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#15: Beyond Labels: Unveiling the Essence of Palliative Care

Welcome to another episode of Medical Narratives Podcast. I'm your host Dr. Michael Gordon, a geriatrician from Toronto. Today we have a special guest with us, Dr. Hershl Berman, a palliative care specialist. Also from Toronto. In this episode, we're delving into the world of palliative care with a unique perspective, including beyond end of life scenarios.

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Dr. Michael Gordon recently retired after a fulfilling career as a geriatrician that spanned 56 years, 44 of which he spent working at the Baycrest Center in Toronto. He is Emeritus Professor of Medicine at the University of Toronto. Dr. Gordon is a recognized ethicist and a thought leader on all topics of care of the elderly and end-of-life decisions. Currently, Dr. Gordon provides part-time professional medical consulting mainly in the domain of cognition and memory loss.

#14: Driving Assessment in the Elderly

Welcome to the Medical Narratives podcast with your host, Dr. Michael Gordon. My name is Regina Starr. And in today's episode, Dr. Gordon will be navigating the complex topic of Driving Assessment for the Elderly.

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Dr. Michael Gordon recently retired after a fulfilling career as a geriatrician that spanned 56 years, 44 of which he spent working at the Baycrest Center in Toronto. He is Emeritus Professor of Medicine at the University of Toronto. Dr. Gordon is a recognized ethicist and a thought leader on all topics of care of the elderly and end-of-life decisions. Currently, Dr. Gordon provides part-time professional medical consulting mainly in the domain of cognition and memory loss.

#13: Delirium in the Elderly

RS: Welcome to another episode of the Medical Narratives podcast with your host, Dr. Michael Gordon. My name is Regina Starr and today's episode we delve into the crucial and often misunderstood aspect of geriatric medicine, Delirium in the Elderly.

Dr. Gordon, a well-known expert in the field, will guide us through the intricate world of delirium, providing insights and strategies for healthcare professionals to better understand, identify and manage this condition in their elderly patients. So whether you're a primary care physician or an allied health care professional, join us as we embark on this journey into the realm of delirium in the elderly.

RS: Hi Michael, How are you?

MG: Good, thank you very much. Good morning.

RS: Good morning. Can you start by defining what delirium is and why it's particularly important for us to understand in the context of elderly patients.

MG: Yeah, I'll try to describe it in basically simple terms.

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Dr. Michael Gordon recently retired after a fulfilling career as a geriatrician that spanned 56 years, 44 of which he spent working at the Baycrest Center in Toronto. He is Emeritus Professor of Medicine at the University of Toronto. Dr. Gordon is a recognized ethicist and a thought leader on all topics of care of the elderly and end-of-life decisions. Currently, Dr. Gordon provides part-time professional medical consulting mainly in the domain of cognition and memory loss.

#12: Frailty in the Elderly

RS: Hello and welcome to another episode of the Medical Narratives podcast. I'm Regina Starr and today we will delve into the topic of Frailty in the Elderly. Frailty among the elderly presents a multifaceted challenge to both society and society at large. As a medical condition, it signifies a state of vulnerability, often resulting from age related declines in physical and mental health. This condition places a significant burden on health care systems, increasing hospitalizations and health care costs.

Moreover, frail individuals may experience reduced quality of life and increased dependance on caregivers. Societally, addressing frailty necessitates reconfiguring health care systems to provide better support for older adults and promoting preventative measures through healthier lifestyles. The challenge of frailty underscores the pressing need for a comprehensive, age sensitive approach to elderly care. To discuss this topic, we sat down with Dr. Michael Gordon, a well-known geriatrician specialist and the host of the Medical Narratives podcast.

RS: Hi Michael.

MG: Hi. Good morning.

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Dr. Michael Gordon recently retired after a fulfilling career as a geriatrician that spanned 56 years, 44 of which he spent working at the Baycrest Center in Toronto. He is Emeritus Professor of Medicine at the University of Toronto. Dr. Gordon is a recognized ethicist and a thought leader on all topics of care of the elderly and end-of-life decisions. Currently, Dr. Gordon provides part-time professional medical consulting mainly in the domain of cognition and memory loss.

