The Care of the Older Person

An Invaluable Resource for Care Providers

Crucial information for those who care, provide, create, and build for our rapidly growing—and cherished—senior population.

“….the aging of the population is an unprecedented phenomenon in human history….it is in fact a triumph of humankind over the adversities of the environment.”

 

Jose Morais , MD

Director, Division of Geriatric Medicine, McGill University

LEARNING TO WORK WITH AN INCREASINGLY AGED SOCIETY

Society, as a whole is getting older. Thanks to the extraordinary advances in technology and medicine, humans are now living longer than ever before, and are shifting the demographic make-up on a worldwide scale.

As a result, more and more of us are living and engaging with an aging population in both our personal and professional lives, and there’s a heightened demand for concrete research and advice for how to effectively provide care for this growing demographic.

The Care of the Older Person brings together some of today’s most experienced professionals to provide concrete answers for professionals and providers of all kinds- doctors, nurses, dentists, therapists, pharmacists, hands-on caregivers, architects, attorneys, retirement management professionals those who build, run, and staff the facilities and housing for all of the aging population, as well as spouses and children of the elderly. Most importantly, this information is for seniors themselves, who want to feel empowered in their stage of life. 

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Available in paperback and ebook 

WRITTEN BY INTERNATIONALLY RECOGNIZED DOCTORS AND OTHER PROFESSIONALS.

A Respected Resource

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Important New Topics in the Field

Held in Over 250 Prestigous Libraries Worldwide

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Exploring a Broad Array of Issues 

“We are living in an age of rapidly advancing technology. We are undergoing a revolution in communication and information availability. The human genome is known, disease is understood at a metabolic level, and drugs are created to target the mechanisms of disease. All these factors complement one another so that in our industrialized, computerized and linked world people have the ability to live much longer.”

Ronald M. Caplan, MD

“It takes one minute to prescribe a medication but years to discontinue it.”

Louise Mallet, Pharm.D

“Individuals are complex systems with a biopsychosocial nexus within which multiple functions are interconnected and socially embedded.”

Abraham Fuks, MD

The Care of the Older Person is broken up into chapters written by an esteemed group of doctors and other professionals, each covering a different aspect of elder care:

Part I: Helping

Introduction (by Jose Morais, MD) presents an in-depth overview of the current state of geriatric medicine, including the unique challenges and opportunities characterizing this growing field today.

Caring for the Older Person (by Abraham Fuks, MD) focuses “attention to chronic illnesses and the needs of the older person whose ailments need a more deliberate, longer-term horizon with different goals and aspirations.”

Frailty (by Sathya Karunananthan, PhD and Howard Bergman, MD) explores the increasing vulnerability of our bodies and organs as we age and what care providers can do to diagnose and treat individuals.

Physical Activity as a Countermeasure to Frailty (by Guy Hajj Boutros, MSc and Antony D. Karelis, Phd) makes a compelling case for avoiding the sedentary state when possible, and demonstrates interventions that can potentially reverse frailty.

Doctor, My Spouse is Getting Forgetful (by Serge Gauthier, MD) explores the natural decline in memory, and how to diagnose and address dementia in your patients, clients, or family.

Update on Alzheimer’s Disease Diagnosis and Management (by Serge Gauthier, MD) is a synopsis of the diagnosis and management of AD, as well as its natural history and progression, by one of the acknowledged leaders in the field.

Navigating the Journey of Dementia as a Caregiver (by Claire Webster, CPCA) identifies who caregivers are, their demanding roles, and the toll the caregiving may take on them.

How to Diagnose and Manage Delirium (by Haibin Yin, MD). Among elderly patients who come into the ER, 15% suffer from delirium or “acute brain failure.” This chapter explores the signs and treatments.

Why Does My Patient Have Gait & Balance Disorders? (by Olivier Beauchet, MD, PhD) explores the main causes and best treatments for the broad category of walking and balance problems.

Could My Patient Be Malnourished? (by Jose Morais, MD) explores the prevalence of malnutrition in older populations, how to diagnose it, and how to treat it.

Dental Care in Older Persons (by Michael Wiseman, DDS) makes the point that periodontal disease is a prominent chronic infection of older persons that can be associated with systemic health. The importance of dental hygiene is stressed.

Eating, Drinking and Swallowing Problems of Vulnerable Older Adults (by Heather Lambert, PhD) shares that up to 38% of older adults living in the community and an even higher percentage of those in long term care have a loss of skills related to swallowing. This loss of ingestive skills is explored in detail. 

Part II: Vulnerability

Architecture and the Aging (by Julia Gersovitz, O.C, OAQ, QAA, AANB FIRAC/FRAIC, FAPT, CAHP and Boris Morin-Defoy, M.Arch) starts with a stark assessment of the state of nursing homes and the disproportionate death rate of residents within them during the COVID19 pandemic. Innovative solutions and architectural approaches are detailed.

Are the Immunizations of My Patient Up to Date? (by Dominique Tessier, MD) stresses the importance of immunizations in our vulnerable older population, with details of the various immunizations that may be necessary.

Management of Older Patients in the Emergency Department (By Cyrille Launay, MD, PhD) provides an overview of the unique challenges facing ER staff in diagnosing and working with older patients.

