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Thread: No GP will see me

  1. #11
    In a stunning reversal of roles, some of the doctors where I live are actually having prospective patients fill out applications, and if the application looks okay, a formal interview will follow! It's become a very threatening and adversarial system. I understand how this came about, since health care in the US is structured on the business model, but the upshot is that patients with the greatest need for care are the least likely to be welcomed into a medical practice. What a state of affairs.

  2. #12
    Hello there dear friend...haven't posted in ages, lurk alot but just staying in my hole...been dealing with ptsd and trying to move forward...anyways...maybe this is the universe telling you to pack your house up and get the hell out of dodge...tiime for your life long dream of New Mexico! or was it Arizona?...it's time...think of you often and hope your heart has healed some and you are seeing a little light at the end of that dark tunnel that swallowed you...

    When we needed to find a new doctor a few years back it was all about who you knew...Joel had gone to a birthday party with the family to my daughter in laws aunt's house...she was a principle at a private school...rich kids...kids whose fathers were doctors...the doctor (who happened to be a spinal cord doc) gave joel his card saying to call if he needed anything...duh...hell yeah we needed a doc...I called and called...they kept saying doctor was not taking on anyone new...so, I called the aunt who was friends with the wife...wife called hubby the doc...doctor called within 5 minutes...we are blessed today with a wonderful doctor who loves my son... practice was cut in half a couple years ago and we feel so blessed Joel was kept on...

  3. #13
    Moderator jody's Avatar
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    sorry bethany, I had no idea I was causing trouble in your thread with my post. Im taking a break from carecure. I have no real friends accept here. I really didnt know what I wrote would offend anyone or muss up your thread.

    I hope you find a Dr soon. I think they really can't reject you without a reason, and asking for a letter put every place I applied for care, on the spot. I did not ask right away, but went back a week later. not one out of the 15 I applied at would agree to write a letter as to why I was not acceptable as a new patient when they said on the phone they were accepting new patients. I would agree that a place should not be able to reject you with no reason at all, likely if you ask for it in writing why they don't want to extend you care when they accept your insurance, and are accepting new patients, they will look again at your application for care, and maybe even send for your files to review as they did for me.

  4. #14
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    You were supposed to call me because YOU never know how you are going to feel. Remember that conversation because that is what you said?

    Vague PM's...wwweeellllll let me guess LMAO!!!!

    Nobody asked you to check for a doctor.

    I was looking forward to meeting you too until I found some things out myself. I heeded their advice.

    You could have written a post without taking a jab at me. You have done it in other threads too and I let it go.

    Its easy being a moderator and you can go back and delete the other two posts before the one you left. Isn't it??? Why did it take three posts?
    Last edited by darkeyed_daisy; 06-30-2012 at 01:40 PM.
    T12-L2; Burst fracture L1: Incomplete walking with AFO's and cane since 1989

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  5. #15
    It is so terrible that many of us have such a hard time finding decent doctors.

    I agree that it is generally best for us to go to the large, teaching hospitals. They are more likely to have specialists or at least one person familiar with SCI, more likely to have seen more complicated cases, and more likely to accept Medicare/Medicaid without batting an eye. They are also more likely to have rehab hospitals/centers associated with them, so sometimes they have closer relationships with PT/physiatry.

    When my mom was thinking of retiring to a smaller, beautiful city years ago (eg. small town Colorado or Vermont), my main concern was access to medical care. Always being in driving distance to a major medical center, which are usually in larger cities, is a necessity.

    Jody, your idea of asking the doctor's offices for a letter of explanation was excellent. I am going to remember that one.

  6. #16
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    Quote Originally Posted by Bonnette View Post
    In a stunning reversal of roles, some of the doctors where I live are actually having prospective patients fill out applications, and if the application looks okay, a formal interview will follow! It's become a very threatening and adversarial system. I understand how this came about, since health care in the US is structured on the business model, but the upshot is that patients with the greatest need for care are the least likely to be welcomed into a medical practice. What a state of affairs.
    This happened to me in Virginia. They wanted an application and not just GP's but specialists too.

    In small towns, they can and will be selective especially based on what kind of insurance you have. A particular plan may not pay easy or well.

    Hospitals are obligated by Federal law to treat all Medicare patients. However, when all of the part D's came along, they can accept or not accept it.

