Join Early Retirement Today
Reply
 
Thread Tools Search this Thread Display Modes
Geriatric or Family Doc?
Old 08-25-2016, 08:11 AM   #1
Full time employment: Posting here.
Tailgate's Avatar
 
Join Date: Jul 2013
Location: Texas
Posts: 846
Geriatric or Family Doc?

DM, 87, good health, moving to independent living facility is in need of a new Dr.
Is there a significant advantage to seeking a GP with a Geriatric certification vs. a regular GP?
__________________

__________________
Tailgate is online now   Reply With Quote
Join the #1 Early Retirement and Financial Independence Forum Today - It's Totally Free!

Are you planning to be financially independent as early as possible so you can live life on your own terms? Discuss successful investing strategies, asset allocation models, tax strategies and other related topics in our online forum community. Our members range from young folks just starting their journey to financial independence, military retirees and even multimillionaires. No matter where you fit in you'll find that Early-Retirement.org is a great community to join. Best of all it's totally FREE!

You are currently viewing our boards as a guest so you have limited access to our community. Please take the time to register and you will gain a lot of great new features including; the ability to participate in discussions, network with our members, see fewer ads, upload photographs, create a retirement blog, send private messages and so much, much more!

Old 08-25-2016, 08:18 AM   #2
Moderator
MichaelB's Avatar
 
Join Date: Jan 2008
Location: Second City Land
Posts: 23,303
It made a difference (IMHO) with my mother's health care. Not so much a geriatric certification, but a physician with substantial geriatric experience and with a practice that was oriented toward older folks. I bet the independent living facility can provide some references.
__________________

__________________
MichaelB is offline   Reply With Quote
Old 08-25-2016, 09:36 AM   #3
Full time employment: Posting here.
 
Join Date: Jul 2014
Posts: 591
My mom recently switched to a Geriatric specialist from her general doctor, but the switch was due to a variety of reasons. She'd have been looking for a new doctor anyway, and didn't switch just to get a Geriatric specialist. I think the specialist has been good for my Mom, but I think there are a lot of factors that go into choosing the right doctor and the Geriatric specialty is only one of them. So while it's worth exploring, if another doctor is better suited for a variety of reason, I wouldn't feel limited.
__________________
Katiek is offline   Reply With Quote
Old 08-25-2016, 09:37 AM   #4
Recycles dryer sheets
 
Join Date: Jan 2016
Posts: 142
I have two data points to go on. It absolutely makes a huge difference. They know far more about the common issues and they have communication skills to deal with older folks.
__________________
CountryGal is offline   Reply With Quote
Old 08-25-2016, 10:05 AM   #5
Thinks s/he gets paid by the post
 
Join Date: Apr 2005
Location: Midwest
Posts: 1,416
Quote:
Originally Posted by CountryGal View Post
I have two data points to go on. It absolutely makes a huge difference. They know far more about the common issues and they have communication skills to deal with older folks.
At about what age would you recommend a switch to a Geriatric certified doctor?

I will be 60 next year. That's sort of the historical and metaphysical line of demarcation for "geriatric" in most people's minds. Sort of like 21 means you're old enough to drink ( whether or not it's true) or Memorial Day is the start of Summer (which doesn't actually start for almost another month)
__________________
razztazz is online now   Reply With Quote
Old 08-25-2016, 01:38 PM   #6
Thinks s/he gets paid by the post
 
Join Date: Feb 2012
Posts: 1,058
Alright Razztazz....off the board! I'll not have you determining that I'm 5 years past needing to be called GERIATRIC damn you!
__________________
H2ODude is offline   Reply With Quote
Old 08-25-2016, 01:50 PM   #7
Thinks s/he gets paid by the post
 
Join Date: Apr 2005
Location: Midwest
Posts: 1,416
Quote:
Originally Posted by H2ODude View Post
Alright Razztazz....off the board! I'll not have you determining that I'm 5 years past needing to be called GERIATRIC damn you!
Ha ha. I didn't say I personally believed the "60 is the New 40 while somehow still being the Old 60" paradigm. I believe I couched my presentation sufficiently to avoid incriminating myself.

That's sort of the historical

What is history but a fable, agreed upon? (Napoleon Boner)

and metaphysical line of demarcation for "geriatric"

Metaphysical? Schmancy way of saying: "It's only half real anyway."

in most people's minds.

Most people. That would be The Madness of Crowds
__________________
razztazz is online now   Reply With Quote
Old 08-25-2016, 02:32 PM   #8
Thinks s/he gets paid by the post
 
Join Date: Feb 2012
Posts: 1,058
Well, harrumph then! Danged youngsters.

