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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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  • How to use this site

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.

142 – Vitamin D: Why Less is More in Aging

by Leslie Kernisan, MD MPH Leave a Comment

Better Health While Aging
Better Health While Aging
142 – Vitamin D: Why Less is More in Aging
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In This Episode:

Dr. K explains why the best dose of vitamin D for older adults is lower than you might think. She explains why vitamin D is important and how the latest research suggests that high doses of vitamin D might actually be risky for older adults. This episode covers:

  • What is vitamin D
  • What is an optimal level of vitamin D
  • When to test vitamin D levels
  • What is vitamin D deficiency
  • Official vitamin D intake recommendations
  • Key vitamin D research findings
  • Vitamin D and fall prevention
  • The vitamin D dose she recommends for older adults

[Read more…]

141 – 4 Most Common Types of Dementia in Aging

by Leslie Kernisan, MD MPH Leave a Comment

Better Health While Aging
Better Health While Aging
141 – 4 Most Common Types of Dementia in Aging
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In This Episode:

Dr. K goes beyond Alzheimer’s and explains what older adults and families should know about the most common types of dementia in older adults. She covers:

  • The 4 most common types of dementia in older adults
  • How doctors diagnose the specific type of dementia
  • Mixed dementia and less common causes of dementia
  • The most common early symptoms of Alzheimer’s dementia, vascular dementia, and Lewy body dementia
  • Which types of dementia might be treatable
  • Newer types of dementia pathology, such as LATE, hippocampal sclerosis, and cerebral amyloid angiopathy
  • Dr. K’s approach to dementia type

[Read more…]

140 – How to Exercise to Age Well

by Leslie Kernisan, MD MPH Leave a Comment

Better Health While Aging
Better Health While Aging
140 – How to Exercise to Age Well
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In This Episode:

Dr. K explains how exercise helps older adults maintain strength and independence, and covers the four types of exercise all older adults should be doing regularly. She also discusses why walking isn’t enough, how to avoid injuries and special situations in geriatrics, such as exercising when an older person is frail or has Alzheimer’s. This episode covers:

  • The benefits of exercise in aging
  • Is walking good exercise?
  • Strength training in aging
  • Aerobic exercise in aging
  • Balance exercises for seniors
  • Flexibility exercises in aging
  • Best exercises for fall prevention
  • How to start and maintain an exercise routine
  • Managing risks of exercise and avoiding injuries
  • Exercise to counter frailty and sarcopenia
  • Exercise when there’s Alzheimer’s or dementia
  • Getting someone else to exercise
  • The role of protein and strength training

[Read more…]

139 – How to Treat Mild Cognitive Impairment

by Leslie Kernisan, MD MPH Leave a Comment

Better Health While Aging
Better Health While Aging
139 – How to Treat Mild Cognitive Impairment
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In This Episode:

Dr. Kernisan explains what all older adults and families should know about the treatment of mild cognitive impairment (MCI), a common memory condition that affects 20-25% of older adults. She  discusses scientifically tested approaches to treating and managing MCI and improving brain health, including the role of medications, supplements, treating hearing loss, exercise and more. In this episode, she covers:

  • What is MCI 
  • How MCI is related to Alzheimer’s and dementia
  • What to do if you suspect MCI
  • Scientifically proven approaches to treating and managing MCI 
  • What to know about the “Bredesen protocol” for MCI
  • What to know about Leqembi and anti-amyloid treatments for Alzheimer’s
  • How Dr. K treats MCI
  • Common MCI pitfalls to avoid

    [Read more…]

    138 – How to Promote Brain Health & Memory in Aging

    by Leslie Kernisan, MD MPH Leave a Comment

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    138 – How to Promote Brain Health & Memory in Aging
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    In This Episode:

    Leslie Kernisan, MD MPH, explains the best ways to boost brain health in aging, to help memory and thinking, as well as to prevent cognitive decline. Learn which approaches geriatricians find most effective, plus which vitamins and supplements are likely to help. Dr. K also covers emotional well-being in aging, and how this affects cognitive health.

