Hello. Welcome to the Hey Boomer show.
Speaker:She was in her late forties, early fifties when she became the primary caregiver for
Speaker:both of her parents.
Speaker:She lived in North Carolina.
Speaker:They were in Florida, which meant a lot of traveling back and forth and working to get
Speaker:them the care they wanted and they needed.
Speaker:But she witnessed her parents not receiving the care that they wanted or needed because
Speaker:they were perceived as old and, you know, very old.
Speaker:Well, how much attention do you really need?
Speaker:Not always true, but it does happen.
Speaker:This was particularly the case with her mother, who passed away in 1995 from breast
Speaker:cancer that had metastasized.
Speaker:Eventually, she got her father to relocate from Florida to North Carolina to be closer
Speaker:to her, and she was better able to oversee the care that he received.
Speaker:He passed in 2003.
Speaker:Jeanette already was changed by the experience of a decade of caregiving for both
Speaker:of her parents.
Speaker:She was inspired to pursue an encore career different from the work she had been doing
Speaker:because of her perception of how the aging process has impacted us as older adults.
Speaker:And she wants to help people appreciate elders inherent dignity, wisdom and unique
Speaker:value as mentors and catalysts for social change.
Speaker:And as a result of this experience and going back to school.
Speaker:She became a social gerontologist.
Speaker:So you will meet Jeanette Liedtke in just a moment.
Speaker:Welcome to the Hay Boomer Show.
Speaker:My name is Wendy Green, and I am the host of Hey, Boomer.
Speaker:Today we're going to talk about what happens in a health care environment that might make
Speaker:you feel helpless or confused and frightened and how to advocate for yourself or your
Speaker:loved one when faced with this situation.
Speaker:I'm on a mission to support and inspire older adults in this next act of our lives,
Speaker:to find new beginnings, confront endings and transitions, and evolve into who they want to
Speaker:be. That mission is the fuel that keeps me motivated.
Speaker:And I hope that you find inspiration and motivation with the stories that we share.
Speaker:On. Hey, Boomer.
Speaker:I am, as you probably know, hosting a trip to Costa Rica in June of 2023
Speaker:and on Tuesday, tomorrow at 530, I will be doing a joint webinar with Rhodes
Speaker:Scholar to talk to the designer of this program and the guide of the program so we
Speaker:can learn even more about what we are going to experience when we go to Costa Rica.
Speaker:If you're interested in checking out and registering for the webinar, you can just go
Speaker:to the website at Hey Boomer Biz.
Speaker:There's a button there that says Costa Rica webinar and you can click on that to sign up.
Speaker:So I hope you'll join us.
Speaker:I hope you'll join us in Costa Rica.
Speaker:It's a small group, 18 people.
Speaker:So hope to see you all there.
Speaker:Let's bring Jeanette on.
Speaker:Hello, Janette.
Speaker:Hi there, Wendy.
Speaker:Thanks for inviting me.
Speaker:So glad to have you.
Speaker:And welcome to the show.
Speaker:Let me.
Speaker:I feel very welcome.
Speaker:And you are?
Speaker:Jeanette Liard is a social gerontologist, as I mentioned.
Speaker:A community educator, writer, editor, public speaker and aging wellness leader who has a
Speaker:passion for older adult empowerment and finds special personal fulfillment.
Speaker:Helping boomers and older generations identify and share their wisdom with others.
Speaker:She accomplishes this through her publications and successful presentations and
Speaker:classes in journaling, spiritual writing, memoir, writing, brain fitness, health
Speaker:literacy, ageism, intergenerational communication, creativity and caregiving
Speaker:support to people of all ages.
Speaker:Wow. We cannot cover all of that in 45 minutes.
Speaker:So let's focus on what we're going to talk about.
Speaker:But as I mentioned in the intro, Jeanette, you did a total career change, went back to
Speaker:school after your father passed.
Speaker:What was that like making that total change and going back to school?
Speaker:You know, I had some trepidations about it because although I, you know, I was last in a
Speaker:university setting when I got my master's in English.
Speaker:But then there I was in my fifties thinking, well, can I do the same thing?
Speaker:You know, remembering back in my college days and university days, you know, writing
Speaker:papers and taking tests and could I remember all the material and would I be able to learn
Speaker:new things and retain what I'm learning and how would I get along with the other
Speaker:students? So I had some trepidations and it turned out that I wasn't the only older
Speaker:person in that class, or about three or four of us in the graduate program, but and the
Speaker:rest were in their late twenties.
Speaker:And it was a wonderful experience because of the fact that we just really shared so much
Speaker:and learned so much from each other.
Speaker:You know, the younger people in the class seem to have a lot of misconceptions about
Speaker:older people, just like older people can have misconceptions about younger people.
Speaker:And so we were able to straighten each other out as to the fact that we're we're all we
Speaker:have a lot more in common than we think we do.
