Fɔ ɛp yu fɔ gɛt wɛlbɔdi as yu de ol: Udat na dɔktɔ we de mɛn pipul dɛn we dɔn ol?

Fɔ ol na sɔntin we wi ɔl kin gɛt. As wi de ol, wi bɔdi ɛn maynd kin chenj difrɛn difrɛn tin dɛn, ɛn nyu sik dɛn kin kam. So, sɔntɛnde lɛk dis, aw i go fayn fɔ gɛt dɔktɔ we de pe atɛnshɔn pan di wɛlbɔdi prɔblɛm dɛn we wi ɛlda dɛn gɛt? Dat na di kayn spɛshal pɔsin we wi go tɔk bɔt tide , di ‘Geriatrician’ .

Udat rili na dɔktɔ we de mɛn pipul dɛn we dɔn ol?

Fɔ tɔk am simpul wan, dɔktɔ we de mɛn pipul dɛn we dɔn ol na dɔktɔ we dɔn gɛt spɛshal trenin bɔt di wɛlbɔdi fɔ ol pipul dɛn, dat na, wi mama, papa, grani ɛn granpa, ɛn ɔda tin dɛn. Sɔntɛnde dɛn kin kɔl dɛn bak ‘Geriatric Medicine Doctors’. Dɛn kin no ɛn trit difrɛn sik dɛn we kin apin as wi de ol. Dɛn kin ɛp yu bak fɔ plan tritmɛnt plan we go woke fayn fɔ yu, bay we dɛn de tɔk bɔt yu yon nid, wetin yu lɛk, ɛn wetin yu nɔ lɛk. Yu tink se dat na big tin?

Dɛn jeriatrician ya na dɔktɔ dɛm we dɔn gɛt besik trenin as jenɛral dɔktɔ (`Internal Medicine`) ɔ famili dɔktɔ (`Family Medicine`), ɛn afta dat dɛn gɛt ɔda spɛshal trenin pan di fild fɔ geriatric medicine (`Geriatric Medicine`). Dɛn kin wok as pat pan ɔspitul ``Center for Geriatric Medicine``, ɔ dɛn kin wok na prayvet mɛdikal sɛnta. Sɔm kin wok bak wit ol pipul dɛm na ``lɔng tɛm kia fasiliti`` ɔ ``rihabiliteshɔn fasiliti``. Wan ɔda grup de bak we dɛn kɔl ``Gerontologists``, we de wok bak wit di wɛlbɔdi fɔ ol pipul dɛm, bɔt geriatrician na dɔktɔ bak. Yu ɔndastand di difrɛns?

Aw dɔktɔ we de mɛn pipul dɛn we dɔn ol go ɛp yu?

Wan dɔktɔ we de mɛn pipul dɛn we dɔn ol kin si yu lɛk wan ol pɔsin . Dis min se i de tek tɛm tink bɔt yu bɔdi, maynd, kɔgnitiv, ɛn sɔshal nid. I de yuz ɔl dɛn infɔmeshɔn ya fɔ gi yu tritmɛnt ɛn advays. Na sɔm pan di tin dɛn we dɔktɔ we de mɛn pipul dɛn we dɔn ol kin du fɔ yu:

• Fɔ no bɔt sik: Wi kin fɛn ɔl di difrɛn kayn mɛrɛsin wae yu gɛt.
• Fɔ gi yu mɛrɛsin ɛn ɔda tritmɛnt dɛn: Fɔ gi yu mɛrɛsin we yu nid, vaytamɛn, ɛn ɔda tritmɛnt dɛn we fit.
• Chek fɔ di sayd ɛfɛkt dɛm fɔ di mɛrɛsin dɛm: Chek ɔltɛm fɔ si if di mɛrɛsin dɛm we yu de tek de kɔz ɛni sayd ɛfɛkt. If ɛni wan de, dɛn kin chenj di prɛskrishɔn.
• Tɔk bɔt di gud ɛn bad tin dɛn we de apin to di tritmɛnt dɛn: We yu de du big big tritmɛnt dɛn lɛk ɔpreshɔn, dɛn go tɛl yu klia wan bɔt di gud ɛn bad tin dɛn we kin apin to yu.
• Fɔ wok wit ɔda pipul dɛn we de kia fɔ wɛlbɔdi biznɛs: Wi go arenj fɔ mek yu gɛt di spɛshal savis dɛn we yu nid, fɔ ɛgzampul, spɛshal dɔktɔ we de mɛn kansa ɔ dɔktɔ we de mɛn yu nyuro.
• Tɔk bɔt di tin dɛn we yu fɔ du ɛvride: Wi go tɔk bɔt aw yu ebul fɔ du tin dɛn we yu de du ɛvride ɛn advays yu bɔt aw fɔ chenj yu layf if nid de. Fɔ ɛgzampul, if i nɔ sef igen fɔ drayv motoka yu wan ɔ if i denja fɔ de yu wan na os, wi go tɔk bɔt dɛn tin ya ɛn ɛp yu fɔ du di rayt tin.
• Advance Directive Planning: Dis na tɔpik we rili impɔtant, bɔt i rili impɔtant. Sɔntɛnde, wi nɔ go ebul fɔ disayd bɔt wi wɛlbɔdi tumara bambay. If dis kayn tin apin, wi kin gayd yu ɛn yu famili fɔ plan bifo tɛm fɔ aw yu want fɔ du yu tritmɛnt, akɔdin to wetin yu want.

