expert type icon EXPERT

Dr. Jigar Virenbhai Joshi, MD

Internist

Dr. Jigar Joshi is a board certified hospice and palliative medicine physician with primary specialty of internal medicine practicing in Chicago, IL. Dr. Joshi specializes in the medical treatment of adults who have terminal illness(s) from pain and other symptom management, to planning and implementing goals of care for individual health given medical condition, providing compassionate end of life care and caring for families after the loved one has made their final journey.
15 years Experience
Dr. Jigar Virenbhai Joshi, MD
  • Des Plains, IL
  • Seth GS Medical College, Mumbai, India
  • Accepting new patients

Is there any way to keep secondary infections at bay for people on the ventilator?

Foreign bodies in our body increases the risk for secondary infections. We can't completely avoid secondary infections, especially if the foreign body like tracheostomy tube is READ MORE
Foreign bodies in our body increases the risk for secondary infections. We can't completely avoid secondary infections, especially if the foreign body like tracheostomy tube is going to be kept permanently. There are many measures we could take to reduce the rate of infection. Some of the measures are maintaining upright posture while feeding, regular cleaning of breathing tubes, chest physical therapy, optimizing the feeding/fluids rate to avoid fluid overload, regular oral care, avoiding sick contacts, and many more. For further details, recommend you to reach out to your sister's lung doctor, respiratory therapist, or primary doctor.

My father is bed ridden and going to the bathroom a lot. What should we do?

Sorry for your father's health decline. Based on limited understanding, you may want to speak with your father's primary care physician or neurologist to learn about the resources READ MORE
Sorry for your father's health decline. Based on limited understanding, you may want to speak with your father's primary care physician or neurologist to learn about the resources available to provide care for your father.

My father has been given 6 months to live. Can a palliative care specialist or end of life care specialist counsel my mother?

If the prognosis is given to be less than 6 months, then I would highly recommend considering hospice services. Not only they will provide care to your father, they would also READ MORE
If the prognosis is given to be less than 6 months, then I would highly recommend considering hospice services. Not only they will provide care to your father, they would also support you and your mother through these rough times. Hospice involved interdisciplinary team includes trained counselors as well.

How are bed sores treated in the elderly?

Pressure ulcers, commonly known as bed sores, have an increased rate in people who are bed bound. Water beds or air mattresses do provide some benefit, however, they are not able READ MORE
Pressure ulcers, commonly known as bed sores, have an increased rate in people who are bed bound. Water beds or air mattresses do provide some benefit, however, they are not able to completely eliminate the risk. There are many measures you could take as a care provider to reduce the risk of pressure ulcers. Recommend reaching out to his primary care physician to obtain professional resources to get guidance, help, education, and training to care for your grandfather.

Will hospice worsen my grandmother's mental health?

Studies that have shown that hospice services are known to improve person's feeling of well being. Hospice services are known to reduce the risks of causing or worsening existing READ MORE
Studies that have shown that hospice services are known to improve person's feeling of well being. Hospice services are known to reduce the risks of causing or worsening existing mental condition. At the same time, every individual is different. recommend sharing your concerns with hospice provider and having open two way conversations to learn about available additional resources.

My grandma just entered hospice care. How can I help?

If your grandma chooses you to be her care provider, then you could be the caretaker. Also, a hospice team can educate you on how to provide care for your grandma.

Liver cancer

Cancers are known to cause pain. The pain depends upon location, size, and associated other medical conditions. The pain of cancer can get worse at any stage of the disease's progress. READ MORE
Cancers are known to cause pain. The pain depends upon location, size, and associated other medical conditions. The pain of cancer can get worse at any stage of the disease's progress. Recommend seeking a Palliative care consult.

How can I manage my father's temper with Alzheimer's?

Taking care of people suffering from dementia can physically, emotionally, spiritually and socially affect the care givers. Highly recommend to reach out to his primary care doctor, READ MORE
Taking care of people suffering from dementia can physically, emotionally, spiritually and socially affect the care givers.
Highly recommend to reach out to his primary care doctor, geriatrician, or neurologist to learn about available resources and obtain support for your self.