Speaker:So it was a great experience.
Speaker:We do. And you managed to take your tests and write your papers and.
Speaker:Yeah, but you know what?
Speaker:Actually, because it was taught by gerontologist, we gerontologist understand
Speaker:how the older brain changes as we as we age.
Speaker:And so they constructed the classes in such a way that, that there wasn't as much
Speaker:memorization involved, that there was more creative problem solving involved and all of
Speaker:that. So my needs were being met and the younger students need to be met too.
Speaker:So that was a very well constructed program.
Speaker:Perfect. Perfect.
Speaker:Well, I want to get into this whole advocating for ourselves as we get older in
Speaker:the medical arena.
Speaker:And so my first question is finding a doctor.
Speaker:You know, you move to a new community.
Speaker:A lot of us have are new where I live.
Speaker:And you just find a doctor on your insurance plan and you go and you're like, oh, he
Speaker:didn't he didn't talk very long.
Speaker:He didn't ask me questions. She didn't you know, she seemed to be looking at her watch,
Speaker:ready to go. How do you doctor shop?
Speaker:Really good question.
Speaker:Really good question. Keep in mind that COVID has changed a lot, changed the entire
Speaker:medical system a lot.
Speaker:But but some of the basics are still very valuable and very important.
Speaker:What the first thing I would say to an older adult, by the way, I'm 70 years old, so I
Speaker:always say what my age is no matter whenever I'm given the opportunity, because I think we
Speaker:need to start to correct people's minds about what what does a 70 year old look like?
Speaker:Well, this is what this 70 year old looks like.
Speaker:You can't make judgments as in general, as to what an old person looks like.
Speaker:So anyway, I'm 70.
Speaker:What the biggest change, the biggest attitude shift that we need to make, a lot of
Speaker:us as older adults.
Speaker:And this I found this with my parents too was that we tended a lot of older people tend
Speaker:to see the doctor as a higher up authority and they don't want to make waves, they don't
Speaker:want to ask questions, don't rock the boat.
Speaker:Whatever the doctor says is fine.
Speaker:I had to convince my parents to understand that we are consumers of health care.
Speaker:Patients are consumers.
Speaker:We're not victims that are looking for rescue.
Speaker:We should be seeing we should see ourselves as consumers.
Speaker:We spend more time shopping for a car in a house than we do for a doctor.
Speaker:When you think about it, I mean, our bodies isn't that aren't they the most important
Speaker:things in our lives?
Speaker:Yeah. So so to have that mindset that we deserve the care that we want and that we
Speaker:need. So in order to shop for a doctor, a lot of times people will go to ask friends,
Speaker:you know, who's your doctor?
Speaker:If you have a friend who raves about his or her doctor, well, you might want to check
Speaker:that person out.
Speaker:If you already have a doctor of a specialty or even a GP that you trust, but you're
Speaker:looking for somebody else that's more of a specialist or vice versa.
Speaker:Ask that doctor who you know me best, who would you suggest I look up and then you can
Speaker:with any doctor that you look for always, you can always look up their background.
Speaker:There are state medical boards and county medical boards, and if you go to their
Speaker:websites and you type in the doctor's name, you should be able to get information as to
Speaker:where that doctor went to school, what what years they went to school, what their if they
Speaker:were on any fellowships, are they board certified?
Speaker:It's very important to get doctors that are board certified and if there are any
Speaker:judgments or actions against them.
Speaker:So that's a good place to find out that information.
Speaker:I'll tell you.
Speaker:And I'm just curious, when you said board certified, I would imagine I would have
Speaker:thought they're all board certified or they can't be practicing.
Speaker:Is that not true?
Speaker:Not really. They could be in the process of studying for their board certification.
Speaker:So they could be residents and they could be, you know, it depends.
Speaker:Yeah. But it's always good to and also to see how long ago they were board certified
Speaker:because certain practices require people to keep up in their fields.
Speaker:So you might want to know if that person is keeping up in his or her field.
Speaker:I'll tell you a story about how I found my father.
Speaker:Really good cardiac care when I moved him to where I was living in North Carolina.
Speaker:I won't recommend this technique, but this book people have people have complimented me
Speaker:on my my originality.
Speaker:I knew he needed a cardiologist.
Speaker:I knew general practitioners that I thought I could recommend to him that he might feel
Speaker:comfortable with. But as far as a cardiologist, I didn't know.
Speaker:So I went to the hospital system, the hospital that I knew I wanted, where I would
Speaker:want him to have the best care.
Speaker:And I went to the nurses stations of the ICU, the stepdown unit, the cardiac floors.
Speaker:And I just ask them, I said, Look, I'm moving my father to here.
Speaker:Who what cardiologist would you want taking care of you in your family?
Speaker:And they gave a couple of names and the same names kept popping up.
Speaker:And this one name was always the first one.