    Most just want the easy patients and it is sad.
    T12-L2; Burst fracture L1: Incomplete walking with AFO's and cane since 1989

    My goal in life is to be as good of a person my dog already thinks I am. ~Author Unknown

  7. #17
    Senior Member ~Lin's Avatar
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    Its so frustrating how other people don't understand what a huge deal it is to change drs when you have a complicated medical case, and/or see multiple specialists. The last time I moved (within the city) my dad and stepmom came down to help. And my stepmom went after me, talking about how much easier things would be if I moved up near them. Easier how? I'd have to completely find new drs, and when I moved down here I had to wait 6-9 months to get in as a new patient for some of my specialists. I was suicidal due to the pain and thats what caused the start of a long term house-bound situation. I am NOT doing that again! She tells me Ive switched Drs before, I can do it again. And ok well it would be easier for THEM if I was close by. So, moving everything I own 3 hours away instead of 15 minutes away is going to be easier? How? And there is no university hospital near them, when I lived up there before I had to commute to University of Chicago an hour away. I don't know if they'd take Indiana medicaid, and I'd be entirely dependent on them driving me to appointments since I can't drive that long. I finally gave up arguing with her and said she has no idea what my life is like. My dad (who watched the entire debate silently) must have talked to her after because later she apologized, said I was right she has no idea what my life is like, and gave me a hug.

    Its a shame that medical care is this way. Especially in the US. Some of the best medical care... except when it comes to prevention. Keep trying, I think Jody's suggestion of asking WHY they're denying you is a good idea. Force them to look at things a second time. And like I said before, Ive had the best luck at university hospitals.
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  8. #18
    Quote Originally Posted by darkeyed_daisy View Post
    Most just want the easy patients and it is sad.
    It certainly is! Only the (reasonably) healthy need apply.

  9. #19
    Moderator jody's Avatar
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    Quote Originally Posted by darkeyed_daisy View Post
    You were supposed to call me because YOU never know how you are going to feel. Remember that conversation because that is what you said?

    Vague PM's...wwweeellllll let me guess LMAO!!!!

    Nobody asked you to check for a doctor.

    I was looking forward to meeting you too until I found some things out myself. I heeded their advice.

    You could have written a post without taking a jab at me. You have done it in other threads too and I let it go.

    Its easy being a moderator and you can go back and delete the other two posts before the one you left. Isn't it??? Why did it take three posts?
    I accidentally posted two of the same post. another mod combined them, and I removed the duplicate. nothing was changed at all, and you did ask me to ask. I did.

    I did try to call you, and I left a message.

    to the mod who first edited my posts, can you please verify I did not change anything I wrote, but moved a duplicate post and combined two together.

    what would I change from that that would indicate I am shady. really DD you are being mean and unfair, and Im the one who got stood up. you just said you asked around, and decided not to meet me.

    I think it is rotten that you had to go do some kind of pole to see who hates jody. apparently a lot do. As a moderator, I move spam and ban spammers, and keep the religion forum from getting trashed.


    Im sorry I every wanted to meet you. what a mean person you can be.

  10. #20
    Quote Originally Posted by Bonnette View Post
    It certainly is! Only the (reasonably) healthy need apply.

    It is a complicated time for health care.

    When my father sees his physiatrist at a major rehab center for a routine follow-up appointment, he sees a nurse (who takes his vital signs and reviews his medication list), a SCI nurse practitioner (who reviews his bowel/bladder/pain and script/supply needs), sometimes a resident doctor or a fellow, and then his physiatrist. Usually we get the time we need, even if our questions are not really answered, and the quality of the caregivers varies. My Dad is complicated even for his SCI doc.

    Medicare pays about $65 for this person to cover all of those people/resident training/building costs/overhead etc.... So clearly the doctor loses money by seeing my father.

    In contrast, my father's dermatologist rushes in and takes 10-15 minutes to see my father and renew scripts for his topicals. She never even sits down. She knows nothing about pressure sores. She gets paid $150-200 by Medicare, depending upon how she bills the visit. Kinda crazy.

    I guess what I'm saying is that we ARE complicated, and often need a team of doctors to help us. Also, the reimbursement scheme (which is driven by Medicare's standards) is not fair and leads to a lot of stressors on doctors trying to care for complicated patients with lots of issues.
    Last edited by hlh; 06-30-2012 at 02:44 PM.

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