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Better Health While Aging

Practical information for aging health & family caregivers

  • Popular Topics
    • Preventing Falls in Aging Adults
    • Medication Safety
    • Dementia, including Alzheimer’s
    • Advance Care Planning & End-of-Life
  • Why Geriatrics
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The Better Health While Aging Podcast

Get practical health tips from a geriatrician and other experts! We discuss common health problems that affect people over age 60, the best ways to prevent and manage those problems, and we also often address common concerns and dilemmas that come up with aging parents and other older loved ones.

122 – Update: COVID Vaccination in Aging (9.9.21 Edition)

by Leslie Kernisan, MD MPH 2 Comments

Better Health While Aging
Better Health While Aging
122 – Update: COVID Vaccination in Aging (9.9.21 Edition)
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 In This Episode:

This video update covers my latest thoughts on the Delta surge, what we’ve learned about the efficacy of COVID vaccination in older adults over the last six months, breakthrough COVID cases, and whether “boosters” will be required.

(View the show notes page to watch my subtitled talk and my slides.)

This episode covers:

[Read more…]

121 – Update: COVID Vaccination in Aging (7.29.21 Edition)

by Leslie Kernisan, MD MPH 2 Comments

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Better Health While Aging
121 – Update: COVID Vaccination in Aging (7.29.21 Edition)
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 In This Episode:

This video update includes my thoughts on the Delta variant and the latest CDC announcement regarding guidance for fully vaccinated adults, what to know about “breakthrough” COVID cases in nursing homes and elsewhere, recent studies on the efficacy of vaccines in older adults (and why some touted study results may not apply to older adults), who might not be well protected by the vaccine, and more.

(View the show notes page to watch my subtitled talk and my slides.)

This episode covers:

[Read more…]

120 – Depression in Aging: Diagnosis & Treatment

by Nicole Didyk, MD Leave a Comment

Better Health While Aging
Better Health While Aging
120 – Depression in Aging: Diagnosis & Treatment
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Watch the subtitled video and search the transcript by clicking above.
(For a short tutorial on how to search the transcript, see here.)

In This Episode:

Guest host Dr. Nicole Didyk discusses the diagnosis and treatment of depression, including why it’s often tricky to diagnose in later life, and how it can be treated. (Note: depression in the context of dementia will be covered in an upcoming episode.) Dr. Didyk is a geriatrician in Canada, and the founder of the blog and YouTube channel The Wrinkle.

She covers:

  • What’s different about depression in older adults?
  • What are the signs that an older person might be depressed?
  • What medical illnesses can mimic depression?
  • Which medications can cause or worsen depressive symptoms?
  • How can depression be treated in older adults?
  • What to do if you’re concerned about depression in an older person
[Read more…]

119 – Update: COVID Vaccination in Aging (5.14.21 Edition)

by Leslie Kernisan, MD MPH Leave a Comment

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Better Health While Aging
119 – Update: COVID Vaccination in Aging (5.14.21 Edition)
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In This Episode:

Dr. K provides commentary on the recent COVID developments, including the CDC’s latest mask guidance for vaccinated people, plus updated information on the effectiveness and safety of COVID vaccination for older adults. She also addresses FAQs about coronavirus vaccination.

This episode covers:

  • Why Dr. K has some concerns about the recent CDC mask update
  • What to know about “breakthrough” COVID cases, which have affected nursing homes and are being undercounted
  • The question of whether vaccinated people can transmit COVID
  • Recent studies related to  COVID safety & efficacy in older adults
  • Why immunocompromised people might not be protected by the vaccine, especially if they have a “blood cancer” or are on medications that affect their B cells or T cells
  • How to think about COVID risk: yours and you exposing others to COVID risk
  • Answers to FAQs, including:
    • Should I get vaccinated against COVID?
    • Should my 90 year old mother get the COVID vaccine?
    • How well does the vaccine work in older adults?
    • Which vaccine is best for older adults? Which vaccine is safest?
    • Should I worry that the vaccine might harm me (or my frail older parent)?
    • Should I worry that I haven’t responded enough to the vaccine?
  • Dr. K’s current recommendations regarding COVID vaccination and staying safe given current conditions