Speaker:Most of them said, Oh, this doctor, he's great.
Speaker:I would definitely. So I decided, let me start with this guy.
Speaker:And I called him up even before I moved, my father and my father moved to North Carolina.
Speaker:I called him up and I set up an appointment and he met with me before my father even was
Speaker:in town. And he spoke with me and answered my questions.
Speaker:And then once my father came to town, I set up another appointment where he could meet
Speaker:him and give his my father's approval of This is the guy, Right?
Speaker:And he was wonderful.
Speaker:He was amazing.
Speaker:And the point about shopping.
Speaker:A good doctor is you want to look for certain things.
Speaker:You want them to be compassionate.
Speaker:You want them to be competent.
Speaker:You want them to be good communicators and and candid with you.
Speaker:So if they're the right fit for you, that's what you need.
Speaker:Remember your if you're going to shop for the car that suits you or the house that
Speaker:suits you, you need to shop for the doctor that suits you.
Speaker:I love that story.
Speaker:That's it. That was a brilliant idea.
Speaker:Yeah. I'm sure many hospitals would agree to doing that these days.
Speaker:Well, maybe not, but this.
Speaker:Was back in the 19 in the early 2000.
Speaker:So.
Speaker:Yeah. Well, you know, maybe.
Speaker:Maybe they're letting us back in some places.
Speaker:But it's an interesting idea.
Speaker:And, you know, a lot of times we feel like take so much time.
Speaker:You go, you set up an appointment, you go meet one doctor, you don't like them.
Speaker:So you know, you've got to go meet another doctor know.
Speaker:So it does take time.
Speaker:But as you said, your body, you're going to have this body for 60, 70, 80 and more.
Speaker:You're never going to have a car that long.
Speaker:So.
Speaker:Right. So why not take as much time shopping for your own health care, Right.
Speaker:I like that. That's a really good point.
Speaker:So now we found the doctor and so you want to prepare for the visit and you know, a lot
Speaker:of places also now, Jeanette, they're not letting you bring somebody in with you
Speaker:because of COVID.
Speaker:And I know you talk about having a care team, so we might want to discuss that.
Speaker:But even if you can't bring somebody in with you, how do you prepare to go in for your
Speaker:visit with the doctor?
Speaker:First of.
Speaker:All.
Speaker:We doctors and nurses and all health care practitioners, they really want to help us.
Speaker:So we need to do the most we can to help them.
Speaker:Now they have a real limited amount of time to spend with us.
Speaker:I don't know if people are aware of this, but the average amount of time that a doctor
Speaker:usually spends with a patient is about 15 minutes.
Speaker:It could be longer, but a lot of times it's only about 15 minutes.
Speaker:And an interesting study was done in 2018 about how long it takes a doctor to interrupt
Speaker:a patient when a patient is first talking about, well, here's why I want to see you
Speaker:today. It can range from anywhere from 3 seconds to about 230 seconds, and the average
Speaker:is 11 seconds.
Speaker:Wow. You have very, very.
Speaker:Now, that's I'm not sure I buy that because my doctors listen to me and maybe they just
Speaker:used to me. But I think my doctors treat other patients the same way, too.
Speaker:But the most important point is have come with a couple of questions prepared.
Speaker:Two or three questions.
Speaker:What are your biggest concerns?
Speaker:Why do you want to Why are you there today if you can't bring anyone with you?
Speaker:I would suggest and you have a hard time remembering what the doctors say because
Speaker:they're going to load us up with a lot of information very quickly.
Speaker:You can even ask if you could tape record them.
Speaker:I've brought a tape recorder to doctor's offices.
Speaker:Say, can I tape our discussion?
Speaker:Because I want to remember what you say.
Speaker:Most doctors I've found have no problem with that at all because it's like taking notes.
Speaker:But instead of writing down, you're listening to a tape recorder.
Speaker:So have two or three questions.
Speaker:Even if you think if something is bothering you, that's unusual but you don't think is
Speaker:related to your main issue, you might want to raise that question anyway because doctors
Speaker:are detectives and they may know that the thing that you think is unrelated might
Speaker:actually be related.
Speaker:So raise that question as well.
Speaker:So if you can't bring a friend with you or a child, I'm not sure.
Speaker:I mean, I think it might in the practices that I go to, as long as you're wearing a
Speaker:mask, they would let a family member in everybody's mask but bring an updated medical
Speaker:history. This is what I do.
Speaker:I keep a medical my medical history on file on my computer.
Speaker:And every time something with my medications, my vaccinations, my family
Speaker:history, all that stuff, it's only two pages long.
Speaker:And then every time something is different, I type it in in red, I print it out.
Speaker:And the good thing about bringing up an updated medical history is that you don't
Speaker:have to fill out the clipboard every time you see the check.
Speaker:How many times have you gone to a doctor where you have the same clipboard and you're
Speaker:answering the same 40 questions?
