#4: Goals Before Holes: Feeding & PEG tubes in dementia with Dr. Tia Kostas and Dr. Bharati Kochar

In this episode, we delve into the complexities of managing feeding difficulties in patients with advanced dementia. Dr. Kostas, a seasoned clinician in geriatric medicine, shares insights and strategies for counseling patients and families facing these challenging situations. Then, we'll turn to Dr. Kochar, a gastroenterologist with extensive experience in procedural medicine with a unique geriatric lens. She shares insights into the complexities of assessing patients for percutaneous endoscopic gastrostomy (PEG) tubes. Drawing from a case involving a 70-year-old patient with multiple comorbidities, Dr. Kochar, explores the nuanced considerations involved in deciding whether a PEG tube is appropriate in cases where it's not severe dementia. Check out the show notes for more nuggets of wisdom and quick links & references: https://verigeripodcast.com/show-notes/f/goals-before-holes  Inspiration for episode: a question from Nicole Lum, MD Inspiration for episode title: Coined by Dr. Mark Watson and adopted by the Regional Palliative Fellows of Chicago 2023-2024  Gurus: Tia Kostas, MD, and Bharati Kochar, MD, MS Hosts and Co-Producers: Patty Lee, MD & Samantha Ing, MD Guest Host: Marissa Korte, MS Editor: Patty Lee, MD Peer reviewer: Katherine Thompson, MD  Show notes creator: Marissa Korte, BS Faculty Mentor: Christopher Chiu, MD, FAAP, FACP Music:  - Theme Song: Samantha Ing and Patty Lee, mixed by Takakuni Ikuma - Piano transitions and background: Patty Lee