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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Maybe it's about time that we start talking about some of these things.
It allows um that relationship, it allows the clinician to not be the bad guy or the bit or the bearer of bad news.
Um and I think that.
may be another way that this work could be helpful.
Okay.
Just trying not to step on feet is what I was thinking.
Yeah.
leave don't step on feet.
Thanks for
clearly
Yeah, it's something that I've been thinking about and working on for a while.
I think what I talk about is that almost everything that we do for patients has good things, but also can have some bad things, whether it's polypharmacy, whether it's adverse effects.
And for a lot of the things that we do, the bad things happen pretty quickly as soon as the medicine is started, for example.
But the good things take a longer time.
Maybe it's six months, maybe it's two years, maybe it's 10 years.
While for older adults especially, when something is going to help is just as important as if it's going to help and how much it's going to help.
And so, for example, if we find that a time to benefit for some medication is actually 10 years, but the harms happen immediately, then that may not be appropriate for the frailest of our patients.
Whereas if the time to benefit is only two months, we would expect that to be beneficial for almost all of our patients.
So I just wanted to kind of introduce this idea that it's not just if it's going to be helpful or how much it's going to be helpful.
It's also important for us to think about when is it going to be helpful.
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