Related Resources:

  • BHWA:
    • COVID Vaccination for Aging Adults: What to Know & Do
  • CDC:
    • Fully Vaccinated Adults 65 and Older Are 94% Less Likely to Be Hospitalized with COVID-19
    • COVID-19 Vaccinations in the United States
    • Interim Public Health Recommendations for Fully Vaccinated People
    • Frequently Asked Questions about COVID-19 Vaccination
    • Nursing Home Covid-19 Data Dashboard
    • CDC Advisory Committee on Immunization Practices (meeting slides on vaccine safety and efficacy topics are usually very informative; browse for the latest ones here)
      • COVID-19 Vaccine Effectiveness studies (May 12, 2021; includes some nursing home studies)
  • From medical journals:
    • Impact and effectiveness of mRNA BNT162b2 vaccine against SARS-CoV-2 infections and COVID-19 cases, hospitalisations, and deaths following a nationwide vaccination campaign in Israel: an observational study using national surveillance data (Pfizer vaccine in Israel, May 2021)
    • Researchers Tie Severe Immunosuppression to Chronic COVID-19 and Virus Variants (May 2021)
  • New York Times:
    • COVID-19 Vaccine Tracker
    • Coronavirus Variant Tracker
    • What Does the New Mask Guidance Really Mean? (NY Times 5/13/21)
  • Other articles:
    • How Vaccine Hesitancy Is Driving Breakthrough Infections in Nursing Homes
    • The CDC’s Big Mask Surprise Came Out of Nowhere
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118 – Updates: COVID Vaccination in Aging (3.26.21 Edition)

by Leslie Kernisan, MD MPH 2 Comments

Better Health While Aging
Better Health While Aging
118 – Updates: COVID Vaccination in Aging (3.26.21 Edition)
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In This Episode:

Dr. K provides updated information on the effectiveness and safety of COVID vaccination for older adults, including information on the Pfizer, Moderna, and Johnson&Johnson vaccines. She also addresses FAQs about coronavirus vaccination.

This episode covers:

  • How we can tell the COVID vaccines are working
  • Data on how COVID cases and deaths have fallen in nursing homes and among people aged 85+
  • Current COVID mortality rates in older adults
  • What the latest observational studies show, regarding vaccine effectiveness in people over age 80
  • What the Johnson & Johnson vaccine trial data shows, when it comes to older adults with chronic conditions
  • What’s been found so far, regarding vaccine safety
  • Answers to FAQs, including:
    • Should I get vaccinated against COVID?
    • Should my 90-year-old parent get the COVID vaccine?
    • How well does the vaccine work in older adults?
    • Can you get COVID if you’ve been vaccinated?
    • Should you be vaccinated if you already had COVID?
    • Which COVID vaccine is best for seniors? Which vaccine is safest?
    • Should I worry that the vaccine might harm me (or my frail older parent)?
    • When can I get vaccinated? Which vaccine should I try to get?
    • If I’ve been vaccinated, is it safe to …?
  • Dr. K’s current recommendations regarding COVID vaccination and staying safe given current conditions
[Read more…]

117 – Leg Swelling in Aging: What to Know & Do

by Nicole Didyk, MD Leave a Comment

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Better Health While Aging
117 – Leg Swelling in Aging: What to Know & Do
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Watch the subtitled video and search the transcript by clicking above.
(For a short tutorial on how to search the transcript, see here.)

 

 

In This Episode:

Guest host Dr. Nicole Didyk explains what older adults and families should know about leg edema (swollen legs), a common condition that affects aging adults. Dr. Didyk is a geriatrician in Canada, and the founder of the blog and YouTube channel The Wrinkle.

