Sei Lee
speaker
547 appearances
9 recordings
1 series
first heard Feb 2017
last heard Oct 2022
Sei Lee’s voice in public audio — every appearance, attributed to the second.
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Appearances
Of getting the benefits makes it uh that's less likely that we should do that for them.
And I I would just like to point out one kind of tangent is um Alex Smith is one of the people who's done work on how there's a lot of heterogeneity among older adults on what on how much they want to hear about their own prognosis.
And certainly from my experience, there have been patients who, when I have kind of cautiously brought
Approach this topic, it's kind of like the floodgates open and they're like, thank God somebody is talking to me about this.
My best friend just died.
And like, this is something that they've been thinking about.
And nobody is wanting to talk to them because it's everybody is so uh and then there are other patients that I've I've talked to, and they're like, I don't really think you know, or anybody can know, and they're not interested in.
talking about prognosis, but there is this large uh heterogeneity.
And I think it it behooves us as clinicians to actively engage with patients and really get a sense of is is this something that they want to talk about and try to make the best decisions for them given their values and preferences.
Yeah, so this is something that uh Alex and I have been kind of uh I guess uh working on the side, working on on the side for the past uh 10, 12 years.
Uh eprognosis was started out as just a list of uh different prognostic indices.
So things to predict mortality in hospitalized adults, things to predict mortality in community-dwelling adults, things to predict mortality uh
for in nursing home residents.
And we've been slowly uh building that out and really the the two things that we were kind of um we felt like really needed to be built out was number one focusing on
Patients with dementia because it's such a common population.
And really, we have good studies to show that the trajectory of decline in dementia is pretty different than almost any other disease.
And so we thought kind of focusing specifically on dementia patients was important.
And then the other thing that we really wanted to do was to uh come up with an index that um looked at things other than more.
mortality uh because older adults uh you know as alex mentioned cares about care about a lot of things and the clinical decision making is probably um uh less than half of what they care about.
And so thinking about other things like mobility impairment, the ability to take care of themselves, live independently, those sorts of things, outcomes other than mortality we thought were really important.
Showing 21–40 of 547 · page 2 of 28
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