I’m a Sunshiner and I’m in ‘crisis’. What do I do?

One of the big differences between medical care that works for Sunshiners and ordinary care is how “crisis” is handled. Crisis for younger people is some sort of a big disaster, the kind for which hospitals were designed. Crisis for a Sunshiner is usually a minor health problem (like the flu or a sore backside from a fall), resulting in a major change in independence and function. Dad isn’t feeling great this week, so instead of being able to get to the bathroom by himself, he can’t get out of bed. The right way to deal with this is for a doctor or nurse to visit at home, decide what’s probably wrong, maybe start some treatment, and then WAIT to see what happens. The wrong way is to go to the emergency room, where nine times out of ten Dad gets admitted, and eight times out of ten he never sees home again.

About John Sloan

John Sloan is a senior academic physician in the Department of Family Practice at the University of British Columbia, and has spent most of his 30 years' practice caring for the frail elderly in Vancouver. He is the author of "A Bitter Pill: How the Medical System is Failing the Elderly", published in 2009 by Greystone Books. His innovative primary care practice for the frail elderly has been adopted by Vancouver Coastal Health and is expanding. Dr. Sloan lectures throughout North America on care of the elderly.
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One Response to I’m a Sunshiner and I’m in ‘crisis’. What do I do?

  1. Evy Bluett says:

    I love this website. Thank you Dr Sloan. I live in Indiana with my 92 year old mother and her caretakers living with me. I got on-line looking for answers to some problems we were having, never expecting to find such a wealth of resources available internationally. Thank you! Evy Bluett, Darlington, Indiana USA

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