Strange yet Positive Primary Care Dr Apt this week

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Retired Mom
Veteran Member


Date Joined Feb 2010
Total Posts : 1753
   Posted 12/4/2011 5:55 PM (GMT -6)   
Hello HW friends.  I had one strange visit with my PCP this week for the welcome to Medicare visit.  It was even strange that United (my primary insurance) is paying for the Welcome to Medicare....wierd.  Anyway, she is my Dr and has been a "friend" for a long, long time.  We are not "outside" friends, but have a wonderful patient/Dr relationship.  In fact, she sends out the medical students who study under her when she sees me so we can have some personal conversation while we do our medical appointment.
 
She ordered almost every test under the sun and we discussed my pain management progress.  She was stunned when I told her I was now taking all of my pain meds exactly as ordered, since I was only taking them when needed the last time we really discussed it (about a year ago).  She asked me some questions and I explained that "when you take your meds for a true pain situation, you don't get a high or loopy feeling, but when you take them without a real need, you feel the effects of the meds".  She thought a minute and then seemed to "go back to med school days" and said she fully understood what I was talking about.  The reason for the discussion was that she could not "believe" that I had taken the meds I said I had already taken that morning because I was "acting" so straight and sober.  I even got out my phone and gave her the exact timing of the meds that I took.  (For those w/Iphone, there is a free app that does that for you....just look in the app store for the red one with RX on it).  It helps a lot when you go in to the Dr and need the info.
 
Apparently there are now requirements that the Dr's must put in exact diagnosis codes immediately to make sure insurance pays.  They also have to use the Epharm program to send in the prescriptions. 
 
I only "dress" for my Dr apts anymore and rarely do anything that improves my appearance when i am home, but she says that I look like I am in great shape (except extra weight).  She then said that she would always back up my SSD and Medical Retirement, however, because my test results, labs, and Labs/X-rays are so clearly causing serious pain and problems.
 
It was really strange and so gratifying to have a PCP that understands and doesn't judge me for my meds (and trying to look OK for the aptL .   I can't do that with any other Dr (inclding PM) because they don't get the "you look too healthy to be disabled" thing.
 
None the less, she is retesting me for EVERYTHING possible because she feels somebody missed something and the primary reason for my pain is being overlooked.  I just love this lady!
 
I just wanted to give an update on my apt and to say that one "good" Dr apt can really change the way you feel about physicians.  I hope you guys are blessed to find someone who treats you the way this PCP treats me.
 
All my best!
TLIF L5-S1/failed, Pituatary disorder w/HGH deficiency, Fibro, Failed Bladder Surgery & Nissen, GERD, OCPD, GAD, MDD, CFS, TMJ, Migraines, HBP, Idiopatic Reactive Hypoglycemia w/Diabetic reaction to HGH, Bi-lateral CTS (surgery related trigger finger), Edema, Tarsal Tunnel Syndrome, Peripheral Neuropathy, Plantar Fascitis, Tibular Tendionitis, Adult Onset Flat Feet, Vision Issues & much more.....

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 12/5/2011 12:29 AM (GMT -6)   
You are very fortuante indeed to find a doctor of such immense qualities, a rare gem among them. Hope the two of you make a good team together, as that what it takes in my opinion. I have the same good fortune with my oncologist and my long time urologist. I wouldn't consider leaving either one of them.

Good luck to you.

David in SC
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06, 2/11 1.24, 4/11 3.81, 6/11 5.8
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, 21 Catheters, Ileal Conduit Surgery 9/10

Chartreux
Veteran Member


Date Joined Aug 2006
Total Posts : 9664
   Posted 12/5/2011 8:39 AM (GMT -6)   
Nice to hear a good doctor story, hope this PCP continues to look out
for you..glad it went well...Many more well wishes for you and healing hugz...
**********************************************
* So many dx's I could write a book* "It would be nice if we could use the edit button in real life"...
********>^..^<********>^..^<*******

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 16301
   Posted 12/5/2011 11:26 AM (GMT -6)   
RM sounds like you had a good drs appt and thats such a welcomed change after some of the other drs appts we sometimes have to endure.

My PM drs office has been working hard for months getting all geared up for the new things required by Medicare. All medical records are done electronically or else the drs will not get paid. Its all a computer program they now require the drs to use. I now have access to my medical records online to her office. My scripts are all done on the computer too. She says its a good program and will hopefully cut down errors.

I don't know if you are still looking for a new PM dr or not, if so, have you had any luck yet in finding one? It can be a task when looking for new drs.

Take care.
Moderator Chronic Pain Forum

Retired Mom
Veteran Member


Date Joined Feb 2010
Total Posts : 1753
   Posted 12/5/2011 4:52 PM (GMT -6)   
Hi all,

Sorry I had a break before I posted. It's been a busy week (with a new baby born to my step daughter this morning)!

I am still hoping to find a new PM, but I'm waiting on my appointment this month. It will be the first one after the RFA. I don't know what to do really. It's complicated and I don't want to loose what help I do have. I'm also scared!!! Kind of like the what if's are getting me. I'm sure you all understand.

If the word is bad this month and they reduce my meds, I will be hunting a new dr IMMEDIATELY, but if he just leaves everything as is, then I'm going to leave it alone and work toward the SCS situation. The RFA has already started to wear off and it hasn't been but three months. I'll be using the Neurosurgeon for that.
TLIF L5-S1/failed, Pituatary disorder w/HGH deficiency, Fibro, Failed Bladder Surgery & Nissen, GERD, OCPD, GAD, MDD, CFS, TMJ, Migraines, HBP, Idiopatic Reactive Hypoglycemia w/Diabetic reaction to HGH, Bi-lateral CTS (surgery related trigger finger), Edema, Tarsal Tunnel Syndrome, Peripheral Neuropathy, Plantar Fascitis, Tibular Tendionitis, Adult Onset Flat Feet, Vision Issues & much more.....
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