A geriatrician is most valuable in older patients who have multiple medical problems, patients who take a lot of medications or patients whose functioning has recently deteriorated.
Dear Dr. Roach: My husband is 77, and I am 68. Our health deteriorated during the pandemic. When should we switch to a gerontologist for our general care?Nearly all adult primary care doctors, including family medicine doctors and internists, have expertise in taking care of older adults, as older people tend to see doctors more than younger people.
There are some so-called “geriatric syndromes” that occur commonly, in which all geriatricians are experts. Some general physicians are less comfortable with managing these conditions. There are several new treatments in dementia requiring special expertise that only a few generalists have acquired. These treatments are often managed by geriatricians or neurologists with a subspecialty training in memory disorders.
Dear Dr. Roach: I was recently diagnosed with complex regional pain syndrome , and I’m undergoing continuous testing. It was recommended by one of the many doctors that I might want to try ketamine infusion therapy. But I’m getting mixed reviews. Do you have any thoughts on this approach?CRPS is a poorly understood pain disorder that usually begins after trauma, such as a fracture, surgery or another injury.
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