Speaker:I just see attached and I put the thing right on the board.
Speaker:That's a good idea.
Speaker:They see what's new and what needs to be changed.
Speaker:But you do. But you do talk about a care team.
Speaker:So tell me what that means.
Speaker:A care team is more than just you.
Speaker:And maybe the person, your care partner, which you need to.
Speaker:You really should have a care partner, especially if you think you're going to be in
Speaker:the hospital. It's really important to have somebody with you.
Speaker:If you don't have somebody with you know that there are patient representatives in the
Speaker:hospital who can help people as well.
Speaker:They can serve as your liaison, but your care team is more than just you and your
Speaker:doctor. It's you, your doctor, maybe the other doctors.
Speaker:A lot of us older adults have many chronic conditions, two or three different
Speaker:conditions. So we have. And specialists.
Speaker:So they're all they should be part of the team, the nurses should be part of the team.
Speaker:If there's a social worker involved, that person should be part of the team.
Speaker:So the important thing is that they all work together.
Speaker:And then the other important thing is that you're hearing the information from a
Speaker:centrally located person.
Speaker:I had experience with my mother where she was under a neurosurgeons care and also a
Speaker:gastroenterologist care and various other specialties.
Speaker:And I kept hearing different stories, different plans of what they wanted to do.
Speaker:So I finally said to my mother's primary care physician, I said, Can you be the
Speaker:mission control and let everybody report to you?
Speaker:And then you tell us what they plan to do and we'll all work it out together.
Speaker:So that's what a care team should be.
Speaker:They're all working together and you should be the focus of your care.
Speaker:So there's something called person centered care that I was searching for my parents for
Speaker:a long time to get them not institutional care, which is care that's convenient to the
Speaker:institution. Oh, we only serve breakfast from this hour to this hour.
Speaker:Or this is you have to take your shower at this time.
Speaker:But to do things that are more comfortable for the individual patient.
Speaker:So person centered care is is really important and and you should be the focus of
Speaker:all your care. So that's what I would recommend.
Speaker:Yeah. We have a question here from Josephine.
Speaker:She says that, you know, when she goes to her doctor, she feels like she has good
Speaker:communication with her doctor and they compile all of her information on the
Speaker:computer. But apparently where she lives, once she goes into the hospital, the
Speaker:connection between the doctor's records and the hospital records are not attached.
Speaker:And so she wonders how she can get consistent care and and not have mistakes
Speaker:made so that, yeah, it works better.
Speaker:Oh, that sounds bad.
Speaker:Josephine.
Speaker:Yeah, that's that's a that's a serious problem.
Speaker:I don't know how affiliated the practice that she goes to is with the hospital.
Speaker:The practices that I go to, they are, they have the same medical records as the hospital
Speaker:system. So when a doctor enters something, the hospital has that information.
Speaker:So it's a matter of how the administration and the practice are working together.
Speaker:I would raise that question with the administrator of the practice and or the
Speaker:administrator of the hospital.
Speaker:How can those be coordinated?
Speaker:Because that's where medical mistakes can happen.
Speaker:If definitely.
Speaker:Those things aren't shared.
Speaker:Yeah, good question.
Speaker:Definitely. Yeah.
Speaker:So my mother recently was in the hospital.
Speaker:She broke her kneecap.
Speaker:Ouch. And, you know, her husband was also there and and I was there.
Speaker:And so sometimes it's a fine line to walk, to advocate and not be, you know, and still
Speaker:maintain their dignity.
Speaker:Right. And respect that they are both intelligent human beings who can also she was
Speaker:in a lot of pain so she couldn't do much advocating but.
Speaker:What kind of suggestions do you have to handle that kind of a situation?
Speaker:Well. First of all, everybody should have a health care power of attorney, a sign,
Speaker:someone who will be making the decisions in the event that you can't make the decisions
Speaker:for yourself.
Speaker:So that health care power of attorney should should be calling the shots when you're not
Speaker:able to should be communicating with the doctors and all of that.
Speaker:But it's also very clear that you communicate to your health care power of
Speaker:attorney. This is what I want done.
Speaker:This is what I don't want done.
Speaker:A lot of times older adults don't want to have these conversations with their kids,
Speaker:whoever they are hoping would take care of them, help them, because it's an
Speaker:uncomfortable conversation.
Speaker:But these conversations, the earlier you can have them, the better off you are, because
Speaker:then you have the greater presence of mind and greater physical ability to say, this is
Speaker:the stuff I want happening.
Speaker:Do not ever have this done to me under any circumstances.
Speaker:And the people don't want to have these conversations because they don't want to
Speaker:worry their kids. Actually, you really relieving your children of a great deal of
Speaker:guilt and responsibility if they know very clearly what you want.