Critical Care of the Older Person (by Astrid F. Pilgrim, MD, and Michael R. Pinsky, MD) is a comprehensive look at the important differences seen in the critically ill older person, and how to efficiently respond to these issues and counteract them.

COVID19 in Long-Term Care (by Julia Chabot, MD, Philippe Desmarais, MD, and Michael Stiffel, MD) addresses the particularly onerous effects of the global pandemic on older persons, particularly those in long-term care facilities.

Part III: Caring

Arthritis in the Older Person (by Joseph Markenson, MD, Linda Yue, MD and Kevin Yip, MD) offers a comprehensive chapter on arthritis, and how it specifically impacts the older person. The various forms of arthritis that afflict older persons, and the management of those conditions, are discussed. This highly researched chapter has concluding take home points.

Stroke Prevention in the Elderly (by Liam Durcan, MD) emphasizes the need to identify predisposing causes of this major cause of death and disability, and to modify those risks before serious harm occurs.

Advances in Cardiac Care for Older Persons (by P. David Myerowitz, MD) is a detailed chronicle of medical problems encountered with the aging heart, and state of the art measures to deal with each of those problems.

Could My Patient be at Risk of Orthostatic Hypotension? (by Eric Hedge, MSc and Carmelo Mastandrea, MD, PhD) discusses orthostatic hypotension, which is the inability of the body to maintain adequate blood pressure during movement to an upright position because of gravity. The condition may be as prevalent as one in five for community living individuals 60 years of age or older. 

The Care of Chronic Obstructive Pulmonary Disease in Older Adults (by Jean Bourbeau, MD and Bryan Ross, MD) COPD, a very common and often preventable condition affecting many older adults, encompasses both emphysema and chronic bronchitis. Dr Jean Bourbeau and Dr Bryan Ross elaborate on the nature of the condition, the risk factors and treatments.

How Do I Manage My Patient with Peripheral Arterial Disease? (by Oren Steinmetz, MD and Anna Kinio, MD) defines peripheral arterial disease as chronic occlusive disease of the lower extremities secondary to atherosclerosis. The epidemiology of PAD is discussed, noting that the aging of the population has contributed to PAD becoming a global health concern. Management and treatment options are considered.

How to Manage Type 2 Diabetes in Frail Elderly Patients (by Young-Sang Kim, MD, PhD, and Jose A. Morais, MD) explores this important disease condition that is highly prevalent in older adults, and stresses the differences in treatment and approach that are necessary in the older population.

Hepatobiliary Considerations, Including Cancer (by Erica Roth, MD, Sunil Karhadkar, MD and Antonio di Carlo, MD) With the evolution of perioperative care, minimally invasive techniques, and improved health of older patients, considering an octogenarian for a major hepatobiliary operation is not that unusual. Gallbladder, liver, and pancreatic conditions are discussed.

Abdominal Organ Transplantation in the Older Person (by Antonio di Carlo, MD and Sunil Karhadkar, MD) covers the important issues in the transplantation of kidneys, livers and other organs into older persons. 

Part IV: Cancer

Cancer in Older Adults (by Doreen Wan-Chow-Wah, MD) brings the relatively young subspecialty of Geriatric Oncology to the forefront. Particularities of older persons with cancer are noted, including fitness for treatment. Life expectancy is factored in.

Cancer Screening in the Older Adult (by Catalina Hernandez-Torres, MD, and Tina Hsu, MD) discusses the sometimes controversial role of cancer screening in older adults. Screening recommendations are covered in the light of treatment options and patient preference.

Diagnosis and Management of Bowel Cancer (by Jessica Holland, MD and Barry Stein, MD) points out that colorectal cancer has the third highest cancer incidence worldwide, along with the second highest mortality. Screening techniques including colonoscopy are discussed. Diagnosis and staging investigations are elucidated, as well as surveillance and treatment options including chemotherapy, radiation and surgery. Improving the functional capacity of the older person prior to surgery is stressed.

Precision Medicine and Care of the Older Patient (by Donald White, PhD and Anne Croudass, RN, MSc) begins with an illustrative vignette that describes the symptoms of non-small cell lung cancer, leading to diagnosis and ultimately chemotherapy with its side effects, and the emotional, psychological, social, and financial toll. This is contrasted with transformative treatment that targets specific molecular changes within cancer cells.

Psycho oncology: Living with the Fear of Death (by Norman Straker, MD) is a discussion of the emotional and psychiatric care of cancer patients and their families by one of the originators of the subspecialty. The relationship between various psychiatric disorders and cancer is examined.

Part V: Considerations

Incontinence in Older Adults (by Samer Shamout  MD and Lysanne Campeau, MD) explores the risks, diagnosis, and treatment of urinary incontinence.

Sleep Disorders in Older Persons (by Shachi Tyagi, MD) addresses one of the most prevalent health concerns encountered in older adults. Changes in sleep with aging and common sleep complaints in older adults are discussed. Insomnia, with difficulty in falling asleep or maintaining sleep, is delved into, as well as contributing or associated medical and psychiatric conditions.

Polypharmacy and Deprescribing in the Elderly (by Louise Mallet, Pharm.D). Polypharmacy is taking multiple medicines for chronic issues at the same time and is common among the elderly. This chapter explores the risks of polypharmacy and how to “deprescribe” unnecessary medications.

