Chapter 2 Flashcards

1
Q

What did Gopikabai Gawande die of?

A

malaria

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2
Q

What university does Leonid Gavrilov work at?

A

University of Chicago

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3
Q

What was Leonid Gavrilov’s theory on old age?

A

People age like complex systems: they fail randomly and gradually.

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4
Q

Why do some complex systems like power plants survive fro long periods of time even as damage accumulates?

A

They build up back up systems and multiple layers of redundancy.`

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5
Q

What condition occurs when the defects in a complex system build up and only one more is left until the system collapses?

A

fraility

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6
Q

By what age do half of people’s hairs go gray?

A

50

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7
Q

Why does hair go gray?

A

It is because the pigment cells created and replaces by stem cells are used up and hairs can no longer maintain their color.

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8
Q

How is lipofusicin created?

A

When the mechanisms that clear out waste products break down

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9
Q

What is lipofusin?

A

A gooey, yellowish brown pigment of residue that comes from the breaking down of waste mechanisms in skin cells

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10
Q

What diseases are old people susceptible to due to the accumulation of lipofuscin?

A

heat stroke

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11
Q

What happens when lipofuscin accumulates?

A

Sweat glands don’t function properly

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12
Q

What fraction of light enters a healthy 60 year old compared to a healthy 20 year old?

A

1/3 of light

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13
Q

What are lens of the eye made of?

A

extremely durable crystalline proteins

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14
Q

What happens to the lens when they change chemically and what disease does this bring?

A

They lose their elasticity - farsightedness

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15
Q

What is known as the whitish clouding of the eye that occurs with age, excessive UV exposure, high cholesterol, diabetes, and cigg smoking?

A

Cataracts

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16
Q

Who is Felix Silverstone?

A

senior geriatrician at Parker Jewish Institute (NY)

17
Q

How long was Felix Silverstone senior geriatrician and how many studies did he publish on old age?

A

20 years

18
Q

What is Atul Gawande’s favorite book on aging?

A

The Sexy Years

19
Q

What is the “rectangularization of survival”?

A

As people’s life span increases, there are a similar amount of younger people and older people

20
Q

What percentage of children under 5 made up the US population in 1950?

A

11%

21
Q

What percentage of adults ranges from 45-49 made up the US in 1950?

A

6%

22
Q

What percentage of people over 80 made up the US population in 1950?

A

less that 1%

23
Q

Why is the age of retirement being 65 becoming increasingly unreasonable?

A

Because the population of them has grown to 20% - can’t cater to all those people

24
Q

How much has the number of certified geriatricians fallen in the US between 1996 & 2010?

A

25%

25
Q

Which fields of study in healthcare receive the lowest salaries?

A

adult primary care & geriatrics

26
Q

Why do younegr doctors not want to work with “Old Crock”?

A

They usually have to work slower and get overwhelmed. Plus, the problems aren’t “glamorous”

27
Q

Who is the chief geriatrician at the Center for Older Adult Care at Gawande’s hospital?

A

Juergen Bludau

28
Q

How old was Jean Gavrilles?

A

85

29
Q

What kidn of hair did Jean Gavrilles have?

A

short, white, frizzy hair

30
Q

What kind of clothes did Jean Gavrilles wear?

A

oval glasses, lavender knit skirt,

31
Q

Did Jean Gavrilles need support when she came to the hospital?

A

No - only mauve ortho shoes