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MineralMan

(146,320 posts)
Thu Mar 5, 2020, 11:27 AM Mar 2020

I went in this morning for my annual Medicare Wellness Exam.

I deliberately scheduled my appointment to be the first available, at 7:20 AM, to limit the number of people around in the waiting room. I saw the doctor's assistant and the doctor. Now, those exams are pretty cursory. BP and pulse check, a look in the eyes and ears, and a brief stethoscope heart and lung exam and a cursory abdominal palpation. A stop in the lab for a blood draw, and I'm done. I never touched my face the entire time I was in the clinic.

Once again this year, my regular doctor and I chatted briefly during the exam and then he refilled my prescriptions for the next year. That's how it goes. I have no new problems at age 74. The doctor said, as we were leaving the exam room, "Hope I don't see you until next year." I headed for the lab. By the time I got there, there were half a dozen people in the lab, waiting for blood draws or whatever. Three of them had masks on. I sat in the seat as far from them as I could.

After the blood draw, I left. The waiting room, at 8 AM, was about half full, and many masks were in evidence. Everyone was sitting as far as possible from the nearest person. I stopped at the hand sanitizer station and used my butt to open the doors as I left. Nothing about the visit concerns me. It's flu season, and everyone is trying to avoid that and this coronavirus thing. BTW, the doctor's assistant said that they've had fewer flu patients than last year.

Oh, yes, they changed the three words they use to test the geezers' short term memories. Last year, it was banana, breakfast, chair. This year it was breakfast, chair, window. They also skipped making people draw the circle when drawing a clock face. Now, you just have to write in the numbers and draw the hands on the clock. As always, the time is 11:10.

Getting old is interesting.

24 replies = new reply since forum marked as read
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I went in this morning for my annual Medicare Wellness Exam. (Original Post) MineralMan Mar 2020 OP
OMG!!! What an interesting life you have, seriously. Haven't had that exam yet but you have now monmouth4 Mar 2020 #1
I just turned 62 Boxerfan Mar 2020 #2
Once you're on Medicare, the exam components are dictated by Medicare. MineralMan Mar 2020 #11
Kids today can't tell time on an analog clock Captain Zero Mar 2020 #3
No doubt they'll change the test by then. MineralMan Mar 2020 #5
The clock I draw always looks like a Salvador Dali Walleye Mar 2020 #4
Thanks, Mineral Man. I go for mine on the 20th. I can now practice the clock thingy cornball 24 Mar 2020 #6
Well, your clinic might use different words. MineralMan Mar 2020 #13
I love this - not just your common sense but the optics as well! FM123 Mar 2020 #7
I love my old age... 73, and not a single ailment.. no diabetes, no heart problems, blood pressure secondwind Mar 2020 #8
When Sonny Boy and I went in for his doctor check not too long ago we were sitting in the abqtommy Mar 2020 #9
Damn, had to search for "chair" after reading through post and replies. tavernier Mar 2020 #10
My doctor's office does the same as yours. lpbk2713 Mar 2020 #12
I turn 64 today. One more year to go for me. DinahMoeHum Mar 2020 #14
My wife will be 64 this month. MineralMan Mar 2020 #16
Heh heh. she and me both. DinahMoeHum Mar 2020 #23
Those 3 words and drawing the clock are more intimidating than needles. The Annual Wellness Exam Hoyt Mar 2020 #15
It's really a health maintenance visit, and the blood tests are worthwhile. MineralMan Mar 2020 #17
Did they make you walk up and down a hallway? At my last wellness check they Raven Mar 2020 #18
The clock test is independent of seeing a clock on the wall. MineralMan Mar 2020 #19
Thanks. I didn't know that. Raven Mar 2020 #24
Sure. The doctor's assistant follows you down the hall, and into the MineralMan Mar 2020 #20
I have been on Medicare for 20 years and virgogal Mar 2020 #21
My Medicare exam is early tomorrow morning. SharonClark Mar 2020 #22

monmouth4

(9,708 posts)
1. OMG!!! What an interesting life you have, seriously. Haven't had that exam yet but you have now
Thu Mar 5, 2020, 11:33 AM
Mar 2020

made me look forward to it. I love the clock face part. What a hoot..LOL.

Boxerfan

(2,533 posts)
2. I just turned 62
Thu Mar 5, 2020, 11:33 AM
Mar 2020

And the whole wellness test seemed like a cognitive decline test. I think that is something that should be given if indicated. Not just at 62 we think you are loosing it.
My BP was spiking & I was annoyed. I finally told the care worker to stop after she brought out the clock face. I refused & told her I can build those things. And I can.

MineralMan

(146,320 posts)
11. Once you're on Medicare, the exam components are dictated by Medicare.
Thu Mar 5, 2020, 11:45 AM
Mar 2020

Before that, it's not.

There are also three of questionnaires you have to fill out. One is a general health assessment. The next is a depression and mental state standard questionnaire. There is also one designed to indicate whether you are living in an unsafe environment.

They do a fairly comprehensive blood screening as part of it, which pleases my internist primary care doctor. He, like most internists, thinks he can detect most problems from its results. That's fine. There's also a stool sample test if you don't want a colonoscopy, which I do not. As long as it is negative, they leave you alone about the colonoscopy.

The annual wellness check is absolutely free, and that's a good thing. So is the initial Welcome to Medicare exam, which is far more thorough. Mine involved an electrocardiogram and a chest x-ray. It takes about an hour, and is designed to establish a baseline set of data for reference purposes.

If you're in good health, generally, it's still important to do the annual Wellness check. It gives the doctor an opportunity to adjust dosages of medications if there have been changes over the past year. Normally, you leave that exam with prescriptions good for a year, and most Medicare plans call for 90-day prescriptions that are automatically refilled.

