ladymajky
Transcendent Member
220/169/150
Posts: 871
|
Post by ladymajky on Jan 19, 2017 18:43:41 GMT
My family practice primary care physician takes care of annual physicals and pap smears and flu shots and just general wellness visits. If it's something urgent (I have to see a doctor TODAY) I usually end up with the Nurse Practitioner. Whenever DH or I have had some more complex condition, she has been quick to refer us to a neurologist or urologist or podiatrist or orthopedist or ear-nose-throat guy or gastroenterologist or whatever. All her referrals are part of the same overall medical group and they easily share records back and forth.
When I was hospitalized, the hospitalist came to my room. The hospitalist actually sat and chatted with me long enough to spot an underlying condition that she reported back to the primary care physician for follow-up.
So, to me, the important issues are 1) do I like the primary care doctor and have confidence in her and 2) is the primary care doctor part of a larger group or affiliation that includes many specialists.
I'm on Medicare and have a Medicare Supplement health insurance plan. Although I could go to any specialist without a referral, I prefer to have a referral as leverage to get me in the door a little sooner.
|
|
|
Post by 100gone on Jan 19, 2017 18:49:59 GMT
The current guidelines for pap smears is every 3 years for women aged 30-65 and then stopped after age 65. Of course, this is for women who are not at high risk and who have had normal results for previous tests.
I haven't seen my primary care doctor in years. I always see a NP unless I have to go to a specialist. And actually I'm seeing a NP for my dermatology skin check too.
|
|
|
Post by lmenglish on Jan 19, 2017 19:28:14 GMT
100gone, I have had them annually since I was adopted and have no past medical history, so I was happy not to have one!
|
|
|
Post by jamescat1 on Jan 20, 2017 3:57:04 GMT
I have had pap smears every year. I see my primary care doctor twice a year and she is very thorough with her exams. A friend's husband has recently had a series of medical issues. He had two doctors who were concierge doctors and they do not have hospital privileges. You pay a high monthly fee and are supposed to get immediate care when you need it. The husband got pneumonia and was given strong antibiotics and sent home. He continued to get worse daily but without hospital privileges, his doctor did not hospitalize him. Then they switched to another concierge doctor who did not return calls. That is one of the selling points for signing up with one of them, 24 hour access via phone or e mail. Eventually he was diagnosed with valley fever but had a series of setbacks. The Valley fever specialist is affiliated with UCSF at a different hospital system but the first two doctors wouldn't consult with him. So eventually he switched to the specialist but his condition has continued to deteriorate so he was hospitalized today. This began the first of November. It is really important to have access to the best medical care you can get.
|
|
|
Post by gailruu on Jan 20, 2017 13:40:53 GMT
I am a retired nurse and when my physician retired a few years ago I checked with my nurse friends to see which doctor they recommend since they work with them on a daily basis and see the results. I had 3 priorities in mind. I wanted a female doctor, I wanted a doctor who would stay in the community and I wanted one younger than I am since I don't want to have her retire and have to go through this again. I found a perfect candidate. She is female, is young enough to have been pregnant the first time I saw her and her family is from the small community where I am located so it is very unlikely she will be leaving any time soon. I like her very much and she will willingly refer me to internal medicine if I need it.
|
|