Doctor To Patient: It’s Not My Area

I get calls to review records for people.  They want a neutral set of eyes to evaluate the information.  Usually, the person asking, has seen multiple specialists and doesn’t have a diagnosis.  They are asking me for direction.  Recently, I had a case that stunned me because the client had seen multiple specialists over a…

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Nurse practitioners vs Doctors: The Same Old Story

Recently, there has been a flurry of blog entries on the role of nurse practitioners (NP) in healthcare.  The American Academy of Family Practitioners (AAFP), came out very strongly against nurse practitioners as being designated as primary care providers.  The argument is NPs don’t have the same amount of schooling as doctors and don’t understand…

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A Primary Care Vision

Healthcare is changing again.  There is a movement away from fee for service to global payments for care.  This means that the insurance companies give a provider or practice, a set fee annually to cover an individual.  It is the responsibility of the provider to manage medically and keep costs down.  If a practice goes…

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Why It Is Important to Read Your Medical Records.

Here it is in a nutshell.  Take the time to read a copy of your medical record because some of the information may be incorrect.  Impossible to imagine because the record is supposed to be your information, your test results and doctor’s notes.  However, mistakes are made from incorrect diagnosis to having another patient’s lab…

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When Doctors Don’t Listen

Listening to patients is an art medical professionals have lost.  I make this statement because, last night two of my clients received diagnosis of rare, progressive and possibly life threatening diseases.  Both of these clients had struggled with many medical professionals who wouldn’t believe their symptoms and investigate further.  In fact, both were told to…

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Invoking The Healthcare Proxy

Two questions I get asked regularly is, who can invoke the healthcare proxy and when should it occur?  I get these questions most frequently from adult children of elderly parents.  The question is asked because they have noticed a parent is having cognitive changes or increased confusion about medications or safety issues in the home.…

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Who Controls Your Healthcare,The Insurer, the Doctor Or You?

I wonder who has the most control in my health care decisions.  Is it me or the doctor or my health insurer?  I have to consider who gets to say NO the most. Here is how I see the flow.   I go to the doctor for a variety of reasons from annuals to sick visits. …

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