How do you know if an antidepressant is working for an elderly patient?

Due to various reasons, it can be difficult to observe/recognize the effects of antidepressants. Few of the many reasons include there many types of depression, many groups of READ MORE
Due to various reasons, it can be difficult to observe/recognize the effects of antidepressants. Few of the many reasons include there many types of depression, many groups of depression medications, every individual may show different signs/symptoms of depression, every person can respond differently to different medications, other medical conditions, other medications, and onset of effect of antidepressants can take many weeks to show any signs. Please reach out to the doctor who provided with antidepressant for your father to learn specifics in relation to your father's case.

How do doctors test for geriatric depression?

There are various scales available to screen and diagnose depression.

Is hospice anesthesia still given with the overwhelming amount of people dying?

By hospice anesthesia, do you mean palliative sedation? Palliative sedation is usually the last resort in case the patient's symptoms are not resolved in spite of multiple lines READ MORE
By hospice anesthesia, do you mean palliative sedation? Palliative sedation is usually the last resort in case the patient's symptoms are not resolved in spite of multiple lines of treatment. As we are evolving with improved symptom management approaches, the need for palliative sedation is significantly declining. Of note, the last observed case of palliative sedation for me was about 6 years ago.

Why is the catheter causing infection for my dad?

Any foreign body can increase the risk of infection. There could be many additional factors contributing to recurrent infections. Please reach out to your father's physician with READ MORE
Any foreign body can increase the risk of infection. There could be many additional factors contributing to recurrent infections. Please reach out to your father's physician with your concerns and discuss further a management plan.

Why is anesthesia dangerous for the elderly?

With increasing age, in the elderly, the risk for anesthesia complication increases. It also depends upon the type of procedure, type of anesthesia, and many other factors that READ MORE
With increasing age, in the elderly, the risk for anesthesia complication increases. It also depends upon the type of procedure, type of anesthesia, and many other factors that need to be clarified. It is recommended to make sure anyone undergoing surgery/anesthesia make every effort to learn the risks and benefit of the procedure from the doctor planning to do the procedure.

Why does my dad keep getting a cough in the ICU?

Developing cough during hospitalization and ICU stay depends upon a multitude of factors. Recommend to discuss with an ICU physician to explain the specifics of your father's condition. READ MORE
Developing cough during hospitalization and ICU stay depends upon a multitude of factors. Recommend to discuss with an ICU physician to explain the specifics of your father's condition.

How can a patient be kept happy in a hospital environment?

Spending a substantial part of your life in the hospital with significant illness could be very stressful. Living away from home and family may contribute as well. It would be READ MORE
Spending a substantial part of your life in the hospital with significant illness could be very stressful. Living away from home and family may contribute as well. It would be important to establish if this is part of natural grief of going through so much or if this is true depression. Recommend to reach out to her primary doctor. Based on your primary physician's observation, may involve additional specialists as necessary.

Is there a way to prevent skin dryness in the hospital atmosphere?

Regular application of body lotion/emollients, if his condition permits, may be helpful.

How can I prevent bed sores for my bed ridden father?

Turning every 1-2 hours, applying barrier cream in the high pressure areas where there is no ulcer, and regular wound care per wound care team for existing wounds.

Can an artificial food pipe cause an internal injury?

Please reach out to your mother's primary doctor or GI doctor for further steps.

Can a palliative care specialist help with my father's depression?

Palliative care team specializes in managing symptoms for terminal illnesses. Recommend reaching out to his primary care doctor for further guidance.

How can one prevent bacterial infection in a hospital environment?

Any foreign bodies/tubes in our bodies do increase the risk for infection. Please reach out to your primary physician and lung doctors to learn more specifics in regards to your READ MORE
Any foreign bodies/tubes in our bodies do increase the risk for infection. Please reach out to your primary physician and lung doctors to learn more specifics in regards to your mother's case.