Di wan dɛn we de mɛn pipul dɛn we dɔn ol no se nɔto ɔlman na di sem. Imajin se ɔda pɔsin gɛt di sem sik we yu gɛt, bɔt di tritmɛnt we dɛn lɛk ɛn di we aw dɛn de liv dɛn layf kin rili difrɛn frɔm di we aw yu de liv yu layf. Fɔ sɔm pipul dɛn, dɛn indipɛndɛns impɔtant pas ɛni ɔda tin. Ɔda pipul dɛn kin lɛk fɔ gɛt pɔsin wit dɛn 24 awa ɛvride fɔ ɛp dɛn. Sɔm kin tray fɔ ridyus di mɛrɛsin we dɛn de tek ɛn avɔyd ɔpreshɔn as dɛn ebul. Ɔda pipul dɛn want fɔ tray ɛni tritmɛnt we dɛn go ebul fɔ du.

"Wan dɔktɔ we de mɛn pipul dɛn go tɔk to yu ɛn ɛp yu fɔ ɔndastand wetin yu want mɔ ɛn aw yu go ebul fɔ rich dɛn gol dɛn de . Dɛn go ɛksplen to yu bak us ɔda we dɛn de if yu nɔ ebul fɔ du wetin yu want, ɔ if i denja fɔ yu. Dɛn go involv di wan dɛn we yu lɛk bak pan ɔl dis, ɛn mek shɔ se yu rilaks ɛn gladi as yu ebul bɔt yu tritmɛnt plan."

Wetin na ‘Geriatric Care Team’?

Dis na tin bak we rili impɔtant. ‘Geriatric Care Team’ na wan tim we gɛt geriatricians ɛn ɔda wɛlbɔdi biznɛs pipul dɛm we de wok togɛda fɔ kia fɔ ol pipul dɛm. Dɛn kin asɛs yu nid ɛn trit ɛni wɛl bɔdi prɔblɛm we kin afɛkt yu bɔdi ɛn maynd.

Apat frɔm di dɔktɔ dɛn we de mɛn pipul dɛn we dɔn ol, dis tim kin gɛt ɔda pipul dɛn. Fɔ ɛgzampul:

• Di wan dɛn we de stɔdi bɔt it: Pipul dɛn we de advays yu bɔt aw yu fɔ it.
• Nɔs Prɛktishɔn: Dɛn wan dɛn we de kia fɔ dɛn bay we dɛn de ɛp dɔktɔ dɛn.
• Occupational Therapists: Pipul wae de ɛp pipul dɛm fɔ du ɛvride woke izi wan.
• Famasis dɛm: Pipul dɛm wae de advays yu bɔt di mɛrɛsin dɛm wae yu de tek ɛn aw dɛn de miks.
• Fizik Tɛrapist: Na dɛn wan we de trit prɔblɛm dɛn we gɛt fɔ du wit ɛksesaiz, jɔyn dɛn, ɛn mɔsul dɛn.
• Dɔktɔ Ɛpman dɛn: Na di wan dɛn we de si sik pipul dɛn ɔnda di dɔktɔ dɛn we de kia fɔ dɛn.
• Saykayatrist ɛn Sayɛnsman dɛn we de stɔdi bɔt pɔsin in maynd:Di wan dɛn we de gi advays ɛn tritmɛnt fɔ prɔblɛm dɛn we gɛt fɔ du wit dɛn maynd.
• Soshal Wokman dɛm: Pipul dɛm we de ɛp wit sɔshal ɛn ikɔnomi prɔblɛm dɛm ɛn dayrɛkt dɛm to di tin dɛm we dɛn nid.
• Pipul dɛn we sabi bɔt aw fɔ tɔk ɛn yɛri: Pipul dɛn we de ɛp fɔ tɔk ɔ yɛri prɔblɛm.

