Blog - Better Health While Aging

Coronavirus Update: Important Developments & Suggestions (11.18.20 Edition)

Like many of you, I continue to follow the coronavirus situation closely, for personal and professional reasons. And of course, I’ve been quite concerned by the recently increasing COVID case numbers.

So I’ve recorded another video commentary to share with our Better Health While Aging community.

This video covers:

The coronavirus situation today
Why COVID rates are so high right now
Latest developments in treatment & vaccination
What this means for older adults
If you’re wondering “Is it safe to…?”
Dr. K’s recommendations for the holidays and winter

Watch the subtitled video and search the transcript below or get the audio-only through the podcast here.

(For a short tutorial on how to search the transcript, see here.)

Please stay as safe as you can, and take care!

Related resources:

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Anemia in the Older Adult:
10 Common Causes & What to Ask

by Leslie Kernisan, MD MPH

Have you ever been told that an older relative has anemia?

Or perhaps you noticed the red blood cell count flagged as “low” in the bloodwork report? Or noticed “low hemoglobin” in a doctor’s report?

Anemia means having a red blood cell count that is lower than normal, and it’s very common in older adults. About 10% of independently living people over age 65 have anemia. And anemia becomes even more common as people get older.

But many older adults and families hardly understand anemia.

This isn’t surprising: anemia is associated with a dizzying array of underlying health conditions, and can represent anything from a life-threatening emergency to a mild chronic problem that barely makes the primary care doctor blink.

Still, it worries me that older adults and families don’t know more about anemia. If you or your relative has this condition, it’s important to understand what’s going on and what the follow-up plan is. (I’ve so often discovered that a patient didn’t know he or she had had anemia!) Misunderstanding anemia can also lead to unnecessary worrying, or perhaps even inappropriate treatment with iron supplements.

Featured Download: What to Ask Your Health Providers About Anemia. Use this free PDF to make sure you ask key questions about your anemia condition, including what’s been done to diagnose the cause, and what the plan is for treatment. Click here to download.

And since anemia is often caused by some other problem in the body, not understanding anemia often means that people don’t understand something else that is important regarding their health.

Fortunately, you don’t have to be a doctor to have a decent understanding of the basics of anemia.

This post will help you understand:

How anemia is detected and diagnosed in aging adults.
Symptoms of anemia.
The most common causes of anemia, and tests often used to check for them.
What to ask the doctor.
How to get better follow-up, if you or your relative is diagnosed with anemia.

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Medicare: The ABCDs to Know & Tips for Open Enrollment

by Michelle Allen, LCSW 12 Comments

Every year, Medicare has an open enrollment period: October 15 – December 7.

During this time, Medicare beneficiaries can do the following:

Switch from Original Medicare to Medicare Advantage, or vice versa;
Switch from one Medicare Advantage plan to another;
Change Medicare Part D (prescription drug) plan; or
Enroll in a Medicare Part D (a late enrollment penalty may apply).

Medicare health and drug plans can make changes each year—things like cost, coverage, and what providers and pharmacies are in their networks. It is important for Medicare beneficiaries to review their current plans, options, and needs for the next year. Many beneficiaries fail to take any action during open enrollment; Medicare is not a “set it and forget it” insurance plan.

Before you can start deciding if and what to change about your Medicare benefits, you have to understand the basics of Medicare.

In this article, I’ll review the basics of Medicare Parts A, B, C and D. Then, I’ll share some tips on navigating the Medicare Open Enrollment period and how to get help, if you’re considering making a switch or if you need help affording the Medicare premiums. [Read more…]

Urinary Incontinence in Aging:
What to know when you can’t wait to go

by Nicole Didyk, MD 12 Comments

“I know where every bathroom is at the mall, and my wife rolls her eyes every time I have to visit one when we just arrived – even after I went before leaving the house! What can I expect? Most old guys are in the same boat!”

If you opened this article, you probably relate to the quote above, and you’re not unlike millions of other older adults.

Incontinence doesn’t always mean wetting yourself. It can involve urgent needs to use the toilet, frequent bathroom trips, or losing tiny amounts of urine with certain activities.

Incontinence is more than inconvenient, it can be life-altering, leading to early retirement or social withdrawal, depression, and loss of independent function. Important incontinence stats include:

1 in 3 older women and 1 in 12 older men have lower urinary tract symptoms that can include incontinence

Urinary incontinence cost the US economy $66 billion in 2012

6-10% of nursing home admissions are due to urinary incontinence

Only 22% of men with urinary incontinence seek help for the problem, as compared to 45% of women

For this reason, in geriatrics, we often ask our patients about incontinence.

I recently had the opportunity to talk to Dr. Adrian Wagg, a Geriatrician-Internist and international expert in urinary incontinence. You can listen to this interview, and find out how to download a transcript of it here. In this article, I’ll share some of his insights about the management of incontinence in older adults, and why it remains undertreated too often.

In particular, I’ll cover:

How urinary function changes with age
Types and causes of urinary incontinence in both men and women
What to do if you’re experiencing urinary incontinence and want help
How to help manage urinary incontinence in an older person you’re caring for

What happens to the Urinary System with Aging?

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How to Prevent Falls: 4 Proven Approaches To Ask Your Doctor About

by Leslie Kernisan, MD MPH 28 Comments

elderly woman falling Worried about falls in an older parent or relative? If so, do you know if their doctor has considered the most useful prevention approaches?

Fall risk can be reduced, but it generally takes some thought and effort. That’s in part because most older adults have multiple factors making them vulnerable to falls.

In a related article on this site, I’ve explained that best fall prevention plans involve identifying an older person’s particular risks — especially risks related to health conditions — and trying to counter those.

Get Your Free Fall Prevention Resource Guide! A handy short PDF to help you quickly find the key online resources mentioned in this article. Click here to download.

So for instance, if an older person has diabetes and is having frequent moments of low blood sugar (also known as hypoglycemia), then to reduce falls, addressing the hypoglycemia is as important, if not more, as starting an exercise program.

In other words, I always recommend that aging adults and families learn to tailor their fall prevention plans. You want to focus on what are the most important modifiable risk factors for that individual person.

That said, over the years I’ve noticed that there are four approaches that I find myself using over and over again, in almost all my patients who have had repeated falls.

These four approaches are used often by geriatricians, but much less often by busy primary care doctors. Unless, that is, a proactive family asks about them.

My Four Most-Used Fall Prevention Approaches

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Related resources:

What happens to the Urinary System with Aging?

My Four Most-Used Fall Prevention Approaches

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