Your Parent Deserves a Doctor Who Specializes in Aging — Not Just Treats It.
When a parent's health becomes a tangle of specialists, medications, and unanswered questions, a geriatrician brings it all into focus — one appointment, one doctor, one clear plan.
What Geriatrics Actually Is
Not a general practitioner who sees older patients. A specialist trained for exactly this.
Geriatrics is a board-certified subspecialty of internal medicine focused on the biology of aging, the complexity of multiple chronic conditions, and the specific vulnerabilities of adults over 70. Most primary care physicians have 15 minutes. We schedule 60.
Polypharmacy Review
The average geriatric patient takes 9 medications. Dangerous interactions hide in plain sight. We review every pill — prescribed, over-the-counter, and supplement — in a single session.
Fall Risk Assessment
Falls are the leading cause of injury death in adults over 65. We measure gait speed, balance, strength, and vision to identify exactly which risks are present — and which are preventable.
Cognitive Evaluation
Memory changes aren't always dementia — but they're always worth understanding. We distinguish normal aging from mild cognitive impairment from early Alzheimer's, and we tell you clearly what we find.
Family-Centered Planning
The person managing the medications, driving to appointments, and Googling at midnight matters too. We build care plans that work for the whole family, not just the chart.
Average medications a geriatric patient manages daily
Adults over 65 fall each year — most are preventable
Minimum time we spend with you at the first visit
Patient and Family Stories
"His cardiologist added a new pill last month. His neurologist changed another. His PCP doesn't know what either of them did. I have a spreadsheet with fourteen medications and I still don't know which one is making him fall asleep at dinner."
Maria
daughter
Medication Interaction Review
What happens in a polypharmacy consultation
Full medication audit
We collect every prescription, OTC medication, vitamin, and supplement — from every prescriber. The list most families bring in is always longer than they expected.
Interaction mapping
We cross-reference for dangerous combinations: blood thinners against NSAIDs, sedatives that stack, anticholinergics that worsen cognition. We flag what matters clinically, not just algorithmically.
Deprescribing plan
In adults over 70, stopping the right medication is often more powerful than starting a new one. We identify what can safely be reduced or eliminated — with a clear rationale you can share with other providers.
Single-page summary
You leave with a medication reconciliation document your parent's other doctors can actually use. One page. Current. Signed.
"He fell twice in three months. The ER did a CT scan both times, cleared him, sent him home. Nobody asked why he was falling. Nobody looked at his shoes, his bathroom, his medications, the way he walks when he's tired."
David
son
Balance & Mobility Assessment
What a fall-risk evaluation actually examines
Timed Up and Go test
We time how long it takes your parent to rise from a chair, walk three meters, turn, and return. A single number that correlates strongly with fall risk and predicts future hospitalizations.
Gait and balance analysis
We observe how they walk — foot clearance, stride length, trunk sway, arm swing. We look at what changes when they turn, when they're distracted, when the floor changes surface.
Medication contribution
At least a third of falls in older adults are medication-related. We identify the specific agents most likely contributing: sedatives, antihypertensives causing orthostatic drops, anticholinergics affecting balance.
Home and referral plan
We produce a written fall-prevention plan: specific home modifications, physical therapy referral if indicated, medication changes, and follow-up timeline. Not a pamphlet — a plan with your parent's name on it.
"She repeats herself. She forgot my daughter's birthday for the first time in thirty-two years. Her doctor said it was just normal aging. I don't think he's wrong, but I also don't think he looked very hard."
Susan
daughter
Cognitive Evaluation & Care Planning
What distinguishes normal aging from something to watch
Validated cognitive testing
We use the MoCA and other validated instruments to assess memory, attention, language, visuospatial function, and executive function — not a quick orientation check, but a structured 20-minute evaluation.
Reversible causes first
Before assuming dementia, we rule out the reversible: undertreated depression, medication side effects, thyroid dysfunction, B12 deficiency, sleep apnea. Each is common. Each mimics cognitive decline. Each is treatable.
Clear diagnostic framing
We tell you what we found in plain language: normal aging, mild cognitive impairment, or a pattern consistent with early dementia — and what the distinction means for the next 12 months of care.
Future-planning conversation
The right time to discuss advance directives, driving, finances, and care preferences is before a crisis forces the conversation. We hold that space deliberately — with time, not urgency.
Ready When You Are
One conversation can untangle months of confusion.
A 60-minute family consultation covers your parent's full medication list, recent falls, cognitive changes, and whatever else has been keeping you up at night.
Or call directly: (617) 555-0192