#11: Transitioning to Congregate Living

RS: Hello and welcome to another episode of Medical Narratives with Dr. Michael Gordon. I'm Regina Starr. And today we're discussing a topic that many seniors and their families face at some point in their lives. The challenge of deciding when to leave one's home for congregate living, such as a retirement home, an assisted living facility, or a nursing home. To help us with this complex issue, joining us today is Dr. Michael Gordon, an expert in the care of the elderly.

Hello Dr. Gordon. Welcome to the show.

MG: Hello and good morning.

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Dr. Michael Gordon recently retired after a fulfilling career as a geriatrician that spanned 56 years, 44 of which he spent working at the Baycrest Center in Toronto. He is Emeritus Professor of Medicine at the University of Toronto. Dr. Gordon is a recognized ethicist and a thought leader on all topics of care of the elderly and end-of-life decisions. Currently, Dr. Gordon provides part-time professional medical consulting mainly in the domain of cognition and memory loss.

#10: A Breakthrough in Alzheimer's Disease Treatment: The Approval of Lecanemab

Good afternoon. Welcome to another episode of Medical Narratives, the podcast where we explore best practices, groundbreaking medical research and advancements in medicine. I'm Dr. Michael Gordon, the host of the Medical Narrative Podcast. In today's episode, we review the news that Lecanemab has received approval as a treatment for early Alzheimer's disease from the U.S. Food and Drug Administration, the FDA.

A potential much needed good news in Alzheimer's treatment. Our guest today is Dr. Sharon Cohen. Dr. Cohen is a behavioural neurologist and the medical director of the Toronto Memory Program, a community based medical facility which she established in 1996 for the purpose of the advancing diagnosis and treatment for individuals with Alzheimer's disease and related disorders.

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Dr. Michael Gordon recently retired after a fulfilling career as a geriatrician that spanned 56 years, 44 of which he spent working at the Baycrest Center in Toronto. He is Emeritus Professor of Medicine at the University of Toronto. Dr. Gordon is a recognized ethicist and a thought leader on all topics of care of the elderly and end-of-life decisions. Currently, Dr. Gordon provides part-time professional medical consulting mainly in the domain of cognition and memory loss.

#9: Type 2 Diabetes: Treatments, Complications, and Societal Impact

Welcome to another episode of the Medical Narratives podcast with Dr. Michael Gordon. My name is Regina Starr, and today we have an exciting episode focusing on Type 2 diabetes featuring our host, Dr. Michael Gordon, a geriatrician and our special guest, Dr. Irving Gottesman. Dr. Gottesman is an assistant professor of Medicine, Faculty of Toronto, Temerty School of Medicine and Staff Endocrinologist at Trillium Health Partners Credit Valley Hospital.

We'll delve into the topic of Type 2 diabetes, its impact on society, and discuss the potential complications and dangers associated with treatment inertia. As well, we will review the various treatment options, but before we dive into the main focus, this would not be the Medical Narratives podcast without a good story.

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Dr. Michael Gordon recently retired after a fulfilling career as a geriatrician that spanned 56 years, 44 of which he spent working at the Baycrest Center in Toronto. He is Emeritus Professor of Medicine at the University of Toronto. Dr. Gordon is a recognized ethicist and a thought leader on all topics of care of the elderly and end-of-life decisions. Currently, Dr. Gordon provides part-time professional medical consulting mainly in the domain of cognition and memory loss.

#8: Medical Assistance in Dying (MAiD)

SY: Good morning. Welcome to Dr. Michael Gordon's Medical Narrative Podcast. I'm your host, Dr. Susanna Yanivker. I have been in practice for 25 years and have an interest in emergency medicine, intensive care and air ambulance, as well as choice in health care and end of life medicine. Today we have a very special episode. For the first time, we are doing a series of topics on Medical Assistance in Dying, otherwise known as MAiD.

SY: MAiD is sensitive and deeply personal topic. In 2016, federal legislation was introduced in Canada to allow individuals who are suffering from serious and incurable illness, disease or disability to apply for and if eligible, receive MAiD. We will be speaking to Dr. Michael Gordon, who is well known to our listeners as the host of the Medical Narratives podcast and regular contributor to Health Plexus and the Journal of Current Clinical Care.

SY: Michael is an Emeritus Professor of medicine and a member of the University of Toronto's Joint Centre for Bioethics. And this capacity is involved in ethics, education, primarily for health care providers. He has written and spoken widely in the field of medical ethics, especially in relation to the elderly and end of life care. Our special guest today also is Dr. Chantal Perrot, who's a family physician, psychotherapist in Toronto.

