William Dale
speaker
167 appearances
2 recordings
1 series
first heard Jan 2020
last heard Dec 2021
William Dale’s voice in public audio — every appearance, attributed to the second.
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Appearances
which is um what's called the ACCC, um is the Association of Community Cancer Centers.
Um and they have a a really nice website too, um that's quite practical.
So those are all places people can go.
I I feel like this is also the the place Melissa uh uh
to to say, you know, in your local community before you start screening people and doing these things, I think it's great to talk about but you do have to do a bit of an assessment at your local local location um so that you can see that if you discover these things you actually have a response.
I I think it's
I'm thinking for patients if we do this and we say, Hey, by the way, in addition to cancer, here's some other things that are really a problem and but we don't have a way to help you very much, including identifying community resources.
So when I go in and talk to local community sites, I'm like, what do you have here?
Let's focus our screenings on what we can help you with and let's not on things that are just gonna generate frustration.
I I would agree with the um targeting as uh as well.
Um I don't think we can say given the practical constraints, we're not quite ready to say everybody needs a f complete geriatric assessment, but I think targeted assessments these tools
Everybody essentially should get that.
Um, the evidence is there now for that.
Yeah, I I'm gonna say that um and I throw palliative care in there um as well.
I think there's always gonna be a role for specialized um attention to older adults and people with advanced disease.
but that those practitioners who are the specialists who really are best at that in in my clinic I I say these are the patients I want, uh you know, we are the best people to take care of them just like any other specialist.
So primary geriatrics, primary palliative care, I think can be done in many ways using these other tools.
But when it comes down to taking care of people who um need this specialized attention from a geriatrician, that's when I would call in my Aladdin's lamp f uh last wish is that we had a system that got patients to those specialized practitioners who who really can help them and a system that allows it to happen just like we'd send them to a a specialized surgeon or a specialized um
cancer doctor who knows uh uh the most about that particular thing.
So I think there's always gonna be a place for that.
Showing 141–160 of 167 · page 8 of 9
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