After Menopause (by Ronald M. Caplan, MD) brings to the fore the fact that, with dramatically increasing lifespan, the postmenopausal years represent a very significant proportion of a woman’s productive life. Physiologic changes, screening for possible problems, prevention and possible treatments are discussed.

The Senior Adult Eye (by Peter Odell, MD) notes that the frequency of eye problems increases as people age, increasing the need for regular follow up. Cataracts, glaucoma, and macular degeneration are all elucidated and management discussed. Other common ocular disorders are covered as well.

Hearing Loss and Aging (by Joseph Montano, Ed.D) makes the point that hearing loss is an invisible condition with no obvious outward indications. The early signs of hearing loss are discussed, as is the relationship between hearing loss and cognition. Amelioration strategies are elucidated.

Skin Care of the Older Person: The Skin and its Associated Changes (by Hao Feng, MD, and Aziz Khan, MD) comprehensively details disorders of the skin in older persons and the management of those conditions.

Caring for the Older Person Undergoing Plastic Surgery (by Subhas Gupta, MD and Erin O’Rorke, MD) focuses on patient selection and state of the art methods of optimally readying patients for surgery.  People 65 years of age and older account for a large percentage of plastic surgical cases. The range of procedures undergone is elucidated.

Part VI: Understanding, Protecting

Elder Abuse (by Mark J. Yaffe, MD). Unfortunately, elder abuse is far too common in our society, and takes on many forms. This chapter helps care providers to identify elder abuse and learn how to address it.

Late-Life Anxiety (by Jess Friedland, MD, Paulina Bajsarowicz, MD, and Philippe Desmarais, MD) describes the risk and predisposing factors for the development of anxiety disorders in older persons and the treatments of those disorders.

An Overview of Late-Life Depression (By Artin Mahdanian, MD, and Silvia Monti De Flores, MD) explores the importance of understanding late-life depression for care professionals, including tools for diagnosis and treatment.

Assessment of Decision-Making Capacity (By Catherine Ferrier, MD) provides an important analysis of how to determine a patient’s ability to make key decisions about their medical treatment, living situation, finances, and more.

How Can Older People be Protected? (By Randy S. Perskin, Esq., JD) explores the important legal issues facing elderly patients and how care providers can best support them.

Financial Guidance for Seniors (by Karen C. Altfest, PhD, CFP) recognizes that, among the paramount concerns of older persons is financial stability. Financial concerns can affect mental and physical health, wellbeing, and even lifespan. Advice is offered to caregivers, including family, and to the older individual on how to anticipate and overcome these problems.

The Role of Religious Belief in the End-of-Life Care of Older Persons (by A. Mark Clarfield, MD,) compassionately shows that we cannot treat older persons near the end of life, and their families, without an understanding of their religious beliefs, and appropriately responding to their needs and concerns in ways that respect those beliefs.

Part VII: Medical Terms

Medical Terms and their Meaning: Glossary (by Ronald M. Caplan, MD). A highly researched glossary of medical definitions that will help you to understand what you’re reading and navigate the often-confusing world of scientific terminology. Includes forward-looking research that gives you a sense of where the advances in medicine are going in the future.

A TEAM OF EXPERTS

The contributors to The Care for the Older Person are literally an all-star team of researchers, doctors, and clinical and other professionals. Their research-based advice is informed by decades of experience working in the fields that they write about.

EDITORS

Olivier Beauchet, MD, PhD

MD, PhD, Professor of Geriatrics, Dr. Joseph Kaufmann Chair in Geriatric Medicine, Director of centre of excellence on aging and chronic diseases, McGill University


Dr. Beauchet holds a MD degree from the University of St-Etienne University (1999) and completed a specialty in Neurology and Internal Medicine and Geriatrics at St-Etienne University (France). In parallel, he holds a master of science in neuropsychology and a PhD in Human Motricity and handicap at St-Etienne University (France).  Read More 

 

Ronald M. Caplan, MD

MD, CM, FACS, FACOG, FRCS(C), Clinical Associate Professor Emeritus Obstetrics and Gynecology, Weill Medical College of Cornell University


Ronald M. Caplan MD is an Obstetrician Gynecologist and medical author.

He did his medical and postgraduate training at McGill University, where his interest in renal disease in pregnancy and homotransplantation culminated in the very first delivery of a baby from a mother who had received a deceased donor kidney transplant. Read More

Serge Gauthier, MD

CM, CQ, MD, FRCP(C), Director, Alzheimer Disease Research Unit, McGill Center for Studies in Aging , Professor, Departments of Neurology & Neurosurgery, Psychiatry, Medicine, McGill University


Medical studies at Université de Montréal, Neurology training at McGill University, Research Fellowship at Prof. Theodore L. Sourkes laboratory, Allen Memorial Institute, Montreal. Clinical investigator and staff neurologist at the Montreal Neurological Hospital and Institute (1976-1986), Director of the McGill Centre for Studies in Aging (1986-1996), Senior Scientist of the CIHR-Rx&D program (1997-2007). Read More

