Confused by doctor options to choose, including Keith McCormick

Posted by stacibw @stacibw, Apr 2 11:51am

I’m still learning and navigating my Osteoporosis diagnosis and trying to get my healthcare providers lined up. I’m 51.

I have a PCP who I will only be using as a “sick doctor” going forward. She is aware of my diagnosis and is not up to date on care or treatment.

I have a neuro-kinetic therapist who I work with (recovering from a back injury) who is extremely knowledgeable in osteoporosis exercise. So I will continue to work with her for strength building.

I have a gyn who is not knowledgeable about osteoporosis and referred me to a local endocrinologist.

Those are all of my current health care providers.

Here’s where I’m getting confused….

I really am drawn to Keith McCormick. I prefer functional medicine but like that he also is incredibly knowledgeable about meds and doesn’t hesitate to use them when needed. I have no problems with video appointments.

I have a consultation with the Mayo Clinic in July - the endocrinology team.
They will review my case and decide if they will provide a treatment plan for my local docs or if they will accept me as a patient. So that’s up in the air.

There is a local functional doctor, who specializes in healthy aging and osteoporosis that I am considering.

The endocrinologist that my gyn referred me to doesn’t have an opening until August.

My questions….

Do people use Keith McCormick to completely manage osteo? Or do you also have a local endocrinologist and they work together? Furthermore, when McCormick orders labs, is that done at a local lab or through my regular doc? Thinking costs…..and insurance (I have Cigna - too young for Medicare) for all of those lab tests.

Does anyone have a functional doctor that manages osteoporosis in collaboration with Keith McCormick?

Does anyone see a dietician? I eat a whole foods plant based diet, so am realizing that I am deficient in quite a bit of protein and calcium according to “Strong Bones” teachings. Both of the functional med doctors have nutritionists on board that could help with that.

I’m so overwhelmed just choosing providers! What do you suggest?

Cost does matter - it isn’t the driving factor at this point (understanding and knowledge is the highest priority now).

As of now - I’m flying solo until the end of July, when I meet with Mayo. Wish I had some solid medical guidance before then, but so far have not been able to get earlier new patient appts.

What are most people doing - especially those who have seen or talked to Keith McCormick for a consult or care?

The more I read, the more confused I get. I have time to make decisions, but half a year will have passed before I actually see someone, let alone make any decisions about care. Need to get my ducks in a row.

Interested in more discussions like this? Go to the Osteoporosis & Bone Health Support Group.

@hopefullibrarian

Minutes before I noticed this new discussion, I was saying to my husband what a hurdle it's been for me just understanding the role that each medical specialty plays in treating OP. Joining this support group helped me get over that hurdle. (Thanks everyone!) I'm very happy with the specialists I found, and the treatment I'm getting.
@stacibw I can empathize about how overwhelming it is. You really are fortunate to have that appointment scheduled with the Mayo. While you wait, if you can get a consultation with Dr. McCormick, that may be both reassuring, and good preparation for your appointment in July.
In the meantime, keep learning about OP, and advocating for yourself. You're on the right track!

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I would do that too. I just made my appointment about a week ago and got the appointment I for May 15. So, you will have to wait, but you'll get it before July. Look up Dr. Keith McCormick and look at his website and find the list of all the labs he will order if you need them. Most Medical MD's will not do this. Why? I have no idea. They just don't know. My doc told me that my magnesium is fine. It's not. You have to get a "red blood cell" test to determine. Not a regular blood test that the medical doc will give you. It's very frustrating and sometimes I just feel like crying because you have to beg for information. You have to be your best advocate. That is for sure. Start with Dr. McCormick.

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I would start with endocrinology at Mayo. McCormick has been an add-on for me for many years (before he was in such demand). But you need a good doctor to manage your care (and prescribe). Many doctors are actually knowledgeable and welcome discussions. Hope you find one.

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@dna41

This conversation has been very interesting to me. I would like to know if appointments with Mayo are in person or teleconferencing. I have been unsuccessful in finding any kind of expert in osteoporosis in CA. I would like to know whether those who have contacted Mayo and Dr. McCormick have done so in person or are able to do it via phone. I am going to try to relay off Prolia this month and my endocrinologist has very little experience in this procedure.

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@dna41 - I have consulted with McCormick and at the beginning I choose him because though the initial visit is actually 350, it seemed to be cheaper than going to a Functional Dr in my area , all things considered , and none would give me there expertise in dealing with osteoporosis. Mind you I had already by that time seen an Endo that recommended Forteo , but I wanted to explore all options and understand before taking meds. The other thing I’ll tell you is in California there’s a highly Integrative physician , Dr. Kim Millman. And beyond that you could join Margie Bissinger’s , Happy Bones Club. Or tune into her podcasts , they are Osteo related. Check that out. People meet 4x a month for a variety of lectures from experts, Q&A etc. In fact McCormick will be one of the speakers this month. Be aware he does provide scripts for the blood testing to most states , but definately not those from NY and NJ. Good luck …. See you’ve already gained way more information than you thought possible staying at home!!!

