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Caring for the Ages
April 1, 2016

Tracey Delaplain, MD, an obstetrician-gynecologist blogging at “What’s for dinner, Doc?” (http://whatsfordinnerdoc.com/), documented her experience with a hospitalist who ignored her dying sister’s pain and later excused his callousness by saying, “I’m just the night doc.” Dr. Delaplain plaintively writes:

Caring for the Ages
April 1, 2016

Women undergoing transcatheter aortic valve replacement (TAVR) for severe aortic stenosis have lower 1-year mortality than men, even though their 30-day rates of vascular complications and major bleeding are worse, according to a report published in Annals of Internal Medicine.

Caring for the Ages
April 1, 2016

LOS ANGELES — Adults older than 55 with asthma and depression have nearly twice as many ED visits for asthma as do asthma patients without depression, based on findings in 402 asthma patients, Pooja O. Patel, MD, reported at the annual meeting of the American Academy of Allergy, Asthma, and Immunology.

Caring for the Ages
April 1, 2016

Bexarotene, a drug approved by the Food and Drug Administration to treat skin cancer, stopped the primary nucleation step in the self-assembly of amyloid-beta-42 oligomers and delayed the formation of pathogenic aggregates that are associated with Alzheimer’s disease neurodegeneration, according to study results in Science Advances.

Caring for the Ages
April 1, 2016

Long-term use of proton pump inhibitors was significantly associated with later diagnoses of dementia in adults 75 and older in a prospective cohort study of more than 73,000 individuals. The findings were published online in JAMA Neurology.

Caring for the Ages
April 1, 2016

The Caring for the Frail Elderly Conference will take place Aug. 19–20, 2016 in Columbia, MO. The conference attracts nearly 300 professionals from around the state, including primary care physicians, nurse practitioners, nurses, nursing home administrators, physical and occupational therapists, state surveyors, social workers, and others.

Caring for the Ages
April 1, 2016

It has occurred to every PALTC clinician on call, whether it’s a nurse practitioner, physician assistant, or physician. The skilled nursing facility calls with an acute change in status for a resident under your care. Fortunately, the nurse is well versed in AMDA’s Know-It-All series “When You’re Called Diagnosing System” and presents good, actionable information. The diagnosis appears clear. On-site intervention is appropriate, and you quickly formulate how to best intervene. You provide the nurse with a concise set of orders for care that would make even Willian Osler, MD, smile...

Caring for the Ages
April 1, 2016

Dear Dr. Jeff:

Caring for the Ages
April 1, 2016

LOS ANGELES — Endovascular thrombectomy is not only clinically the best option for many patients with acute, ischemic strokes involving a proximal occlusion in a large cerebral artery; it’s also highly cost effective, based on follow-up analyses of two of the five randomized trials published in 2015 that collectively established thrombectomy as standard of care for these patients.

Caring for the Ages
April 1, 2016

ORLANDO, FL — A new clinical prediction rule correlates well with performance status at 1 year after ICU hospitalization in patients older than 80.