Dr. Supriya Mohile Discusses Prostate Cancer in Elderly Patients
Supriya G. Mohile, MD, MS, associate professor, Department of Medicine, Hematology/Oncology, University of Rochester Medical Center, discusses the prevalence and treatment options for elderly patients with prostate cancer. Mohile describes prostate cancer as primarily a disease of older people. In general, the median age for patients with prostate cancer is 79, compared to the early 70′s in colon and lung cancer. Information that is usually uncommon for older populations is more prevalent in prostate cancer because of the higher median age. Major trials investigating new therapeutic agents have enrolled more geriatric patients because of the abundance of this patient type. This has provided more data on the risks and benefits of treatment for elderly patients with prostate cancer than other types of tumors. As the population ages and people live longer with prostate cancer it becomes more challenging to treat the disease. There is a need to be careful with aggressive treatment in earlier asymptomatic stages of prostate cancer, once the disease becomes more advanced or symptomatic an aggressive treatment makes more sense.
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cancer treatments for the elderly?
Question by hopper2133: cancer treatments for the elderly?
doctor does not what to give me mother any cancer treatment, or any options without determining her stage etc… because of her age. But she wants the treatment and is generally in good health. Were do we go from here?
Best answer:
Answer by Denisedds
Doctors generally do not discuss treatment options until they know the stage. It is not good medicine. A lot of things are taken into consideration. They do not want to treat a patient aggressively if they don’t need to or if the patient cannot tolerate it. They also do not want to be aggressive enough and fall short.
I suggest you let them complete the staging work up, listen to what he or she has to say then take all of your mother’s records to another physician for a second opinion and maybe a third and go from there.
Add your own answer in the comments!
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Categories: News Tags: cancer, treatments, elderly
Q&A: An elderly patient is examined for heart and lung problems using scores X and Y respectively.?
Question by xocoLat: An elderly patient is examined for heart and lung problems using scores X and Y respectively.?
2) An elderly patient is examined for heart and lung problems using scores X and Y respectively. A score has a value of 0 if there is no impairment, 1 for mild impairment and 2 for severe impairment. Suppose that the distributions of X and Y in the population are as follows.
P(X=0)=0.6P(X=1)=0.3P(X=2)=0.1
P(Y=0)=0.5P(Y=1)=0.3P(Y=2)=0.2
Let T=X+Y be the total score for heart and lung impairment for a patient
a) List each of the possible heart and lung score combinations. For each outcome compute the value of the total impairment score T and the associated probability assuming independence between X and Y
b) What is the PMF of T?
c) What is E[T] and Var[T}
d) Given that T=2 what is the probability that X=0?
Best answer:
Answer by wind15963
easy,
a) if X = 0 Y = 0, --> 0 , with probability 0.6 * 0.5
X = 2 Y = 1--> 2 +1 = 3 with probability 0.1* 0.3
and so on
b) what is PMF
c) E[T] is the total result from sigma(T * probability) from a, var is similar
d) find out what factors can causeT = 2, the divide the things that have X= 0 with every other.
enough for the hints..
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Categories: News Tags: patient, scores, heart, examined, problems, elderly, using, respectively, lung
GRACEcast-057_Lung-Cancer_Expert Round Table – Optimal NSCLC Treatment for Elderly / Frail
cancergrace.org Case discussion with Drs. Paul Hesketh of the Lahey Clinic and Karen Kelly of Kansas University Medical Center, covering question of optimal treatment for patients with advanced NSCLC who are elderly or have a marginal performance status.
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Categories: Videos Tags: table, gracecast057_lungcancer_expert, frail, optimal, elderly, treatment, round, nsclc
GRACEcast-094_Lung-Cancer_Highlights 2011: Screening and Treating Adv. Lung Cancer in Elderly
cancerGRACE.org Dr. Jared Weiss, Medical Oncologist at UNC-Chapel Hill, reviews lung cancer highlights in 2011, here describing evidence supporting lung cancer screening by chest CT, as well as evidence on how best to treat elderly patients with advanced lung cancer.
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Categories: Videos Tags: screening, cancer, adv., gracecast094_lungcancer_highlights, 2011, treating, lung, elderly
GRACEcast-083_Lung-Cancer_Q&A with Dr. Lilenbaum on Managing Lung Cancer in Elderly Patients
cancergrace.org Dr. Rogerio Lilenbaum, lung cancer expert, medical oncologist, & Chairman of Cleveland Clinic Florida, answers questions on special management considerations for elderly and frail patients with lung cancer.
