This information explains what to expect during your presurgical medical assessment with your geriatrician at Memorial Sloan Kettering (MSK) and answers frequently asked questions.
As adults get older, they begin to have different medical needs than younger adults. Geriatrics focuses on the care of older adults. The doctors who care for them are called geriatricians.
You will have an appointment with a geriatrician before your surgery. During this appointment, you and your geriatrician will:
- Discuss any health conditions you may have, such as high blood pressure, high cholesterol, heart disease, diabetes, or Alzheimer’s disease.
- Identify any complications that you may have during your surgery.
- Plan any care needed to reduce your risk for these complications.
Frequently Asked Questions about the Presurgical Medical Assessment
Your surgeon referred you for this appointment because you are a senior and may have other health conditions, are taking several medications (including a blood thinner), or have had abnormal test results.
Your surgeon’s assistant will schedule this appointment for you. He or she will tell you the exact date, time, and location of your appointment.
- Your geriatrician’s assistant will call you 24 to 48 hours before your appointment to confirm the appointment and ask you for the contact information of your primary care doctor and other specialists outside of MSK.
- You can eat and take your medications as usual the day of your appointment.
- Bring the following with you:
- A list of all the medications you are taking, including patches, creams, vitamins, supplements, or natural or home remedies. Write down the doses and how often you take each medication.
- Any recent test results from outside of MSK.
- Contact information for your primary care doctor and other specialists, if you haven’t already given it to your geriatrician already.
Your appointment will be similar to a physical exam. Your nurse will measure your blood pressure, temperature, breathing rate, and heart rate. He or she will ask you questions about your medical history, any medications you are taking, and any symptoms that you may have.
You will then see your geriatrician. He or she will review the information taken by your nurse and will do a physical exam. Your geriatrician will go over any complications that could happen during or after your surgery and tell you what you and your caregiver can do to decrease the risks. He or she will tell you which medications you can take until the morning of your surgery.
Your geriatrician will also determine whether you need any additional tests before your surgery. Your geriatrician or nurse will tell you when these tests will be scheduled and how to prepare for them.
Your appointment will take at least 1 hour.
If you have any questions related to what was discussed during your appointment (e.g., medications, tests, etc.), contact your geriatrician up to the day before your surgery. If you have any questions about your surgery, talk with your surgeon.
Your geriatrician may speak with your primary care doctor or other specialists outside of MSK to get more information about your medical history, previous tests, or both.
All of your test results and notes from your doctors and nurses appear in your electronic medical record at MSK. Your surgeon and other doctors at MSK can see this information to help plan your care.