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Jan 15, 2008 - 4 comments
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I had a horrible appointment with my PCP last week. He has a thick file on me with all my medical records for the last 3 years and still does not think it is his place to determine whether I am disabled or not. He thinks all the specialists that I have seen in the last 3 years should each write a letter. I have seen at least 10 different specialists and I know that they forward their test results and remarks to him. I feel that he has enought information to write a letter for me. My attorney needs a recent letter from him as we are fighting to get my disability payments reinstated. They were stopped in July 2007.
Just for kicks, I looked up the definition of a PCP online and this is what I found.
A primary care physician is usually the first medical practitioner contacted by a patient, due to factors such as ease of communication, accessible location, familiarity, and increasingly issues of cost and managed care requirements. Many health maintenance organizations position PCPs as "gatekeepers", who regulate access to more costly procedures or specialists. Ideally, the primary care physician acts on behalf of the patient to collaborate with referral specialists, coordinate the care given by varied organizations such as hospitals or rehabilitation clinics, act as a comprehensive repository for the patients records, and provide long-term management of chronic conditions.
Just for kicks, I looked up the definition of a PCP online and this is what I found.
A primary care physician is usually the first medical practitioner contacted by a patient, due to factors such as ease of communication, accessible location, familiarity, and increasingly issues of cost and managed care requirements. Many health maintenance organizations position PCPs as "gatekeepers", who regulate access to more costly procedures or specialists. Ideally, the primary care physician acts on behalf of the patient to collaborate with referral specialists, coordinate the care given by varied organizations such as hospitals or rehabilitation clinics, act as a comprehensive repository for the patients records, and provide long-term management of chronic conditions.
Hi There,
I too have had trouble finding a GOOD PCP. Mine is OK but often doesn't seem to get the job done. She wants me to come in for minor things when I already know what the problem is etc since I had major heart surgery 4 yrs ago. I have fibromyalgia and some other related things as well.
I have been on disability since 1985, got on then for stress related problems. The best that I can tell you from my experiences is go most often to the doctor that you feel most comfortable with even if it is a specialist and explain to them what is going on and ask their opinion. Also contact SOC SEC and tell them what is going on and tell them your doctor isn't cooperating and see what they say. They are there to help how ever they can. Your attorney should also be able to get something done, write a STRONG letter etc. Sometimes that is all it takes. Ask your other doctors who they would recommend as a PCP too.
I too have had trouble finding a GOOD PCP. Mine is OK but often doesn't seem to get the job done. She wants me to come in for minor things when I already know what the problem is etc since I had major heart surgery 4 yrs ago. I have fibromyalgia and some other related things as well.
I have been on disability since 1985, got on then for stress related problems. The best that I can tell you from my experiences is go most often to the doctor that you feel most comfortable with even if it is a specialist and explain to them what is going on and ask their opinion. Also contact SOC SEC and tell them what is going on and tell them your doctor isn't cooperating and see what they say. They are there to help how ever they can. Your attorney should also be able to get something done, write a STRONG letter etc. Sometimes that is all it takes. Ask your other doctors who they would recommend as a PCP too.
I had forgotton about this post. What I ended up doing was writing the letter myself and giving it to my PCP and he signed it. Obviously, he agreed with what I had written and maybe just didn't want to take the time to write it. Who knows?
I have since found a PCP that is more up to speed on what it takes to practice medicine in today's world.
I have since found a PCP that is more up to speed on what it takes to practice medicine in today's world.
Id get my file from my good ole PCP and find me a new one. Legally those charts are yours. Most docs don't fight about file ownership any more.....but there are still a few who think they should be the only one allowed access to the chart. The person seems a little wormy if after all these years he wants to wash his hands of what he considers no big deal. I am so sorry you are having to go through all this. Be Well.
I have a great PCP. She takes care of everything for me. I actually feel bad about it all the time because I only have an appointment with her maybe each 6wks, and all the stuff she does for me in between with paperwork and claims, etc she does for no cost. I think she should charge a little for some of it, but she doesn't. I would suggest to anyone who isn't happy with their PCP to shop around and find another. There are sites online where people put up recommendations, etc for physicians. Perhaps consult one of those, or just ask people around where you live to find a good PCP. I am trying to get approved for my long term disability insurance claim and she takes care of all of the stuff I need for that ASAP, whereas trying to get a letter or a form filled out by one of my specialists is like pulling teeth.
Also, I recommend getting all of your records from all of your doctors and making sure that you get the updates on them periodically. Checking out how accurate your doctor is in their description of your problem and how accurate they are in recording your explanations of things is a good indicator of how much they are paying attention to you and therefore how good of a job they are doing managing your care.
Also, I recommend getting all of your records from all of your doctors and making sure that you get the updates on them periodically. Checking out how accurate your doctor is in their description of your problem and how accurate they are in recording your explanations of things is a good indicator of how much they are paying attention to you and therefore how good of a job they are doing managing your care.
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