In this episode, Dr. Bohn and Dr. Tartaglia discuss the process of prognosis. They give an overview of all the different variables which are considered when a prognosis is made for a patient. Each patient is different, and the physician does their best to consider all the unique aspects regarding a patient and their disease when making a prognosis.

In this episode, Dr. Bohn and Dr. Tartaglia discuss all the things that make an extended stay in the hospital not as safe as you might think. That's not to say you shouldn't go to the hospital if you need to be there, but there are risks associated with an extended hospital stay.

Dr. Tartaglia and Dr. Muller talk about Perinatology in this episode. They also discuss more about Dr. Muller's book, The Ottava Method.

Dr. Bohn and Dr. Tartaglia discuss breathing, disease processes which effect the lungs and breathing, supplemental oxygen, and medications which help to improve breathing.

Dr. Tartaglia interviews Dr. Corinna Muller about her practice in Anchorage, Alaska and about her new book, The Ottava Method.

In this episode, Dr. Bohn and Dr. Tartaglia discuss some statements a patient with a chronic illness might hear about their medications. Although they might sound like generally innocent statements, they may indicate progression of a patient's illness or disease state, which might have a negative impact on that patient's prognosis.

If you hear any of these medication statements from your medical provider, it is a good idea to ask some questions about what it means for you.

This episode is intended to assist people in learning about falls. There are certainly many risks and numerous contributors to a fall. We discuss a few of the numerous fall risk factors such as: vision impairment, breathing issues, low oxygen, strength, fatigue, pain, gait, paralysis, proper device use, medications or other chemicals, joint issues, confusion and bowel/bladder issues. Dr Tartaglia shares a personal story about a bowel related issue resulting in a fall.

This is an overview of Deprescribing. Patients can wind up with more medications than they need over time. It is necessary to review the medications often to determine if they are still safe, providing the desired effects, and being taken correctly. Help your physician care for you properly by keeping an accurate list and being honest about which medications you take and if you take them as advised.

Prognostication is a complicated process.  Physicians rely on many pieces of data to provide prognostic information and time frames for patients.  Knowing the disease state, stage and how this will change over time as the disease advances is important for pts and families to know.  Disease occurrence and progression many times is no ones fault and we need to resist to look for a place to place blame.

Our guest joining YODO today is Joanne Koechner, an Occupational Therapist. Joanne shares information OT and how it differs from other therapy specialties by improving function a patients ADL and IADL. Individual goals may vary but patients and the Health Care system are all motivated for Aging in Place with improved in home function.

OT works with patients across the full spectrum of settings (home to Nursing Home). OT evaluates pts and determines what needs to be performed, guided activities and exercises. They work with and educate: patients, family, and facility staff to optimize patients ability for independence and safe completion of daily tasks and to help them stay in their own home.

Changes in guidance and reimbursement by CMS , thus subsequently other insurances have resulted in limits on patient access to OT. Previously pts had access to extended periods of care in rehabilitation (what we refer to as Geriatric Boot Camp) after a medical event. Now, there are established goals for abilities and timed acceptable time to accomplish the improvements. Once patients have achieved the determined goals or if the time has run out for patients to demonstrate the required improvement, the patients are discharged to a different level of care. Patients and families are hopeful that they will be able to be safely discharged to home.