Who does what

What is a geriatrician?

A geriatrician is a doctor with additional training in the medical care of older adults, including dementia, multiple conditions at once and complex medication.

By Emmanuel Akyeam · Updated

They are particularly useful when someone has several conditions and a long medication list, which is where general specialists tend to work in isolation from one another.

There are far fewer geriatricians than needed, and waiting lists can be long.

Why it matters

A geriatrician looks at the whole person rather than one organ, which is what dementia care requires.

Questions people ask

What is a geriatrician?

A geriatrician is a doctor who specializes in the health care of older adults, including how the body changes with age and whether symptoms signal a serious problem. The American Geriatrics Society's HealthInAging site notes that geriatricians often provide primary care for older adults with the most complicated medical and social problems, and are often consulted about the care of the frailest older people.

When should you see a geriatrician?

Consider a geriatrician when an older person's health causes considerable impairment and frailty, especially with several conditions at once, including memory or thinking problems. The American Geriatrics Society's HealthInAging site says these patients tend to be over 75, and that a geriatrician should also be consulted when family members and friends are feeling considerable stress and strain as caregivers.

Can a geriatrician diagnose dementia?

Yes. The Alzheimer's Association lists geriatricians, who specialize in the care of older adults and dementia, among the specialists who can evaluate memory and thinking problems and diagnose dementia, alongside neurologists, psychiatrists and psychologists. Many people start with their primary care doctor, who may oversee the diagnosis or refer to a specialist, and people with unclear symptoms may need more than one specialist.

Should you see a geriatrician or a neurologist for dementia?

Either can help, and the choice depends on the person's needs. The National Institute on Aging explains that geriatricians manage health care in older adults and know how the body changes with age, while neurologists specialize in the brain and nervous system and can conduct and review brain scans. Memory clinics offer teams of specialists who work together to diagnose the problem.

Does Medicare cover geriatricians?

Yes. A geriatrician is a medical doctor, and Medicare Part B covers medically necessary doctor services, including outpatient visits. After the Part B deductible, Medicare.gov says you pay 20 percent of the Medicare-approved amount for most services. Check that the geriatrician accepts Medicare assignment and is taking new patients, and ask what any recommended tests or services will cost before you agree to them.

Sources

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