Guest: Dennis McCullough, MD 


  Host: Leslie P. Lundt, MD 



  
    In the later stages of life, patient care often requires a different approach. How can a physician help geriatric patients and their loved ones through the last stations of life: decline, prelude to dying, dying and grieving? Dr. Dennis McCullough, associate professor of community and family medicine at Dartmouth School of Medicine and practicing geriatrician for 30 years, joins host Dr. Leslie Lundt to explain ‘slow medicine.' Dr. McCullough discusses a forward approach to planning, understanding a patient's comfort with risk vs. safety, as well as building and using a team.

Treating Patients as They Approach End of Life

As our population grows older, new medical innovations serve to preserve the symbiosis of the body and mind. Are novel therapies for Alzheimer's on the horizon? How do we approach joint replacement surgery for an active 92-year-old? What about research frontiers focused on promoting longevity? ReachMD gathers top medical experts and opinion leaders for a month-long discussion of geriatric medicine and the aging process.

Science & Medicine

Natural Sciences

Social Sciences

Medicine

Health

Alternative Health

Self-Help

Sexuality

Fitness & Nutrition

Guest: Rajagopal Sekhar, MD 



  
    Clinicians are still working to understand the mechanisms behind age-related declines and what interventions might help promote healthy aging. Could supplementation with the nutritional compounds glycine and n-acetylcysteine (GlyNAC) play a role by improving intracellular antioxidant levels? Dr. Rajagopal Sekhar shares the latest clinical data on GlyNAC supplementation in older adults.

GlyNAC and Healthy Aging: A Review of New Clinical Data

Host: Matt Birnholz, MD 


Guest: Slavica Janeva, MD 



  Despite the increasing number of elderly patients diagnosed with breast cancer, few clinical trials focus on this age group. That’s why Dr. Slavica Janeva's team focused on the impacts of adjuvant chemotherapy on survival rates in this patient population, the results of which may change clinical practice paradigms moving forward, as he discusses with Dr. Matt Birnholz.

Monitoring Adjuvant Chemotherapy in Elderly Women with Triple Negative Breast Cancer

Host: Dr. Andrew Wilner 


Guest: Daniel E. Kremens, MD, JD 


Guest: Michael S. Okun, MD 



  Parkinson’s disease (PD) affects roughly one million Americans and more than 10 million people worldwide. It is a progressive neurologic disorder characterized by motor and nonmotor symptoms. Key motor symptoms include resting tremor, bradykinesia, rigidity, and postural instability. Nonmotor symptoms include psychosis, depression, anxiety, impulse control disorders, cognitive impairment, and sleep disturbances. Significant progress has been made in the management of motor and nonmotor symptoms experienced by patients with PD. This activity will examine advances in pharmacologic and nonpharmacologic interventions that are improving patient outcomes for this incurable condition.   

Strategies for Improving Outcomes in Patients with Parkinson’s Disease

Host: Brian P. McDonough, MD, FAAFP 



  
    Several studies have shown that therapy dogs help to reduce people’s pain levels and anxiety. Therapy dogs have also been found to increase patients’ physical, mental, emotional and social states and improve their quality of life. Host Dr. Brian McDonough talks with David Frei, co-creator of Angel on a Leash, a charity supporting therapy dog programs that serve health care facilities, about how therapy dogs bring comfort, affection and happiness to people in confined living situations. Frei is the former host of The Westminster Kennel Club Dog Show and expert analyst for The National Dog Show on NBC Thanksgiving Day.

Best in Show: The Health Benefits of Therapy Dogs

Host: Brian P. McDonough, MD, FAAFP 



  
    Out of the approximately 340,000 hip fractures that occur in the US each year, 9 out of 10 of them happen to people older than 65. Hip fractures in an older population can result in significant complications including pneumonia and blood clots, among others. Host Dr. Brian McDonough sits down with Dr. Derek Donegan, Assistant Professor of Orthopedic Surgery in the Division of Orthopedic Trauma at the Hospital of the University of Pennsylvania to talk about some of the challenges physicians face when treating hip fractures in elderly patients.

Treating Patients as They Approach End of Life

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