Integrated Geriatric & Cognitive Neurology Center
EliteMed's geriatrics service in Modi'in pairs a senior geriatrician with a cognitive neurologist from Ichilov hospital, so memory disorders, behavioral changes, polypharmacy and the medical complexity of older adults are handled in one coordinated visit. Consultations are available within days, without a referral, at the wheelchair-accessible Ayala 360 Center.
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When to see a private geriatrician
Geriatrics is the medicine of older age: not one disease but the intersection of several conditions, several medications, changes in memory and function, and the need for coordination. Family members usually notice first, and a geriatrician makes sense when something has changed and nobody is looking at the whole picture. When to book an assessment:
- Increasing forgetfulness, repeating questions, losing objects or confusion in familiar places.
- New difficulty managing money, medications or cooking, or declining everyday functioning.
- Changes in personality or behavior: suspiciousness, apathy, restlessness, aggression or new depression.
- Difficulty finding words or understanding language that gradually worsens.
- Repeated falls, unsteady walking or fear of falling.
- Taking five or more medications, especially with confusion, drowsiness or dizziness.
- Planned surgery in an older patient with underlying conditions that needs medical preparation and heart-kidney-brain coordination.
- A medical opinion on capacity: an enduring power of attorney, drafting a will, or guardianship proceedings.
- A hospital stay followed by functional or cognitive decline that does not return to baseline.
Acute confusion over hours or days (delirium) is an emergency for the emergency room (ER), not a scheduled consultation. Gradual decline over months is exactly where a structured geriatric assessment helps.
What the consultation at EliteMed includes
The combined geriatric and neurological assessment takes much longer than a standard consultation, and a family member who knows the patient well should attend. The physician reviews the history and every medication (including supplements and over-the-counter drugs), and performs a structured cognitive assessment, a neurological examination and a gait and balance evaluation. You leave with a diagnosis or direction of work-up, recommendations for further tests (blood tests, brain MRI, neuropsychological assessment), and a written treatment and follow-up plan, for the family as well.
What sets the center apart:
- Two disciplines in one visit. Dr. Rina Gottesman, a cognitive neurologist from Ichilov, and Dr. Rita Bukman, a specialist in geriatric medicine, work together, so the patient is not sent back and forth between a memory clinic and a geriatric clinic.
- No public-system waiting. An assessment is usually available within days, not months of waiting for a memory clinic.
- No referral needed. No referral or Form 17 (Tofes 17, the health-fund referral voucher) is required. Bring an up-to-date medication list, discharge summaries, recent blood tests and any brain imaging.
- A multi-specialty center. Falls and bone health with orthopedics and endocrinology, heart problems with cardiology, and pre-surgical preparation with the surgical service, all in one building.
- Accessibility. Wheelchair accessible, with an elevator and nearby parking, and appointment times paced for older patients.
- Insurance. Private and recognised as a specialist consultation, reimbursable under most private policies (Harel, Phoenix, Menora and others) and the health funds' supplementary plans (Shaban), subject to policy terms. The center provides the claim documents.
Who it suits: families seeking a private geriatrician in Modi'in for a memory assessment or medication review for an aging parent, older patients before surgery, and families who need a medical opinion for an enduring power of attorney. The center serves Modi'in-Maccabim-Re'ut, Shoham, Hashmonaim, Beit Shemesh and Rishon LeZion, with visit times convenient for relatives.
Preparing for the visit and what happens afterwards
A family member or caregiver who knows the patient's routine should attend. Bring all medications (or an up-to-date health-fund list), including supplements and over-the-counter drugs, discharge summaries, recent blood tests, and any brain CT or MRI reports. Note in advance examples of the changes the family has noticed and when they began. The patient and family receive a written summary with the diagnosis or direction of work-up, orderly medication recommendations for the family doctor, referrals for further tests, and a follow-up plan. For a capacity evaluation, the opinion is provided in the format the legal proceeding requires.
The geriatrics team at EliteMed
Integrated Senior & Neurological Specialties
Degenerative Brain Disease
Clinical work-up of Alzheimer's disease, vascular dementia, dementia with Lewy bodies and frontotemporal dementia (FTD), including differential diagnosis between the types, each with a different treatment and course.
