My patients are almost 80 agers or 90 agers. They are separated in 2nd , 3rd and 4th floor, I must go up and down every days. There are dementia patients or the patients having a stomach fistula without consciousness. They are terminal stage of life, and their functions and immunity withered. They don’t eat sometimes and fever up often. It is suspected as usual as such old person, but the nurse call me exactly and ask me the order to the symptom. They don’t think it can't help such symptom as such old person as the professional worker. They think they must react to every changes of patients even though in any ages." Fever up your patient!!" "Your patient's urine is little" They call me often. We can't say also " the patient can't help it as too much old person. It is very hard to react to the every symptoms as the old patient is sickening for too many indications. We are often suffered by call from hospital even at home. But we might be also old person in future, I think we must react faithfully even to such old patients.