The Healthcast
The Truth About Aging that Every Family Needs to Hear | Emily Coskun
Descripción
In this episode of The Healthcast, host Phil Zappone speaks with geriatrician Dr. Emily Coskun about how healthcare can better serve one of the country’s fastest-growing and most medically complex populations: older adults. Dr. Coskun shares how caring for patients during the COVID-19 pandemic changed the direction of her career and ultimately led her to geriatrics. She also reflects on the mentors and patients who shaped her approach to medicine, including the responsibility physicians have when guiding people through serious diagnoses, cognitive decline, end-of-life decisions, and other defining moments. The conversation explores what makes geriatric medicine different from traditional adult medicine, including the Four M’s of age-friendly care: what matters most, medications, mobility, and mind. Dr. Coskun explains why deprescribing, fall prevention, cognitive screening, social connection, and care planning are essential to helping older adults maintain their independence and quality of life. Phil and Dr. Coskun also discuss ageism, the shortage of geriatricians, gaps in long-term care coverage, caregiver burden, and the growing need for home-based services. They examine practical programs that can improve outcomes and reduce costs, including adult day services, comprehensive geriatric assessments, frailty screening, hospital-at-home models, and the Hospital Elder Life Program. The episode closes with a look at how technology—including telemedicine, point-of-care ultrasound, fall-detection wearables, and AI—can support the deeply human side of geriatric care. Episode Chapters 00:43 – How Dr. Coskun found her calling in geriatrics 02:18 – A personal example of aging in place 03:47 – The mentor who became her professional North Star 05:10 – The national shortage of geriatricians 06:45 – Ageism and how society values older adults 08:01 – Handling difficult diagnoses and defining moments 09:43 – What older patients teach us about life 11:12 – Understanding the Four M’s of geriatric care 13:51 – Why good physicians know when to stop medication 15:10 – Evidence-based approaches to longevity 16:47 – The greatest gaps in outpatient and home care 17:44 – The cost of long-term care and caregiver burden 19:37 – Adult day services, socialization, and cognitive health 20:57 – Misconceptions about the cost of geriatric care 23:04 – Rising hospital demand and patient complexity 25:05 – Rural healthcare shortages and specialty access 26:57 – Telemedicine and consultative geriatric care 27:40 – Comprehensive assessments and frailty screening 29:38 – A high-impact investment for hospital leaders 31:06 – Point-of-care ultrasound for older adults 32:42 – Wearable technology and fall detection 33:39 – Opportunities to reduce readmissions and costs 35:25 – Hospital-at-home and remote monitoring 38:52 – Combining high-touch care with high-tech tools 40:11 – The exercise shown to reduce fall risk Episode Resources: Website | https://xacweillcornell.org/emily-brooke-coskun-md [https://xacweillcornell.org/emily-brooke-coskun-md] Check out what I do helping small businesses here: Website | https://nxaihealth.com/ [https://nxaihealth.com/] LinkedIn | https://www.linkedin.com/in/phil-zappone-647957379/ [https://www.linkedin.com/in/phil-zappone-647957379/] Thank you for watching, don't forget to like, share, and subscribe!
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