José A. Morais, MD

MD, FRCP(C), Professor, Faculty of Medicine, Director, Division of Geriatric Medicine, Lead, Dementia Education Program, McGill University, Co-Director, Quebec Network for Research on Aging


Dr. Morais holds a MD degree from the University of Montreal (1987) and completed a specialty in Internal Medicine and Geriatrics at McGill University, Canada. He went on to complete a 3-year Research Fellowship in Nutrition and Metabolism at McGill Nutrition Centre. Since 1996, he is an independent clinician-investigator based at the Research Institute of the McGill University Health Centre (MUHC) – Crabtree Nutrition Laboratory, Montreal, Canada. He is Professor of Medicine, McGill University. Read More

Howard Bergman, MD

FCFP, FRCPC, FCAHS
Assistant Dean, International Affairs | Faculty of Medicine and Health Sciences
Professor of Family Medicine, Medicine and Oncology and Institute for Health and Social Policy | McGill University


Professor Bergman is Assistant Dean, International Affairs, Faculty of Medicine and Health Sciences and Professor of Family Medicine, Medicine, and Oncology at McGill University where he was the first Dr. Joseph Kaufmann Professor of Geriatric Medicine from 2001-2015. He was Chair of the Department of Family Medicine from 2012-2019. He is a Fellow of the Canadian Academy of Health Sciences (CAHS). Read More

Abraham Fuks, MD

MD, CM, FRCP(C), Professor, Department of Medicine, McGill University


Dr. Abraham Fuks is a graduate of the Faculty of Medicine at McGill University where he obtained his M.D.,C.M. in 1970 and where he is currently a Professor in the Departments of Medicine, Pathology and Oncology.His research interests have included the immunogenetics of diabetes, the biology of tumor-associated antigens and cell adhesion molecules, and ethical aspects of the design of trials involving human subjects. Read More

Phil Gold, MD, PhD

CC, OQ, MD, PhD, FRSC, DSc (Hon), MACP, FRCP(C), Douglas G. Cameron Professor of Medicine, Professor of Physiology and Oncology, McGill University, Executive Director Clinical Research Center (MGH) McGill University Health Centre


Phil Gold is the Douglas G. Cameron Professor of Medicine, and Professor of Physiology and Oncology, at McGill University. He has served as the Inaugural Director of the McGill (now Goodman) Cancer Centre, Chairman of the Department of Medicine at McGill and Physician-in-Chief at the Montreal General Hospital. He is presently the Executive Director of the Clinical Research Centre of the McGill University Health Centre at The Montreal General Hospital. Read More

CONTRIBUTORS

Karen C. Altfest, PhD, CFP

Phd, CFP®, Principal Advisor and Executive Vice President, Altfest Personal Wealth Management


Karen C. Altfest, PhD, CFP® is a Principal Advisor and Executive Vice President Altfest Personal Wealth Management, a 36-year-old fee-only wealth management firm in New York City. She helps many of the firm’s clients on a variety of investment and financial planning issues, and specializes in helping retired clients, women clients and widows. Read More 

Paulina Bajsarowicz, MD

MD, FRCPC, Assistant Professor McGill University, Geriatric Psychiatrist, Douglas Mental Health University Institute


Dr. Paulina Bajsarowicz is a psychiatrist practicing at the Douglas Mental Health University Institute. Read More

Jean Bourbeau, MD

MD, MSc, FRCP, FCAHS


Dr. Bourbeau is Professor with distinguished Scientist Award in the Department of Medicine and Associate Member of the Department of Epidemiology, Biostatistics and Occupational Health at McGill University’s Faculty of Medicine. He is a Respirologist at the Montreal Chest Institute of the McGill University Health Centre (MUHC) and the Director of the Center of Innovative Medicine at the Research Institute of the MUHC. He is past president of the Canadian Thoracic Society and member of the Scientific Committee Global Initiative for COPD (GOLD). Read More

Guy Hajj Boutros, MSc

MSc, Research Assistant, Research Institute, McGill University Health Center, Crabtree Nutrition Laboratories


Guy Hajj Boutros holds a Masters in Exercise Physiology from the University of Quebec in Montreal. Over the last few years, he has been involved in several research programs on exercise and obesity and has published several papers on defining and assessing the usefulness of exercise as a clinical tool in older healthy adults and with frailty. Read More 

Lysanne Campeau, MD, PhD

MDCM, PhD, FRCS(C), Assistant Professor of Surgery, Division of Urology, McGill University


Dr. Lysanne Campeau completed her medical degree in 2005 and her urology residency in 2010 at McGill University, when she became a Fellow of the Royal College of Surgeons of Canada in Urology. She then went on to pursue her clinical and research interest in voiding dysfunction at Wake Forest Institute for Regenerative Medicine in North Carolina, where she obtained a Doctorate of Philosophy in the Department of Physiology and Pharmacology in 2013. Read More 

Julia Chabot, MDCM

MDCM, FRCPC, MSc, Assistant Professor, Faculty of Medicine, McGill University


Dr. Chabot is a geriatrician at St. Mary’s Hospital Center in Montreal. She completed her Geriatric Medicine training at McGill University and a master’s degree in research psychology at University of Montreal under the supervision of Dr. Olivier Beauchet and Dr. Isabelle Peretz. Read More

A. Mark Clarfield, MD

MD, FRCPC, Professor Emeritus, Geriatrics, Ben-Gurion University, Israel


Dr. Clarfield received his MD from the University of Toronto in 1975 going on to specialize in Family Medicine, Community Medicine and Public Health and finally in Geriatrics. He was with the Faculty of Medicine at McGill University in Montreal from 1978-1992 during which time he was head of the University Division of Geriatric Medicine and Assistant Dean of Students. Read More

Anne Croudass, RN

RN, MSc, Cancer Research UK, London, UK


Anne Croudass is the lead research nurse at Cancer Research UK.  Since qualifying as a nurse, she worked across several specialties including acute medicine, care of the elderly and emergency care before making the move to a research nursing career.  She has worked in the Oncology setting for the last 15 years and has a special interest in lung cancer. 