SY: She has been active in choice and health care for over four decades and has been providing Medical Assistance in Dying and assessments and procedures for patients since July 2016. Dr. Perrot is frequently called upon to speak about MAiD to both professional and general audiences. She's a member of Dying with Dignity Board of Directors and also Past-Chair of the Board of Directors of MAiDHouse.

SY: She's a member of the Canadian Association of MAiD Assessors and Providers and a moderator of the Camp MAiD Providers Forum. Welcome to both of you, and thank you for taking the time to speak to me today about this very important subject. So let's get started.

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Dr. Michael Gordon recently retired after a fulfilling career as a geriatrician that spanned 56 years, 44 of which he spent working at the Baycrest Center in Toronto. He is Emeritus Professor of Medicine at the University of Toronto. Dr. Gordon is a recognized ethicist and a thought leader on all topics of care of the elderly and end-of-life decisions. Currently, Dr. Gordon provides part-time professional medical consulting mainly in the domain of cognition and memory loss.

#6: Unintentional Weight Loss

Hello and welcome to the Medical Narratives podcast with Dr. Michael Gordon. I'm Regina Starr and in today's episode we will continue our series on the top 10 issues affecting the elderly. We are excited to present another informative episode on the topic of unintentional weight loss.

Please note that while the first episode is available to listen to without registration, accessing additional episodes will require you to subscribe and log in.

  Back to Medical Narratives Podcast

RS: Hello and welcome to the Medical Narratives podcast with Dr. Michael Gordon. I'm Regina Starr and in today's episode we will continue our series on the top 10 issues affecting the elderly. We are excited to present another informative episode on the topic of unintentional weight loss. According to the Mayo Clinic, unexpected weight loss or losing weight without trying, particularly if it's a significant amount, may be a sign of a medical disorder. The point at which unexplained weight loss becomes a medical concern is not exact but many health care providers agree that a medical evaluation is called for if a patient loses more than 5% of their weight within a year, especially in older adults. So for example, a 5% weight loss in someone who is 160 pounds (72 kilograms) is 8 pounds (3.6 kilograms). In someone who is 200 pounds (90 kilograms), it's 10 pounds (4.5 kilograms).

RS: Hello Michael, I am looking forward to our conversation today.

MG: Hello, hope it works out well.

RS: It will.

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Dr. Michael Gordon recently retired after a fulfilling career as a geriatrician that spanned 56 years, 44 of which he spent working at the Baycrest Center in Toronto. He is Emeritus Professor of Medicine at the University of Toronto. Dr. Gordon is a recognized ethicist and a thought leader on all topics of care of the elderly and end-of-life decisions. Currently, Dr. Gordon provides part-time professional medical consulting mainly in the domain of cognition and memory loss.

#5: Falls and Dizziness

Hello, I'm Regina Starr and welcome to the Medical Narratives podcast with Dr. Michael Gordon. In this episode, we'll be continuing our discussion of the top issues affecting the elderly. Focusing on the topic of Falls and Dizziness. Falls are a major concern for older adults. And in this episode, Dr. Gordon will share his expertise and offer some tips on how to prevent falls and manage dizziness in the elderly population.

Please note that while the first episode is available to listen to without registration, accessing additional episodes will require you to subscribe and log in.

  Back to Medical Narratives Podcast

RS: Hello, I'm Regina Starr and welcome to the Medical Narratives podcast with Dr. Michael Gordon. In this episode, we'll be continuing our discussion of the top issues affecting the elderly. Focusing on the topic of Falls and Dizziness. Falls are a major concern for older adults. And in this episode, Dr. Gordon will share his expertise and offer some tips on how to prevent falls and manage dizziness in the elderly population. So sit back, relax and join us for another informative episode of the Medical Narratives podcast.

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Dr. Michael Gordon recently retired after a fulfilling career as a geriatrician that spanned 56 years, 44 of which he spent working at the Baycrest Center in Toronto. He is Emeritus Professor of Medicine at the University of Toronto. Dr. Gordon is a recognized ethicist and a thought leader on all topics of care of the elderly and end-of-life decisions. Currently, Dr. Gordon provides part-time professional medical consulting mainly in the domain of cognition and memory loss.