Surgical Decision Making in Geriatrics A Comprehensive Multidiscipli

This book is designed to present a comprehensive and state-of the-art approach to all aspects of geriatric surgery within the broad confines of surgery in geriatrics including general surgery, neurosurgery, thoracic surgery, vascular surgery, cardiac surg

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Surgical Decision Making in Geriatrics

Rifat Latifi Editor

Surgical Decision Making in Geriatrics A Comprehensive Multidisciplinary Approach

Editor Rifat Latifi Department of Surgery New York Medical College School of Medicine and Westchester Medical Center Health Network Valhalla, NY USA

ISBN 978-3-030-47962-6    ISBN 978-3-030-47963-3 (eBook) https://doi.org/10.1007/978-3-030-47963-3 © Springer Nature Switzerland AG 2020 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

Prologue: COVID-19 Pandemic and the Elderly, Disparity

When we conceived this book, none of us could imagine that before the book goes to the print, the world would be in chaos from a disease that would affect all of us, but particularly will be deadly for the elderly and disparity population. None of us thought that the entire world would change as it did. Over the past six months, not just the world has changed and with that the hospitals and practice surgery have also changed. For months we did not perform any elective surgery; we only performed emergency surgery. Everyone has a mask on, everyone who works in the hospitals and patient alike. But as bad as it was, we learned a lot during these past months, and chances are we will continue to learn more about the disease that has spread throughout the world and that affects every organ. With each day passing we learned new things. Who is dying, but even more importantly, why patients are dying? How do we protect each other, ourselves, our families, our patients, and hospital staff? It is very difficult to keep up with new information. One paragraph written today on your paper on COVID-19 or information you read is challenged next day by new data or by lack of dat