What if an Elder Resists Treatment?

One of the most common complaints I encounter doing eldercare house calls is this: “My—father/mother/aunt/uncle/grandmother—will not cooperate with care. We’re just trying to help, and our loved one fights us every step of the way!” There are so many reasons that the...
What Makes Life Worth Living?

What Makes Life Worth Living?

This is the first question I ask of the patients I see as a geriatrician doing house calls in the San Francisco Bay Area. So often, I consult with the children of patients who are incredibly worried about their parents. They want their parents to be safe. They don’t...
Be on the Lookout for Normal Pressure “Hydrocephalus”

Be on the Lookout for Normal Pressure “Hydrocephalus”

“Normal pressure hydrocephalus” (NPH) sounds complicated, but it’s simply an abnormal build-up of cerebrospinal fluid in the brain’s ventricles or cavities. It occurs if the normal flow of spinal fluid through the spine and the brain is blocked in some way. This can...
Don’t Forget Dental Care!

Don’t Forget Dental Care!

Recently, as I was doing house calls in the San Francisco Bay Area, I visited a patient whose dentures were caked with plaque. Those dentures spoke volumes. Often, a patient with dementia will not let caregivers near their mouth. After a hospitalization of several...

Making the Case for Dementia Care

I was recently corresponding with David Tate, a San Francisco Attorney who specializes in estates, trusts and elder/disability litigation. He told me that he’s seeing more cases of conservators having to justify the need for dementia care, and also the kind of...