Speaker:I was my parents health care power of attorney, and so I saw my position as not
Speaker:advocating for what I wanted, but for what they wanted, even if sometimes I would have
Speaker:taken a different path.
Speaker:I knew this is what they wanted.
Speaker:And that was my job. My job was to be a substitute, a surrogate for them.
Speaker:So in your situation, Wendy, I would say the health care power of attorney needs to know
Speaker:what everybody's priorities are, especially your mother's, and to be working with the
Speaker:doctors on that.
Speaker:Yeah. Which was the health care power of attorney, wasn't there?
Speaker:That was my sister.
Speaker:Yeah. And so it was, you know, the doctors would come in and be very gruff.
Speaker:The particular hospitalist there.
Speaker:He was very gruff.
Speaker:And, you know, my stepfather would try and get some care and they would ignore him, I
Speaker:think, because he was older.
Speaker:My mother was older.
Speaker:You know, we'll get to you when we get to you.
Speaker:Oh.
Speaker:Until I got there, you know, And then I stepped in.
Speaker:And I wanted to also be sure, though, that I wasn't, like taking over, you know, because
Speaker:they still are competent human beings.
Speaker:It's just that they were being ignored.
Speaker:And that really annoyed me.
Speaker:Yeah. Right, exactly.
Speaker:That's a that's a tough situation.
Speaker:I would also say that the way we communicate with doctors, they are they are rushed, but
Speaker:they also a lot of times they you know, they feel that they're the experts.
Speaker:The realistic thing is we are the experts of our own body.
Speaker:Not even a doctor knows our body better than we know our body in certain ways.
Speaker:So that to to establish a relationship with the doctor where it's not this power
Speaker:structure, but that your peers, your a team, the doctor can supply you with information.
Speaker:You can supply the doctor with information.
Speaker:Again, going back to my father's situation, the doctors that that we found for him that
Speaker:he and I picked out for him, they were actually our advocates in the hospital with
Speaker:the nursing team, because every time my father had to be transferred to a different
Speaker:unit, I had to get used to a whole new team.
Speaker:They had to get used to me and him.
Speaker:But the doctors would be the ones that would say, We know who she is.
Speaker:We know who he is. She's not going to ask you for a lot, but when she asks you for
Speaker:something, really pay attention to it because she knows her father best.
Speaker:So they were the ones that actually moved the path for me with all these teams.
Speaker:And again, nurses are overwhelmed and boy, oh boy, has COVID done a number on the
Speaker:hospital systems. People are leaving the profession.
Speaker:It's just really hard.
Speaker:So, so hard.
Speaker:You're right. Now there is the idea.
Speaker:I know you're from New York, but here in the South, you know, you don't want to offend
Speaker:anybody. And so when the nurse comes in and she says, well, have we had our shower yet
Speaker:today? Or they say, Hi, sweetie.
Speaker:How is how is your breakfast?
Speaker:Stan. They're trying to be nice, but it can also be very condescending and infantilizing.
Speaker:And how do you handle that in a way that says, I appreciate your trying to be nice,
Speaker:but I please don't talk to me.
Speaker:I don't know how your shower was.
Speaker:Just anticipated what my my answer would be As a New Yorker, I say, Well, I've had my
Speaker:shower. Have you had yours?
Speaker:And they are trying to be nice.
Speaker:They consider it a compliment by by being affectionate or treating you as a younger
Speaker:person, sometimes speaking very loudly to us as if we're all deaf.
Speaker:You know, unless somebody says, Could you speak louder?
Speaker:I can hear you. There's no need to shout at an older person or to speak very slowly
Speaker:unless people request that of you.
Speaker:So that's called elder speak.
Speaker:All of that stuff is called Elder speak.
Speaker:There are ways of getting around it.
Speaker:You can use some some humor.
Speaker:Like I've taken my shower.
Speaker:Have you taken yours? Anything.
Speaker:But you can actually.
Speaker:I mean, you can you can actually say what you said.
Speaker:When do you say you know, I know you're being nice and thank you for being so
Speaker:courteous. To tell you the truth, you know, I can understand everything you're saying.
Speaker:And let's let's talk as if we're pretty much the same age.
Speaker:And I'll understand what you say, something like that.
Speaker:But. But recognize that they were trying to help.
Speaker:Here's the thing where ageism comes in.
Speaker:Why do why do they call a sweetie and beauty and all of that and say, young lady, Because
Speaker:in a society, being young is considered good.
Speaker:Being old is considered bad.
Speaker:So they're trying to ease the sorrow and sadness and frustration that we must have
Speaker:because we're old people.
Speaker:We must feel bad about being old, which is absolutely wrong.
Speaker:In many cases.
Speaker:Many cases.
Speaker:Not necessarily the case.
Speaker:And if we feel bad about being old, we need to adjust our attitudes.
Speaker:That's right. That's on us, right?
Speaker:That's on us. But they're trying to be nice.
