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ElderhoodMention good writing Elderhood was a pleasure to read and I recommend to anyone who is currently old taking care of someone old or planning to be old one day Anyone who is already old caring for someone old or intending to grow old in the near or distant future needs to read this book Now And that not only includes readers it also includes policy makersElderhood is not

A How To Book 
how to book treads over the same old tired ground Rather it s a book that tackles why aging must be nderstood and redefined and why the medical establishment s sual goals of saving lives and curing disease is misplaced and ill advised in many older patientsI m going to pause a moment in this review to say that I was the point person for my own once vibrant elderly mother who died at age 93 after a 10 year downward spiral I saw first hand how healthcare well meaning though it was often acted counterintuitively Dr Aronson makes many excellent points including theseAll top ranked health systems on the planet rely on primary care to keep people healthy In the US ranked 37th among nations by the World Health Organization we have trouble recruiting physicians to primary care since those doctors are paid on average over 100000 less than specialists As a result we focus on high tech solutions rather than commonsense onesPharmaceutical trials focus mostly on middle aged not elderly targets As a result the side effects in the elderly are often minimized or The author criticizes flaws and limitations in present medical care from the point of view of an elder care physician with multiple personal and professional examples to support her argument Recommended for those with little education on the topic since it will affect all of s This is a sensitively written account of Dr Aronson s career in geriatrics an autobiography centered on her life experience and medical career and a critiue of geriatrics US medicine generally and of how our society deals with aging Along the way she shows s a medical system almost caste ridden in its hierarchy of specialties in which geriatrics is low rated as well as US medicine s fragmented approach to patients funding medical training and hospital vs home care generally She tells of the shortcomings horrors sometimes in senior acute care and senior facilities She talks about the gap between doctors obj Medicine Todayhas Become As todayhas become as about prevention as well as treatment It s at least moving in that direction with many medical doctors today re educating themselves in Functional medicine treating the whole person looking for root causes rather than treatment alone It was only when Louise Aronson a medical doctor herself beginning in 1992 started having health problems in 2015 face to face with the likelihood of ongoing discomfort and disability that she began adjusting her new reality her ability to nderstand how medicine fit into our larger social cultural economic and political worlds became acute *Louise Originally Published On My Book Blog * Originally published on my book blog Aronson subtitles Elderhood with the following Redefining Aging Transforming Medicine Reimagining Life I submit that she focuses primarily on the second of these topics rather than the other two And that makes sense because she has many years of experience as a geriatric physician much of it in a house calls practiceI m a former caregiver to my now deceased parents and a person over 50 When I started reading I hoped for much about living my best life while also being 50 than about how poorly the US medical system treats the elderly Aronson writes a stem to stern indictment of both primary care and specialist physicians medical training practices hospitals their staff and administrators as well as everything about nursing homes and home careStill it s best to go into my own elderhood with my eyes wi. Ldhood and many will be elders for 40 years or Yet at the very moment that humans are living longer than ever before we've made old age into a disease a condition to be dreaded denigrated neglected and denied Reminiscent of Oliver Sacks noted Harvard trained geriatrician Louise Aronson Sexual X-Perimentation (Cyborg Gigolos, uses stories from herarter century of caring for patien. At over 450 pages ELDERHOOD by San Francisco geriatrician Louise Aronson is a big book It s an ambitious one too In the opening pages the author states her intention to highlight relevant information from many disciplines about the last of the three acts in a human life old age Childhood and adulthood are the last of the three acts in a human life old age Childhood and adulthood are one and two respectively As the pages turn several key themes emerge One is that geriatrics as a medical specialty lags behind most others Caring for the elderly has low status it is not prioritized by the health *care system and geriatricians are poorly remunerated relative * system and geriatricians are poorly remunerated relative other specialtiesLike childhood old age consists of a number of stages but people only seem to realize this when they live them What is generally true however is that the medical care of elders needs to be different from that of adults The heroics technical fixes and dedication to saving lives for which modern medicine prides itself are of benefit to people in the first and second acts of their lives than to those in the third Insurance companies are another part of the problem They will reimburse for chemotherapy and dialysis which can be punishing treatments for the old but not for basic services that would improve the health and daily functioning of elders with chronic diseases or debilitating conditions Palliative care and hospice are also grossly nderfunded Clearly a revolution a complete system overhaul is in order Unfortunately Dr Aronson doesn t offer many ideas as to how this might be achievedSince the life span of most in the developed world has essentially doubled over the last century largely due to advances in public healthsanitation a lot of s would benefit when the time comes from being cared for by a geriatrician a physician who Beyond Within understands the critical social and psychological dimensions of aging the changes in physiology that accompany old age and the ways in which care including pharmacological treatment needs to be tailored for safety An appropriate dose of a drug for hypertension depression or arthritis for a fifty year old can be