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Categories: Videos Tags: elderly, lung, patient's, cancer, gracecast083_lungcancer_q&a, managing, lilenbaum
GRACEcast-056_Lung-Cancer_Expert Round Table – Managing NSCLC for Elderly / Frail
cancergrace.org Case discussion with Drs. Paul Hesketh of the Lahey Clinic and Karen Kelly of Kansas University Medical Center, discussing options for administering multimodality therapy for stage III NSCLC in patients who are elderly or have a marginal performance status.
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Categories: Videos Tags: frail, nsclc, table, elderly, gracecast056_lungcancer_expert, round, managing
Do you know anything about this? My elderly dad has a bad lung infection, and the doctor said…?
Question by : Do you know anything about this? My elderly dad has a bad lung infection, and the doctor said…?
My 88 year old dad is in the hospital right now with a bad infection in his right lung. He’s been on IV antibiotics five days now, and the infection is getting worse. He said it’s possible that small particles of food could be going down the wrong pipe.
Has anyone heard of this? If this is what’s happening, what, if anything, can be done about it? Will the infection ever go away, if this is the case?
And what is it called?
Best answer:
Answer by ssandydem
i would get a different doctor to look at your dad with antibiotics the infection should not get worse unless he is allergic to them or the dosage is wrong. get someone else to look at him before the hospital kills him.
What do you think? Answer below!
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Is it right to emotionally and verbally manipulate an elderly person with COPD to quit smoking?
Question by trannyboy: Is it right to emotionally and verbally manipulate an elderly person with COPD to quit smoking?
My granmother wants to smoke and is slowly killing herself which is tearing my mother up. So my mom yells at my gran, who gives in and has cut down the smoking dramatically. My gran is sick with COPD and can barely breathe.
I am a smoker who is trying to quit but when I am around my gran wants to smoke more. So everyone wants me to yell at her not to smoke but I don’t even like yelling. I have tried talking with her as an adult but there is real langauge barriers.
So whats the right choice?
Best answer:
Answer by joupedamom
My step mom has this disease as well. I am a smoker, and I still feel sick when she lights up. She knows how I and the rest of the family feels, but if she is going to quit, she’ll have to do it on her own. She’s a grown woman who will make her own choices. She knows the consequences, just the way you and I do every time we light up. Just let her know how you feel about it and never contribute to her habit.
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Categories: News Tags: person, smoking, emotionally, elderly, quit, copd, verbally, right, manipulate
what is the side effects of Atavan for an elderly man with copd?
Question by bcurrier1954@verizon.net: what is the side effects of Atavan for an elderly man with copd?
my father has copd, which is the lung disease from being a smoker. I don’t know what this medication is doing to him or for him, would like to know more about it. He also has a heart condition, which was found after the copd. Can you tell me what it is doing for him?
Best answer:
Answer by mar
Ativan enhances the effects of a certain natural chemical in the body. Treatment for anxiety. Your father may be more sensitive to the effects especially drowsiness and unsteadiness.
It’s possible due to him being elderly, ativan may cause him to have opposite side effects such as increase in sexual interest, or hallucinations,mood/mental changes and problems sleeping.
Ativan might help him with his anxiety or it may not. That’s why it is very important to do follow up check up’s with his physician. I encourage you to go with him to the visits.
Make a note of anything usual.
Signs to look for:
muscle pain, fast heartbeat, short-term memory loss, and very high fever. numbness/tingling of arms and legs, noise/touch/light (increased reaction),seizures, trouble sleeping, mental/mood changes, nausea, vomiting, diarrhea, loss of appetite, stomach pain, and hallucinations!
Good luck
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Dr. Wakelee Discusses Adjuvant Therapy in Elderly NSCLC Patients
Heather Wakelee, MD, assistant professor, Department of Medicine, Division of Oncology, Stanford University, Stanford Clinical Cancer Center, explains that trials have been completed looking at adjuvant cisplatin given in 4 cycles in multiple age groups that showed an improvement in survival of 5-10%. Some trials focused on the subset of elderly patients defined as being over 65 years old. These trials found that elderly patients did not tolerate chemotherapy as well but still experience similar survival rates to the broad studies looking at multiple age groups. When examining patients in their 80′s it became clear how important accurate patient selection becomes. It was difficult, but possible, to find patients in their 80′s that are fit to receive chemotherapy.