That's how I want to see my doctor. Once a year. However the few times when I've needed to see him for something acute, I can get a same day or next day appointment with my PCP.

Captain Zero

(6,819 posts)
3. Kids today can't tell time on an analog clock
Thu Mar 5, 2020, 11:33 AM
Mar 2020

Lots of flunk outs coming in 60 years.

on edit: Hey if we draw the clock face do we get extra credit now?

cornball 24

(1,478 posts)
6. Thanks, Mineral Man. I go for mine on the 20th. I can now practice the clock thingy
Thu Mar 5, 2020, 11:35 AM
Mar 2020

and nail the memory one.👵

MineralMan

(146,320 posts)
13. Well, your clinic might use different words.
Thu Mar 5, 2020, 11:46 AM
Mar 2020

Pay attention to them and repeat them internally a couple of times, if you're concerned about forgetting them.

I don't know if everyone has a pre-drawn circle for the clock.

FM123

(10,054 posts)
7. I love this - not just your common sense but the optics as well!
Thu Mar 5, 2020, 11:36 AM
Mar 2020

"I stopped at the hand sanitizer station and used my butt to open the doors as I left"

secondwind

(16,903 posts)
8. I love my old age... 73, and not a single ailment.. no diabetes, no heart problems, blood pressure
Thu Mar 5, 2020, 11:36 AM
Mar 2020

on the low end, etc.

I retired at 50, maybe that's the clue, have been enjoying my retirement for a long while. Have traveled all over.

abqtommy

(14,118 posts)
9. When Sonny Boy and I went in for his doctor check not too long ago we were sitting in the
Thu Mar 5, 2020, 11:42 AM
Mar 2020

examining room when her nurse came in to check Son's vitals and immediately coughed several times.
When the doctor finally came in and asked us how we were I told her we were fine and her nurse already coughed on us. It's true, can't make this stuff up!

tavernier

(12,394 posts)
10. Damn, had to search for "chair" after reading through post and replies.
Thu Mar 5, 2020, 11:43 AM
Mar 2020

Took me a few secs but I got it.

That’s what pisses me off about watching Jeopardy these days. I know the answers mostly, but by the time my brain unscrambles them and puts them in my mouth, they’re off to the next question!

lpbk2713

(42,763 posts)
12. My doctor's office does the same as yours.
Thu Mar 5, 2020, 11:45 AM
Mar 2020


But they include reading an eye chart. And in addition to the three non-related words they they
also give an address (ex: 1372 South Hickory) that they will ask at the end of the session.



DinahMoeHum

(21,798 posts)
14. I turn 64 today. One more year to go for me.
Thu Mar 5, 2020, 11:52 AM
Mar 2020

And that "promised land" of Medicare had damn well better be there for me or else there will be a few broken necks.

Just sayin'.

MineralMan

(146,320 posts)
16. My wife will be 64 this month.
Thu Mar 5, 2020, 12:06 PM
Mar 2020

She can hardly wait for the next birthday. It will be like a raise in income for us.

 

Hoyt

(54,770 posts)
15. Those 3 words and drawing the clock are more intimidating than needles. The Annual Wellness Exam
Thu Mar 5, 2020, 11:57 AM
Mar 2020

is pretty much a joke.

Unless you complain about something deemed serious, medicine nowadays pretty much comes down to lab tests and a few questions.

MineralMan

(146,320 posts)
17. It's really a health maintenance visit, and the blood tests are worthwhile.
Thu Mar 5, 2020, 12:07 PM
Mar 2020

If you have a new health issue, it's best to make a separate appointment to deal with that.

Raven

(13,896 posts)
18. Did they make you walk up and down a hallway? At my last wellness check they
Thu Mar 5, 2020, 12:10 PM
Mar 2020

made me draw a clock but I did have to point out to the nurse that there was a clock on the wall right above her head.

MineralMan

(146,320 posts)
19. The clock test is independent of seeing a clock on the wall.
Thu Mar 5, 2020, 12:14 PM
Mar 2020

It's a cognitive test. People with cognitive deficits can't draw the clock, even if there is one to look at. Their brains won't let them do it correctly. They don't distribute the numbers properly and make other errors. It's not about being able to copy a clock. Apparently, a lot can be told from that test.

MineralMan

(146,320 posts)
20. Sure. The doctor's assistant follows you down the hall, and into the
Thu Mar 5, 2020, 12:15 PM
Mar 2020

scale and height measurement room and exam room. The assistant also observes you after calling your name and sees you get up from a chair and walk toward him or her. That's enough.

 

virgogal

(10,178 posts)
21. I have been on Medicare for 20 years and
Thu Mar 5, 2020, 12:25 PM
Mar 2020

have never been given three words or been asked to draw a clock.I had 1 doctor for 15 years,she retired,and another for the past 5 years.....never asked those questions.

SharonClark

(10,014 posts)
22. My Medicare exam is early tomorrow morning.
Thu Mar 5, 2020, 12:40 PM
Mar 2020

Although it's not the closest to my home, I still go to the medical clinic my parents took me to as a child. It's been a teaching clinic for decades so I'm usually assigned a resident student for a couple of years until they move on. The staff get us in as quickly as possible and the waiting room is large enough that clients aren't cheek to jowl.

The building and cliental have changed from European immigrant/working class in the 50's to Spanish-speaking immigrant/working class now. My mother claims that she's learned Spanish just by going to the doctor.

I've never been asked the three word question but I remember the doctor once asked my dad, who had some dementia, to write a 3 word statement on a slip of paper. He wrote "I am brilliant" so I guess he passed the test.

It will be iteresting to see how many people are wearing masks.



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