by CathyG | Sep 7, 2014 | pollyanna views of aging
I’m tired of hearing that 50 is the new 30 and 60 is the new 40. Here’s what’s different as you get to the 60 mark and beyond.
1 – It’s harder to predict where you’ll be 5 or 10 years from now – sometimes even one year.
When you’re 40 or 50, if you’re healthy, the odds are very high that you’ll be the same for another five to ten years. You can make plans. It makes sense to invest in long-term growth stocks and your new business.
When you’re in your sixties, with each year, you’re less sure. Sure, some 70-year-olds and 75-year-olds are running marathons and businesses. But it’t not unheard of to keel over with a completely unexpected stroke or heart attack. Often, says a cardiologist I know, the first symptom of heart disease is a fatal heart attack.
2 – You stop saying, “Never say never.” Some things just won’t happen. You don’t have enough time.
3 – You realize you won’t outlive everything you own. Why buy more clothes? The t-shirts I have now will last another 10-15 years.
4 – You become comfortable with the idea of dying. It’s gonna happen. It’s more about dying a good death than living a long time. I’m more scared of going into a nursing home than I am of dying.
5 – You realize your days are limited and you want to make each one count. So you resent sitting around in waiting rooms or wasting your time on things that don’t contribute to your welfare or anybody else’s. You don’t have time to suffer fools gladly.
And, if you’re like me, you don’t hesitate to tell them, using language as colorful as possible.
by CathyG | Sep 3, 2014 | stereotypes of aging
Cartoon circling around Facebook, suggesting that people get all saggy and baggy as they age.
First of all, a lot of the time you can prevent sags and bags with exercise, if you start early enough.
And second, there’s not much you can do about sagging and bagging, in some cases. It goes with the territory. Even if you’re totally fit your skin won’t hang the same way as you age.
We don’t make fun of disabled people. Why is this funny?
by CathyG | Aug 31, 2014 | medical care
Today’s Wall Street Journal had yet another story by a disillusioned doctor: Why doctors are sick of their profession
Jauhar actually offers a balanced view. He points out that doctors were warned they would kill the goose that laid the golden eggs; many doctors still perform unnecessary surgery. I am healthy and rarely see doctors, yet when I had a small ovarian cyst, a doctor tried to persuade me to undergo a complete hysterectomy! I switched doctors and had an outpatient procedure in just a few hours.
The irony is that managed care often doesn’t prevent unnecessary or wasteful treatment. The term “preventive care” should be replaced with “risk reduction medicine.” Much of a primary care doctor’s work involves screenings of perfectly healthy, asymptomatic people that cannot be justified by research findings.
Doctors are still trained to memorize molecular structures but they need courses in statistics and decision making. Recently the WSJ published a review by a cardiologist who insisted that deaths from heart disease were down by 60%. I looked up the numbers: the reduction was 172/100,000 and that doesn’t account for things like errors in coding causes of death.
And while doctors complain bitterly about lack of respect, many of them persist in making elderly patients (and those close to end of life) suffer with unnecessary treatment. Just read any list of comments in a NYT article. I’ve heard first-hand accounts of 90-year-olds given colonoscopies, paid by Medicare; a doctor writes about aging Alzheimer’s patients getting painful needle tests for diabetes, ordered by a doctor, who can’t be stopped. yet few insurance companies give them what they need – massage, good food and privacy. I’ve heard even more horror stories of doctors who disregard DNR orders and who think they’re doing a service by keeping someone alive for a meaningless, drugged-up existence in a nursing home.
Finally, doctors have limited accountability. It is very, very hard to sue a doctor. Doctors make claims on their websites (and in practice) without disclaimers and disclosures of conflict of interest. Eye doctors actually place ads in their office magazines (“Want great vision? Talk to us about …”) without warning that these procedures do not always turn out well and sometimes make vision worse.
by CathyG | Aug 12, 2014 | health care waste
The New York Times article (Unkind Life For Young and Old, Aug 7) highlights yet another way the US wastes money. It costs $100,000 a year to maintain an aging prisoner, and prisons aren’t exactly geared for “aging in place.” They have unsafe stairwells, a ban on canes and of course no geriatricians on staff.
Geriatric prisoners rarely pose a threat to society so there’s little reason to keep them.
Jamie Fellner, author of a Human Rights Watch, was quoted in another article as saying, “Age should not be a get-out-of-jail-free card.” But why not? In some countries, people over 70 do not go to prison, period. I doubt that we’d see many people over 70 suddenly going on crime sprees; the rare cases of white collar crime, like Madoff, could be handled with supervised probation or fines.
by CathyG | Aug 6, 2014 | health care waste
The New York Times :Why We Should Know The Price Of Medical Tests. http://nyti.ms/1ooBGQP
My comment:
Oh come on … the outrageous amount we spend on health care isn’t driven by saving a few bucks here and there on price-shopping.
Just for starters, Medicare pays $300 million a year for pre-op tests for outpatient cataract surgery, when research shows these tests have no impact on outcomes. Then there are billions spend on “end of life” care because doctors and hospitals disregard DNR and DNI, even when the correct forms are in the charts.
And the billions spent on “preventive care” that doesn’t prevent anything; at most you get risk reduction, usually a small amount.
And the inflated hospital charges ($147 for a Tylenol, $500 for a bag of salt water). I’d be willing to bet that 30-50% of these “medical tests” are not even necessary.
So now they want sick people to shop around to save a few bucks? And a hospital can say, legally, that prices are secret so you can’t even if you want to?
No wonder we’re not hearing much about the Mafia. They’re probably running the medical industrial complex.
