In episode 77, Mike and James stop waxing philosophically and get specific about therapeutics and the frail elderly. Once again we get our friend and colleague John Sloan to help us navigate through this evidence-free zone. We specifically talk about how to deal with the patient on 47 drugs and what to do about blood pressure, cholesterol, osteoporosis, and type 2 diabetes. To wrap it all up Mike, James and John do a no-analgesia drugectomy on each other and, other than a bit of whining, seem to do OK.
1) HYVET – Treatment of Hypertension in Patients 80 Years of Age or Older NEJM 2008;358:1887-98