Hard to Swallow, Part 2

Hard to Swallow, Part 2

Recently, I came across this story from a family that inspired more thoughts about swallowing: An elderly woman suddenly started holding her breath. She gagged whenever she tried to eat, and she started spitting up saliva. Her daughter, a nurse, thought, “Oh my God,...
Is Your Elder Neglecting Their Own Care?

Is Your Elder Neglecting Their Own Care?

A colleague recently forwarded me an essay from The New England Journal of Medicine about what we call in the field “elder self-neglect.” The essay describes a patient who has piles and piles of paper in his home, rotting food in the kitchen, rat feces everywhere. It...
When Things Get Hard to Swallow

When Things Get Hard to Swallow

As a geriatrician making house calls throughout the Bay Area, I often must explain to families that toward the end stages of dementia, their loved ones will eventually forget the most basic of physical functions, like how to swallow. Often, this signals that there’s...

Chapter 11 bankruptcy

Just as individuals can fall on financial hard times, businesses and corporations can experience financial setbacks as well. When a business is failing financially, there are several options available. The first is a Chapter 7 bankruptcy. A chapter 7 bankruptcy for...