Philippe Desmarias, MD

MD, FRCPC, MHSc, Assistant Clinical Professor, Faculty of Medicine, Universite de Montreal


Dr. Desmarais completed his training in Internal Medicine and in Geriatric Medicine at the University of Montreal in 2016. Read More

Antonio di Carlo, MD

MD, CM, FRCSC, FACS. Professor and Chief, Abdominal Organ Transplantation. Department of Surgery, Lewis Katz School of Medicine at Temple University


Dr. di Carlo is an adult and pediatric abdominal organ transplant surgeon and HPB surgeon. He currently serves as the Chief of Abdominal Organ Transplantation at Temple University Hospital and St. Christopher’s Hospital for Children in Philadelphia. He is a Professor of Surgery at the Lewis Katz School of Medicine at Temple University.  Read More

Liam Durcan, MD

MD, FRCPC, Assistant Professor, Department of Neurology and Neurosurgery, McGill University, Consultant Neurologist, Stroke Service, McGill University Health Centre


Liam Durcan works at the McGill University Health Centre in both the Acute Stroke Service and the Stroke Prevention Clinic. Read More

Hao Feng, MD

MD, MHS, Assistant Professor of Dermatology, Director of Laser Surgery and Cosmetic Dermatology, University of Connecticut Health Center


Dr. Feng graduated summa cum laude with departmental honors from UC Berkeley and was awarded numerous prizes including the Regents’ and Chancellor’s Scholarship, Alumni Leadership Award, Outstanding Student Leader Award, and Winged Helmet Award. Read More

Catherine Ferrier, MD

MD, Assistant Professor, Department of Family Medicine, Faculty of Medicine, McGill University


Dr. Ferrier is Assistant Professor, Department of Family Medicine at McGill University and holds a Certificate of Special Competence in Care of the Elderly from the College of Family Physicians of Canada. She works as a consultant in Geriatric Medicine, as well as in primary care Family Medicine. Read More 

Jess Friedland, MD

MD, FRCPC, Geriatric Psychiatrist, Douglas Mental Health University Institute


Dr. Jess Friedland is the Program Director of the Geriatric Psychiatry Subspecialty Residency Program at McGill University and Medical Director of the Geriatric Psychiatry Outpatient Clinic at the Douglas Mental Health University Institute in Montreal. Read More

Julia Gersovitz O.C.

O.C. OAQ, QAA AANB FIRAC/FRAIC, FAPT, CAHP, Professor of Practice, Peter Guo-hua Fu School of Architecture, McGill University, Professeure associee, Universite de Montreal

Julia Gersovitz O.C. is a conservation architect, architectural historian, academic and heritage activist. As a founding partner in EVOQ Architecture, Julia established an architectural practice with her colleagues that spans Canada, with offices in Montreal, Toronto and Ottawa and the Far North. Read More

Subhas Gupta, MD

MD, CM, PhD, FRCSC, FACS,

Chairman of the Department of Plastic Surgery, Professor of the Reginald R. Sherrill Endowed Chair in Plastic Surgery, Loma Linda University, Loma Linda, California USA

Dr Subhas Gupta has served as the Chairman of the Department of Plastic Surgery at Loma Linda University since 2004.  He serves multiple other roles on campus with surgical service, medical staff, and research leadership. Read More

Eric T. Hedge, MSc

MSc, Schlegel-University of Waterloo Research Institute for Aging, and Department of Kinesiology and Health Sciences, University of Waterloo, Ontario, Canada


Eric Hedge holds a Master of Science degree in kinesiology from the University of Waterloo, and specializes in research about how the cardiovascular and respiratory systems change during periods of inactivity and aging. Read More

Catalina Hernandez-Torres, MD

MD, FRCP(C) Medical Oncologist, Northwest Permanente


Dr. Hernandez-Torres is a medical oncologist. She obtained her medical degree at McGill University followed by Internal Medicine and Medical Oncology residency at the University of Ottawa.  She completed a fellowship in Geriatric Oncology working with Dr. Tina Hsu at The Ottawa Hospital Cancer Center. Read More 

Jessica Holland, MD

MD, FRCSC


Dr Holland began her medical training at the University of British Columbia where she received her medical degree. She went on to complete her General Surgery residency at the University of Toronto in 2020. She is currently pursuing a Fellowship in Colorectal surgery and a master’s degree in Experimental Surgery at McGill University.  Read More 

Tina Hsu, MD

MD, FRCPC, Assistant Professor, Division of Medical Oncology, University of Ottawa


