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Geriatrics & Elder Care
Care built for later life: disease trajectory, polypharmacy, falls, memory, and advanced care planning — including North Carolina MOST forms — with families kept in the conversation.
Geriatric medicine · Western North Carolina
A specialist for the long game of life.
Dr. Hiren R. Patel practices geriatric medicine from Asheville, with particular attention to nursing-home care, medications, and the decisions families face as the years accumulate.
Board-certified
Geriatrics and Family Medicine
Based in Asheville
Serving the Blue Ridge and WNC
Independent practice
Consultant, director, and clinician
Four kinds of work
Where this practice spends its time.
The same geriatric training shows up in clinic, at the bedside, in a chart review, and in a legal file. The setting changes; the standard does not.
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Executive Health
Unhurried, physician-led evaluations for people whose calendars are full and whose health has to keep up. History, medications, function, and a plan you can actually use.
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Second Opinions
A geriatrician’s reread of hospital or nursing-home records when the story does not sit right, the medication list has grown, or a family wants another set of eyes before the next decision.
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Medical Legal Consulting
Expert witness and chart-review work with legal professionals on medicolegal cases in post-acute and long-term care.
The physician
Dr. Hiren R. Patel
Board-certified in family medicine and geriatric medicine. Residency at East Carolina University, with recognition in inpatient acute care and geriatrics; fellowship at the University of Hawaii. He returned to Western North Carolina to serve veterans — medical director of a community living center, interim chief of geriatrics and extended care, home-based primary care, hospice and palliative coverage — and has since concentrated on community nursing-home care as medical director and attending.
He is available to the broader WNC community as a consultant geriatrician, and to counsel on medications, goals of care, and the record of what has already been done.
- Medical director, skilled nursing facilities in Buncombe County
- Consultant geriatrician for patients and families
- Outpatient physical therapy available with Dr. Steve Solana, DPT
How the work is done
Fewer prescriptions. Clearer plans. More time.
Geriatrics is not a minimum age. It is a way of looking at stacked diagnoses, stacked drugs, and a home life that has to hold.
See the whole list
Many clinicians treat one problem at a time. A geriatrician starts with every diagnosis and every bottle, then decides what still earns its place.
Name the trajectory
Families are calmer when they know what a condition tends to do next. Education is not an extra; it is the visit.
Write the wishes down
MOST forms, DNR discussions, and goals-of-care notes exist so the next hospital does not have to guess.
The office
Start with a note or a call.
For clinical questions, facility work, or a legal file, the same number and inbox reach the practice.
828-707-2652
[email protected]
Asheville, North Carolina
Western North Carolina and the Blue Ridge