By John Sloan

What’s worse than the failure of the healthiness care process to thoroughly deal with seniors? the truth that it’s truly doing them damage. In A sour Pill, Dr. John Sloan investigates the explanations why the scientific group is not able to supply lasting wellbeing and fitness to seniors, concluding that inaccurate assumptions have resulted in the present well-being main issue one of the aged. In a extraordinary argument, Sloan contends that scientific measures dependent in prevention truly do seniors extra damage than strong, diminishing their present caliber of lifestyles within the hopes of stopping destiny ailment. Sloan continues that we needs to comprehend what these ailing actually need — how to benefit from the ultimate levels in their lives. A precious source for caregivers, nurses, medical professionals, and kids of the aged, this ebook may flip the tide of clinical false impression that has plagued the senior group.

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Practicing medicine the way I do, for the people who are my patients, I have absolutely no question in my mind about that choice. I can hear good friends and colleagues—a hard-core epidemiologist, evidence-based internal-medicine specialist, or endocrinologist, for example—saying, “Of course the rules apply to Mrs. Fedoruk. ” I’m sorry; this kind of thinking is seriously, dangerously backwards. My responsibility, and ours in medicine, is to the patients. When we start thinking that we are first responsible for providing consistent rules, and then the people need to conform to those, and that when they don’t that’s just too bad, then we really quit doing what we’re paid for and begin to do harm.

She is still pretty sharp mentally, however, and her memory is intact. So she can still perform intelligence- and memory-based activities. indd 22 8/19/09 1:54 PM t h e f r agi l e e l de r ly 23 up a pot of cardboard-box mac and cheese on top of the stove or heat up a tv dinner in the oven. Mr. McKenzie is at the heavy end of dependence and needs pretty much total care for everything, including eating. His disease has long ago taken away his ability to communicate, let alone to consider and be involved in any decisions about his life.

Probability with a lot of randomness is just what we get when we try to measure anything about fragile elderly people. And big-league, out-of-control randomness is anathema to generalities like the ones epidemiology produces about diabetes. Nellie Fedoruk’s future is not predicted by the epidemiology relevant to her disease, diabetes. indd 50 8/19/09 1:54 PM pse u dosc i e nc e 5 1 anyone with common sense can see. And where the people in my practice are concerned, Nellie Fedoruk is typical. The difference between fragile elderly diabetics and younger diabetics is heterogeneity.

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