in people with diabetes and so on. And a patient might be looking very chubby, but lost 1015 pounds.

Illness 134
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Redefining Alzheimer’s Disease: A Podcast with Heather Whitson, Jason Karlawish, Lon Schneider

GeriPal

You can easily have fibrinoid necrosis of your kidneys and not have hypertension, but the pathology of hypertension is most commonly associated with fibrinoid necrosis. Jason: You could have hypertension and have no signs and symptoms. So too systolic hypertension in elderly people, clinical trials. You can see it.

IT 117