I have heard that that can happen--specialist provides care protocols/parameters for local docs to follow through on. It would be worthwhile asking the GP if that can be arranged.

In the UK, care is set up that way routinely. Talked to a guy in a remote Welsh village whose local doc consulted with Claire Harrison, the big name in MPNs in London, and her office provided a care plan for him. Patient was elderly and never had to leave home.