Totally agree with letting the doc be the bad guy. Some heads up from the family before the appointment is very helpful

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Nov 25, 2022
7:07:41pm

doctorcoug All-American

Totally agree with letting the doc be the bad guy. Some heads up from the family before the appointment is very helpful

Such as, do a previsit phone call without mom near by to explain your concern about safety.

I've had a couple of patients in my career who transferred care to a different doctor after I took away her license and the kids thanked me for it and still see me. I was the bad guy, lost a patient, but did what was best for the patient.

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doctorcoug

Previous username: 1viking1
New username: Uno Doctoro
Bio page: doctorcoug
Joined: Aug 11, 2007
Last login: Oct 6, 2023
Total posts: 0 (0 FO)

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Messages

Author

Time

Need advice: 80 yo mom with worsening dementia. Are there services to help ?

ABN RGR

11/25/22 6:58pm

I'd take her keys.

Dark Forest Green

11/25/22 7:01pm

Car is totaled. We’re good there.

ABN RGR

11/25/22 9:14pm

Doctor can revoke license. That way you don’t have to be bad guys.

bluecheese

11/25/22 7:03pm

Totally agree with letting the doc be the bad guy. Some heads up from the family before the appointment is very helpful

doctorcoug

11/25/22 7:07pm

also did what's best for the public.

squidmark

11/25/22 7:19pm

Take her to her PCP next week for a dementia eval. That usually gets a longer appointment slot so that we can do the

doctorcoug

11/25/22 7:04pm

Thx. She totaled the car, so now we have to break it that she ain’t getting one.

ABN RGR

11/25/22 9:11pm

If you put her in hospice, they have nurses, caregivers

rockhound

11/25/22 7:05pm

Hospice is part of Medicare.

rockhound

11/25/22 7:06pm

Dementia rarely qualifies for hospice benefits. You gotta have some pretty defined other issues going on to qualify and

doctorcoug

11/25/22 7:09pm

Happened for both my in-laws.

11/25/22 8:07pm

I'm sure you're correct, but both my parents had them come several times per wk.

rockhound

11/25/22 8:47pm

I've had many patients on hospice with dementia. It is just much harder to justify in an audit.

doctorcoug

11/25/22 8:55pm

Check and review and medications she is taking. One problems that arises is they can't remember

SV Coug

11/25/22 7:06pm

Don't forget any herbs or supplements as well.

SV Coug

11/25/22 7:12pm

BM sent

11/25/22 7:09pm

Are there legal repercussions from the accident?

ColoSpgs

11/25/22 7:10pm

She was cited for traffic violation and has a court summons.

ABN RGR

11/25/22 9:07pm

Where is she located? Utah?

SV Coug

11/25/22 7:15pm

South Jordan, UT

ABN RGR

11/25/22 9:10pm

There is no easy way to do it. You just have to do what needs to be done.

11/25/22 7:16pm

If there are any cars left, sell them or give them to family members.

Florwood

11/25/22 7:19pm

Get her into see the doctor - deal with the vehicles immediately

cougarBee

11/25/22 7:21pm

Take cars away and move them with you or assisted living.

GA_Coug

11/25/22 7:27pm

I feel for ya, man. Just went through this with my father.

11/25/22 7:27pm

Family needs to step up. Like others said, go disconnect the battery. Take the

BNcoug

11/25/22 7:29pm

Agree. This is on the family, not doctor, or anyone else. Take away the access

cougfanz

11/25/22 7:42pm

Amen! I absolutely hate family bringing in 90 year old mom/dad who seems fine and wants me to take the license.

5150man

11/25/22 9:48pm

Well, at least they changed the follow up on the forms, so that many of the patients don't need to do them anymore.

doctorcoug

11/26/22 9:39am

Here I thought it was all me.😀 I’ve been marking “no further review” on all of mine for years.

5150man

11/26/22 10:58am

There are only a handful of patients that I think need regular review. They are severe mental health, terrible DM,

doctorcoug

11/26/22 11:48am

Get a lawyer, get in front of a judge to appoint someone as a conservator or her assets. Sell her car. Put her

11/25/22 7:32pm

Another minor concern is any pets.

SV Coug

11/25/22 7:33pm

You can’t reason your way to her accepting your view of things.

11/25/22 8:04pm

Seroquel or Risperdal can be game changers. They don’t cure dementia, but they

valleus

11/25/22 8:30pm

And also increases mortality. I get that they're is a give and take with quality vs quantity of life.

doctorcoug

11/25/22 8:57pm

They’re on the Beers list. You need some major justification to put

TexanY

11/26/22 3:44am

Also: make decisions like this for yourself & spouse ahead of time so that you don’t put your kids in this position.

Spiff

11/25/22 9:14pm

Yeah, I’ve told my wife to send me off a cliff WHEN I get this way! Lol.

ABN RGR

11/25/22 9:47pm

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