Publications

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You Got to Stop That Dropper Because You Had Enough

JAMDA
May 1, 2024
Hypercalcemia is a common clinical problem symptoms vary on severity and may not immediately point to its etiology, it requires laboratory testing and patient examination. This approach, fails to emphasize the importance of obtaining an accurate...

Treat or Not to Treat: Ethical Dilemma on Acute DVT

JAMDA
May 1, 2024
Ethical dilemmas often occur in the practice of medicine. Practitioners in extended and long-term care facilities are often driven to these settings by their desire to improve quality of life and to alleviate suffering for frail older adults. There...

The Power of History in Diagnosing Acute Giardiasis

JAMDA
May 1, 2024
Outbreaks of diarrheal illnesses are common among elderly residents of senior living community. Usually these are related to viral illnesses, food-borne illnesses, or medications. We report an unusual occurrence of Giardia as a cause of diarrhea in...

Struggle to Obtain Guardianship for an Unbefriended Long-Term Care Resident

JAMDA
May 1, 2024
Challenges to establishing guardianship an unbefriend long-term care (LTC) resident.

Rapid Visual Loss in a 75-year-old Veteran Diagnosed with Cataracts

JAMDA
May 1, 2024
Leber hereditary optic neuropathy (LHON) is a rare mitochondrial disorder that causes progressive vision loss in young males. Recent research shows that it can also affect older individuals. An interdisciplinary approach is crucial for early...

Post-Hospital Discharge Medication Review: Addressing New Medication Side Effects

JAMDA
May 1, 2024
After hospital and rehab discharge, patients can be discharged to long-term care settings with several new medications and require thorough medication review to prevent polypharmacy and adverse side effects. Our case outlines a geriatric patient,...

Patient Priorities Care in Post Acute and Long Term Care

JAMDA
May 1, 2024
Healthcare of individuals with multimorbidity can be challenging, as specific disease-focused care may bring unintentional harm to patients with multiple chronic diseases. In Post Acute and Long Term Care (PALTC), the residents' goals and...

Malignant Otitis Externa in an 87-year-old Long Term Care Resident

JAMDA
May 1, 2024
Malignant otitis externa is a life-threatening infection of the external ear canal and skull base that initially begins as otitis externa. Most affected patients have diabetes or are immunocompromised and are older than 60 years of age. Diagnosis...

Mad as a Hatter: Revisiting Primary Hyperparathyroidism in the Elderly

JAMDA
May 1, 2024
Primary Hyperparathyroidism (PHPT) is a common endocrine disorder and its prevalence increases with age. It is characterized by an abnormal regulation of calcium secretion resulting from increased parathyroid hormone (PTH) levels. Symptomatic PHPT...

Implementing Ketamine in PA-LTC for a Patient with Chronic Pain

JAMDA
May 1, 2024
A rapidly expanding array of available therapies are available for complex chronic pain. This in turn necessitates that clinicians develop proficiency in using these treatments safely. Additionally, facilities such as PA-LTC settings need to have...