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My DH is in MC now and their in-house practice is wonderful. He's seen monthly by a NP specializing in gerontology. More often, if needed. The portal is a great way to keep in touch and also alert them to any concerns I have as a family member.
Like everything else, there's no one correct answer, but some pros and cons to consider. I would maybe make sure you could change your mind if the in-house providers don't work out for some reason. Good luck with your decision.
My DH is in MC now and their in-house practice is wonderful. He's seen monthly by a NP specializing in gerontology. More often, if needed. She's personable, smart, and thorough. The portal is a great way to keep in touch and also alert them to any concerns I have as a family member. I know when she's coming and if I'm not there, she always calls me to let me know how it went.
Like everything else, there's no one correct answer, but some pros and cons to consider. I would maybe make sure you could change your mind if the in-house providers don't work out for some reason. Good luck with your decision.
The reason I didn’t want to switch was that I wanted a doctor who was familiar with her medical history and provided more holistic care rather than “treat the symptom”. I also wanted a doctor who would involve me in any decision he made, whether it was an over-the-counter stool softener or a recommendation for compression socks. No more blood draws. The last time that we got a blood draw from my mother, it took over 30 minutes and a lot of bruising afterwards, because of poor circulation and they barely got a half of a vial.
Having an external PCP means I am present for all visits. It also means that I can answer any questions she has and bring up items that occurred in the past. It also means I am kept abreast of any and all treatment that my Mom has, therefore less likely to fall victim to Medicare fraud.
If I had signed over my Mom to the in-house practice, my Mom would have gone to the emergency room 5 more times in 6 months to get X-rays to ensure she didn’t have a concussion, a stool softener would have been added to her daily pill regime because they wanted BM every day regardless of how much and what she ate, she would have been checked out for UTI more times than I can remember as she started into another down cycle of dementia and she would be back on high dose prescription pain killers since she is resistant to most prescription pain killers.
I want to be totally involved in her care. Not everyone has the time or wants to be that involved.
Good luck!
By the way, no guarantee you'll see the PCP for every visit. If they have a little business within their practice, he/she could send an NP instead
check billing.
my mil was in mc and dying. Facility called me at work and i came over. I was a nurse aide working evenings.
after she died the nurses told me that they had called the doc but he wouldnt come. BUT he still sent us a bill for a visit.
i wrote him a nasty letter and said we’d better never receive another bill from him etc. if he was asked to come up didn't show up.
i can understand him not going but dont bill us for a visit !
he never contacted us again.
so i would ask about the doc’s role … is that the only facility they service or are there more or are there more facilities AND a regular practice or ??? Is a bill received … or sent to medicare/medicaid … automatically just since they service the facility even tho you see an outside doc ?
I have Bipolar Disorder. I can tell when my meds need to either be adjusted or changed altogether. A few months ago I told the "Dr." -and I use the term VERY loosely-that I needed to change either the dose or the med altogether. Long story short, he didn't do ANYTHING until AFTER I did irreversible harm to my relationship with both my oldest sister who'd been there through thick and thin and an old friend who I had for 50 years. BOTH of whom want nothing to do with me-I don't blame them.
Stick with what or in this case WHO works!
Good Luck.
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