She discusses:

  • Why is it common for the lower legs to swell?
  • What are the most common medical causes of leg edema and what are some serious causes that should not be missed?
  • Which common medications can make leg swelling worse?
  • When should you seek immediate medical attention for swollen legs?
  • How can chronically swollen legs be treated?
  • What to know about using diuretics (water pills) for swollen legs

 

[Read more…]

116 – Interview: Dr. K’s New Book: When Your Aging Parent Needs Help

by Leslie Kernisan, MD MPH Leave a Comment

Better Health While Aging
Better Health While Aging
116 - Interview: Dr. K’s New Book: When Your Aging Parent Needs Help
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Watch the subtitled video and search the transcript by clicking above.
(For a short tutorial on how to search the transcript, see here.)

 

In This Episode:

Dr. K talks to fellow geriatrician Dr. Nicole Didyk about her new book: When Your Aging Parent Needs Help: A geriatrician’s guide to memory loss, safety worries, resistance, and more. Dr. Didyk is the founder of the blog and YouTube channel The Wrinkle.

They discuss:

  • What led Dr. K to create this step-by-step guide for children of aging parents
  • Why the book is set up in four sections: taking stock, taking aim, taking action, plus taking the long view
  • How to communicate with your aging parent attentively and respectfully
  • How dementia and other memory or thinking issues often play a key role in an older adult’s resistance to change
  • Why she included practical “real-life” examples and printable downloadable “cheatsheets” that readers can reference
  • The A-B-C-D-E framework for taking action to help an aging parent
  • Why adult children often need to check themselves and accept their parents’ choices
[Read more…]

115 – COVID Vaccination in Aging (12.17.20 Edition)

by Leslie Kernisan, MD MPH Leave a Comment

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Better Health While Aging
115 – COVID Vaccination in Aging (12.17.20 Edition)
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In This Episode:

Dr. K discussed the new Pfizer coronavirus (COVID-19) vaccine, with a special focus on understanding how well it works and how safe it is, in aging adults.

This episode covers:

  • What to know about vaccine media reports and older adults
  • Why it’s important to try to find out the actual ages (and age distribution) of older participants in vaccine trials
  • How Dr. K looks at a published study to determine whether the vaccine works for her patients
  • Why the current Pfizer data can’t tell us whether the vaccine works in people over age 75
  • Why an expert dissented from the CDC’s decision to prioritize vaccination for nursing home residents
  • Dr. K’s current recommendations regarding COVID vaccination and keeping frail older adults safe during the pandemic
[Read more…]

114 – Coronavirus Updates & Suggestions (11.18.20 Edition)

by Leslie Kernisan, MD MPH Leave a Comment

Better Health While Aging
Better Health While Aging
114 – Coronavirus Updates & Suggestions (11.18.20 Edition)
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Watch the subtitled video and search the transcript by clicking above. (For a short tutorial on how to search the transcript, see here.)

In This Episode:

Dr. K shares an update on the coronavirus (COVID19) situation and more recommendations to help older adults and people concerned about aging parents.

This episode covers:

  • The coronavirus situation today
  • Why COVID rates are so high right now
  • Latest developments in treatment & vaccination
  • What this means for older adults
  • If you’re wondering “Is it safe to…?”
  • Dr. K’s recommendations for the holidays and winter
[Read more…]

113 – Interview: Urinary Incontinence In Aging

by Leslie Kernisan, MD MPH Leave a Comment

Better Health While Aging
Better Health While Aging
113 – Interview: Urinary Incontinence In Aging
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In This Episode:

Dr. K discusses urinary incontinence in aging with geriatrician Dr. Nicole Didyk, founder of the blog and YouTube channel The Wrinkle. They discuss:

  • Why this is such an important health issue to detect and address
  • Why aging tends to bring on urinary continence issues
  • The four main types of urinary incontinence to know about
  • The DIAPPERS mnemonic geriatricians often use to check for common causes of incontinence
  • Which medications can cause or worsen incontinence
  • How health providers should evaluate and diagnose incontinence
  • How to prevent and treat urinary issues
  • Timed toileting and other approaches to managing incontinence in Alzheimer’s and other dementias
[Read more…]
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Check Out Our Helping Older Parents Podcast

If you’re caring for an aging parent, don’t miss Dr. K’s Helping Older Parents podcast.