Memory Loss & MCI
Cognitive mapping and orientation assessment for mild cognitive impairment (MCI) or persistent memory complaints, distinguishing normal aging, depression, medication side effects and early degenerative disease.
Progressive Aphasia
Dedicated neurological care for degenerative diseases affecting language and communication (PPA), including referral to speech and language therapy and family guidance.
Psychogeriatric Stability
Medication management of depression, anxiety, restlessness, sleep disturbance and behavioral changes accompanying cognitive decline, favoring low doses and age-safe drugs.
Polypharmacy Synchronization
A review of all prescriptions, supplements and over-the-counter drugs for interactions, medications no longer needed, and drugs that increase confusion or fall risk, with an orderly recommendation to the family doctor.
Senior Surgical Clearance
Medical optimization and coordination of heart, kidney and brain status for older surgical candidates, with the center's surgical and cardiology services, to reduce complications and post-operative confusion.
Behavioral Neurology
Work-up of personality or behavioral changes arising from neurodegenerative disease in the aging brain, distinguishing them from primary psychiatric disorders.
Falls & Mobility Review
Assessment of gait, balance, vision, standing blood pressure and bone health, with orthopedics and endocrinology, and a fall-prevention plan: medication adjustment, walking aids and physiotherapy.
Capacity Evaluations
Medical evaluations and clinical documentation for an enduring power of attorney, testamentary capacity and guardianship proceedings, by senior physicians, meeting the requirements of authorities and courts.
Book an Integrated Senior Assessment
Direct access to Senior Geriatricians and Neurologists in one visit.
Senior Brain Health & Geriatric FAQ
A cognitive neurologist focuses on the brain: the type of cognitive decline and the disease behind it. A geriatrician looks at the whole person: underlying conditions, medications, nutrition, mobility and mood, all affecting memory and function. At EliteMed the two physicians work together, so the patient gets both perspectives in one visit.
A conversation with the patient and a family member, structured cognitive tests of memory, language, orientation and executive function, a neurological examination, a medication review and blood tests to rule out reversible causes. Brain imaging or extended neuropsychological testing follows where indicated. The diagnosis comes with a treatment and follow-up plan.
Polypharmacy means taking many medications at once, usually five or more, prescribed by different doctors over the years. In older age certain drugs and combinations can cause confusion, drowsiness, falls and hospital admissions. A geriatrician reviews the entire list, carefully stops what is no longer needed, and coordinates with the family doctor.
When an older patient experiences depression, anxiety, sleep disturbance, suspiciousness, restlessness or aggression, with or without cognitive decline behind it. Psychogeriatric stabilization requires careful selection of medications and doses suited to older age, and sometimes reducing existing medications. The plan is built together with the family and caregivers.
Yes. Our senior physicians perform a medical evaluation and provide clinical documentation for an enduring power of attorney, testamentary capacity and guardianship proceedings, meeting the requirements of authorities and courts. To be clear: this is a medical opinion; the legal advice itself comes from a lawyer or notary.
Yes. Before planned surgery the geriatrician reviews the underlying conditions and medications, coordinates with the cardiologist and the surgeon, and formulates recommendations to reduce risk and prevent post-operative confusion. This matters most for patients with heart disease, kidney disease or cognitive decline, and involves the center's surgical service.
The fee is given when you book and depends on the type of assessment (consultation, full cognitive assessment, or capacity opinion). It is a private specialist consultation, reimbursable under most private policies and health-fund supplementary plans, subject to policy terms. The center provides an invoice and medical summary for your claim.
EliteMed is at the Ayala 360 Center, 21 HaMelachot Street, Building B, 5th floor, Modi'in, an accessible building with an elevator. From Route 431, exit at the Paatei Modi'in interchange towards the Yishpro Center, opposite the Yochananof supermarket; free parking nearby. Hours: Sunday to Thursday, 08:00-20:00. Also serving Shoham, Beit Shemesh, Hashmonaim and Rishon LeZion.