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Caring For The Elderly: Senior Illnesses And What They Mean To You
Caring For The Elderly: Senior Illnesses And What They Mean To You
Article by Careplacementservices
As we get older, we all become more susceptible to illnesses, diseases and ailments that may render us incapacitated in some way, shape or form. In some cases we may not even recover from them. It is a sad fact, but we will all eventually shake hands with the very thing that is going to kill us. However, that is not to say that all senior illnesses are incurable. In fact, there are very few that are untreatable. If you happen to be a caregiver and look after a senior on a daily basis, then there are various diseases that you may actually come into contact with and learn how to cope with via that individual. It can be difficult watching someone you care about succumb to illness at any age, but with seniors it is inevitable. A little bit of background knowledge can help to prepare you for the worst, so here is a quick guide to senior illnesses:
CANCER – Over two thirds of all seniors are affected by cancer at some point in their lives. Some forms of cancer are more common than others. Lung and breast cancer are the most common forms as found in seniors, but skin cancer also puts in an appearance in the top senior afflictions list. Cancer can be treated with great effect these days but the older the sufferer is, the more the odds of a full recovery are cut. After all, how many eighty years olds are strong enough to come through a course of chemotherapy? Any form of cancer must be caught early if a patient is to stand any chance of recovery so bodily abnormalities must be checked out by a medical professional as soon as they are discovered.
DEMENTIA – A high number of seniors also suffer from dementia. There are many forms of dementia, but they all stem from decreasing brain activity owing to degradation and resultant damage to the connections between the brain and nerve endings in the body. The cause of dementia is not known and there can be little done to effectively treat it, although some drugs do hols off the symptoms for a while. The most common form of dementia is Alzheimer’s Disease, which is generally more potent than other versions of the illness. It can be extremely frustrating for sufferers because they gradually become more confused, although they will initially know what is happening to them. It may take anywhere between a few months to many years for the full symptoms to actually emerge, but when they do it is extremely unlikely that the sufferer will know who you are.
PARKINSON’S DISEASE – Again, this is a disease that affects the nerve cells leading to the brain and like, dementia, nobody knows exactly what is behind it. Whereas dementia will affect an individual mentally, Parkinson’s primarily disables the body and then moves onto the mind. It may be apparent that a sufferer has the disease because of uncontrollable shaking, which is just as frustrating as the confusion associated with dementia. Again, there is no known cure and drugs only work for a limited time before symptoms can no longer be controlled.
DIABETES – More and more seniors are suffering with this disease as a result of their lifestyles and, primarily, their diets. As sugar and fat intake increases, the body rebels. However, diabetes is an age-old ailment that is caused by the body’s inability to produce enough insulin to keep their blood sugar levels under control. It is incurable but can be treated either by diet or medication in tablet or injection form. It will not cause the death of an individual is treated correctly. However, particular attention has to be paid to wounds that diabetics have because they have a tendency to degenerate more quickly than those in non-diabetics. Amputation of limbs is also quite common as a result of the illness. It is therefore imperative that a diagnosis is swift and observations thereafter occur daily.
Graham & Graham LLC, is a FREE Eldercare Consulting Service offering guidance and direction to those who are exploring the vast world of long term care options.
Free Consulting For Seniors and Their Families 1-888-217-1655Author: Michelle Graham, CSA, Certified Senior Advisor, Eldercare Consultant, CEO and Founder of Graham & Graham LLC
Free Guidance and Options for Families
About the Author
http://careplacementnetwork.com/
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Caring For The Elderly: Senior Illnesses And What They Mean To You
Caring For The Elderly: Senior Illnesses And What They Mean To You
Article by Careplacementservices
As we get older, we all become more susceptible to illnesses, diseases and ailments that may render us incapacitated in some way, shape or form. In some cases we may not even recover from them. It is a sad fact, but we will all eventually shake hands with the very thing that is going to kill us. However, that is not to say that all senior illnesses are incurable. In fact, there are very few that are untreatable. If you happen to be a caregiver and look after a senior on a daily basis, then there are various diseases that you may actually come into contact with and learn how to cope with via that individual. It can be difficult watching someone you care about succumb to illness at any age, but with seniors it is inevitable. A little bit of background knowledge can help to prepare you for the worst, so here is a quick guide to senior illnesses:
CANCER – Over two thirds of all seniors are affected by cancer at some point in their lives. Some forms of cancer are more common than others. Lung and breast cancer are the most common forms as found in seniors, but skin cancer also puts in an appearance in the top senior afflictions list. Cancer can be treated with great effect these days but the older the sufferer is, the more the odds of a full recovery are cut. After all, how many eighty years olds are strong enough to come through a course of chemotherapy? Any form of cancer must be caught early if a patient is to stand any chance of recovery so bodily abnormalities must be checked out by a medical professional as soon as they are discovered.