    Topics discussed:

    • Helping older adults maintain brain health and memory
    • Why promote your brain health
    • The difference between normal and abnormal brain changes with aging
    • FAQ: How to know what’s happening in your brain
    • Why emotional well-being matters
    • 3 key ways to boost brain health
    • How to be positive about your aging
    • What’s good for brain health
    • What’s bad for brain health
    • If you’re worried about someone else’s brain

    [Read more…]

    137 – Aging Life Care (and Geriatric Care Managers) Explained: Who They Are & How They Help

    by Leslie Kernisan, MD MPH Leave a Comment

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    137 - Aging Life Care (and Geriatric Care Managers) Explained: Who They Are & How They Help
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    In This Episode:

    Geriatrician Leslie Kernisan, MD MPH, teams up with her trusted geriatric care manager colleague Michelle Allen, LCSW, to explain how Aging Life Care Professionals (also known as geriatric care managers) can help older adults and their families. They cover:

    • Why geriatricians love geriatric care managers
    • Aging Life Care Professionals vs Geriatric Care Managers
    • What is an Aging Life Care Professional & how do they help
    • How to find an Aging Life Care Professional
    • What is a certified or professional geriatric care manager?
    • Other types of eldercare experts
    • How to hire an Aging Life Care Professional

    [Read more…]

    136 – 8 Things Doctors Should Check After a Fall

    by Leslie Kernisan, MD MPH

    Better Health While Aging
    Better Health While Aging
    136 - 8 Things Doctors Should Check After a Fall
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    In This Episode:

    Geriatrician Leslie Kernisan, MD MPH, explains 8 things health providers should check after an older person falls, to prevent future dangerous falls in aging. In this episode:

    • Why it’s vital to be proactive after a fall
    • Why you should learn the 8 things Dr. K checks after a fall
    • Why checking BP sitting and standing is so important
    • The most useful blood tests to consider
    • Medications that can worsen falls
    • How to check gait and balance
    • Additional referrals to consider

    [Read more…]

    • Why it’s vital to be proactive after a fall
    • Why you should learn the 8 things Dr. K checks after a fall
    • Why checking BP sitting and standing is so important
    • The most useful blood tests to consider
    • Medications that can worsen falls
    • How to check gait and balance
    • Additional referrals to consider

    [Read more…]

    135 – How to Pay for Elder Care

    by Leslie Kernisan, MD MPH 2 Comments

    Better Health While Aging
    Better Health While Aging
    135 – How to Pay for Elder Care
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    In This Episode:

    Geriatrician Dr. Leslie Kernisan, MD MPH, teams up with experienced geriatric care manager Michelle Allen, LCSW, to discuss a common FAQ: how to pay for elder care. They cover

    • What types of help do elders usually need
    • What are the options for eldercare?
    • How much does eldercare cost?
    • How to pay for eldercare?
    • What to know about long-term care insurance
    • How Medicaid pays for eldercare

    [Read more…]

    134 – COVID & Aging August 2023 Update: Staying Safe, Boosters & More

    by Leslie Kernisan, MD MPH Leave a Comment

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    134 – COVID & Aging August 2023 Update: Staying Safe, Boosters & More
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    Dr. K discusses the latest COVID news for August 2023, including the recent rise in COVID cases, whether to get boosted again now or later, what we know about the upcoming fall COVID vaccine, and more. 

    In this episode:

    [Read more…]

    133 – COVID Summer 2023 News Update for Aging Adults

    by Leslie Kernisan, MD MPH Leave a Comment

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    Better Health While Aging
    133 – COVID Summer 2023 News Update for Aging Adults
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    Dr. K discusses the latest COVID news for Summer 2023, including the current COVID situation in the US, how to get COVID data now that the public health emergency has ended, updates on COVID boosters, how to know if you still should take precautions, and more.

    In this episode:

    [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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