
When I graduated from medical school in 1966, geriatrics was already one of the medical subspecialties in Scotland...

In the absence of immortality, the human species has over the millennia developed rites and rituals to help in the passing of life to honor the person who is dying or has died or in some way demonstrate their “courage” and perseverance as well as duty even in the face of almost certain death.

If one is in medical practice long enough it sometimes seems like that sense one gets when sitting in a waiting room and picking up a years old copy of Time® magazine and not realize that it is years out of date, as many of the stories seem to be the same or very familiar.

For any physician beyond 70 years old, of which I am one, evidence-based medicine as currently configured and taught is a concept that came to us somewhat late in our careers.

The process of prescribing medications, explaining the risks and benefits has classically been the role and responsibility of physicians with support from other health care providers such as pharmacists.
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Elderly members of society face end of life struggles while acknowledging physical and mental difficulties associated with the coming of life's end.