Search Results for 'physician'

Liz Taylor takes comments

One of the best reads ever on aging deliberately is Liz Taylor–
Her series has been mentioned previously -

I just discovered that the columns published at Kitsap Sun Stories: Liz Taylor: Aging Deliberately allow comments (registration required) and have an RSS feed . This is so much more convenient and useful than the Seattle Times venue. I’m not sure which is the primary home for Liz’s work, however, and Kitsap may not carry all her columns. At the Seattle Times I have to subscribe by E-mail to their health series (once a week e-mail, all health stories which are interesting) to get notice of her columns. Otherwise I have a Google News Alert for Liz Taylor+ aging, which sometimes brings in notice of National Velvet. [the colors behind some items below mean nothing except straightening out the code remains to be done.]

Liz Taylor began her career as a federal consumer-fraud investigator and was appointed by Elizabeth Dole in 1976 to direct a nationwide investigation of the nursing-home industry. She’s worked in the aging field ever since.

In the 1980s, Liz became one of the first geriatric care managers in the Pacific Northwest, working with thousands of families and older adults to find high-quality services. In 2000, she founded Aging Deliberately, a business that teaches people how to prepare for their aging so they’ll have more control over what happens to them. In 2005, she served as a delegate to the White House Conference on Aging. She’s won the American Geriatrics Society’s 2007 Aging Awareness Media Award and the Washington Association of Homes and Services for the Aging’s Excellence in Media Award. http://seattletimes.nwsource.com/html/growingolder/

It’s relatively easy to age successfully if you’re wealthy. Money can’t buy happiness, but it certainly allows you to buy the things that make life more comfortable at any age. 1/26/2008 11:00 PM
In my last column, I wrote about a growing problem: what to do when an older person who has dementia hasn’t named anyone she trusts to make decisions for her. This week I’ll tackle a tougher issue: what to do when the person she names does a poor job. 11/17/2007 11:00 PM
My e-mail has had a repeated theme recently: An older person with dementia, such as Alzheimer’s disease, isn’t paying bills, preparing meals, bathing, and other important tasks — but refuses to allow anyone to help.
11/3/2007 09:00 PM |
There’s a certain uniformity to finding a physician under Medicare these days. Rich or poor, if you’re 65 or older, you’re likely to have similar slim pickings (more so if you’re poor and on Medicare and Medicaid). 10/20/2007 11:00 PM |
Most of us want to live a long time, but nobody wants to grow old. The irony is, most of us will — live a long time and grow old. It’s easy to do — all it takes is letting the days roll by. As long as you’re healthy, getting old is a piece of cake.
10/6/2007 11:00 PM |
It’s easy as pie to age well when you’re healthy. The friction comes when you become frail. Sometimes it’s self-inflicted, the product of isolation, poor eating habits, lack of physical activity and falls — all common problems for people who age in their homes but don’t plan it correctly. 9/22/2007 11:00 PM |
A woman in her late 70s, a good friend, is pondering her options. Her home is two stories (or three, including the basement), with many stairs to her bedroom, bathroom and the washing machine. 9/8/2007 11:00 PM
Dad is 87, fun and funny, with moderate dementia. He lived “on the edge” in his own home for years while we kids worried sick. 7/28/2007 11:00 PM
When I was growing up in the 1950s and ’60s, cars were sort of round and later sort of square. My dad wore a hat to work and took the bus.
7/14/2007 11:00 PM
I’m 75 and have lived in an assisted-living facility for a year.
7/8/2007 02:00 AM
Older people are not simply younger people with wrinkles our bodies change dramatically as we age, both inside and out; some parts wear out before others, sometimes several at once.
6/17/2007 02:00 AM
Whether you live at home, in a retirement community, or in a yurt on top of a mountain, as you age, you want to do it consciously.
6/3/2007 02:00 AM

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Love and respect never grow old

Love never grows old condom card

Safe sex for older people is a major concern of A Little Red Hen http://alittleredhen.typepad.com/a_little_red_hen/ who has been reminding people with her condom amulets.

2007-11-30 [revised] Stop the ‘tubes! A Little Red Hen has a new blogzine announced here–
Knit A Condom Amulet, the Blogzine

and click image to see the new site–
button for knitacondomamulet

Fortunately, there has been recent news coverage about the need for HIV and STD testing, and practicing safe sex, by those over 50.

Experts and older patients are teaching a belated lesson to battle a risky HIV generation gap that has left many unprotected and infected.
By P.J. Huffstutter, Los Angeles Times Staff Writer
November 26, 2007

…although the number of HIV and AIDS patients in the over-50 crowd nationwide had grown in recent years, some of the increase was attributed to people who are living longer with the virus or disease, thanks to improvements in therapy treatments.

