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Better Health While Aging

Practical information for aging health & family caregivers

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127 – COVID Update for Aging Adults (2.24.22 Edition)

by Leslie Kernisan, MD MPH 2 Comments

Better Health While Aging
Better Health While Aging
127 – COVID Update for Aging Adults (2.24.22 Edition)
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 In This Episode:

Dr. K discusses the ebbing of the Omicron surge, what to know about the “stealth” Omicron BA.2 (it has taken over in Denmark and is growing here), how to “live with COVID” safely, and more.

She covers:

[Read more…]

126 – Update: COVID Vaccination in Aging (1.6.22 Edition)

by Leslie Kernisan, MD MPH Leave a Comment

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Better Health While Aging
126 – Update: COVID Vaccination in Aging (1.6.22 Edition)
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 In This Episode:

This episode covers the latest on the ongoing Omicron surge, including whether it’s milder in older adults, what’s we’ve learned about rapid testing for Omicron, what to know about the current hospital situation, how to stay safer during the surge, and more.

The episode also addresses these FAQs:

[Read more…]

125 – Update: COVID Vaccination in Aging (12.16.21 Edition)

by Leslie Kernisan, MD MPH Leave a Comment

Better Health While Aging
Better Health While Aging
125 – Update: COVID Vaccination in Aging (12.16.21 Edition)
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 In This Episode:

This update covers Omicron, COVID boosters, plus how to search the CDC data to see just how well vaccines have worked, even in older adults. I also show the data demonstrating that vaccinated people age 80+ are still at higher risk of serious COVID than unvaccinated people under age 50; this is why fully vaccinated older adults should take precautions during the current surge!

(View the show notes page to watch my subtitled talk and my slides.)

This episode includes:

[Read more…]

124 – Does Your Aging Parent Need Help?
What to check & how to talk about it

by Leslie Kernisan, MD MPH 2 Comments

Better Health While Aging
Better Health While Aging
124 – Does Your Aging Parent Need Help?
What to check & how to talk about it
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In This Episode:

Dr. K explains what to do if you’ve become worried about your aging parent, and are trying to figure out if they need help, or are unsure of what to do next. She covers:

  • What mental changes are normal as people get older, and what’s not normal
  • The three types of problems you’ll want to check for
  • Specific signs to check for, to detect possible memory or thinking problems
  • How to tell if your parent needs more help around the house or with their daily life
  • The safety red flags I usually check for
  • A more respectful and effective way to talk to your aging parent about how things are going
  • What to stop doing and what to do instead, to reduce conflicts
[Read more…]

123 – Update: COVID Vaccination in Aging (10.28.21 Edition)

by Leslie Kernisan, MD MPH 2 Comments

Better Health While Aging
Better Health While Aging
123 – Update: COVID Vaccination in Aging (10.28.21 Edition)
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 In This Episode:

This video update covers COVID boosters, recent research on the efficacy of COVID vaccination in older adults over the last six months, why we are seeing breakthrough infections, and more. I also cover my recommendations for how aging adults and their families can be safer during the holidays, and using rapid antigen tests.

(View the show notes page to watch my subtitled talk and my slides.)

This episode includes:

[Read more…]

122 – Update: COVID Vaccination in Aging (9.9.21 Edition)

by Leslie Kernisan, MD MPH 2 Comments

Better Health While Aging
Better Health While Aging
122 – Update: COVID Vaccination in Aging (9.9.21 Edition)
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 In This Episode:

This video update covers my latest thoughts on the Delta surge, what we’ve learned about the efficacy of COVID vaccination in older adults over the last six months, breakthrough COVID cases, and whether “boosters” will be required.

(View the show notes page to watch my subtitled talk and my slides.)

This episode covers:

[Read more…]

121 – Update: COVID Vaccination in Aging (7.29.21 Edition)

by Leslie Kernisan, MD MPH 2 Comments

Better Health While Aging
Better Health While Aging
121 – Update: COVID Vaccination in Aging (7.29.21 Edition)
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 In This Episode:

This video update includes my thoughts on the Delta variant and the latest CDC announcement regarding guidance for fully vaccinated adults, what to know about “breakthrough” COVID cases in nursing homes and elsewhere, recent studies on the efficacy of vaccines in older adults (and why some touted study results may not apply to older adults), who might not be well protected by the vaccine, and more.

(View the show notes page to watch my subtitled talk and my slides.)

This episode covers:

[Read more…]

120 – Depression in Aging: Diagnosis & Treatment

by Nicole Didyk, MD Leave a Comment

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Better Health While Aging
120 – Depression in Aging: Diagnosis & Treatment
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Watch the subtitled video and search the transcript by clicking above.
(For a short tutorial on how to search the transcript, see here.)

In This Episode:

Guest host Dr. Nicole Didyk discusses the diagnosis and treatment of depression, including why it’s often tricky to diagnose in later life, and how it can be treated. (Note: depression in the context of dementia will be covered in an upcoming episode.) Dr. Didyk is a geriatrician in Canada, and the founder of the blog and YouTube channel The Wrinkle.