It addresses common issues that come up for those assisting an aging parent.

For Those New to Podcasts:

Wondering what a podcast is? Not sure how to listen to the episodes? 

See this post for step-by-step instructions on listening, and answers to FAQs. Includes detailed instructions on how to subscribe, rate, and review too!

Find It Here

Past Podcast Episodes

  • 142 – Vitamin D: Why Less is More in Aging
  • 141 – 4 Most Common Types of Dementia in Aging
  • 140 – How to Exercise to Age Well
  • 139 – How to Treat Mild Cognitive Impairment
  • 138 – How to Promote Brain Health & Memory in Aging
  • 137 – Aging Life Care (and Geriatric Care Managers) Explained: Who They Are & How They Help
  • 136 – 8 Things Doctors Should Check After a Fall
  • 135 – How to Pay for Elder Care
  • 134 – COVID & Aging August 2023 Update: Staying Safe, Boosters & More
  • 133 – COVID Summer 2023 News Update for Aging Adults
  • 132 – COVID 2023 News Update for Aging Adults (2.23.23 Edition)
  • 131 – COVID Update for Aging Adults (12.8.22 Edition)
  • 130 – COVID Booster Update for Aging Adults (9.7.22 Edition)
  • 129 – COVID Update for Aging Adults (7.21.22 Edition)
  • 128 – COVID Update for Aging Adults (5.5.22 Edition)
  • 127 – COVID Update for Aging Adults (2.24.22 Edition)
  • 126 – Update: COVID Vaccination in Aging (1.6.22 Edition)
  • 125 – Update: COVID Vaccination in Aging (12.16.21 Edition)
  • 124 – Does Your Aging Parent Need Help?
    What to check & how to talk about it
  • 123 – Update: COVID Vaccination in Aging (10.28.21 Edition)
  • 122 – Update: COVID Vaccination in Aging (9.9.21 Edition)
  • 121 – Update: COVID Vaccination in Aging (7.29.21 Edition)
  • 120 – Depression in Aging: Diagnosis & Treatment
  • 119 – Update: COVID Vaccination in Aging (5.14.21 Edition)
  • 118 – Updates: COVID Vaccination in Aging (3.26.21 Edition)
  • 117 – Leg Swelling in Aging: What to Know & Do
  • 116 – Interview: Dr. K’s New Book: When Your Aging Parent Needs Help
  • 115 – COVID Vaccination in Aging (12.17.20 Edition)
  • 114 – Coronavirus Updates & Suggestions (11.18.20 Edition)
  • 113 – Interview: Urinary Incontinence In Aging
  • 112 – Flu Shots for Older Adults in COVID Times: What to Know (2020 Update)
  • 111 – Coronavirus Updates & Suggestions (7.16.20 Edition)
  • 110 – Coronavirus Updates & Suggestions (6.11.20 Edition)
  • 109 – Interview: Nursing Homes & Other Long-Term Care During COVID Times
  • 108 – Live QA: Aging Health in COVID Times
  • 107 – Interview: A Guide to Better Medical Care for Families of Aging Adults
  • 106 – Coronavirus Updates & Suggestions (3.27.20 Edition)
  • 105 – Coronavirus Updates & Suggestions (3.20.20 Edition)
  • 104 – Coronavirus Special: Planning to Help Aging Parents (Plus Q&A)
  • 103 – Interview: Better Sex in Later Life
  • 102 – Interview: The Importance of Grandparents & Intergenerational Connections
  • 101 – Interview: Avoiding Holiday Pitfalls with Aging Parents
  • 100 – Interview: Bill Thomas on Ageism, Housing & Changing Aging in 2019
  • 099 – Flu Shots for Older Adults: What to Know (2019 Update)
  • 098 – Interview: Medicare Open Enrollment: What to Know & When to Switch
  • 097 – Interview: Common Elder Law Issues When Helping Aging Parents
  • 096 – Interview: Paying for Long-Term Care: 2019 Updates