But without widespread testing, “we don’t really know what the true prevalence [of STD infection] is in this group,” Lieb said. “There’s reason to think, at least anecdotally, this is a combustible situation that is being overlooked.”

That’s why some social service and public health officials have turned to HIV-positive patients like Fowler to speak out and try to get their peers’ attention…. Fowler recently met up with a graying group to commiserate about sexually transmitted diseases, and recounted her cautionary tale. How a divorce in her 50s led her back into the dating pool, and how she enjoyed a New Year’s Eve fling with a former co-worker. Fowler said she never considered using condoms, given that she had already gone through menopause.

“I had lived what I considered a conventional, traditional life. I had been a virgin on my wedding night in 1959,” said Fowler, a founder of the National Assn. on HIV Over Fifty, who now coordinates the speakers bureau at a local AIDS organization. She has spoken before hundreds of groups over the years, including medical researchers and HIV/AIDS advocates to senior centers.

“I remained monogamous for 23 years of marriage. . . . After the divorce, I didn’t consider myself promiscuous. I didn’t frequent the singles bars. I went out with men my age who, like me, had been married and were divorced.”

Her own physician, she said, dismissed her questions about getting tested for HIV as unnecessary for someone her age. Her early symptoms were dismissed as routine ailments of aging.

Read the rest at

The National Association on HIV Over Fifty (NAHOF) was founded at the National Conference on AIDS and Aging in October of 1995 in New York City. Our mission is to promote the availability of a full range of educational, prevention, service and health care programs for persons over age fifty affected by HIV.

People over age fifty are affected by HIV in numerous ways. People in their mid or later years may be infected with HIV, the virus associated with AIDS. Ten percent of all AIDS cases are persons age fifty and up, a quarter of these are over age 60. Older women appear to have higher incidence rates than older men, and persons of color are especially at risk.

AIDS and HIV affect families, both traditional and families of choice. Increasingly older adults care for relatives and friends infected with HIV. Many adults with HIV turn to older parents for help and care. Increasingly grandparents are substitute parents for their grandchildren whose own parents are unable to care for their children due to HIV-related needs. Many of these are “AIDS orphans” and grandparents have stepped in to be full or part time caregivers for the children; middle-age and older adults with adult children may need emotional support….

Older people with HIV/AIDS face a double stigma: ageism and infection with a sexually-or-IV-drug transmitted disease.
http://www.hivoverfifty.org/tip.html

Safe sex is needed especially in what seems to be a new tourism–

By Jeremy Clarke, Sun Nov 25, 2007
Older white women join Kenya’s sex tourists

MOMBASA, Kenya (Reuters) – Bethan, 56, lives in southern England on the same street as best friend Allie, 64….

Hard figures are difficult to come by, but local people on the coast estimate that as many as one in five single women visiting from rich countries are in search of sex.

Allie and Bethan — who both declined to give their full names — said they planned to spend a whole month touring Kenya’s palm-fringed beaches. They would do well to avoid the country’s tourism officials.

“It’s not evil,” said Jake Grieves-Cook, chairman of the Kenya Tourist Board, when asked about the practice of older rich women traveling for sex with young Kenyan men.

“But it’s certainly something we frown upon.”

Also, the health risks are stark in a country with an AIDS prevalence of 6.9 percent. Although condom use can only be guessed at, Julia Davidson, an academic at Nottingham
University who writes on sex tourism, said that in the course of her research she had met women who shunned condoms — finding them too “businesslike” for their exotic fantasies.
[...]


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Man who rediscovered the takahe, nonagenarian

The man who refused to believe the takahe was extinct died in Dunedin on Tuesday at the age of 98.

It was assumed, when Dr. Geoffrey Orbell rediscovered the takahe in Fiordland’s Murchison Mountains in 1948, that the bird had been extinct for over 50 years. Dr. Orbell described the magical moment this way: “Suddenly I saw in a clearing in the snow grass a bird with a bright red beak and a blue and green colouring. And there, no more than twenty metres away from us stood a living Notornis, the bird that was supposed to be extinct.”

I saw takahe at Mt Bruce. It is a wonderful place to visit. The birds are about a large chicken in size.
Takahe Maungaclick to enlarge

The Associated Press, Published: August 15, 2007

WELLINGTON, New Zealand: New Zealand doctor Geoffrey Orbell, who rediscovered a flightless bird that was believed extinct almost 60 years ago, has died in the southern city of Dunedin, his family said Wednesday. He was 98.

No one had seen a live takahe — a unique blue-green, hen-like bird with a bright red bill — since the late 1890s, when Orbell and three companions found a small colony in Fiordland on South Island in November 1948. The discovery stunned the world of ornithology and made front-page news across the globe.

