1. Notice When Something Feels Dismissed

Pay attention to both language and tone.

• Symptoms are dismissed with phrases like “It’s just aging” or “That’s normal for your age”
• Concerns are minimized or not explored fully
• Explanations feel overly simplified or condescending
• There is a lack of curiosity about new or worsening symptoms
• Repeat or persistent symptoms are overlooked
• Conversations are directed to others instead of the patient, when they are able to participate
• You leave appointments feeling unheard or uncertain

2. Make Sure Symptoms Are Fully Evaluated

Age should not replace assessment.

• Health changes are not automatically blamed on age without exploring other causes
• You have asked, “What else could this be besides aging?”
• You understand what has been evaluated and what has not
• You feel confident your concerns are being taken seriously
• Additional testing has been discussed when appropriate

3. Ask About All Treatment and Testing Options

Care should be individualized, not assumed.

• Tests or treatments are not being skipped based on age alone
• You have asked, “Can we do additional tests to be sure?”
• You have asked if a referral to a specialist is appropriate
• You understand the risks and benefits of all options
• You feel included in decision-making about your care

4. Stay Involved in Care Decisions

You are part of the care team.

• You are being spoken to directly and respectfully
• Your preferences and goals have been discussed
• You understand the plan of care moving forward
• You feel comfortable asking questions or asking for clarification
• You are given time to process information and respond

5. Watch for Assumptions About Quality of Life

Care should reflect your values, not assumptions.

• No one has assumed what your quality of life should be
• Your independence and daily function are being considered
• You have been asked what matters most to you
• Decisions are based on your overall health, not just your age
• You feel seen as a whole person, not just a patient

6. Bring Support When Needed

A second voice can strengthen communication.

• You bring a trusted friend or family member when needed
• Your support person helps listen, ask questions, and take notes
• Important information is clearly understood and remembered
• Your voice remains central in all decisions

7. Track and Share Changes Clearly

Clear patterns help guide better care.

• You keep track of symptoms, including frequency and severity
• You note changes, triggers, or patterns over time
• You bring this information to appointments
• Your concerns are supported with clear, consistent details

8. Speak Up and Challenge Assumptions

Advocacy can be calm and direct.

• You feel comfortable asking, “Can you explain that further?”
• You can say, “I’d like to rule out other possible causes before assuming this is age-related”
• You ask, “Are there other options we should consider?”
• You are open to seeking a second opinion if something doesn’t feel right
• You trust your instincts when something feels off

Quick Reminders

• Aging is not a diagnosis
• Your symptoms deserve investigation, no matter your age
• Advocacy is not confrontation, it is protecting your health
• Respectful, thorough care should be expected, not exceptional

Closing Thought

Age should inform care, not define it.

You deserve to be heard, taken seriously, and included in every decision.
Sometimes it begins with a simple question.
Sometimes it begins with trusting yourself.

Both matter.