It seems that regardless of the focus of our issue, I have just had a patient or occurrence that makes the theme resonate even more. This issue’s focus is on hematology in older adults, and just yesterday I had the honour of examining a colleague’s 92-year-old mother regarding her hematological disorder. Her major complaint was weakness and fatigue (she lives in her own apartment with little professional help), and she had been diagnosed years ago as having chronic lymphocytic leukemia. Her current problems are likely related to the tremendous increase in her white cells over the last two months. Diagnosis is easy in this case, but... MORE

Does Geriatrics Matter? A Call to Arms!

The Cost of Aging

OSTEOPOROSIS
No Clinically Meaningful Treatment Effects for Vertebroplasty in Treating Pain, Pain-related Disability Associated with Osteoporotic Compression Fractures

FALLS & FITNESS
Starting or Maintaining Physical Activity in the Oldest Old Improves Function, Survival

ELDER ABUSE
Early Identification, Prompt Intervention Needed in Elder Self-Neglect and Abuse


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Dr. Kenneth Madden

What is your current position and geographical location?
I am currently an assistant professor of geriatric medicine at the University of British Columbia. Clinically I manage the Acute Care for Elders Unit at Vancouver General Hospital, where I practice both geriatric medicine and internal medicine. My main research interest is the effect of aging and disease on cardiovascular physiology, specifically fainting in older adults, and the use of exercise interventions to improve cardiovascular health in older adults with type 2 diabetes. I am currently in the middle of a CIHR-funded study examining the ability of a home-based walking program to improve arterial stiffness in adults at very high cardiovascular risk (older age, type 2 diabetes, hypertension, and hypercholesterolemia). Work from this project was recently featured as the sixth most-read article in the field of geriatric medicine in the American College of Physicians (ACP) Journal Club “Hit Parade.” I am also involved in projects examining possible treatments and mechanisms underlying postprandial hypotension, and the effects of sedentary lifestyle on patients with the metabolic syndrome.
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image DESCRIPTION: This educational module, focused on who is at risk for hypogonadism and how it is treated, has been devised with the needs of clinicians and educators in mind.
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ACCREDITATION: Please click here for accreditation information.

FACULTY:
I.W. Kuzmarov M.D., FRCS(c); Richard Bebb, MD, ABIM, FRCPC; David Greenberg B.A., M.D.; Gerald Brock, MD, FRCSC;
Jack Barkin, MD, FRCS, FACS, FICS, DABU;
Christine Folia, RPh, BScPhm, PharmD;
Jerald Bain, BScPhm, MD, MSc, FRCPC, CertEndo, BA


FINANCIAL SUPPORT: This educational program was supported by an educational grant from Organon Canada Ltd., a part of Schering-Plough Canada Inc.

TAKE THIS FREE COURSE | CME PAGE

COURSE EXPIRES NOVEMBER 19, 2009!
DON'T MISS OUT ON THIS EXCEPTIONAL CME!

 



All of the following are common causes of thrombocytopenia, except:
a. drugs affecting platelet function/number
b. myelodysplastic syndromes
c. acute effects of ethanol
d. Other bone marrow disorders (e.g., myeloma, lymphomas)
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Editor’s Note
No Simple Algorithm

CME: Hematological Disease
Approach to Thrombocytopenia in Older Adults


Focus: Hematological Disease
Cobalamin Deficiency in Older Adults

Myelodysplastic Syndromes in Older Adults


Spotlight on Practitioners in Geriatric Medicine
I am a Geriatrician

Cardiovascular Disease
Management of Hypercholesterolemia

Dementia
How to Bathe a Person with Dementia: An Evidence-Based Guide

Ethics
Overview of Mental Capacity Assessments

Golf Doctor
Between the Blocks: The Ten Worst Expressions in Golf




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Views and opinions in this publication are not necessarily endorsed by, or reflective of the views and opinions of the Regional Geriatric Programs of Ontario.
While every attempt is made to ensure that drug dosages provided within the text of this journal are accurate, readers are urged to check drug package inserts before prescribing. Views and opinions in this publication are not necessarily endorsed by or reflective of those of the publisher.

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