dangerous even deadly for an eighty year oldFor me the power of Dr Aronson s book is in the stories of her interactions with patients at various stages of elderhood The authorses case studies well to illustrate key points and dilemmasIn the end I feel the author attempted a bit too much here As well as dozens of stories there are elements of memoir and long sections on the challenges of practising modern medicine particularly burn out from which the author herself suffered Further the book is rather meandering overall the headings and subheadings often seem Concordancia de la Biblia Strong Concisa (Spanish Edition): James Strong: 9781602555174: Amazon.com: Books uitenrelated to the content and the author addresses some topics multiple times Organization is not a strength While I did learn a great deal from the book I believe the audience and topic would have been better served with a briefer focused discussion I first heard about this book while I listened to an episode of Fresh Air with Terry Gross on my local National Public Radio station last year Dr Aronson is a geriatrician on the faculty of the School of Medicine at the University of California San Francisco and because I was fascinated with her comments and insights about the care of elderly patients during the interview I purchased this book shortly afterwardLouise Aronson was a nontraditional medical student as she majored in history in an ndergraduate college that did not reuire its students to take maths or sciences She volunteered in a camp for South East Asian refugees and observing doctors who worked in the camp was influential in her desire to become a ph This book has some of my favorite things Good writing A doctor thinking about what it means to be a doctor and telling interesting stories about her patients Reflections on aging dying and the purpose of life Did As revelatory as Atul Gawande's Being Mortal physician and award winning author Louise Aronson's Elderhood is an essential empathetic look at a vital but often disparaged stage of lifeFor than 5000 years old has been defined as beginning between the ages of 60 and 70 That means most people alive today will spend years in elderhood than in chi. ,
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De open right And Aronson definitely provides that Elderhood taught me a tremendous amount about widely ranging topics And I do mean widely ranging I made a list of the topics that have stuck with me since finishing the book The realities of being old or caring for someone who is Death and dying the process and honoring people s wishes The exceptional elderly like Oliver Sacks or the author s mother Ageism and institutional bias medicine Doctoring in geriatrics or gerontology pathologies and philosophies Ineuities in physician specialties in pay and prestige for example Physician and the part EMR electronic medical RECORD PLAYS IN IT PROPOSALS FOR plays in it Proposals for in medical facilities to better accommodate elders Proposals for changing how we care for elders not necessarily better procedures The author s internal debates about embracing her graying hairStructureAronson organizes her topics by the stages of life starting with Conception Birth and Childhood and continuing through various Adulthood and Elderhood stages then ending with Death At the same time she discusses her progression from medical student to doctor to burnout and reinvigorated physician and writerLike a densely layered cake she adds patient stories to her own life experiences And then philosophy history science and many other topics At times the layer cake threatens to topple with the weight of these varied and intense topics But I progressed bite by bite through her book I recommend taking your time with this one in order to really absorb her topicsHad the chapters been arranged by topic a reader could review those areas whose content appealed or applied to them Of course they would then filter the information through their own lens of experience But ignoring one part means not seeing the entire picture as Aronson sees it Her structural decisions force the reader to see elderhood through her lens with its specificity and diversityMy conclusionsThis isn t an easy book And I mean that in terms of both content and style Reading about age declining function bad medical experiences and good death was ltimately pretty depressing But everyone ages There s no avoiding it despite rampant anti aging culture Aronson provides a valuable perspective one I ll recommend to many peopleAronson s writing style doesn t read easily She s spent a career reading medical journals and sometimes it shows in the duller sections Conversely her ability to tell the highly nuanced patient stories is terrific And there are definitely moments when it feels like she s trying to hard to make philosophical connectionsNevertheless if you are her intended audience I think you ll like Aronson s book Elderhood itself is just as complex as this book so be aware going in I m giving it 35 stars for its depth of content if not always its organization and styleAcknowledgementsThanks to NetGalley Bloomsbury USA and the author for a digital advanced readers copy of this book in exchange for this honest review Yes I read another book about the elderly and their treatment *IN AMERICA I WAS FILLED WITH SOME FOREBODING WHEN * America I was filled with some foreboding when author s note included the off putting While I completely agree with the points that the author is making it feels waaaayyyy too drawn out Yes We as a society need to take better care of our beloved seniors Yes They absolutely need someone to advocate for them and to help them negotiate the ridiculous amount of red tape that has turned the American health care system into the dumpster fire that it is But this reads like a memoir of all the evils of our health care system over and over and over Ten members of our book club read itbut all of them freely admitted that they just COULDN T read it all and skipped much of it because it was just too tedious for a layman Perhaps better suited for medical professionals. Ts and draws from history science literature popular culture and her own life to weave a vision of old age that's neither nightmare nor Classroom Crack Ups and School Disasters utopian fantasy a vision full of joy wonder frustration outrage and hope about aging medicine and humanity itself Elderhood is for anyone who is in the author's own words an aging ie still breathing human bei.