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why older cancer patients need a
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geriatrician hi this is Dr arish shne
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I'm a geriatrician oncologist with 12
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years of experience of taking care of
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thousands of older adults with cancer
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imagine you're in your 70s 80s or '90s
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enjoying your time with your children
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grandchildren and your spouse and all of
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a sudden you feel an abdominal pain the
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next thing that you remember is that
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you're in a cat scan machine for a
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possible Mass the biopsy comes back as
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Cancer all of a sudden it feels that the
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world has stopped moving and the next
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day it has started to move faster your
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friends family members that you may not
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have seen for many many years all of a
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sudden has many opinions about how this
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MK should be treated or not to be
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that this friend of mine did it this way
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and he suffered quite a bit that friend
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of mine did it that way and he did
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extremely well and you wonder who is
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wrong you're worried about your age your
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Independence your children your home
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your spouse will I become a burden on
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them and then you meet a surgeon the
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surgeon is a great one after all a very
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influential family member number of
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yours made it happen the surgeon talks
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quickly you understand some and you
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don't understand many more and at the
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end it doesn't matter because by the
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time that you leave the surgeon's office
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you have forgotten most of the things
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that the surgeon has told
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you your daughter asks you why you
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didn't let the surgeon know about your
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concerns why you didn't share with the
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surgeon that you're worried about your
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quality of life your functional
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independency and you don't want to be a
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burden on your family and you reply why
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I should have told the surgeon he is a
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great surgeon he doesn't need to know my
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opinion he's already too busy with
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everything that goes on in the operation
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room that right there is one of the many
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reasons that every older adult with
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cancer needs to have a
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geriatrician years ago we looked into
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our data on older patients report of
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their functional activity during their
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evaluation we assess this by
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measurements like activities of daily
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living are you able to Bath groom Etc or
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instrumental activities of daily living
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are you able to take care of your
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finances are you able to take your
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medications we found that while with the
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surgeons only 5% of older adults with
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cancer reported any degree of functional
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impairment when the same patients
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presented to geriatric Clinic more than
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50% of those patients reported some
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ments this is very very important many
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many older patients with cancer did not
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share their aging related impairment
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with the surgeons probably because those
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patients thought why the surgeon should
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care but when the same patients
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presented the gatric clinic the clinic
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that is devoted to addressing aging
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related impairments they probably felt a
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lot more secured and welcomed to share
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impairments now we know that those
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impairments can impact outcomes of
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surgery in a negative way so those who
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did not share those impairments with the
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surgeons and if they did not see a
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geriatrician probably they did not share
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it with anybody were more likely to
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suffer from the negative outcomes of
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surgery so geriatricians and geriatric
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care providers do provide a lot of
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support for older patients with cancer
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starting by letting you share your aging
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Rel Rel ated impairments with them so
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that they can address that fully and
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potentially reduce the negative impact
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of those impairments on your surgical
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outcomes as a result in my opinion every
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older patient with cancer needs to have
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geriatric in the description below I
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will share two of the other videos that
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you may find useful and informative in
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how you should approach surgery and how
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you should look at your life as an older
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patient and as an older patient with
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cancer if you're an older patient with
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cancer or a family member or care you an
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older patient with cancer or if you are
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a Cancer care provider taking care of
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older patients with cancer please
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subscribe to this channel like this
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video leave a comment below and
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hopefully I'll see you in the next video