Tina Hsu is a medical oncologist at the Ottawa Hospital Cancer Centre. She completed a CAMO/CIHR-funded research fellowship in geriatric oncology under the mentorship of Dr. Arti Hurria at City of Hope where she studied caregivers of older adults with cancer admitted to hospital. Read More 

Antony Karelis, PhD

PhD, Professor, Department of Exercise Science, Universite du Quebec, Montreal; Researcher, Centre du recherche de l’Institut universitaire de geriatre de Montreal


Dr. Karelis received a PhD in Sciences de l’activité physique from the Department of Kinesiology, University of Montreal. His specialization was in muscle fatigue. He did a Post Doctoral Fellowship at the Faculty of Medicine, Department of Nutrition, University of Montreal, specializing in the characterization of subgroups of obesity. Read More 

Sunil Karhadkar, MBBS

MBBS, FACS. Associate Professor of Surgery, Department of  Surgery, Lewis Katz School of Medicine at Temple University


Dr. Karhadkar is a multi-organ transplant surgeon and Associate Professor of Surgery at Temple University Hospital and School of Medicine. Read More 

Sathya Karunananthan, PhD

PhD, Postdoctoral Fellow, Ottawa Hospital Research Institute


Sathya Karunananthan holds a PhD in epidemiology from McGill University. Over the last decade, she has been involved in several international research programs on frailty and has co-authored a number peer-reviewed papers on defining and assessing the usefulness of frailty as a clinical tool. Read More

Aziz Khan, MD

MD, Assistant Professor of Internal Medicine, University of Connecticut Health Center


Dr. Aziz Khan received his M.B.B.S degree from Aga Khan Medical College in Karachi, Pakistan with numerous honors and academic scholarships. He completed his Internal Medicine Residency at the University of Connecticut Health Center. He then joined UConn Health as Assistant Professor of Internal Medicine. He is involved in various research projects, resident education, quality improvement and curriculum development. Read More

Young-Sang Kim, MD, PhD

MD, PhD, Associate Professor, Department of Family Medicine, CHA Bundang Medical Center, CHA University in Korea


Young-Sang Kim, MD, PhD, is Associate Professor, Department of Family Medicine, CHA Bundang Medical Center, CHA University in Korea. He is currently a Visiting Professor, McGill University, working in the laboratory of Dr. Jose Morais, the Director of the Division of Geriatric Medicine. Read More

Anna Eva Kinio, MD

MD, MSc, PGY-4, Division of Vascular Surgery, McGill University


Anna Kinio obtained her Medical Degree from the University of Ottawa and holds a Masters of Immunology and Microbiology from McGill University. She is currently completing her surgical residency in Vascular Surgery at McGill University. Her research interests include perioperative optimization and surgical education. Read More

Heather C. Lambert, PhD

PhD, erg, OT(C), Assistant Professor, School of Physical and Occupational Therapy, McGill University


Dr. Lambert is Assistant Professor [Professional] in the School of Physical and Occupational Therapy of McGill University, Canada.  Read More

Cyrille Launay, MD, PhD

MD, PhD, Medical Director and Geriatrician Confluent Hospital, Nantes, France


Dr. Launay was a geriatrician at the University Hospital of Angers, France until 2015, when he joined the division of geriatrics, University of Lausanne. His PhD thesis described the Brief Geriatric Assessment, a tool to predict prolonged length of hospital stay. Read More

Artin A. Mahdanian, MD

Board Certified Psychiatrist


Dr. Artin Mahdanian is a psychiatrist certified by the American Board of Psychiatry and Neurology, and the Royal College of Physicians of Canada.  Read More

Louise Mallet, Pharm.D

B.Sc. Pharm., Pharm.D., BCGP, FESCP, FOPQ, Professor in Clinical Pharmacy, Faculty of Pharmacy, University of Montreal, Pharmacist in Geriatrics, McGill University Health Center


Louise Mallet is currently a full Professor of Pharmacy at the Faculty of Pharmacy at the University of Montreal. She is also a clinical pharmacist with the interdisciplinary team in geriatrics in the emergency room at McGill University Health Center.  Read More

Joseph A Markenson, MD

Dr Markenson is Professor of Clinical Medicine, Joan and Sanford Weill Medical College of Cornell University. He is also an attending Physician at the Hospital for Special Surgery, the New York Hospital in New York, and Memorial Sloan-Kettering Cancer Center. 


Dr Markenson received his MD from the State University of New York, Downstate Medical Center, Brooklyn, and completed his internship at Kings County, at the same institution. He was a Medical Officer for the National Institutes of Health, Division of Biologics Laboratory of Viral Immunology, in Bethesda, MD, and completed his residency at Cornell University Medical Center, The New York Hospital. He also completed a fellowship in Rheumatology at the Hospital for Special Surgery, NY.  Read More

Carmelo Mastrandrea, MD

MD, PhD, Schlegel-University of Waterloo Research Institute for Aging, and Department of Kinesiology and Health Sciences, University of Waterloo, Waterloo, Ontario, Canada.


