Louise Aronson
speaker
1,082 appearances
4 recordings
1 series
first heard May 2019
last heard Jul 2024
Louise Aronson’s voice in public audio — every appearance, attributed to the second.
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Appearances
So it happens commonly and naturally, and that doesn't mean we can't do something about it.
Well, you see it in all sorts of different ways.
I mean, I think a way I see it commonly is somebody has gotten sick, whether they're at home or in the hospital, and they've gotten a little bit deconditioned.
And so often we'll start them on some physical therapy, some rehab.
And there are exceptions to this, but often what I see is that they're not pushed enough, either not by themselves, not by their families, not by the physical therapist, not by their primary doctor, that everybody assumes like you're old and now you were sick and so now you're going to be worse off.
And there's not much you can do about it.
Whereas we actually know you can build muscle and you can regain function and all these things, but you have to, it takes a little longer.
Like things are definitely slower as we get older.
So can we do things?
Yes, we can, but not if you don't try.
And I'll write on my prescription, like I want you to do resistance training with this person.
And sometimes it still doesn't happen.
Like they won't give them the weights and you have to build the muscle to get the functional capacity.
We also see, and we're seeing a lot of this with COVID, where early on, the geriatrics community knew absolutely that people were presenting with confusion, that they were presenting with falls, that they were presenting by fainting, more likely in frailer and older adults.
And there was actually interesting data from Italy so that it was corroborated in at least one other country.
There was abundant data that this was happening.
But the CDC didn't include confusion until May in their list.
We pushed hard at UCSF to get it included at least, but then they would include on the outpatient side, not on the inpatient side.
And then I'm part of our San Francisco Department of Public Health response, and we just heard about a facility where a woman in her 90s
stopped eating, which is another common presentation, and they let her not eat for three days, and then they found her unresponsive and sent her to the hospital.
Showing 521–540 of 1,082 · page 27 of 55
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