Define “Old”

Chief complaint: “I’m concerned about my balance.” Further questioning reveals a subjective complaint of “wobbliness.” Has never fallen. No vertigo. Romberg testing is negative (standing with feet together and eyes closed sways only a little). Neurologic exam is normal. I gently suggest that he try using a cane, mainly for reassurance while walking. “Oh, Doctor. I don’t want to do that.” Why not? “It’ll make me look like an old man.” Uh, sir: you’re 88. I think that ship has sailed.
Source: Musings of a Dinosaur - Category: Primary Care Authors: Tags: Medical Source Type: blogs