Guest guest Posted July 2, 2012 Report Share Posted July 2, 2012 Greetings I have been under control for over ten years. I am by years end going to be relocating to rural Ohio, where all the Endos and Neph's are on staff at the local regional hospital. None are in private practice, so my new primary is most likely to be a GP. Either a MD or a DO. This town has a 50/50 split on this subject. Yes I can travel to the bigger town which is 15 miles away or to the City which is 40. My current primary who is a Neph said that he is concerned that my next primary might want to " reinvent the wheel " where my Conn's treatment plan is concerned. My question is, will a DO be more receptive to my current treatment which is largely based on diet, inspra, bystolic, aspirin and vitamin D. When we were talking about my relocation, he made the comment that some Dr's are wary of adrenal patients and have a tendency to steer clear of them. On my first visit to my current Dr. I presented to him a portfolio of my history with Conn's, he told me that he was taken by surprise. When I had my my next visit with him, he had researched Conn's and was confident that he would be able to keep me on the straight and narrow. which he has. I am in the process in drafting a letter of introduction that will be mailed to the Dr's where I will be relocating, and it includes a commitment of communication from my current Dr. to the new one. Thank you for your time. Gordon Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 2, 2012 Report Share Posted July 2, 2012 I am available by one on one consultation with u and your team to be certain you are on the right track. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Jul 2, 2012, at 20:25, gnenjnj <syracuse46567@...> wrote: Greetings I have been under control for over ten years. I am by years end going to be relocating to rural Ohio, where all the Endos and Neph's are on staff at the local regional hospital. None are in private practice, so my new primary is most likely to be a GP. Either a MD or a DO. This town has a 50/50 split on this subject. Yes I can travel to the bigger town which is 15 miles away or to the City which is 40. My current primary who is a Neph said that he is concerned that my next primary might want to "reinvent the wheel" where my Conn's treatment plan is concerned. My question is, will a DO be more receptive to my current treatment which is largely based on diet, inspra, bystolic, aspirin and vitamin D. When we were talking about my relocation, he made the comment that some Dr's are wary of adrenal patients and have a tendency to steer clear of them. On my first visit to my current Dr. I presented to him a portfolio of my history with Conn's, he told me that he was taken by surprise. When I had my my next visit with him, he had researched Conn's and was confident that he would be able to keep me on the straight and narrow. which he has. I am in the process in drafting a letter of introduction that will be mailed to the Dr's where I will be relocating, and it includes a commitment of communication from my current Dr. to the new one. Thank you for your time. Gordon Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 3, 2012 Report Share Posted July 3, 2012 Are you using or understanding the term "on staff" correctly as it applies to physicians? When a doc or PA or NP is said to be on staff that doesn't mean the doctor is EMPLOYED by the hospital as even the biggest hospitals do not usually employ such an array of specialists. It usually just means they have applied and were approved to see and follow patients in the hospital (often their own patients they see in clinic) and met the hospitals credentialing process (like the "vetting" of a political candidate) and it is usually a symbiotic relationship - the doc either gets a fee to "cover" and be on call at the hospital (they pick up new patients this way sometimes), or they can see patients but bill privately, and the hospital can say they have a "surgeon on call 24 hours" and their patients will be taken care of. But when we use the term we usually aren't saying they work for the hospital. Most hospitals do have a house doctor (yeah, kind of like the TV show, but not really LIKE the TV show) and/or often they use residents with a chief resident and an attending or chief doc. They sometimes ARE docs in a group that IS sometimes owned by the hospital and in their contract they know they will be working at the hospital also, they may be in private practice that has an agreement with the hospital. From: gnenjnj <syracuse46567@...>Subject: Relocating need a new Drhyperaldosteronism Date: Monday, July 2, 2012, 10:25 PM GreetingsI have been under control for over ten years.I am by years end going to be relocating to rural Ohio, where all the Endos and Neph's are on staff at the local regional hospital.None are in private practice, so my new primary is most likely to be a GP. Either a MD or a DO.This town has a 50/50 split on this subject. Yes I can travel to the bigger town which is 15 miles away or to the City which is 40.My current primary who is a Neph said that he is concerned that my next primary might want to "reinvent the wheel" where my Conn's treatment plan is concerned.My question is, will a DO be more receptive to my current treatment which is largely based on diet, inspra, bystolic, aspirin and vitamin D.When we were talking about my relocation, he made the comment that some Dr's are wary of adrenal patients and have a tendency to steer clear of them.On my first visit to my current Dr. I presented to him a portfolio of my history with Conn's, he told me that he was taken by surprise. When I had my my next visit with him, he had researched Conn's and was confident that he would be able to keep me on the straight and narrow. which he has.I am in the process in drafting a letter of introduction that will be mailed to the Dr's where I will be relocating, and it includes a commitment of communication from my current Dr. to the new one.Thank you for your time.Gordon Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 3, 2012 Report Share Posted July 3, 2012 > > >  > Are you using or understanding the term " on staff " correctly as it applies to physicians? >  > When a doc or PA or NP is said to be on staff that doesn't mean the doctor is EMPLOYED by the hospital as even the biggest hospitals do not usually employ such an array of specialists. It usually just means they have applied and were approved to see and follow patients in the hospital (often their own patients they see in clinic) and met the hospitals credentialing process (like the " vetting " of a political candidate) and it is usually a symbiotic relationship - the doc either gets a fee to " cover "  and be on call at the hospital (they pick up new patients this way sometimes), or they can see patients but bill privately, and the hospital can say they have a " surgeon on call 24 hours " and