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DiscussionI want to change my PCP. Seeking guidance on process
Just Want to Talk | Last Active: Sep 17, 2023 | Replies (24)Comment receiving replies
I have an update. Shortly after post this originally +putting out some private effort to identify a replacement, the PCP I was seeking to replace behaved outrageously, dangerously and violated three AMA tenants of practice. He caused harm on several levels. He concluded by terminating me + refusing to help me when I passed out and suddenly collapsed in his office. He watched me leave, driving myself home, without saying a word when I regained consciousness and I picked myself up, literally. He then trashed me in every way possible in my medical records.
I went thru much aftermath. Skip, fast forward two months later. I was traumatized but I needed a doctor. I have medical problems. I found a husband and wife team who practice in a small, no other employees office. They have excellent medical background+ prior affiliations. Every appt is 50-60 mins. They want to practice medicine as they believe is best to truly meet patient needs. She did more for me in the first 1+ 1/2 hr visit than can be described. She diagnosed and treated several unrecognized conditions. 1st thing she did was increase my blood volume to immediately address low BP +orthostatic hypotension. She dx and treated an episodic cardiac arrhythmia, SVT. She called the pharmacy and instructed them to have 2 EpiPens ready for pick up in 2 hrs (mine was 3 yrs expired. She checked it.) She began a Long COVID protocol they use. She changed my already healthy diet. She put me on a sleep pattern to regulate my Circadian rhythm. The list is long. The best part for me is that because their office is small, she does not have to use EHR. I opted out of that to regain some privacy and recovery after the trashing. That also means she only accepts cash payment. But she's reasonably priced and doesn't order anything unnecessary.
What was meant for evil, turned out to be used for my good. She respects my professional views, as we are both avid study outcome researchers. So we have productive discussions when necessary regarding certain decisions. She does not take off hours call. If you need urgent services you go to Urgent care or ER. I have no problem w that. I text her off hrs and she accepts my decisions to self treat or go. She has changed my health in 6 months. I'm on a dozen supplements and am amazed that they really work like pharmaceuticals, at least for me. She tells me she wants me to look forward to good days and a good life without limitations, because all things are possible.
They are part of a segment of the medical provider population who left the mainstream corporate medical system. They gave up money and more. But she told me she could not function the way Medicine became any longer.
Some of you may be happy with a small independent practice. No frills. Try it. I can say I am rapidly getting my life back. I perform all activities of daily living everyday. My muscles WANT to move again. I walk because it feels normal, like before. I don't have the death-like 'fatigue' that paralyzed and stole my life for 2+ yrs. My cognitive function has improvement in memory, reading/ comprehension and administrative capabilities.
I wish I could tell you the magic formula for my great improvement, but I had additional medical problems along with Long COVID/PASC. I'm just saying that I 'reimagined' primary care medicine for myself. I left the'standard' model and gave an 'old fashioned' model of a mere partnership of two docs with no frills a try.
Just today, I've learned that the best advanced specialty surgical group in the area, remarkably talented and credentialed doctors, closed their doors today. They're staff said they're hoping to open as a re-formed INDEPENDENT specialty surgical practice in a few months.
Shifting sand of today's medical practices. Some of this will be of benefit to we, the patients. If you have the courage, give small independent practitioners a consideration.
Written but not reviewed due to time constraints.
Replies to "I have an update. Shortly after post this originally +putting out some private effort to identify..."
@rsfcowgirl Thank you for giving us an update. You have had quite the journey to be the best you can be. Congratulations for "sticking it out" and being persistent. You're an inspirstion for those of us who may feel lost.
Ginger