  • 095 – Interview: Hearing Aids & Other Hearing Loss Treatment Options
  • 094 – Interview: Hearing Loss in Aging: Why It Matters & Getting Evaluated
  • 093 – Interview: Hiring In-Home Care for Aging in Place: What to Know
  • 092- Interview: Addressing Nighttime Urination & Insomnia in Aging
  • 091 – Interview: Reducing the Risk of Power of Attorney Abuse
  • 090 – More on Avoiding Risky Medications & on Using the 2019 AGS Beers Criteria
  • 089 – Giving Yourself (And Your Family) a Gift on National Healthcare Decisions Day
  • 088 – Interview: Avoiding Inappropriate Prescribing in Aging & What to Know About the Beers Criteria
  • 087- Interview: Coping with Difficult Older Parents
  • 086 – Interview: Creating Age-Friendly Health Systems at UCSF
  • 085 – Understanding Lab Tests:
    4 Common Blood Tests for Older Adults
  • 084 – Interview: Understanding White Matter Changes in the Aging Brain
  • 083 – Interview: Disrupting Dementia and Creating Dementia-Friendly Communities
  • 082- Interview: Bill Thomas on Housing & Communities as Engines of Independence in Aging
  • 081 – Interview: How to Plan Ahead for Your Later Years
  • 080 – Interview: Smartwatches as Medical Alert Devices
    (What to Know & How to Choose)
  • 079 – QA: Advice for Older Parents Frustrated by Their Family’s Concerns
  • 078 – Interview: The Biology of Aging & Longevity
  • 077 – Interview: Making Advance Care Planning Easier Through PREPARE
  • 076 – Flu Shots for Older Adults: What to Know (2018 Update)
  • 075 – Preventing Falls: 4 Approaches to Ask Your Doctor About
  • 074 – Interview: How the Village Model Supports Aging in Place & Community
  • 073 – Anticholinergic Medications & Protecting Brain Health
  • 072 – Cognitive Aging: How Memory & Thinking Change as One Gets Older
  • 071 – Interview: How Estimating Life Expectancy Helps Older Adults Get Better Care
  • 070 – Interview: Addressing & Preventing Financial Exploitation in Aging
  • 069 – Evaluating Memory & Thinking Problems:
    10 Causes & 10 Things to Check
  • 068 – Interview: Putting Older Adults at the Center of Technology Conversations
  • 067 – Interview: Managing Difficult Alzheimer’s Behaviors Without Medications
  • 066 – Interview: Addressing Potential Self-Neglect in Older Adults
  • 065 – Reconsidering “Successful Aging”
  • 064 – What to Know About Constipation & Laxatives
  • 063 – Giving Yourself (And Your Family) a Gift on National Healthcare Decisions Day
  • 062 – Interview: Preventing Hospital Delirium & Maintaining Brain Health
  • 061 – Interview: Using Technology to Balance Safety & Autonomy in Dementia
  • 060 – Interview: Negotiating Family Caregiving Expectations After Hospitalization
  • 059 – Interview: Long-Term Care Insurance & Financing Late-Life Care Needs
  • 058 – Avoiding Missed Flu in Older Adults
  • 057 – How to Manage Cardiovascular Risk Factors for Better Brain Health
  • 056 – Top 10 Checklist for Better Health This Year
  • 055 – Interview: Bill Thomas on Ageism & Innovations to Improve Aging
  • 054 – How to Make Difficult Decisions Easier:
    Using Goals of Care & Weighing Benefits vs Burdens
  • 053 – Interview: Addressing Loneliness in Aging
  • 052 – Maintaining Mobility & Preventing Falls in Aging: Myths & Truths
  • 051 – Interview: Innovations to Help Older Adults & Family Caregivers