Geoffrey Buckland Orbell was born Oct. 7, 1908, at Pukeuri on South Island… He graduated in medicine and chemistry in 1934, then went to Moorfields Eye Hospital in London where he received a Diploma in Ophthalmic Medicine and Surgery… Orbell didn’t retire from medicine until he was 70….

Almost 300 takahe (Notornis mantelli) now live in Fiordland and other sanctuaries thanks to careful husbandry and breeding programs…. Britain’s Queen Elizabeth II made him a Member of the British Empire (MBE) in 1953

Regnum: Animalia • Phylum: Chordata • Classis: Aves • Ordo: Gruiformes • Familia: Rallidae • Genus: Porphyrio

Geoffrey Orbell, a doctor who was happiest in the outdoors where he found the “extinct” takahe in 1948, has died in Dunedin just a few weeks short of his 99th birthday. Orbell was a man of many talents – ophthalmologist, cabinet maker, boat and house builder, skilled shot (founder of the NZ Deerstalkers Association), tramper, fisherman and local body politician. But above all he will be remembered for his rediscovery of the takahe, the unique and flightless blue-green, hen-like bird with the bright red bill in the depths of Fiordland. [...]

O’Folks off their rocker Add this to Bookmarks:

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Preventive health care in elderly people needs rethinking

This sounds like it could be an interesting think-piece. Unfortunately, BMJ no longer gives free access to articles the first year. [this article was subsequently made available to the public for discussion.]

I don’t know what they mean by elderly, the oldest olds? The age group was 70-82. See comments.

BMJ 2007;335:285-287 (11 August), doi:10.1136/bmj.39241.630741.BE1
Analysis by
Dee Mangin, senior lecturer in general practice1, Kieran Sweeney, honorary clinical senior lecturer in general practice2, Iona Heath, general practitioner3

1 Christchurch School of Medicine, University of Otago, Christchurch New Zealand, 2 Peninsula Medical School, Royal Devon and Exeter Hospital, Exeter EX2 5DW, 3 Caversham Group Practice, London NW5 2UP

Dee Mangin, Kieran Sweeney, and Iona Heath argue that, rather than prolonging life, preventive treatments in elderly people simply change the cause of death—the manner of our dying

The first 150 words of the full text of this article appear below.

Summary points

* Single disease models should not be applied to preventive treatments in elderly people
* Preventive treatments in elderly people may select cause of death without the patient’s informed consent
* Preventive use of statins shows no overall benefit in elderly people as cardiovascular mortality and morbidity are replaced by cancer
* A more sophisticated model is needed to assess the benefits and harms of preventive treatment in elderly people

Preventive health care aims to delay the onset of illness and disease and to prevent untimely and premature deaths. But the theory and rhetoric of prevention do not deal with the problem of how such health care applies to people who have already exceeded an average lifespan. In recent years, concerns about equity of access to treatments have focused on ageism. As a result, preventive interventions are encouraged regardless of age, and this can be harmful to the patient and expensive for the health . . .

[Full text of this article via paid subscription only] The full text is now available.
http://www.bmj.com/cgi/content/short/335/7614/285?etoc

O’Folks off their rocker Add this to Bookmarks:

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Ralph White, MD nonagenarian

This was a nice surprise in my E-mail, an article about Dr White. Not only is he still contributing to his community (well, duh ;-) ) but he is one of the unique Orange County residents who have seen southern California’s orchards, onion farms, and dairies.

Retired 97-year-old O.C. doctor is still in the game
By GREG HARDESTY, The Orange County Register

…White, two weeks after suffering a minor stroke he diagnosed himself, is touring the $203 million Patient Care Center at St. Joseph Hospital, where he began mending bodies in 1939, in the old hospital building that now houses administrative offices.

… The sleek operating rooms inside the new St. Joe’s facility, opening in October, have ceiling-mounted surgical lights and voice-activated surgical equipment, flat-screen computer monitors and tiny video recorders to transmit live feeds of procedures… White used to make $15 house calls at a time when Orange County’s population was 130,000 (Irvine alone today has more than 200,000 residents).

He’s delivered more than 1,500 babies….

One former patient takes him to lunch every year … on his birthday (June 30, 1910). White diagnosed her breast cancer in the early stages, when she was in her 40s. She’s in her 60s now. Perhaps these connections explain why, after retiring as a family practitioner 31 years ago – the year Jimmy Carter became president – White still hasn’t had his fill of St. Joe’s. Since retiring, White has volunteered more than 11,000 hours at the hospital – the equivalent of working for more than five years, every day, without a day off. [...]

Dr Ralph White, nonagenarian

http://www.ocregister.com/ocregister/life/themorningread/article_1803814.php

Read the rest, especially his list of the changes he’s seen in healthcare over the years, White titles his list, “From Cradle to Grave Practice.” That would make an exciting oral history or blog. Especially for eldercare from the participant/observer point of view.

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Old age isn't a disease.

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