Carmelo Mastrandrea holds a Bachelor of Science (BSc 2009) and Bachelor of Medicine and Surgery (MB BS, 2011), both from Imperial College London. He subsequently practiced medicine at hospitals within the United Kingdom before returning to academic studies.  Read More

Joseph J. Montano, Ed.D

Ed.D, Professor of Audiology in Clinical Otolaryngology, Weill Cornell Medical College


Dr. Joseph Montano is a Professor of Audiology and Director of Hearing and Speech at Weill Cornell Medicine.  He received his Ed.D. from Teachers College, Columbia University and M.A. from New York University. Read More

Silvia Monti De Flores, MD

FRCPC, DFAPA, Staff Psychiatrist, McGill University Health Centre, McGill University Lecturer


Dr. Silvia Monti De Flores is a McGill Psychiatry graduate and Attending Staff Psychiatrist in Psychogeriatrics, attached to the Mood Disorders Program at McGill University Health Centre, psychiatry outpatient. She is a consultant to the Geriatric Medicine Clinic at the Montreal General Hospital. Read More

Boris Morin-Defoy, M.Arch

M.Arch, B.Sc.Arch, Lecturer McGill Peter Guo-hua Fu School of Architecture; École de Design de l’Université du Québec à Montréal


Boris Morin-Defoy earned his Master’s degree from the Yale School of Architecture in 2016. He has since worked in architecture offices across the U.S. and Canada on projects which received some of the most prestigious design awards in North America. Read More

P. David Myerowitz, MD

MD, FACS, FACC, Former Karl P. Klassen Professor and Chairman Thoracic and Cardiovascular Surgery The Ohio State University, Columbus, Ohio


P. David Myerowitz, MD graduated with High Honors from the University of Maryland, where he went on to get his MD degree. Read More

Peter M. Odell, MD

MD, FACS, Clinical Professor of Ophthalmology Weill Cornell Medical College


Dr.  Peter Odell is a Clinical Professor of Ophthalmology at Weill Cornell Medical College and Attending Ophthalmologist at New York Presbyterian Hospital.  After graduating from Bowdoin College and Tufts Medical School and completing a medical internship at the New England Medical Center, he cared for indigenous Americans as an officer in the United States Public Health Service. Read More

Erin O’Rorke, MD


Erin O’Rorke is a Pacific Northwest native and earned her Bachelor of Science at the University of Washington before attending medical school at Washington State University. Read More

Randy S. Perskin, Esq., JD

BA, JD, Elder Law Attorney, New York


Randy Perskin received her BA degree from Barnard College (Columbia University), and her JD from Fordham Law School. She is a long experienced and well-recognized Elder Law Attorney. Read More

Astrid F. Pilgrim, MD

MD, MS, Fellow, Critical Care Medicine, University of Pittsburgh


Dr. Pilgrim received her MD from Eastern Virginia Medical School in Norfolk, VA in 2014. Read More

Michael R. Pinsky, MD

MD, CM, Dr hc, FCCP, MCCM, FAPS, Professor of Critical Care Medicine, Bioengineering, Cardiovascular Diseases, Clinical & Translational Sciences, and Anesthesiology, University of Pittsburgh.


Dr. Pinsky is Docteur Honoris Causa at the Universite Rene Descartes Paris V, School of Medicine in Paris, France. Read More

Bryan Ross, MD

M.D., F.R.C.P.C., M.Sc., B.Sc.H.


Bryan Ross is a Respirologist at the McGill University Health Centre (MUHC) and an Assistant Professor at McGill University (Division of Respiratory Medicine, Department of Medicine) in Montreal, Canada. He has completed additional clinical training in the comprehensive management of chronic respiratory disease and in pulmonary rehabilitation. Read More

Erica C. Roth, MD

MD, Department of Surgery, Lewis Katz School of Medicine at Temple University


Erica Roth, MD is currently a resident in general surgery at Temple University Hospital in Philadelphia. Dr. Roth completed her medical degree at the University of Maryland School of Medicine. Read More

Samer Shamout, MD

MD, MSc, Fellow, Division of Urology, McGill University


Dr. Samer Shamout earned his M.B.B.S in medical studies in 2005 at Jordan University of Science and Technology and completed his clinical MSc. training in Urology in 2010 at the Alexandria University of Egypt. Dr. Shamout has been practicing since 2010, the first 5 years in United Arab Emirates, at the Ministry of Health Hospital. Selected as one of the top hospitals in the United Arab Emirates. Read More

Barry L. Stein, MD

MD, CM, FRCSP(C), FACS, FASCRS


Dr. Barry L. Stein did his medical school and general surgery training at McGill University and then did a GI fellowship training in endoscopy with an emphasis on colonoscopy at the Queen Elizabeth Hospital and the Royal Victoria Hospital. Read More

Oren K. Steinmetz, MDCM

MDCM, FRCSC, FACS, Associate Professor, Division of Vascular Surgery McGill University Health Centre


Dr. Steinmetz completed his general surgery residency at McGill University in 1992 and his Vascular Surgery training at the University of Ottawa in 1993. He is an Associate Professor of Surgery and was the Chief of the Division of Vascular Surgery at McGill University from 2002 to 2019.  Read More

Michael Stiffel, MD

MD, FRCPC, Assistant Clinical Professor, Faculty of Medicine, Université de Sherbrooke