She covers:

  • What’s different about depression in older adults?
  • What are the signs that an older person might be depressed?
  • What medical illnesses can mimic depression?
  • Which medications can cause or worsen depressive symptoms?
  • How can depression be treated in older adults?
  • What to do if you’re concerned about depression in an older person
[Read more…]

119 – Update: COVID Vaccination in Aging (5.14.21 Edition)

by Leslie Kernisan, MD MPH Leave a Comment

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Better Health While Aging
119 – Update: COVID Vaccination in Aging (5.14.21 Edition)
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In This Episode:

Dr. K provides commentary on the recent COVID developments, including the CDC’s latest mask guidance for vaccinated people, plus updated information on the effectiveness and safety of COVID vaccination for older adults. She also addresses FAQs about coronavirus vaccination.

This episode covers:

  • Why Dr. K has some concerns about the recent CDC mask update
  • What to know about “breakthrough” COVID cases, which have affected nursing homes and are being undercounted
  • The question of whether vaccinated people can transmit COVID
  • Recent studies related to  COVID safety & efficacy in older adults
  • Why immunocompromised people might not be protected by the vaccine, especially if they have a “blood cancer” or are on medications that affect their B cells or T cells
  • How to think about COVID risk: yours and you exposing others to COVID risk
  • Answers to FAQs, including:
    • Should I get vaccinated against COVID?
    • Should my 90 year old mother get the COVID vaccine?
    • How well does the vaccine work in older adults?
    • Which vaccine is best for older adults? Which vaccine is safest?
    • Should I worry that the vaccine might harm me (or my frail older parent)?
    • Should I worry that I haven’t responded enough to the vaccine?
  • Dr. K’s current recommendations regarding COVID vaccination and staying safe given current conditions

Related Resources:

  • BHWA:
    • COVID Vaccination for Aging Adults: What to Know & Do
  • CDC:
    • Fully Vaccinated Adults 65 and Older Are 94% Less Likely to Be Hospitalized with COVID-19
    • COVID-19 Vaccinations in the United States
    • Interim Public Health Recommendations for Fully Vaccinated People
    • Frequently Asked Questions about COVID-19 Vaccination
    • Nursing Home Covid-19 Data Dashboard
    • CDC Advisory Committee on Immunization Practices (meeting slides on vaccine safety and efficacy topics are usually very informative; browse for the latest ones here)
      • COVID-19 Vaccine Effectiveness studies (May 12, 2021; includes some nursing home studies)
  • From medical journals:
    • Impact and effectiveness of mRNA BNT162b2 vaccine against SARS-CoV-2 infections and COVID-19 cases, hospitalisations, and deaths following a nationwide vaccination campaign in Israel: an observational study using national surveillance data (Pfizer vaccine in Israel, May 2021)
    • Researchers Tie Severe Immunosuppression to Chronic COVID-19 and Virus Variants (May 2021)
  • New York Times:
    • COVID-19 Vaccine Tracker
    • Coronavirus Variant Tracker
    • What Does the New Mask Guidance Really Mean? (NY Times 5/13/21)
  • Other articles:
    • How Vaccine Hesitancy Is Driving Breakthrough Infections in Nursing Homes
    • The CDC’s Big Mask Surprise Came Out of Nowhere
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118 – Updates: COVID Vaccination in Aging (3.26.21 Edition)

by Leslie Kernisan, MD MPH 2 Comments

Better Health While Aging
Better Health While Aging
118 – Updates: COVID Vaccination in Aging (3.26.21 Edition)
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In This Episode:

Dr. K provides updated information on the effectiveness and safety of COVID vaccination for older adults, including information on the Pfizer, Moderna, and Johnson&Johnson vaccines. She also addresses FAQs about coronavirus vaccination.

This episode covers:

  • How we can tell the COVID vaccines are working
  • Data on how COVID cases and deaths have fallen in nursing homes and among people aged 85+
  • Current COVID mortality rates in older adults
  • What the latest observational studies show, regarding vaccine effectiveness in people over age 80
  • What the Johnson & Johnson vaccine trial data shows, when it comes to older adults with chronic conditions
  • What’s been found so far, regarding vaccine safety
  • Answers to FAQs, including:
    • Should I get vaccinated against COVID?
    • Should my 90-year-old parent get the COVID vaccine?
    • How well does the vaccine work in older adults?
    • Can you get COVID if you’ve been vaccinated?
    • Should you be vaccinated if you already had COVID?
    • Which COVID vaccine is best for seniors? Which vaccine is safest?
    • Should I worry that the vaccine might harm me (or my frail older parent)?
    • When can I get vaccinated? Which vaccine should I try to get?
    • If I’ve been vaccinated, is it safe to …?
  • Dr. K’s current recommendations regarding COVID vaccination and staying safe given current conditions
[Read more…]
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The material on this site, including any exchanges in the comments section of the blog, is for informational and educational purposes only.

Any comments Dr. Kernisan may make regarding an individual’s story or comments should not be construed as establishing a physician-patient relationship between Dr. Kernisan and a caregiver, or care recipient.

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