DEMENTIA – A high number of seniors also suffer from dementia. There are many forms of dementia, but they all stem from decreasing brain activity owing to degradation and resultant damage to the connections between the brain and nerve endings in the body. The cause of dementia is not known and there can be little done to effectively treat it, although some drugs do hols off the symptoms for a while. The most common form of dementia is Alzheimer’s Disease, which is generally more potent than other versions of the illness. It can be extremely frustrating for sufferers because they gradually become more confused, although they will initially know what is happening to them. It may take anywhere between a few months to many years for the full symptoms to actually emerge, but when they do it is extremely unlikely that the sufferer will know who you are.
PARKINSON’S DISEASE – Again, this is a disease that affects the nerve cells leading to the brain and like, dementia, nobody knows exactly what is behind it. Whereas dementia will affect an individual mentally, Parkinson’s primarily disables the body and then moves onto the mind. It may be apparent that a sufferer has the disease because of uncontrollable shaking, which is just as frustrating as the confusion associated with dementia. Again, there is no known cure and drugs only work for a limited time before symptoms can no longer be controlled.
DIABETES – More and more seniors are suffering with this disease as a result of their lifestyles and, primarily, their diets. As sugar and fat intake increases, the body rebels. However, diabetes is an age-old ailment that is caused by the body’s inability to produce enough insulin to keep their blood sugar levels under control. It is incurable but can be treated either by diet or medication in tablet or injection form. It will not cause the death of an individual is treated correctly. However, particular attention has to be paid to wounds that diabetics have because they have a tendency to degenerate more quickly than those in non-diabetics. Amputation of limbs is also quite common as a result of the illness. It is therefore imperative that a diagnosis is swift and observations thereafter occur daily.
Graham & Graham LLC, is a FREE Eldercare Consulting Service offering guidance and direction to those who are exploring the vast world of long term care options.
Free Consulting For Seniors and Their Families 1-888-217-1655Author: Michelle Graham, CSA, Certified Senior Advisor, Eldercare Consultant, CEO and Founder of Graham & Graham LLC
Free Guidance and Options for Families
About the Author
http://careplacementnetwork.com/
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What respiratory diseases are of concern for the elderly and infants and why?
Question by Marine0331: What respiratory diseases are of concern for the elderly and infants and why?
Best answer:
Answer by dadw5boys
all are — they can kill both
Know better? Leave your own answer in the comments!
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what lung condition is the fourth leading cause of death amoung the elderly?
Question by zarathustra: what lung condition is the fourth leading cause of death amoung the elderly?
Best answer:
Answer by b
I guess pneumonia………am I wright?
Know better? Leave your own answer in the comments!
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Flying and Lung Problems for the Elderly?
Question by devinisazombie: Flying and Lung Problems for the Elderly?
I am taking a trip this September on Southwest Airlines from Louisiana to Virginia. I have heard that people with bad lungs or elderly chain smokers cannot fly because their lungs can “pop” or something.
I know plane cabins are pressurized, but I am still worried for my mother. She is 50+ and still smokes ciggarettes. She can get around fine but has trouble breathing sometimes and gets shortwinded easily.
Will she have a problem on this flight?
Best answer:
Answer by tonalc1
No, no problem, though she should speak with her doctor to be sure.
Add your own answer in the comments!