their patients will be taken care of. >  > But when we use the term we usually aren't saying they work for the hospital. Most hospitals do have a house doctor (yeah, kind of like the TV show, but not really LIKE the TV show) and/or often they use residents with a chief resident and an attending or chief doc. They sometimes ARE docs in a group that IS sometimes owned by the hospital and in their contract they know they will be working at the hospital also, they may be in private practice that has an agreement with the hospital. >  ------------ Greetings Yes you are right these are roving Dr's and pratice in many hospitals. When I contacted severl of them I was told that I had to go through the hospital to obtain an appt, which opens a big can of worms with my ins. Went through that a few years ago, a very expensive lesson. g Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 3, 2012 Report Share Posted July 3, 2012 Is it the hospital or a clinic that may be in the hospital that they say you have to go through? > > > > > >  > > Are you using or understanding the term " on staff " correctly as it applies to physicians? > >  > > When a doc or PA or NP is said to be on staff that doesn't mean the doctor is EMPLOYED by the hospital as even the biggest hospitals do not usually employ such an array of specialists. It usually just means they have applied and were approved to see and follow patients in the hospital (often their own patients they see in clinic) and met the hospitals credentialing process (like the " vetting " of a political candidate) and it is usually a symbiotic relationship - the doc either gets a fee to " cover "  and be on call at the hospital (they pick up new patients this way sometimes), or they can see patients but bill privately, and the hospital can say they have a " surgeon on call 24 hours " and their patients will be taken care of. > >  > > But when we use the term we usually aren't saying they work for the hospital. Most hospitals do have a house doctor (yeah, kind of like the TV show, but not really LIKE the TV show) and/or often they use residents with a chief resident and an attending or chief doc. They sometimes ARE docs in a group that IS sometimes owned by the hospital and in their contract they know they will be working at the hospital also, they may be in private practice that has an agreement with the hospital. > >  > ------------ > Greetings > Yes you are right these are roving Dr's and pratice in many hospitals. > > When I contacted severl of them I was told that I had to go through the hospital to obtain an appt, which opens a big can of worms with my ins. > > Went through that a few years ago, a very expensive lesson. > > g > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 3, 2012 Report Share Posted July 3, 2012 northern or southern Ohio? I'm in rural North West corner of Ohio & make the drive to University of Michigan. You're not only looking for a doc who can treat your Conns but one with a staff (nurses, PAs, whatever) that will understand you're not just a patient w/ hypertension when you call in and dismiss your concerns. Greatest docs in the world are worthless if the staff won't deliver your messages to them. > > > Greetings > > > > I have been under control for over ten years. > > > > I am by years end going to be relocating to rural Ohio, where all the Endos and Neph's are on staff at the local regional hospital. > > > > None are in private practice, so my new primary is most likely to be a GP. Either a MD or a DO. > > > > This town has a 50/50 split on this subject. Yes I can travel to the bigger town which is 15 miles away or to the City which is 40. > > > > My current primary who is a Neph said that he is concerned that my next primary might want to " reinvent the wheel " where my Conn's treatment plan is concerned. > > > > My question is, will a DO be more receptive to my current treatment which is largely based on diet, inspra, bystolic, aspirin and vitamin D. > > > > When we were talking about my relocation, he made the comment that some Dr's are wary of adrenal patients and have a tendency to steer clear of them. > > > > On my first visit to my current Dr. I presented to him a portfolio of my history with Conn's, he told me that he was taken by surprise. When I had my my next visit with him, he had researched Conn's and was confident that he would be able to keep me on the straight and narrow. which he has. > > > > I am in the process in drafting a letter of introduction that will be mailed to the Dr's where I will be relocating, and it includes a commitment of communication from my current Dr. to the new one. > > > > Thank you for your time. > > > > Gordon > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 3, 2012 Report Share Posted July 3, 2012 If close to Ann Arbor go to Univ Hosp. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Jul 3, 2012, at 8:33, mmcandmcc <mmcandmcc@...> wrote: northern or southern Ohio? I'm in rural North West corner of Ohio & make the drive to University of Michigan. You're not only looking for a doc who can treat your Conns but one with a staff (nurses, PAs, whatever) that will understand you're not just a patient w/ hypertension when you call in and dismiss your concerns. Greatest docs in the world are worthless if the staff won't deliver your messages to them. > > > Greetings > > > > I have been under control for over ten years. > > > > I am by years end going to be relocating to rural Ohio, where all the Endos and Neph's are on staff at the local regional hospital. > > > > None are in private practice, so my new primary is most likely to be a GP. Either a MD or a DO. > > > > This town has a 50/50 split on this subject. Yes I can travel to the bigger town which is 15 miles away or to the City which is 40. > > > > My current primary who is a Neph said that he is concerned that my next primary might want to "reinvent the wheel" where my Conn's treatment plan is concerned. > > > > My question is, will a DO be more receptive to my current treatment which is largely based on diet, inspra, bystolic, aspirin and vitamin D. > > > > When we were talking about my relocation, he made the comment that some Dr's are wary of adrenal patients and have a tendency to steer clear of them. > > > > On my first visit to my current Dr. I presented to him a portfolio of my history with Conn's, he told me that he was taken by surprise. When I had my my next visit with him, he had researched Conn's and was confident that he would be able to keep me on the straight and narrow. which he has. > > > > I am in the process in drafting a letter of introduction that will be mailed to the Dr's where I will be relocating, and it includes a commitment of communication from my current Dr. to the new one. > > > > Thank you for your time. > > > > Gordon > > > > > Quote Link to comment Share on other sites More sharing options...
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