Pre-Operative Geri Assessment: Vicky Tang and Houman Javedan
episode
GeriPal - A Geriatrics and Palliative Medicine Podcast
43 min
3 speakers
4 chapters
transcribed 10 hours ago
Transcript
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Why do surgeons request pre‑operative geriatric assessments?
before we begin this jerry pal podcast we'd just like to say a special thank you to those who recently donated to the jerry pal podcast more than a hundred dollars including ken langa carrie levy marnie fetzer ron sabar stephanie gabatuler and patrick lally if you want to donate click on that little donate button on the jerrypal.org website and on to the show Welcome to the Jerry Pal podcast. This is Eric Widera. This is Alex Smith. And Alex, who do we have with us today? We are delighted to welcome Hooman Javedan, who is a geriatrician and director of inpatient geriatric medicine at the Brigham and Women's Hospital, where I trained, and associate program director of the Geriatric Fellowship at Harvard Medical School.
Hooman, welcome to the Jerry Pal podcast.
Thank you. This is very exciting for me. I've been listening to this podcast for a while.
We love to hear that. We're also delighted to welcome back Vicki Tang, who is a geriatrician, researcher, and coach. Listen to our prior podcast with Vicki about coaching. And she is at the University of Texas, Houston, where she is the Roy M. and Phyllis Goff Huffington Chair in Gerontology. Vicki, welcome back to the Jerry Pal podcast. Thank you. So we got a lot to talk about. We're going to be talking about perioperative or preoperative assessment in older adults. But before we get into that topic, we always do a song request. And I think you have a song request for Alex.
Yeah, there's a song by Alex Kuba called Aura, which... I mean, there's two reasons I explained I really like this song. The first phrase says, I'm loyal to the life that I have chosen, which I think represents sort of the feeling a geriatrician has mid-career and onwards. And the second, which was interesting, was Alex Cuba himself said it took him 13 years to complete this song because he sort of learned to be present in the time and sort of appreciate that sort of geriatric wisdom about the now and not being worried about the future.
Beautiful message. Have you been practicing the song for 13 years, Alex? I have not. I did record it for those of you who are listening to the audio only with my son's Kai on ukulele and ran on bass. And here I'm going to try it on guitar. We'll see what happens.
Sigo siendo fiel a la vida que escogí. Sigo sin saber Abrazándome al destino La fe de un miral La luz de la mañana Se hacen testigo De mi propio ser Quede el tiempo azul Now. Now.
That was great, Alex. I apologize to those of you watching on YouTube. I kind of, I kind of want to hear the ukulele version. Yeah, it's much better. Listen to the audio only. Who's playing the U? Kai's playing the ukulele. And I forgot to bring my ukulele to work. You forgot your notes. We're winging it today. We are winging it. What are we talking about again? Pre-operative assessment. I got a question and we actually got some questions from our listeners, but I think the biggest one is why do we even bother with this? Why do we do preoperative assessments? Is it just like a legal formality? We're just saying, Hey, like, you know, we've, we've cleared this person for, for surgery or, or is there more going on here?
I'm going to start off with your thoughts.
Yeah. So, so I guess I'll sort of, need to share that i started life as a surgeon right and and uh i need to share the couple of anecdotes the sort of i i love geriatrics in med school then people said no you don't want to do that and then i really enjoyed the teamwork on surgery and being in the or and then started life as a you know my basic surgical training was in scotland so edinburgh glasgow But it was always the older patients where I felt like people were, it didn't make sense. People were missing things and people were very binary about it. In my days, it was this attitude of like, you don't operate on anybody over 85 or you do absolutely everything. And if they don't do well, well, they were old.
And I specifically remember one case where it's maybe it's, you know, was a little bit traumatizing. There was a general surgeon in Glasgow who said,
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Chapters
4 chapters
1
Why do surgeons request pre‑operative geriatric assessments?
0:00–6:51
2
What motivated the hosts to include a song request before the medical discussion?
6:51–19:44
3
How do geriatricians explain the purpose of pre‑operative assessments beyond legal paperwork?
19:44–32:50
4
What is the Comprehensive Geriatric Assessment (CGA) and how does it differ from the 4Ms?
32:50–43:47
Speakers
3 identifiedMore from GeriPal - A Geriatrics and Palliative Medicine Podcast
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