Speaker:So there are ways of finding that middle ground.
Speaker:And then if if to call it somebody else's attention, you might speak to the nursing
Speaker:supervisor just to say, you know, I know your nurses really do want to help us, but
Speaker:have they thought about the fact that some of us might not like to be called sweetie or
Speaker:honey and to give them an alternative If the nurse calls you sweetie, young lady, I say,
Speaker:you know, you can call me Jeanette.
Speaker:I'm okay. That's right.
Speaker:If that works.
Speaker:Good suggestions.
Speaker:I know so.
Speaker:And it can be uncomfortable, you know, But I wonder if.
Speaker:I mean, you did mention ageism.
Speaker:And so certainly that does come in.
Speaker:You know, I've seen it and you've seen it.
Speaker:But I wonder if young people with that whole idea of doctors are so much smarter, if they
Speaker:also have difficulty advocating for themselves or even advocating for their
Speaker:parents?
Speaker:I would imagine that they do.
Speaker:They get the reverse kind of ageism where the doctors or the nurses or people older
Speaker:think you're too young to know.
Speaker:You're too young to understand.
Speaker:That's the reverse.
Speaker:Ageism goes both ways.
Speaker:We can be ages toward young people, too, to say, Oh, you're not a grown up yet.
Speaker:You don't really understand.
Speaker:You haven't had the you haven't had enough experience yet.
Speaker:One way that younger people can advocate is to become informed, you know, and young
Speaker:people and and many most old people to older people.
Speaker:We're great at using the internet.
Speaker:We'll come up with articles I read in the Journal of the American Medical Association
Speaker:that X, Y and Z.
Speaker:You know, that might take the doctor aback a little bit, but the doctor might say, Oh,
Speaker:this is a person who does some research and I can speak with this person in a different
Speaker:way than I could with people who don't do that.
Speaker:So come, come informed and prove, you know, you have to kind of prove yourself, I guess,
Speaker:that you do have the understanding and the maturity and the ability.
Speaker:There are a lot of younger people who are actually caregivers to older to their parents
Speaker:or their grandparents.
Speaker:Grandparents.
Speaker:Under the age of 18.
Speaker:So they can actually, you know, educate the doctor, say, you know, I've been taking care
Speaker:of my father, who has congestive heart failure for five years.
Speaker:I know I'm 17, but I've been taking care of him.
Speaker:So kind of show your credentials.
Speaker:It's almost as if we're you're applying for a job and here's your resume.
Speaker:Here's your here are your qualifications.
Speaker:I've been doing this for five years.
Speaker:You can talk to me. I understand what the meds are.
Speaker:So that that's a way of doing it, I guess, too.
Speaker:That's a good idea.
Speaker:Now, you've written several blogs about being a smart patient, being in tips for
Speaker:being a smart patient. I'm going to share your website so people can look for it there.
Speaker:But can you go through some of the tips that you have for being a smarter patient?
Speaker:Sure, Sure. The way I've organized them is I have six main tips and I call them my health
Speaker:tips because each tip begins with the first letter of the word of the letters of the word
Speaker:health. So it's h h so h is hire your team, which is what we talked about.
Speaker:You're hiring. You're the boss of.
Speaker:Of the of the group.
Speaker:You're going to do the hiring, enlist a care partner.
Speaker:So we've talked about a care partner is someone who really you know, you need to find
Speaker:someone who's going to really work and help you out and not be overwhelmed or too anxious
Speaker:or to abrasive or whatever.
Speaker:So you need to find somebody who's going to be your ambassador.
Speaker:Really? Ask effective questions.
Speaker:So when you're in the office or you're in the hospital and you're given a new
Speaker:medication, there's some questions you should ask.
Speaker:If you're going to be given a new medication, like a what's this medication
Speaker:for? B, what are its side effects?
Speaker:See, is there a way of doing something more natural that I don't have to take a medicine?
Speaker:A lot of times doctors will prescribe a medicine because they found that that's very
Speaker:effective. But a lot of times there may be some foods you can eat or some ways of
Speaker:adjusting your lifestyle.
Speaker:You could exercise lower my cholesterol first before you put me on a statin.
Speaker:Could we try doing this first so that that's something you can ask the doctor, what are
Speaker:the side effects and what is the cost?
Speaker:I mean, cost is very important, especially if.
Speaker:Although this may change now, that Medicare may be able to negotiate drug prices, but
Speaker:cost could be another question.
Speaker:Same thing with a treatment or protocol.
Speaker:If the doctor says you need surgery or something or some kind of treatment, I want I
Speaker:want you to go for a CT scan again as the same questions.
Speaker:What is this for?
Speaker:What is it going to show us?
Speaker:What will we do with the results?
Speaker:What does it matter what results we get?
Speaker:What's the worst that can happen?
Speaker:If I undergo this procedure?
