#181 The Multimorbidity Games

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 4 November 2019

⏱️ 60 minutes

🔗️ Recording | iTunes | RSS

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Summary

Learn how to approach the geriatric patient with multimorbidity and how to parse through and prioritize a mile-long problem list with Dr Josh Uy, master geriatrician at the University of Pennsylvania. We review different approaches to a clinic visit with a patient who takes fifteen daily medications with just as many chief complaints, all in a thirty minute (or less!) appointment time. We discuss what the term “multimorbidity” even means, how to ask about patient preferences and use them to inform the treatment plan, and what the evidence has to say about adjusting treatment goals of common conditions for individual patients. (Spoiler alert: It all depends on the patient, comorbid conditions and goals!)

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Credits

Producer: Nora Taranto MD
Writer: Nora Taranto MD, Leah Witt MD
Infographic: Leah Witt MD
Cover Art: Nora Taranto MD
Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Leah Witt MD, Paul Williams MD, FACP
Editor: Matthew Watto MD, FACP; Clair Morgan
Guest: Josh Uy MD

Time Stamps

00:00 Pun, Intro, disclaimer, guest bio
04:30 Guest one-liner; Career advice;
Picks of the Week*: Unbroken (book), Down Dog Yoga (app); Check out Dimash’s music on YouTube; Off Your Rocker (TV show); Finishing Well to the Glory of God (book)
12:30

Transcript

Click on a timestamp to play from that location

0:00.0	Why were all the Jerry Trishon's new admits to nursing home screened with a with a pregnancy test?
0:07.6	I I hope this is gonna be appropriate. It is because they're going to a nursing home. I
0:14.6	Hate that so much. I don't know Paul. I could have just done an old pun
0:20.4	No, no nobody. All right. I'm out of practice. I'm sorry
0:30.6	The curbsiders podcast is for entertainment education and information purposes only and the topics discussed should not be used
0:35.0	Early die-nose treat cure or prevent any diseases or conditions for the more the views and statements expressed on the podcast
0:38.5	Are solely those of those and should not be interpreted to reflect official policy or position of any entity aside from possibly cash like more hospital and affiliate outreach programs
0:43.4	If indeed there are any fact there are not pretty much we are responsible if you screw up you should always do your own homework and let's know
1:01.0	Hey guys
1:03.0	Well hi Matt. How you doing?
1:05.0	It's been a while
1:07.0	Natural as always. Yeah, we it turns out we don't know how to start the show. It's been
1:12.2	Has it been 200 shows yet Paul feels like 200 and I still don't know how to start the show
1:18.2	Tonight we talk about multi morbidity. We will define that up front
1:22.1	But essentially it means older adults with lots of complexity or usually they're older adults with lots of complexity
1:28.6	But Paul why don't you tell them why don't you tell the audience what we do on this show and before we introduce our wonderful guest host tonight
1:37.2	Happy to as always we are as you know the internal medicine podcast and we use expert interviews to renew clinical pearls and practice changing knowledge
1:45.2	And as always we spend a little bit of time up front getting to our guest to is delightful
1:49.2	I mean as are all our guests, but this we were just talking off air about the the particular glow that this guest has
1:55.1	So if you're if you're gonna skip one not maybe not this one one other thing
1:59.6	I wanted to remind the audience about
2:02.0	Leah Nora the rest of our team that that helped produce these episodes really put a lot of work into
	...

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