Sharon Brangman

speaker

219 appearances 2 recordings 1 series first heard Jan 2023 last heard Aug 2023

Sharon Brangman’s voice in public audio — every appearance, attributed to the second.

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GeriPal - A Geriatrics and Palliative Medicine Podcast · Amyloid Antibodies and the Role of the Geriatrician: Nate Chin, Sharon Brangman, and Jason Karlawish · 17 Aug 2023 podcast

Even if they stopped and they got a stroke, they're not ahead of the game.

So I'm with Nick.

I'm gonna use that as a hard stop.

in our shared decision making process because people have to put things in perspective.

I was just gonna say this is another example of the actual burden of work that's gonna be on our shoulders as geriatricians because the uh conversations that we already have are pretty long.

And they're gonna get longer.

And we know we don't get reimbursed for these long conversations, but they are necessary for us to have in order for patients to make good decisions.

And then we have to monitor them.

But we also have to get our other colleagues along the way up to speed.

So if somebody is on an anti-quag and they are taking Lacanamab and they go to the ED.

Does the ED doc know what to do?

And what are the implications there?

There's a lot of um lot of stops along the way for um education.

The other thing that I have a concern about is um the the neuroradiologists and how good they are at reading aria, because in our clinical trials, we often had central reads that showed aria, but the local read did not.

So I am not completely confident that I will be able to know if somebody really has diary and needs a dose reduction or maybe even a break from the drug just from our local um neuroradiologist.

And we're in a center

Well that's the thing.

There's a lot of places that just have a kind of general radiologist.

And um if we are in a center with neuroradiologists and that's a challenge, that's another level of concern is

And geriatricians know how to make sure their patients are getting the best kind of care and not marginalized in our healthcare system.

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