My thought is it doesn’t take six days to get a sensitivity back. It takes 72 hours. Not sure what the six day delay was also, since he has a history of liver disease, I would ask for an ammonia level to rule out other possibilities. ? Brain scan? Since this is not baseline, the ruling out should cover all until cause found in my opinion. Good l…[Read more]

I am mortified by the administrator’s response that this is “normal”. One of the most important things we can do for our elderly clients is to ensure that the care team is well-informed about their baseline. On so many occasions, aging/elderly patients have acute mental status changes that are chalked up to “normal aging” when a detailed workup…[Read more]

Can NPs practice independently in your state (i.e., without physician oversight)? If not, a physician should be overseeing your patient’s care, but some physicians “oversee” more carefully than others. I would insist on evaluation by a physician . (Full disclosure: I am a physician). Many NPs do not have sufficient training to understand highl…[Read more]

Hello,
I have a 78 yr old patient in a SNF short term rehab. He has been in and out of the hospital since March for emergency gall bladder surgery, stent in liver and then diagnosed with end stage renal failure – he has been on dialysis since that time. No prior other major medical other than major deconditioning from back problems. It appears…[Read more]

Hi Michelle!
You have good questions here and I am glad you are doing your due diligence looking into everything!

I am familiar with Solace and I have been listed within their organization myself since its inception. From what I have seen, they have been very progressive in trying to reach more potential clients and one way they have accomplished…[Read more]

Ah! That would have been amazing to see you there, Hyacinth!

I understand that it can be very difficult to make work. Unfortunately I am unaware of a virtual option. They did a few years ago but I am pretty certain it has gone 100% in person.

Put it into your business plan for next year!

Steph

Hey Michelle! I know I am late to the party! I have been trying to read through your posts. I really wanted to go to the summit but I’m not able to. Will there be a virtual option this year?

@Katy – I totally feel your pain. I gave this reporter such a long saga about this. It was crazy. There were literally no PCPs accepting new patients in the health system in my metro area. I finally found a practice in Tier 2 of my insurance plan and got approval for them to be treated as Tier 1 since the plan has a network adequacy problem. I’ve…[Read more]

Nice Deb. Congrats!
I have had a few clients that wanted a Concierge MD. I guess this explains the reason why it’s so difficult to get an appointment. My Dr of over 20 years retired because she did not feel she could care for her patients the way she felt she should.
Now I find myself with a doctor I was assigned to in the same office that d…[Read more]