Fɔ tɔk tru, nɔto ɔlman kin izi fɔ fɛn dɔktɔ we de mɛn pipul dɛn we dɔn ol ɔ da kayn tim we de kia fɔ pipul dɛn. I kin difrɛn difrɛn wan bay usay yu de, yu wɛlbɔdi inshɔrans plan, ɛn ɔda tin dɛn.Insay dɛn kayn tin ya, yu kin wok wit yu famili dɔktɔ (`Primary Care Provider`), we gɛt spɛshal trenin fɔ kia fɔ ol pipul dɛn.

Na us ej yu fɔ go to dɔktɔ we de mɛn pipul dɛn we dɔn ol?

Bɔrku pipul dɛn kin bigin fɔ go to dɔktɔ we de mɛn pipul dɛn we dɔn ol afta dɛn dɔn ol 65 ia , ɛn mɔ afta dɛn dɔn ol 75. Bɔt dat kin difrɛn fɔ yu wɛlbɔdi istri ɛn wetin yu nid. Sɔm Sɛntral fɔ Geriatric Medicine (CGM) dɔn bigin fɔ sav pipul dɛn naw we dɔn pas 50 ia. Dis kin tan lɛk se i dɔn bigin smɔl. Yes, a andastan, 50 stil yong fo som pipul. Bɔt fɔ adrɛs di wɛl bɔdi prɔblɛm dɛm wae kin kam wit ol pipul dɛm kwik kin ɛp yu fɔ kɔntrol yu risk factor dɛm ɛn fɔ mek yu nɔr gɛt bɔrku krɛse sik.

Tink bɔt dis: Mɔr pas 50% pan pipul dɛm wae ol 65 ia ɔr pas dat gɛt at le tri mɛrɛsin wae nid fɔ wach ɔr trit. We yu gɛt pas wan sik, yu mɛrɛsin kin kɔmplikt smɔl. Na da tɛm de di ɛp we dɔktɔ we de mɛn pipul dɛn we dɔn ol kin ɛp.

Fɔ ɛgzampul, if yu de tek bɔku mɛrɛsin fɔ difrɛn sik dɛn, dɔktɔ we de mɛn pipul dɛn kin mek shɔ se di mɛrɛsin dɛn sef fɔ yuz ɛn nɔ gɛt ɛnitin fɔ du wit dɛn. Semweso, we dɛn de du tritmɛnt lɛk ɔpreshɔn, dɛn kin wej di gud ɛn bad tin dɛn. Na bikɔs di prɔblɛm dɛn we kin apin we pɔsin du ɔpreshɔn we i ol 70 ia, kin pas di wan dɛn we i ol 40 ia.

Na tru se dɔktɔ dɛn we de mɛn pipul dɛn we gɛt bɔdi ɛn famili dɔktɔ dɛn bak kin gi dis kayn ɛp bɔku bɔku wan. Ivin if yu go to dɔktɔ we de mɛn pipul dɛn we dɔn ol, i impɔtant fɔ kɔntinyu fɔ gɛt tayt padi biznɛs wit yu famili dɔktɔ. Bɔt, di wan dɛn we de mɛn pipul dɛn we dɔn ol kin ad ɔda tin dɛn we dɛn no ɛn di tin dɛn we dɛn sabi fɔ kia fɔ yu. Dɛn tren dɛn spɛshal wan fɔ kia fɔ ol pipul dɛn, mɔ di wan dɛn we gɛt kɔmpleks mɛrɛsin prɔblɛm. Dis kin gɛt fɔ du wit sik dɛn we pɔsin kin gɛt na in bɔdi ɛn bak wit prɔblɛm dɛn we kin apin to pɔsin in maynd. So, bikɔs dɛn dɔn si bɔku pan dɛn tin ya, dɛn kin rɛdi fɔ ɛp, ilɛk wetin apin to yu.

Yu tink se di pɔsin we a lɛk fɔ go to dɔktɔ we de mɛn pipul dɛn we dɔn ol?

