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No Forgetting To Take Your Meds

Normally, the patient calls the pharmacy for a prescription. Now, the prescription is doing that by itself. GlowCaps, a prescription bottle cap made by Vitality, has assumed control for medication compliance.

The bottle cap fits prescription bottles, but has uses cellphone technology to tap into wireless networks. Once connected, the pill bottle does everything imaginable to remind patients to take their pills.

There’s lights — plenty of them. The bottle cap really does glow and make noise to remind patients. Plug-in units wirelessly connected to the bottle cap can be placed anywhere there’s a wall socket. Oh, and it will call you, too, if you forget. The company calls this “Reminders Ramp from Subtle to Insistent.” (Add “relentless” to that.)

Ultimately, GlowCaps tallies compliance and sends reports to caregivers and physicians. Not surprisingly, studies show that constant nagging to take one’s medications works.

*This blog post was originally published at ACP Internist*

The Win-Win Referral

One of my patients is an elderly woman who is completely bedbound due to osteoarthritis. Since she’s considered “too old,” she isn’t considered a surgical candidate for a knee replacement. Her son, George, is her caregiver.

George had been referred to our practice through word-of-mouth from a geriatric care consultant. When he called me for an initial visit, his mother had a spot on her left forearm that was growing rapidly. The nodule was red and tender. Both of them wanted a doctor to look at and remove it, and at the house if possible. Read more »

Foundations Of Life: Still Dancing At 93

Dance legend Mary Anthony has had a life-long love of dance. At 93 years old, she continues to dance and teach students. Dr. Jon LaPook talks with Anthony about her philosophy on life.


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Dancing At 93 Years Old

Twenty-five years ago, Jennifer Dunning wrote in The New York Times: “DANCE doesn’t seem to take much stock of its wise elders. Among those veterans is Mary Anthony, one of the city’s most highly respected modern dance teachers.” I’m a big fan of wise elders. It’s how I learned medicine.

So when I got the chance to meet the now 93-year-old Ms. Anthony earlier this week, off I went to her beautifully-lit, peaceful but active studio in the East Village of New York City. My goal as a doctor: try to gain some insight into her longevity. Yes, genes are important and she certainly chose the right parents. Exercise and diet are important (she still dances and is a vegetarian). But — more interesting to me — what have been the emotional and philosophical foundations of her life? Read more »

Can We Stop Aging?

Dr. Aubrey de Grey, a contemporary popularizer of the very old idea that biological aging can be put on hold, gave this talk at TEDMED 2009:

*This blog post was originally published at Medgadget*

Does Your Family Have A “Technology Gap?”

Older Woman and LaptopDo you have a technology participation gap in your family? We do. In fact, most families do somewhere.

For us, we have a few older relatives who firmly believe that technology is for “the younger generation.” What’s interesting is that some of these people are not that old — at least not “old” as I define it.

One relative, for example, was a working woman in her younger days. Retired now, she never bought into any technology past the 1970s! Beyond the automobile, refrigerator, TV, radio, dishwasher, washer and drier, she has seen no need for anything else.

Although  she has grudgingly begun to use email and the Web, she has deemed herself  ”old” and refused to use a cell phone or any other “high-tech device.” Read more »

*This blog post was originally published at Dr. Gwenn Is In*

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

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