  • 050 – Flu Shots for Older Adults: What to Know
  • 049 – Better Primary Care for Older Adults:
    the Oak Street Health Story
  • 048 – How Cerebral Small Vessel Disease Affects Most Aging Brains
  • 047 – Unintended Weight Loss in Aging
  • 046 – Interview: Deprescribing & Reducing Risky Medications in Aging
  • 045 – HIPAA: Key Basics & 5 FAQs for Family Caregivers
  • 044 – Hospice Medications & What to do if You’re Concerned
  • 043 – How Hospice Helps at the End of Life, & Hospice for Alzheimer’s
  • 042 – Why Healthcare is Flawed & How to Improve It:
    The Work of Dr. Lawrence Weed
  • 041 – UTIs and Urine Bacteria in Aging:
    How to get the right diagnosis & avoid unneeded antibiotics
  • 040 – Dehydration in Older Adults:
    How to Prevent It, Detect It, & Treat It
  • 039 – Interview: Creating Age-Friendly Health Systems
  • 038 – FAQs On “Incompetence” & Losing Decision Capacity
  • 037 – Interview: Using Powers of Attorney to Help Older Adults
  • 036 – Interview: Minimizing Family Conflicts & Supporting Aging Parents
  • 035 – Interview: Aging in the Right Place
  • 034 – Preventing Falls: 10 Types of Medication to Reconsider
  • 033 – Safer Treatments for Insomnia in Aging
  • 032 – 5 Top Causes of Sleep Problems in Aging
  • 031 – Choosing the Safest Over-the-Counter Painkiller in Aging
  • 030 – Drugs for Difficult Dementia Behaviors: What to Know
  • 029 – The Healthy Aging Checklist
  • 028 – When Older Parents Resist Help: 4 Tips for Better Talks
  • 027 – Interview: Planning for Aging When Single & Childless
  • 026 – 4 Medications for Alzheimer’s & Other Dementias: FAQs & Tips
  • 025 – Interview: Palliative Care to Live Well with Cancer
  • 024 – Interview: Better Cancer Screening While Aging
  • 023 – Anemia in Aging: 10 Common Causes & What to Ask
  • 022 – QA: Helping a Paranoid Older Parent and Checking Safety
  • 021 – Vitamin B12 Deficiency: Risks, Diagnosis, & Treatment
  • 020 – How to Diagnose & Treat Mild Cognitive Impairment
  • 019 – Interview: How Foundations Are Improving Health & Aging
  • 018 – High Blood Pressure Treatment in Older Adults: Research Findings & Practical Tips
  • 017 – Interview: Paying for Long-Term Care & Other Family Caregiving Challenges
  • 016 – 3 Reasons You Should Have a Home Blood Pressure Monitor
  • 015 – Interview: Practical Advice for Family Caregivers & Next Step In Care
  • 014 – Delirium & Hospital Confusion
  • 013 – Interview: Solving Hard Problems in Helping Aging Parents
  • 012 – Q&A: Answers to Your Questions On Aging & Health
  • 011 – Vitamin D: The “Healthy Aging” Dose & FAQs
  • 010 – Interview: Choosing a Wearable Medical Alert System for Older Adults
  • 009 – Q&A: Answers to Your Questions on Helping Older Parents
  • 008 – Interview: Helping Families with Memory Loss: The Care to Plan Online Tool
  • 007 – How a Personal Health Record Helps You Be Proactive
  • 006 – Interview: Surviving Cancer & Better Healthcare Through Being an e-Patient
  • 005 – Interview: Otago & Proven Exercises for Fall Prevention
  • 004 – What to Do If You’re Worried About Falls
  • 003 – Interview: Helping Reluctant Parents Address Memory Concerns
  • 002 – What to Do If You’re Worried About Someone’s Memory
  • 001 – Introducing the Better Health While Aging Podcast

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