The future of geriatric care

16/05/2025 34 min
The future of geriatric care

Listen "The future of geriatric care"

Episode Synopsis

Deborah Kado is a geriatrician who believes her field is misunderstood. Her interest in the science of aging began with a childhood encounter in a nursing home but recently resulted in intriguing work in which Kado linked microbes in the gut to vitamin D metabolism and poor sleep. Kado refuses to blame aging alone for health problems, advocating for better care regardless of age. It’s never too late to strive for better health, Kado tells host Russ Altman on this episode of Stanford Engineering’s The Future of Everything podcast.Have a question for Russ? Send it our way in writing or via voice memo, and it might be featured on an upcoming episode. Please introduce yourself, let us know where you're listening from, and share your question. You can send questions to [email protected] Reference Links:Stanford Profile: Deborah KadoConnect With Us:Episode Transcripts >>> The Future of Everything WebsiteConnect with Russ >>> Threads / Bluesky / MastodonConnect with School of Engineering >>> Twitter/X / Instagram / LinkedIn / FacebookChapters:(00:00:00) IntroductionRuss Altman introduces guest Deborah Kado, a professor of medicine and epidemiology at Stanford University.(00:03:22) Origin Story in GeriatricsHow a childhood encounter led to Deborah’s career in geriatrics.(00:06:04) Geriatrics vs. GerontologyThe clinical and research distinctions between the two related fields.(00:06:58) Rethinking AgingReframing aging as a lifelong process rather than decline and loss.(00:08:34) Patient Care ApproachWhy symptoms should be investigated, not dismissed as inevitable aging.(00:11:33) Linking Bone Health, Gut, and BrainThe surprising relationship between microbiomes, bones, and cognition.(00:14:34) Vitamin D: Storage vs. Active FormWhy only the active form of vitamin D correlates with microbiome health.(00:17:22) Gut Health and SleepHow better sleep quality is linked to healthier microbiomes.(00:21:20) Medical Education & Geriatric TrainingThe shortage of geriatrics training in U.S. medical schools.(00:23:08) Measuring Geriatric KnowledgeThe challenges and efforts to measure student knowledge about aging.(00:27:24) Takeaways for Medical ProfessionalsTwo anecdotes where symptoms were misattributed to old age.(00:30:51) Empowering Aging PatientsAdvice to aging individuals: agency, purpose, and not settling for less care.(00:34:02) Conclusion 
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