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Caring For The Elderly: Senior Illnesses And What They Mean To You
Caring For The Elderly: Senior Illnesses And What They Mean To You
Article by Careplacementservices
As we get older, we all become more susceptible to illnesses, diseases and ailments that may render us incapacitated in some way, shape or form. In some cases we may not even recover from them. It is a sad fact, but we will all eventually shake hands with the very thing that is going to kill us. However, that is not to say that all senior illnesses are incurable. In fact, there are very few that are untreatable. If you happen to be a caregiver and look after a senior on a daily basis, then there are various diseases that you may actually come into contact with and learn how to cope with via that individual. It can be difficult watching someone you care about succumb to illness at any age, but with seniors it is inevitable. A little bit of background knowledge can help to prepare you for the worst, so here is a quick guide to senior illnesses:
CANCER – Over two thirds of all seniors are affected by cancer at some point in their lives. Some forms of cancer are more common than others. Lung and breast cancer are the most common forms as found in seniors, but skin cancer also puts in an appearance in the top senior afflictions list. Cancer can be treated with great effect these days but the older the sufferer is, the more the odds of a full recovery are cut. After all, how many eighty years olds are strong enough to come through a course of chemotherapy? Any form of cancer must be caught early if a patient is to stand any chance of recovery so bodily abnormalities must be checked out by a medical professional as soon as they are discovered.
DEMENTIA – A high number of seniors also suffer from dementia. There are many forms of dementia, but they all stem from decreasing brain activity owing to degradation and resultant damage to the connections between the brain and nerve endings in the body. The cause of dementia is not known and there can be little done to effectively treat it, although some drugs do hols off the symptoms for a while. The most common form of dementia is Alzheimer’s Disease, which is generally more potent than other versions of the illness. It can be extremely frustrating for sufferers because they gradually become more confused, although they will initially know what is happening to them. It may take anywhere between a few months to many years for the full symptoms to actually emerge, but when they do it is extremely unlikely that the sufferer will know who you are.
PARKINSON’S DISEASE – Again, this is a disease that affects the nerve cells leading to the brain and like, dementia, nobody knows exactly what is behind it. Whereas dementia will affect an individual mentally, Parkinson’s primarily disables the body and then moves onto the mind. It may be apparent that a sufferer has the disease because of uncontrollable shaking, which is just as frustrating as the confusion associated with dementia. Again, there is no known cure and drugs only work for a limited time before symptoms can no longer be controlled.
DIABETES – More and more seniors are suffering with this disease as a result of their lifestyles and, primarily, their diets. As sugar and fat intake increases, the body rebels. However, diabetes is an age-old ailment that is caused by the body’s inability to produce enough insulin to keep their blood sugar levels under control. It is incurable but can be treated either by diet or medication in tablet or injection form. It will not cause the death of an individual is treated correctly. However, particular attention has to be paid to wounds that diabetics have because they have a tendency to degenerate more quickly than those in non-diabetics. Amputation of limbs is also quite common as a result of the illness. It is therefore imperative that a diagnosis is swift and observations thereafter occur daily.
Graham & Graham LLC, is a FREE Eldercare Consulting Service offering guidance and direction to those who are exploring the vast world of long term care options.
Free Consulting For Seniors and Their Families 1-888-217-1655Author: Michelle Graham, CSA, Certified Senior Advisor, Eldercare Consultant, CEO and Founder of Graham & Graham LLC
Free Guidance and Options for Families
About the Author
http://careplacementnetwork.com/
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Dr. Scagliotti Discusses Elderly Lung Cancer Therapy
Giorgio V. Scagliotti, MD, PhD, head of the Thoracic Oncology Unit, Department of Clinical and Biological Sciences, University of Turin, San Luigi Hospital, Orbassano, Italy, discusses the challenges facing lung cancer treatment in elderly populations. Scagliotti explains that elderly patients now represent approximately 30% of new non-small cell lung cancer (NSCLC) patients. Despite this fact there hasn’t been any major recent advances in the treatment of elderly patients with NSCLC. The current standard treatment for NSCLC is chemotherapy that is either a targeted therapy or a classic cytotoxic agent. Administering combination therapies becomes difficult for elderly patients because only a minority is fit enough for this type of treatment. The degree of comorbid conditions is increased in elderly patients due to their physiological state. These conditions are exceptionally common when giving cisplatin, which is the backbone of many combinations therapies.
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What respiratory diseases are of concern for the elderly and infants?
Question by Marine0331: What respiratory diseases are of concern for the elderly and infants?
What respiratory diseases are of concern for the elderly and infants?
Best answer:
Answer by pecola princepessa
pneumonia is one
Give your answer to this question below!
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