Speaker:What could happen if I refuse or if I wait?
Speaker:Can I delay the procedure?
Speaker:So just come with questions.
Speaker:And that's that's a way of handling those kinds of things and ask if you're open to
Speaker:alternative methods.
Speaker:And then the other thing is, if your doctor, if you find that you're not getting the
Speaker:satisfaction about your condition that your doctor is giving, you think about getting a
Speaker:second opinion. Second opinions are really kind of important to get, especially with big
Speaker:situations. If you're going to undergo surgery, I would recommend, no matter how
Speaker:wonderful your doctor is, I would I personally would always want a second opinion
Speaker:just to make sure when something just doesn't feel right or you're going to get
Speaker:something big enough to increase the objectivity.
Speaker:Seek an opinion from a physician who's in a different practice altogether, because a lot
Speaker:of times physicians in the same practice have the same orientation toward certain
Speaker:things. So you might want to find a physician outside of that practice and get to
Speaker:find out if your insurance will cover a second opinion.
Speaker:That's also very important.
Speaker:And then if your physician objects to you finding a second opinion, ask why.
Speaker:Because I haven't found and I've gotten second opinions on things in my life.
Speaker:I've never found any of my doctors objecting to it.
Speaker:They would say, Sure, get a second opinion.
Speaker:Fine. They want to know.
Speaker:They would want someone else to confirm what they've said.
Speaker:Here's the interesting thing.
Speaker:A 2017 study by the Mayo Clinic found that when people got second opinions, 12% of those
Speaker:diagnoses were confirmed.
Speaker:88% of them were either new diagnoses or somewhat changed or modified diagnoses.
Speaker:Really?
Speaker:Yeah.
Speaker:Wow.
Speaker:It might be to your benefit, especially when it's something very serious.
Speaker:You might just really want to get a second opinion.
Speaker:Wow.
Speaker:Yeah.
Speaker:And you know, even when you try to be a smart patient, sometimes you forget.
Speaker:You know, I was seeing my doctor a couple of weeks ago and I was in a lot of pain in my
Speaker:neck, and I'd been in pain for probably a year.
Speaker:You know, we've tried everything, right?
Speaker:So he said, Well, let's do an MRI.
Speaker:And I said, okay, let's do an MRI.
Speaker:And then it wasn't until I left the office that I thought, Well, what are we looking
Speaker:for? You know, and what if we find something?
Speaker:Then what do we do?
Speaker:So fortunately, we have an online MyChart.
Speaker:So I could ask to say.
Speaker:Yeah, but get on the portal.
Speaker:If your hospital or practice has a portal, get on your portal because then you could
Speaker:always email your physician or a nurse or the assistant or whatever and get those
Speaker:questions answered.
Speaker:Yeah, I know, because you may not remember in the moment.
Speaker:There's just you just want relief in that moment, right?
Speaker:So exactly.
Speaker:Yeah. For a good example to bring up.
Speaker:Very important.
Speaker:Yeah. So thank God they have those things now.
Speaker:Oh yeah.
Speaker:So I just, we have covered a lot.
Speaker:A lot, a lot, a lot.
Speaker:I'm just wondering if there's.
Speaker:Like two or three takeaways.
Speaker:Like if you just had to give us two or three things that we should remember.
Speaker:Going forward.
Speaker:What will.
Speaker:You say?
Speaker:Actually, what I would do is add the last three of my health tips.
Speaker:The I thought we didn't get to l t h.
Speaker:So the l is learn about your body.
Speaker:There are certain numbers that you need to keep track of your cholesterol, your blood
Speaker:pressure. If you have it, talk to your doctor about whether it's advisable for you
Speaker:to be taking your blood pressure at home.
Speaker:You can get a blood pressure machine and record it this way.
Speaker:When you go back to your doctor, you can show the doctor the list of all your blood
Speaker:pressure readings, and that can help you, Doctor, figure out if you're on a trend of
Speaker:getting better or may need to be put on a different medication, that kind of thing.
Speaker:So learn about your body, your body mass index, your a1c, your blood glucose.
Speaker:Are you pre-diabetic or do you have a tendency to a diabetes?
Speaker:That's very important for the doctor to know about, to take charge and control.
Speaker:You're calling the shots.
Speaker:You're the one that should be the focus of all the care.
Speaker:So, so.
Speaker:So here's the thing.
Speaker:When you and your doctor agree to a certain protocol or a certain medication, consider
Speaker:the fact that you've made this oral contract with your doctor.
Speaker:Your doctor has agreed to do X, Y, and Z for you.
Speaker:Now you have responsibilities to you need to be compliant.
Speaker:So if the doctor puts you on a med and says take it three times a day or every 6 hours,
Speaker:do it accordingly, fulfill the contract.
