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We are looking for a second fellowship-trained Geriatrician to join our amazing rural Upstate New York community.
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Introduction
For younger males with profound hypogonadism, such as those with hypogonadotropic hypogonadism due to Kallmann’s syndrome, testosterone is routinely prescribed to induce and maintain secondary sex characteristics, to allow for normal sexual function, to promote a male body composition, and to provide estrogen for bone health. The situation is more complex when it comes to older men with borderline low testosterone levels and nonspecific symptoms of hypogonadism. The Endocrine Society recently published a Clinical Practice Guideline entitled “Testosterone Therapy in AduThe Medicare beneficiary is changing, and these changes are affecting how geriatric care providers practice. From the physical layout of the practice, to marketing, to management from an administrative and clinical aspect, all is about to change. The Medicare Payment Advisory Commission (MedPAC; www.MedPAC.gov) recently assessed for Congress the changing demographics of the Medicare beneficiary by identifying eight major changes,1 as follow:
Increase in Number of Beneficiaries as Baby Boomers Age
Everyone is aware of the aging baby boomers becoming Medicare-eligiCase Presentation
Mrs. D is a 78-year-old widowed woman who recently moved in with her daughter, Mrs. F. Mrs. D comes to see Dr. R for a check of her blood pressure and diet-controlled diabetes. Dr. R has been caring for Mrs. F for many years and is pleased to meet her mother. He finds that unlike her daughter, Mrs. D is considerably more critical of his office staff, waiting time, and the cold temperature of his office. When he brings up the fact that her blood pressure is elevated to 150/100 mm Hg and her finger stick blood glucose is nearly 300 mg/dL, Mrs. D takes notes and asks f
In last month’s issue of Clinical Geriatrics, we ran a timely article on “Heat-Related Illness in the Elderly.”1 While there are many problems that can result from the heat itself, the elderly are more prone to many of the dangers inherent during this time of the year. Last year I wrote in a similar forum about items we should be well advised to think about and adopt into our daily summer routine regardless of one’s age. I thought it would be good to update these, as summer is here and the need to be aware of its potential dangers has not changed.
1. Avoid excessiv
One of the major health concerns for older persons is their potential risk for serious cardiovascular events, a risk that rises dramatically with increasing age.11,2 For example, the average annual rate of first major cardiovascular events rises from 7 per 1000 men at ages 35-44 years to 68 per 1000 men at ages 85-94; comparable rates occur in women 10 years later in life.3
Coronary heart disease (CHD) is more prevalent in the elderly, with over 83% of cardiovascular disease deaths in the United States occurring in individuals age 65 years or older.4 Indiv
This article is no longer available for CME credit.
Introduction
The prevention of malaria is an essential part of vacation planning for those traveling to areas of the world where malaria is endemic, especially among older adults who are at increased risk of complications related to infection. Preventive measures fall into two equally important categories: the first focuses on decreasing exposure to potentially infectious mosquitoes; the second involves administration of low-dose antimicrobial drugs for “chemoprophylaxis” against infection. In
Clinical Geriatrics Blogs
Coming in Future Issues of Clinical Geriatrics
Series: Diabetes in the Elderly
Series: Cancer in Older Adults
First Report® Conference Coverage: American Academy of Neurology, American Diabetes Association, 2010 Digestive Disease Week
Assessment and Classification of Pain in the Elderly Patient
Pharmacologic Management of Pain in Older Patients
Miscellaneous Pain Syndromes in Older Adults
Nonhernia Causes of Inguinal Pain in the Elderly
