By Winnie Suen, MD, board-certified geriatrician · Last reviewed November 2026
The short answer: A geriatric consultation can help when an older adult's health has become complicated: several conditions, many medications, falls, memory changes, declining daily function, or a family unsure what to do next. Age alone isn't the deciding factor. Most people keep their primary care doctor and add a geriatrician for a deeper, whole-person look.
"Isn't a geriatrician just for really old people?"
Not quite. Age 65 is an administrative number. A healthy, active 80-year-old may not need a geriatrician, while a 68-year-old with heart disease, diabetes, a recent fall, and eight medications might benefit a lot. Complexity matters more than age.
Signs a geriatric consultation could help
Many medications, or new dizziness, sleepiness, falls, or confusion that started after a medication change
Several specialists giving advice, and no one putting it all together
Memory or thinking changes: repeating questions, missing bills, getting lost, or seeming "not herself"
A sudden or steady decline in energy, appetite, walking, or self-care. A sudden change is not normal aging and deserves a medical look. (If a change is very sudden, such as new confusion, weakness on one side, or trouble speaking, call 911.)
Caregiver strain, or family members who disagree about what to do
Big decisions ahead, like moving, stopping driving, or choosing which treatments still make sense
How is a geriatrician different from a primary care doctor?
A primary care doctor cares for adults of all ages and keeps up with prevention and everyday problems. A geriatrician has extra training in the health of older adults and focuses on what experts call the "4Ms":
What Matters most to the person
Medications: are they all still helping?
Mentation: memory, mood, and thinking
Mobility: walking, balance, and falls
The two work well together. A consultation gives you and the primary care doctor a clear plan to follow.
What about a neurologist or a care manager?
A geriatrician looks at the whole medical picture and makes a plan.
A neurologist specializes in the brain and nervous system and may do specialized testing.
A geriatric care manager (aging life care professional) is often a nurse or social worker who arranges services and support at home.
Families often use more than one. If you're not sure where to start, a geriatric consultation can help you sort it out.
What happens at a consultation with Discover Health
Dr. Suen sees patients located in Hawaii. She usually comes to you, at home or at another place you agree on, or meets by video or phone. She reviews health history, medications, memory, mood, mobility, nutrition, daily function, and what matters most to your loved one. Family members are welcome. You'll receive clear written recommendations. Learn about Geriatric Consultation or call (202) 670-8838.
This article is general information, not medical advice for a specific situation.