Speaker:If you find you have some side effects, let the doctor know right away you're having some
Speaker:side effects. A lot of times it's an alternate medicine you can be put on, but
Speaker:fulfill your responsibility.
Speaker:You have responsibilities too.
Speaker:So? So take charge and control.
Speaker:And the way to be in control is to be as responsive to the doctor as possible.
Speaker:Again, doctors aren't mind readers.
Speaker:The more information you give them, the better they can take care of you and then
Speaker:finally have vital plans in place.
Speaker:Do you have a living will?
Speaker:Do you have a health care power of attorney?
Speaker:There are some things called there's something called a POLST form physician
Speaker:orders for life sustaining treatment.
Speaker:Every state has its own POLST form that's filled out by a doctor.
Speaker:When you have a very serious medical condition as to what to do in case of an
Speaker:emergency for you, which is different from a living will, by the way, and then discuss
Speaker:your wishes with your doctor.
Speaker:I have my my living will and my my living will is kind of extensive because I attached
Speaker:a list of things to it.
Speaker:But my doctor's office has it, the hospital has it.
Speaker:My my health care power of attorney has it.
Speaker:So discuss your wishes.
Speaker:And so, so plan ahead.
Speaker:Plan ahead. You may feel great now, but there may come a time you're not feeling so
Speaker:great. So plan ahead.
Speaker:I like that. That's.
Speaker:So take responsibility for yourself and your care.
Speaker:Right. Have your vital plans in place and learn about your body.
Speaker:Yeah. You know, it's so easy to just look it up that if you ask me what my cholesterol and
Speaker:my HDL and LDL were right now, I'd be like, Oh, well.
Speaker:And we don't we're not expected to know those numbers.
Speaker:You can only find those out when you have a lab test.
Speaker:But if you know you haven't had a cholesterol test done in three years, you
Speaker:might want to say to your doctor, I haven't had my cholesterol checked in three years.
Speaker:Can we check it? Can we have it?
Speaker:I would bet a doctor who knows that you haven't had a test in three years will audit
Speaker:that test.
Speaker:I would bet. I would bet.
Speaker:Yeah, I would bet.
Speaker:Thank you so much, Jeanette.
Speaker:Thank you.
Speaker:This has been wonderful.
Speaker:As I shared her website, if you have questions for Jeanette or she is an extensive
Speaker:writer and has so many resources out there on her website, it's Jeanette G.
Speaker:A and iti li d l e a r d i and I mean it is a wonderful
Speaker:resource. I would encourage everybody to go check it out and connect with Jeanette
Speaker:wherever you connect with people on the on the internet.
Speaker:Super, super intelligent and caring.
Speaker:Woman Thank you so much.
Speaker:Oh, Wendy, this was such a pleasure.
Speaker:You have such great questions.
Speaker:I, I think it was, I hope was very informative to people.
Speaker:Oh, I'm sure our keep our spirits up.
Speaker:It's great to be old.
Speaker:It really is.
Speaker:That's right. Great to be old.
Speaker:Especially when we can try and take care of ourselves and advocate for ourselves.
Speaker:Yeah. So just a couple of reminders to encourage your friends to check out.
Speaker:Hey, Boomer, they can go to Hey Boomer biz, which is my website.
Speaker:They can connect there.
Speaker:There's a connect with us button there where you can get on to the email list and find out
Speaker:all about what we're doing here and all the wonderful speakers that are coming up.
Speaker:You can also register for the Costa Rica webinar, which is tomorrow.
Speaker:I would love to have as many of you on this trip as we possibly can.
Speaker:It's going to be so amazing.
Speaker:You can also always drop me an email at Wendy at Hey Boomers Babies and please check
Speaker:out our sponsor Road Scholar.
Speaker:It's road or a scholar dot org slash Hey Boomer.
Speaker:We are so grateful to them for their support of the work that we're doing here.
Speaker:So let me tell you about next week.
Speaker:Next week it's going to be me.
Speaker:You're just going to have me next week and I'm going to be talking about social change
Speaker:from the perspective of the changes that we went through as boomers changing society and
Speaker:how millennials and Gen Z are looking at changing society because of climate change
Speaker:and because of the longevity that they're looking forward to.
Speaker:So, you know, it's a thought provoking discussion I want to have with how do we
Speaker:start to bridge the differences and bridge the gaps, instead of saying the millennials
Speaker:blaming the boomers and the boomers blaming the Millennials, let's stop the blame game
Speaker:and find ways to communicate and work together and be stronger together.
Speaker:So that's going to be what I'm talking about next week.
Speaker:I hope you can join us for that.
Speaker:And I always like to leave you with the belief that you can live with courage, live
Speaker:with relevance and live with passion, and remember that you are never too old to set
Speaker:another goal or dream a new dream.
Speaker:My name is Wendy Green with Jeanette Liard.
Speaker:Thank you.
Speaker:Again.
Speaker:Thank you. And this has been.