Geriatric Medicine

Our Geriatricians

Dr David Yu MD,FRACP,MHLM

Dr David Yu is a Geriatrician appointed as a Consultant Geriatrician physician with the Department of Geriatric and Rehabilitation Medicine at the Royal Adelaide Hospital and is a clinical title holder at the School of Medicine, University of Adelaide.

He is a Fellow of the Royal Australasian College of Physicians and board-certified through the American Board of Internal Medicine.

His career interests include seeking value in the field of geriatric medicine and propagating geriatric values and principles in a personalised way. He currently only offers clinic consults at this location.

Associate Professor Solomon Yu MBBS FRACP FRCP PhD

Dr Solomon Yu graduated from University of Adelaide and completed his postgraduate and specialist training in Adelaide. He completed his PhD in Adelaide with Dean’s commendation on the topic of ‘Sarcopenia (loss of muscle mass and function) in Older People’. He is passionate about a holistic approach to managing chronic medical conditions and optimising health status and quality of life. He believed in providing best care for older people regardless of where they live. His special interests include: sarcopenia and frailty in older people, diagnosis and management of dementia, falls assessment, functional decline in older people and rehabilitation potential in older people

Dr Bavand Bikdeli MD FRACP

Dr Bavand Bikdeli is a Consultant Geriatrician and General/Acute care Physician who has been appointed as General and Acute care physician at Lyell McEwin Hospital and Modbury Hospital as well as Senior Clinical Lecturer at The University of Adelaide G-TRAC centre.

He is a Fellow of the Royal Australasian College of Physicians and started his medical career in Adelaide in 2008 and. During his specialist training, Dr Bikdeli has gained experience in a variety of fields including geriatric evaluation and management unit, provision of geriatric care to residential aged care facilities, cardiovascular medicine, acute medicine, orthogeriatrics and old age psychiatry. He was the chief medical resident at Lyell McEwin hospital for 6 months in 2015, and received structured training in health leadership under “Leading Clinician’s Program” SA Health.

His research interests include venous thromboembolic disease in older adults and quality improvement in provision of in-patient care. He has collaborated with international researchers and the outcome has been presented in national and international conferences and published in peer reviewed medical journals.  

Dr Bikdeli is well aware of psychosocial determinants of health and visits patients both in Medplus and residential care facilities. His special interests include comprehensive geriatric assessment and provision of management plan including in residential aged care facilities, complex medicine in the elderly, dementia and cognitive impairment, falls, frailty and polypharmacy.

What is Geriatric Medicine?

Geriatric Medicine is a branch of medicine that focuses on medical issues and diseases of aging. More specifically, it is a branch of medicine that focuses in older people aged 65 years and older.  However, it is also a branch of medicine that deals with diseases related to aging process even in younger people i.e.young-onset dementia. Through appropriate managing of the multiple complex medica land psychosocial, the goal of management is to prevent further functional decline and optimise healthy aging. Some of the conditions that come under the umbrella of Geriatric Medicine include falls, cognitive impairment/dementia,delirium, polypharmacy, functional decline, frailty and sarcopenia.

What is a Geriatrician?

Geriatrician is a doctor who has completed specialist training in the care of older people.  In Australia, after completing medical school and internship training, a doctor is required to undergo a further 6 years of specialist training with the Royal Australasian College of Physician. Geriatrician is physician who is experts in assessing, diagnosing and treating older persons with medical issues and diseases of aging. Geriatrician is an expert in how medical conditions impacts one another, how medication affects the multiple medical comorbidities and the complex interaction between medical diseases, physical function, cognitive performance, and emotional and social domains.

What do Geriatricians do?

  • Work to help older people to optimise their physical, psychological and medical health
  • Work towards enabling and empowering an older individual to continue to lead a fulfilling life and maintain the activities.
  • Assess, diagnose and manage geriatric syndrome such as falls, incontinence, memory problems/cognitive impairment, depression and adverse effect from use of multiple medications, frailty and sarcopenia (loss of muscle mass and strength)
  • Are comfortable in discussing about end of life issue with patients, family and carer
  • Are skilled in evaluating one’s social situation and help individual to decide which living arrangement best suit older people who are struggling to manage themselves.
  • Preoperative assessment, especially those with geriatric syndrome (usually in conjunction with other discipline as such anaesthetist and cardiologist if required)
  • Post operative management

When should I see a Geriatrician?

  • Geriatric syndrome: Recurrent falls, memory problem, incontinence, adverse effects from use of multiple medications
  • Having 4 or more medical co-morbidities or 4 or more medications
  • Frail older people (see frailty screening tool)
  • Loss of muscle mass and strength
  • Functional decline
  • Going for a surgery and have multiple medical issues, especially if there is co-existing geriatric syndrome – preoperative assessment
  • Complex care needs with chronic medical issues

Medplus SA Geriatric Service

There are currently five geriatricians offering their service at Medplus SA.

Geriatric clinic:

Monday PM

Tuesday PM

Thursday PM

Friday AM

What is involved in a Geriatric Consultation?

A geriatric consultation usually start off with filling out a detailed questionnaire about your medical history and can involve any of the following: physical exam, review of medical history and current medication list, cognitive testing, osteoporosis screening, discussion of advanced directives and living will, vision and hearing test, social work consult, and family meeting. After the consultation, the geriatrician communicates findings and suggestions to the patient’s primary doctor.

How long is the first consultation?

45 -60 minutes

How do I get to see a Geriatrician?

Referral letter from General Practitioner (GP) is required to secure an appointment. GP can forward the referral to fax number (08) 7225 6558.

Is there a fee involved?

Referral request by General Practitioner stating comprehensive geriatric assessment will attract lower gap fee in the first consultation. There may be a small gap for subsequent consultation.

For GP, please visit http://www.health.gov.au/internet/main/publishing.nsf/content/mbsprimarycare-chronicdisease-geriatrician

Useful weblink for Older People

Please note that the link below is intended for general information. It does not reflect or represent the view of Medplus SA. Medplus SA is not responsible for the content of the website.

Service based

Condition based