Many of us skip our annual physicals, blood tests, pap smears, mammograms, bone density tests and so on. Sometimes because these appointments take time out of our busy lives. Sometimes because we don’t feel sick. Sometimes because we would rather not know the news. For many older adults, once there has been a diagnosis, a hospitalization or a nursing home rehab stay the fear of a repeat episode stays in our mind. My own mother, after a hospitalization and surgery, kept quiet, didn’t complain. The fear of going back to the hospital may have been too great. She always told us she never wanted to end up in a nursing home. I can only guess why she didn’t speak up. Unfortunately her lack of communication resulted in an infection, sepsis that took her life about two weeks after surgery.