geriatrics is not what it used to be: "65" is not "feeble"
TRANSCRIPT
“e-Patient Dave” deBronkart Twitter: @ePatientDave facebook.com/ePatientDave LinkedIn.com/in/ePatientDave [email protected]
Geriatrics is not what it used to be: “65” is not “feeble”
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Writing in 1970, de Beauvoir seemed fatalist and hopeless about aging
Writing in 1970, de Beauvoir seemed fatalist and hopeless about aging
“It is far better not to think about it too much,
Writing in 1970, de Beauvoir seemed fatalist and hopeless about aging
“It is far better not to think about it too much, but to live a fairly committed, fairly justified life so that one may go on in the same path
Writing in 1970, de Beauvoir seemed fatalist and hopeless about aging
“It is far better not to think about it too much, but to live a fairly committed, fairly justified life so that one may go on in the same path even when all illusions have vanished and one’s zeal for life has died away.”
notable-quotes.com
A lot has changed in 46 years.
A lot has changed in what’s possible.
Technology can even change philosophy.
First lesson: If you live long enough
the future changes.
My college classmate Jay
The future when Jay and I were born
Today: Medicine and population health
are preventing most deaths
34 years from now: a truly unprecedented
population profile
That’s not so hopeless at 60, 70, 80!
Half of everyone who’s ever been 65 is alive today
Population today: ~7.0 billion End of World War II: ~2.3 billion
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Are you ready??
Geriatrics: “The art and science
of modifying medicine so that it works better
for older people and for their families”
How can we empower patients and families
to improve their health and their care?
Empowerment
Empowerment “Increasing the capacity �of individuals or groups
Empowerment “Increasing the capacity �of individuals or groups
to make choices [about what they want]
Empowerment “Increasing the capacity �of individuals or groups
to make choices [about what they want]
and to transform those choices �into desired actions & outcomes”
World Bank, 2002
ì
Information is empowering.
To withhold information is disempowering.
Next lesson: People perform better
when we’re informed better.
Important question: Where does
useful information come from?
Kardia (née “AliveCor”): Smartphone ECG
#OpenAPS & @DanaMLewis (Open Source Artificial Pancreas System)
“Quantified Self” #OpenAPS Public Health conference San Diego, May 18 (n=1)*59
(n=1)*59
June 3, White House: *75
OpenNotes
What happens when patients see
their doctors’ notes?
• 99% of patients wanted to continue
• 17-26% of doctors preferred not to…– But when given the chance to stop, none did
• 85-89% of patients said availability of �open notes would influence their choice of providers and health plans
Do you know what’s in your
family’s records?
Empowered families can help – if they have the information
Who has the most at stake
with the accuracy, completeness and availability of the medical record?
Remember: We perform better
when we’re informed better.
A lot has changed since then.
Help us have access
to as much information as we want.
1 imagine today de Beauvoir would encourage empowerment, not fatalism.
1 imagine today de Beauvoir would encourage empowerment, not fatalism.
1 imagine today de Beauvoir would encourage empowerment, not fatalism.
In The Second Sex she said:
1 imagine today de Beauvoir would encourage empowerment, not fatalism.
In The Second Sex she said:
“There is no justification for present existence other than …
1 imagine today de Beauvoir would encourage empowerment, not fatalism.
In The Second Sex she said:
“There is no justification for present existence other than its expansion into an indefinitely open future.”
notable-quotes.com
“e-Patient Dave” deBronkart Twitter: @ePatientDave facebook.com/ePatientDave LinkedIn.com/in/ePatientDave [email protected]
Geriatrics is not what it used to be: “65” is not “feeble”
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