As to the original topic, I thought actual geriatric specialists were scarce as the proverbial hens teeth. My main observation of geriatric care of MIL her last 8 years (passed at 89) was that she really didn't have decent general (or geriatric) care, but sure got tons of specialist and hospital care. DW was regularly taking her to neurologist, orthopedist, and then last few years it was almost monthly to ER, admittance to hospital, and rehab.

What was always missing IMHO was anyone paying attention to overall trajectory and care; that really fell to us. Yes, I guess some of the reports would make it to the GP but there was never what I would consider to be consultation (and coordination) of all this caregiving. Number of times meds were changed at hospital that previously were shown to cause problems (not allergies but problems). For all the money that was spent those last few years ($100's of thousands no question) it struck me that someone spending 30 minutes with her every few months honestly advising her of her likely outcomes might have made a big difference. Just one person's observation.
__________________
H2ODude is offline   Reply With Quote
Old 08-25-2016, 03:00 PM   #9
Give me a museum and I'll fill it. (Picasso)
Give me a forum ...
Brat's Avatar
 
Join Date: Feb 2004
Location: Portland, Oregon
Posts: 5,797
I know when I signed up for Kaiser Medicare Advantage Plan I noticed that they employed gerontologists but, as I recall, they cared for members in nursing facilities. IMHO any senior on a lot of meds should seek care from a physician with a geriatric speciality. The aged don't metabolize meds in the same way as other adults.
__________________
Duck bjorn.
Brat is offline   Reply With Quote
Old 08-25-2016, 03:35 PM   #10
Thinks s/he gets paid by the post
 
Join Date: Apr 2005
Location: Midwest
Posts: 1,416
Quote:
Originally Posted by H2ODude View Post
Well, harrumph then! Danged youngsters.

As to the original topic, I thought actual geriatric specialists were scarce as the proverbial hens teeth. My main observation of geriatric care of MIL her last 8 years (passed at 89) was that she really didn't have decent general (or geriatric) care, but sure got tons of specialist and hospital care. DW was regularly taking her to neurologist, orthopedist, and then last few years it was almost monthly to ER, admittance to hospital, and rehab.

What was always missing IMHO was anyone paying attention to overall trajectory and care; that really fell to us. Yes, I guess some of the reports would make it to the GP but there was never what I would consider to be consultation (and coordination) of all this caregiving. Number of times meds were changed at hospital that previously were shown to cause problems (not allergies but problems). For all the money that was spent those last few years ($100's of thousands no question) it struck me that someone spending 30 minutes with her every few months honestly advising her of her likely outcomes might have made a big difference. Just one person's observation.
Same with my mother. Dangerous drugs. Dangerous amounts of drugs. Different doctors all refusing to talk to one another. And don't ever suggest to Dr Smith that Dr Jones said not to do that. Doctors don't like hearing patients talk.
__________________
razztazz is online now   Reply With Quote
Old 08-25-2016, 07:31 PM   #11
Recycles dryer sheets
 
Join Date: Jan 2016
Posts: 142
I think H20Dude and Brat hit it pretty good in terms of when to switch. My mom switched at 80 (after having a great doc in hospital) and Aunt at 92.

Consider that you probably would likely take a young child to a pediatrician, because they know kids well and thats all they deal with. I think the same applies here. You want a doctor used to treating the older body that may have been prescribed multiple medications and needs some extra time to understand all the issues going on with them.
__________________
CountryGal is offline   Reply With Quote
Old 08-25-2016, 08:53 PM   #12
Give me a museum and I'll fill it. (Picasso)
Give me a forum ...
Brat's Avatar
 
Join Date: Feb 2004
Location: Portland, Oregon
Posts: 5,797
Some kvetch about Kaiser but IMHO they manage care focusing on the quality of life and preventing problems. There is no heaven on earth but were I a frail elderly I would want a geriatrician overseeing my care.
__________________

__________________
Duck bjorn.
Brat is offline   Reply With Quote
Reply


Currently Active Users Viewing This Thread: 1 (0 members and 1 guests)
 
Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off


Similar Threads
Thread Thread Starter Forum Replies Last Post
British Doctor does a high touch family intervention with struggling family haha Health and Early Retirement 20 12-07-2015 02:34 PM
Geriatric financial management & asset allocations Nords FIRE and Money 192 08-16-2015 08:36 PM
How can I find a geriatric physician for relative? toofrugalformycat Health and Early Retirement 5 04-21-2010 06:41 PM
Tell your GI Doc to take his time... BOBOT Health and Early Retirement 2 12-15-2006 06:28 PM
charitable family foundations--family first! astromeria Other topics 4 09-25-2006 09:49 PM

 

 
All times are GMT -6. The time now is 06:44 PM.
 
Powered by vBulletin® Version 3.8.8 Beta 1
Copyright ©2000 - 2017, vBulletin Solutions, Inc.