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The Patient Advocate's Chronicle

  • Home
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    • Meet Claire
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How To Find A Provider

March 19, 2017 Claire Sachs

So now that you know how to choose the right doctor (or other provider), how do you find one? That can be difficult. I was lucky. I found the first anchor of my network on TV. He was on a local news segment talking about inhaler insulin back when we thought that was going to be the next big thing. And he worked in a university clinic, which meant that he took my insurance.

If you already have a doctor you like, finding another one in a different specialty is a little easier than if you don’t. Ask for a referral. Doctors generally have extensive networks: colleagues, classmates, partners. It’s not always a match, but if you like your doctor, and your doctor thinks highly of another medical professional, there’s a good chance that person will be a good fit.

That’s what I did when the aforementioned doctor moved on. After over a decade, I was in his office trying to connect him with another provider (I thought they could help each other). That’s when I found out that he was only going to be in practice for another three weeks. He was leaving for a big drug company, which made sense since I knew his heart was really in research, but didn’t help my state of mind. I was upset, and a little shocked. I am so resistant to change. Anything that shakes my comfort zone requires tons of advanced notice and a lot of time to mentally prepare. Thank goodness there are months between visits! I asked for a recommendation, and when I couldn’t get an appointment because she wasn’t taking new patients, he was kind enough to make a phone call to get me in the door.

Then there was the time my specialist got tired of treating me for every cough and sniffle. He knew how particular I was about my doctors, so he gave me the name of his General Practitioner. The theory was that if the General Practitioner was good enough for my doctor, he was good enough for me. Fair enough, but I waited. And waited. And waited until I really needed a General Practitioner, and knew that my specialist wouldn’t see me for the flu. By the time I called for an appointment, the doctor whose name I’d been given had retired. (That’s typical for me.) I was desperate, so I went to see the doctor who had been hired to replace him. Lucky again—it turned out to be a great fit! So good, in fact, that I drive 25 miles through two states and the District of Columbia to see him.

But maybe you’ve just moved or you haven’t been to a doctor for a while, or the one(s) you have don’t fit as well as you would like. What then? Where to start your network?

Do your research. If you live close to a university like that has a medical school, like Johns Hopkins in Baltimore, MD, or a big research center like the Mayo Clinic in Rochester, MN, or the Cleveland Clinic, in Cleveland, OH, start with their staff. The doctors there are on the cutting edges of their specialties, and often take new patients.

If you don’t have a resource like that or it is too far away, I recommend starting with a site like healthgrades. Decide what is important to you. Considering the following factors may be helpful:

  • Board certification
  • Education
  • Residency
  • Years of experience
  • Location
  • Whether they take your insurance
  • Past or pending malpractice claims

Don’t forget to read the crowdsourced reviews, too, but be sure to take them with a grain of salt. Often those who take the time to comment are the ones who had experiences at the fringes of the satisfaction scale: they are either very pleased or completely put off. Likely the majority of patients are happy enough but haven’t taken the time to post a review.

When you are satisfied that you have the information you need, rank your top three candidates. Make an appointment and you’re ready to go!

In Providers as Partners Tags provider, How To, my chronic life, autoimmune, doctor, medical network
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How to Choose a Provider

March 19, 2017 Claire Sachs

One of the most important things in my medical life is the team of providers I have assembled. I am very particular about those I have selected to help me navigate my condition. You should be too. These are the people who enable your life. Literally. I owe it to myself to invest at least as much time researching and interviewing medical providers as I do business partners or mechanics.

For me, the one attribute all my providers must have is the capacity to accept that they are not the only authority. We share that responsibility. My doctors consult each other, whether they are in the same office or not, and they welcome me as an equal partner and contributor. This may not be the right formula for everyone. For example, my father prefers for his doctor to remain THE AUTHORITY.

Either way, it is important to get what you need from your appointments, to feel like you leave with all of your questions answered and with the tools you need to flourish in the months in between.

The first step toward finding the right provider is to make a list of what you are looking for. Education and residency may be important to you, communication style, availability, or length of time the doctor has been practicing. Or recommendations from people you trust. Treat it as if it were a business interview. List your questions and have in mind an acceptable range of answers for each.

Second, decide your priorities. You may want to sort your providers into different categories. What I mean is, there are providers you see once a year and providers you see once a week. There are the ones to see for chronic conditions and the ones to see for more mundane issues. I choose to invest the most effort in finding those who will treat conditions that have the potential to cause the most physical damage. Oh, and my General Practitioner. You may feel like you see enough doctors, but an Internist or General Practitioner is also an important part of your team. Generally speaking they are a lot easier to schedule than specialists, who are usually booked solid months in advance. And you will need one, not just for those pesky, unavoidable events like getting the flu, but also to be a sort of ringleader, someone who gets all of your files from all of your providers, and can help you keep track of all the things that may fall through the cracks.

Lastly, don’t be afraid to shop around. Many people go to a doctor who isn’t a good fit and still return for the follow-up visit. This may be because they don’t have time to search for another doctor on their plan, or because they feel a kind of obligation to return, or any number of reasons. If your mother was anything like mine, she told you that you shouldn’t settle. If that advice is good for a date, it’s good for a doctor.

Good luck assembling your team!

In Providers as Partners Tags how to, choose, provider, doctor, chronic, autoimmune, priorities, interview, rank, medical team
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Meet our founder. For almost 35 years, Claire reluctantly has been learning the ins and outs of the American healthcare system. She has worked with dozens of providers, navigated complicated insurance policies, and balanced her conditions with the demands of everyday life, often successfully, but sometimes not.  Learn more about her here. 

 

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Disclaimer: The Patient Advocate’s Chronicle posts point-of-view articles, analysis, and expert interviews on medical and other areas of interest to the autoimmune and chronic patient community. I am not a doctor. I have not gone to medical school. The articles on this blog are for informational purposes only and do not constitute medical advice. Read full disclaimer here. 

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