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This and That and Talk - My Transplant
Transplants | Last Active: Aug 14 9:57pm | Replies (1677)Comment receiving replies
I think that the terminology is confusing.
The ordering physician for Mayo/ transplant purposes is the transplant doctor who ordered the specific labs to monitor my post transplant health and to adjust meds if indicated by lab levels. It is unreasonable to expect a primary care doctor to know what labs or lab levels that my organ health requires. That is why I have an annual evaluation my transplant team about my transplant health.
I first returned home after my transplant, my first agenda item was to make an appointment with my primary care doctor to make sure he would work with Mayo transplant team to coordinate my care locally. Even contacting them when necessary.
For the lab, the local doctor is the ordering doctor because he is in-state legal physician.
I hope this clears it up.
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@rosemarya, just an update. My BCBS insurance contacted me and says that Quest is in-network for both California and Arizona so I'm glad that's cleared up. I think it worked out because they are border states.
Regarding your follow up with Mayo Rochester, how often have you been going to the annual checkup at Rochester and what labs and procedures do they run? Do they still run the same labs/procedures as they did the first year? The one-year checkup at Mayo Az is the same as the 4-month check up. I believe the 2nd year check up is the same as the 1 year. Then the 3rd year checkup is just a remote appointment.
At Mayo Az, they follow the patient for up to 3 years only and then they sort of "kick you to the curb". No more follow ups after the 3rd year at Mayo Az. I'm hoping that they will agree to see the patient if after that time, there is urgent issues regarding the health of the kidney that the local neph cannot handle. The local transplant center here(UCLA, Cedar Sinai) are reluctant to take patients from out of state. They will refer back to where you got transplanted!! Looking forward to your inputs. Thank you!