| If you’re in your 60s or 70s, you may have wondered if you should start seeing a geriatrician instead of, or in addition to, your primary care provider. These are family doctors or internists with special training in the health needs of older adults. About 30 percent of people over age 65 need one, according to the American Geriatrics Society.
But you might not need to book an appointment at the same time you sign up for Medicare. “Geriatricians specialize in the care of people with multiple chronic medical conditions that cause challenges with their day-to-day physical and mental functioning,” explains Michael Steinman, a geriatrician at the University of California San Francisco. And so the reason for using this specialist is not determined by just age. “A 65-year-old with high blood pressure, high cholesterol and type 2 diabetes may benefit, but an 80-year-old who walks five miles a day and is only on one or two medications doesn’t need one.”
Usually, you see a geriatrician for an initial consult, with follow-up as needed, says Mary Tinetti, M.D., chief of geriatrics at the Yale University School of Medicine. Most geriatricians work in centers and have a team-based approach; for example, besides meeting with the doctor, you’ll see a social worker, hearing specialist, nutritionist, and even physical or occupational therapists in the same visit. You’ll still see your primary care physician for day-to-day matters, like blood pressure checks or visits when you’re sick. If there isn’t a geriatrician near you and it’s hard for you to travel, Tinetti suggests seeing if a geriatric center will do a telemedicine consult. (You can check the American Geriatrics Society's online locator service to find out if any of the nation's 7,000 certified geriatricians practice near you.)
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Research shows that it’s best to make an appointment sooner rather than later. Adults who see a geriatrician are less likely to end up in the hospital, possibly because these physicians are more likely to be on the lookout for warning signs such as frailty and appetite loss, and also are more likely to avoid prescribing potentially risky medications.
Here are four signs that you may need a geriatrician.
- You’re on multiple medications. More than a third of adults over age 62 are taking at least five prescription drugs. Over 60 percent use some type of herbal or dietary supplement. But the more meds you’re on, the more likely you are to experience side effects, have cognitive problems or even end up in the hospital. “The older you get, the harder it is to metabolize and clear medicines from your body,” says Steinman. “And the more drugs you’re on, the more likely you are to experience drug-drug interaction.” A geriatrician can review all your meds and determine which ones you really need and which you can shelve.