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@ans

@dna41 - I have consulted with McCormick and at the beginning I choose him because though the initial visit is actually 350, it seemed to be cheaper than going to a Functional Dr in my area , all things considered , and none would give me there expertise in dealing with osteoporosis. Mind you I had already by that time seen an Endo that recommended Forteo , but I wanted to explore all options and understand before taking meds. The other thing I’ll tell you is in California there’s a highly Integrative physician , Dr. Kim Millman. And beyond that you could join Margie Bissinger’s , Happy Bones Club. Or tune into her podcasts , they are Osteo related. Check that out. People meet 4x a month for a variety of lectures from experts, Q&A etc. In fact McCormick will be one of the speakers this month. Be aware he does provide scripts for the blood testing to most states , but definately not those from NY and NJ. Good luck …. See you’ve already gained way more information than you thought possible staying at home!!!

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And I’ll add , when I went for my second Endo appt and had already learned quite a bit I point blank asked that I hoped she would work with Dr. McCormick if need be . I subsequently asked for certain blood tests and she did them. Drugs can be and should be part of the tx plan if indicated , but know you should , or at least it’s better to be doing all the other things as well. Exercise , good diet, supplements as needed, etc . Good luck !!!

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McCormick can write scripts but in my experience they are not covered by insurance. He suggests getting a PCP to order blood tests. One of my endos asked me if McCormick was a physician and when I said no, chiro, was pretty dismissive. I understand MD's reacting like that relating to medications but I am sure my docs would welcome McCormick on more integrative approaches.

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This is for the State of Pennsylvania:

"As for DCs, their scope of practice primarily focuses on chiropractic care and manipulation of the musculoskeletal system. While they may have limited lab ordering rights related to their area of expertise, the extent of their authority to order laboratory tests may be more restricted compared to medical doctors."

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@normahorn

This is for the State of Pennsylvania:

"As for DCs, their scope of practice primarily focuses on chiropractic care and manipulation of the musculoskeletal system. While they may have limited lab ordering rights related to their area of expertise, the extent of their authority to order laboratory tests may be more restricted compared to medical doctors."

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This sounds right. Neither can a chiropractor prescribe any medicines. In other words, anything involved in medical diagnosis or treatments, a medical doctor is the one you’d want to go with and that’s what your insurance will process.

My take is, if you can understand his book “great bones”, that’s great. If not, then maybe in a face to face meeting he could explain a lot more to you in a layman’s language. What’s more, in case your endo is more narrow minded with regards to therapy, there might be of value to listen to some of his opinion. At the same time, there are many bone specialists out there from whom you could get a comprehensive medical evaluation and opinions.

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"Great Bones" and various videos online can really educate us. We need good doctors who are knowledgeable and flexible, who give us information and choices. There are many good doctors out there. People are limited geographically and with insurance concerns, but to the best of our abilities, we need to find a physician(s) who meet(s) our needs.

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@dna41

This conversation has been very interesting to me. I would like to know if appointments with Mayo are in person or teleconferencing. I have been unsuccessful in finding any kind of expert in osteoporosis in CA. I would like to know whether those who have contacted Mayo and Dr. McCormick have done so in person or are able to do it via phone. I am going to try to relay off Prolia this month and my endocrinologist has very little experience in this procedure.

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Hi dna41,
I too am getting off of Prolia this month.
I received very thorough comments from formics and gently. You can view these discussions in this Osteoporosis group.
I hope all things go well for you.
All the best.

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@ans

@dna41 - I have consulted with McCormick and at the beginning I choose him because though the initial visit is actually 350, it seemed to be cheaper than going to a Functional Dr in my area , all things considered , and none would give me there expertise in dealing with osteoporosis. Mind you I had already by that time seen an Endo that recommended Forteo , but I wanted to explore all options and understand before taking meds. The other thing I’ll tell you is in California there’s a highly Integrative physician , Dr. Kim Millman. And beyond that you could join Margie Bissinger’s , Happy Bones Club. Or tune into her podcasts , they are Osteo related. Check that out. People meet 4x a month for a variety of lectures from experts, Q&A etc. In fact McCormick will be one of the speakers this month. Be aware he does provide scripts for the blood testing to most states , but definately not those from NY and NJ. Good luck …. See you’ve already gained way more information than you thought possible staying at home!!!

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Thank you for your info and suggestions. I will research this week.

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