If yu pɔsin we yu lɛk, lɛk mama, papa, grani, ɔ granpa gɛt dis kayn tin, i go rili ɛp yu fɔ aks fɔ advays frɔm dɔktɔ we de mɛn pipul dɛn we dɔn ol:

• Liv wit bɔku bɔku mɛrɛsin kɔndishɔn dɛn
• If yu de tek bɔku mɛrɛsin dɛn di sem tɛm.
• If yu de gɛt prɔblɛm wit yu mɛmori, lɛk wae yu nɔr de mɛmba ɔr fɔgɛt.
• If i de gɛt tranga tɛm fɔ jɔg di apɔntin ɛn tritmɛnt dɛn, .
• If dɛn dɔn put yu na ɔspitul ɔ yu de wɛl afta yu dɔn de na ɔspitul. (Dɛn de na ɔspitul ɔ we de wɛl afta dɛn dɔn de na ɔspitul)

If na yu na di men pɔsin we de kia fɔ dɛn, yu kin notis smɔl chenj dɛn we ɔda pipul dɛn nɔ go notis. Sɔntɛm di pɔsin we yu lɛk nɔ go ivin notis dɛn. If dɛn kayn tin ya apin, i kin bi yu wok fɔ tɛl dɛn fɔ go to dɔktɔ we de mɛn pipul dɛn we dɔn ol. Dɛn kin luk yu pɔrsin wae yu lɛk frɔm ɔl kayn say, inklud in maynd wɛl bɔdi ɛn soshal wɛl bɔdi, ɛn mek wan plan wae go mit dɛn nid.

Aw a go fɛn dɔktɔ we de mɛn pipul dɛn we dɔn ol nia mi?

Insay Sri Lanka, di spɛshal wok we dɛn kin du fɔ mɛn pipul dɛn we dɔn ol nɔ bɔku yet. Bɔt yu kin aks yu famili dɔktɔ bɔt dis. I kin ebul fɔ rɛkɔmɛnd pɔsin we fit am. Sɔntɛm spɛshal klinik dɛn de fɔ ol pipul dɛn na big gɔvmɛnt ɔspitul dɛn ɔ prayvet ɔspitul dɛn. Yu kin fɛn infɔmeshɔn bak frɔm dɛn kayn ples dɛn de. Sɔntɛnde, i pɔsibul bak fɔ fɛn infɔmeshɔn bɔt dɛn kayn spɛshal dɔktɔ dɛn de na di Intanɛt.

Mɛsej we dɛn kin kɛr go na os

Okay, so, yu nɔ tink se i go fayn fɔ mek yu mɛmba sɔm pan di impɔtant tin dɛn we wi dɔn tɔk bɔt?

• Geriatrician na dɔktɔ we spɛshal pan di wɛlbɔdi fɔ ol pipul dɛn. Dɛn de kia fɔ ɔl di tin dɛn we yu nid na yu bɔdi ɛn yu maynd.
• If yu gɛt bɔku sik dɛn, yu de tek bɔku mɛrɛsin, ɔ yu nɔ ebul fɔ mɛmba , di ɛp we dɔktɔ we de mɛn pipul dɛn we dɔn ol go ɛp yu rili impɔtant.
• I rili impɔtant fɔ gɛt mɛdikal chɛk-ap ɔltɛm (`annual checkups`) ivin afta yu dɔn ol 50. Dis kin ɛp fɔ no ɛn kɔntrol bɔku sik dɛn kwik kwik wan.
• Ivin if i nɔ izi fɔ fɛn dɔktɔ we de mɛn pipul dɛn we dɔn ol, kɔntinyu fɔ tɔk to famili dɔktɔ we bisin bɔt di ol pipul dɛn wɛlbɔdi ɔltɛm.
• As wi de ol, wi nɔ go ɔndastand gud gud wan di chenj dɛn we de apin to wi wɛlbɔdi. Geriatricians na spɛshal pipul dɛm wae ɔndastand di chenj dɛm wae kin kam wit ol pipul dɛm. Dɛn kin ɛp yu fɔ gɛt wɛlbɔdi ɛn gladi at.

So, if yu ɔ pɔsin we yu lɛk de ol, i fayn fɔ tink bɔt di savis dɛm we dɔktɔ we de mɛn pipul dɛn kin gi. Ɔlman fɔ gɛt wɛlbɔdi ɛn gladi at, nɔto so?

` Geriatrics, geriatrician, big pipul dɛn wɛlbɔdi, ol pipul dɛn, sik dɛn we nɔ de mɛn, mɛrɛsin advays, wɛlbɔdi biznɛs