Dr. Stiffel completed his medical training in Internal Medicine and Geriatric Medicine at the Université de Sherbrooke in 2019. Read More

Norman Straker, MD

MD, DLFPAPA, Clinical Professor of Psychiatry, Weill Cornell University College of Medicine; Consultant, Sloan Kettering Cancer Center; member of the faculty, New York Psychoanalytic Institute


Dr. Straker is a distinguished life fellow of the APA. He graduated from medical school at McGill University in1966 and completed a rotating internship at The Royal Victoria Hospital in 1967, before moving to New York for residency training in Adult and Child Psychiatry at Mt Sinai Hospital. He did a postgraduate research fellowship in psychosomatic medicine at Mount Sinai Hospital and pursued psychoanalytic training at the New York Psychoanalytic Institute. Read More

Dominique Tessier, MD

MD, Clinical Instructor, Family Medicine Department, University of Montreal; Medical Director, Travel Health Group, Montreal, Canada


Dr. Tessier is a Family Doctor with over thirty years of experience. She is well known in the field of Travel Medicine and Immunizations and HIV care. Her practice has always focused on immunizations and the prevention of infectious diseases, including HIV/AIDS and STI. She is actively involved in clinical research. Read More

Shachi Tyagi, MD

MD, MS. Assistant Professor of Medicine

Division of Geriatric Medicine, Department of Medicine, University of Pittsburgh School of Medicine


Dr. Shachi Tyagi, MD, MS is a geriatrician certified in internal medicine and geriatric medicine by the American Board of Internal Medicine. Dr. Tyagi received her medical degree from Himalayan Institute of Medical Sciences in India and completed her internal medicine residency at the Beaumont Hospital in Royal Oak, MI followed by geriatric fellowship at University of Pittsburgh Medical Center, Pittsburgh. Read More

Doreen Wan-Chow-Wah, MD

MD, FRCPC, Assistant Professor, Division of Geriatric Medicine, Department of Medicine, McGill University; Associate member, Department of Oncology, McGill University


Dr. Wan-Chow-Wah is a geriatrician-internist practicing mainly at the Royal Victoria Hospital (Glen site). In 2007, she pioneered the field of Geriatric Oncology in Canada by co-founding the first Geriatric Oncology Clinic at the Segal Cancer Center of the Jewish Hospital. As the Medical Director since its inception, her expertise serves to improve the care of older cancer patients through multidimensional comprehensive assessments and personalized interventions. Read More 

Claire Webster, PAC, CPCA

PAC, CPCA, Founder and President of Caregiver Crosswalk Inc.


Claire Webster is a Certified Dementia Care Consultant (PAC), Certified Professional Con­sultant on Aging (CPCA), as well as a conference speaker and educator in the field of caring for an individual with dementia. Read More

Don White, PhD


Dr White received his PhD in Pathology & Molecular Medicine from McMaster University in Hamilton, Ontario, Canada, working on the development and analysis of transgenic mouse models of human metastatic breast cancer. Read More

Michael Wiseman, D.D.S

D.D.S, Associate Professor, Faculty of Dentistry, McGill University


Dr. Michael Wiseman is a 1985 graduate of McGill University Faculty of Dentistry. He is a Fellow of the American Association for Geriatric Dentistry and is a Member of the Royal College of Surgeons (Edinburgh) in Special Needs Dentistry. Read More

Mark Yaffe, MD

MDCM, Professor of Family Medicine, Department of Family Medicine, St Mary’s Hospital Center


Mark Yaffe is a tenured Full Professor in the McGill University Department of Family Medicine and at St. Mary’s Hospital Center in Montreal, Canada. In 2007 he was awarded the Inaugural Prix d’Excellence for Advancement of Teaching of Family Medicine by the Quebec College of Family Physicians. Read More 

Haibin Yin, MD

MD, CCFP (COE) Assistant Professor, Director of Undergraduate Medical Education, Division of Geriatric Medicine, McGill University


Dr. Haibin Yin is an attending staff member in the Division of Geriatric Medicine at Jewish General Hospital since 2014. He is an Assistant Professor in the Faculty of Medicine at McGill University. He is actively involved in clinical teaching of medical students and residents. Read More

Kevin Yip, MD

MD, Rheumatology Fellow, Department of Rheumatology, Hospital for Special Surgery, New York, NY, USA


Dr Yip graduated in the top quartile of his class at University College London Medical School with 9 awards and commendations. After medical school he completed the competitive two year North Central Thames London Foundation residency program in the UK before moving to America to further his training.  Read More

Linda Yue, MD

MD, Department of Rheumatology, Hospital for Special Surgery and Weill Cornell Medical College


Dr. Yue earned her medical degree from Florida International University where she was awarded merit scholarships throughout her studies. It was also during this time that she, as a student seeing patients in the Miami community, first developed an interest in rheumatology.  Read More

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The contents of this book and e-book and all materials contained in this book and e-book are for informational purposes only. The materials and information contained in this book and e-book are not intended to be a substitute for professional medical advice, diagnosis, or treatment. You should always seek the advice of your physician or other qualified health provider if you have questions regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you may have read in this book and e-book. Medical professionals should not rely on any drug , drug dosage, or other information in this e-book and book, which is for informational purposes only.

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