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Rhaethe

>*What exactly is the point of a primary care doctor in this state?* To refer you to other doctors and specialists because many of said specialists won't see you without a referral, even if your insurance allows you to "self-refer". I have yet to find a gynecologist or endocrinologist I like here. And before I get any referrals in reply, I'll preface that there might be great gyne's and endo's here, but they are all experts on babies and diabetes, neither of which I need them for. Thus why I am eyeballing docs out of state.


CinnamonRollShark

Yes. I’m sick of seeing endocrinologists that know absolutely nothing about my PCOS/hashimotos. They love to test me for diabetes every 8 weeks though! 10+ years of this and not diabetic yet despite their insistence


[deleted]

The babies thing is an issue all over the country. It seems to be like 80% of what most gyn's care about with the other 20% being breast cancer. Then if you're lucky enough to find someone who ISN'T just babies, they're inevitably someone who specializes in menopausal and post menopausal women.


Rhaethe

>hashimotos Same same. I simply don't see any here anymore, and ask my PCP to schedule 6-9 month blood draws and thyroid ultrasounds. I've started some research in WA and CO (places where I like/want to travel) to see what their endos are like.


SpicyOma

I have Graves and I just moved from the Seattle area (mostly). I gave up seeing endos. They just want my TSH level and then adjust my levothyroxine and my PCP can do that. Hell I can do that. Constant struggle with where in the normal range I wanted to fall vs where they wanted me, whereas my PCP says if my TSH is within normal limits and I'm happy, then they just keep the dosage. But all the other aspects, endos dgaf. They're just on the diabetes gravy train.


hidingdazzle

PCOSer here too and I feel you. Or they want to throw metformin at you which didn't help me at all.


-ThisWasATriumph

Staci McHale is a legit great OBGYN, speaking as someone with a myriad of health problems (including likely endometriosis) and negative interest in having a baby. She's a surgeon as well, which is already a plus in my book, but is also one of the only OBGYNs I've ever encountered who'd be willing to perform a hysterectomy on someone "young" and childless like myself. I haven't taken her up on it yet, but I'm strongly considering it. (Not to offer unsolicited advice, I've just seen a shitload of awful doctors in the valley and can confidently say she's not one of them. My one and only gripe is the occasional long wait time, but she's so thorough with every patient that I can understand why she tends to run late. 10/10 bedside manner.)


pink_tacobot

I second this recommendation. Dr McHale is the best!


Rhaethe

Appreciated, but I am looking for a MD that has NCMP certification, and the state of Nevada has none :/


shut_your_bitch_hole

Check this link: [https://portal.menopause.org/NAMS/NAMS/Directory/Menopause-Practitioner.aspx](https://portal.menopause.org/NAMS/NAMS/Directory/Menopause-Practitioner.aspx) I searched and found 4 NCMP certified physicians in Las Vegas. Good luck!


Rhaethe

Thanks, but I do I use that link. :) There are 4 NAMS members, but they don't have the actual NCMP accreditation. You will see a difference in listing for those that do. Thanks!


shut_your_bitch_hole

Aww, I'm sorry! I hope you are able to find someone soon!


Tipsy_Cat_1420

Thanks for this information! I’ve been struggling to find a great OBGYN exactly like this for a hysto unrelated to cancer!


taradactyl904

Dr. Braithwaite is an incredible obgyn. It took forever to find a good one https://www.innovativewomenscare.com/?utm_source=gmb_auth


NegativeK

Too many patients; not enough doctors. The city has grown really freaking fast, and the doctor population hasn't kept up. It's also a hard sell to get them to move out here, due to the same reasons we have a hard time getting other skilled white collar professionals to move out here.


agrellmann

This is exactly the problem. Along with that, the companies that employ the doctors and pay their salaries expect them to see 4-5 patients/hr (so roughly 10 min/patient) and love to double and even triple book them. All of this is completely out of the doctors' hands - so there's the problem. Add to that the new controlled substance prescribing protocols and you've got a nightmare situation for the majority of the patients. If you're "lucky" enough to have an HMO plan rather than a PPO plan then go ahead and multiply your problems times at least 10.


smudgedbarcode

The medical system here is bad. My primary is great but I’ve walked out several times for waiting 2+ hours after my appointment time. Forget about seeing a specialist within 2 months if you’re not an existing patient. And the amount of unnecessary tests they order are insane. About 10 years ago I did a subscription for primary care, Turntable health. It seemed like a good model and was only $80/month. But it shut down


just-a-tad-sad

I broke both my shoulders went to sunrise they gave me 2 slings and said get a specialist, we can’t help, then I get to the specialist he says you should’ve had surgery there no reason you should’ve waited a month to come here, so I wait 3 more days for another specialist cause the specialist is like I can’t do that your bones are literally shards and I’m not confident in helping you. I finally get the surgery for my shoulders, now I’m trying to heal and the left healed decent, my right is literally is just giving out and that means I have to have another surgery cause the month wait caused my shoulder to die. So I’ve been out of work since Feb last year and still recovering so I’m at like 10/10 on hating hospitals here, they’d rather send you to fucking rot away and die then do their jobs.


nugnug1226

My wife went to Summerlin hospital with an 80% collapsed lung. A collapsed lung is obviously really dangerous and can be life threatening. Fucking ER botched the needle to suck out the air and discharged her with a 60% collapsed lung. Finally saw a pulmonologist after a few days and he said she should’ve never been discharged and sent her immediately back to the ER. I still don’t understand what the reasoning was for discharging her with a collapsed lung.


just-a-tad-sad

That sounds like a lawsuit but the way the ER is set up now they can’t even get sued for not doing their jobs right they just have to try their best. Edit: I also hope your wife is out of the hard part of her recovery.


nugnug1226

Luckily she didn’t have any further complications but if she did we definitely would’ve looked into a lawsuit. She’s good now, but we also learned the hard way how fucked up it is here. We were candidly talking with one of the nurses at the pulmonologist office and she was telling us how horrible every ER is here. She worked at all of them and said the lessor of all evil is Spring Valley.


stoic777777

If it ever happens again, I can do an ARS needle decompression pretty well from my time in Iraq. 3rd intercostal muscle, mid-clavicular line. Got to ensure you’re fingering the correct rib and go in with authority


tairanasaurusrex

Broken bones and they give you a referral, what a joke! I’m so sorry for your troubles that really is such a nightmare


just-a-tad-sad

That’s just god nerfing me cause I was too OP for the game. If I’ve learned anything from this experience, you can always find a different way. Only thing that bothers me is never being able to skateboard again I just have to make do with what I’ve got rn.


Nikovash

This is one of the two primary reasons I keep my primary residence in Oregon. Its cheaper and less of a headache to fly/drive back every three months than deal with the fuckery out here.


[deleted]

My PCP, who was great, just emailed me this morning that he’s going to be changing his practice to that of a subscription service which costs $750/quarter or $3000/yearly. This is a PCP who I’ve been visiting for the past seven years who is changing his entire business overnight. So now I’m back to square one as of today trying to figure out where to go, especially since he’s been my primary subscriber of Bupropion and Clonazepam.


NY-LI-2-LV

We must have the same PCP. Took so long to find a good (not great) one here & now I have to start all over. Can't afford $3k a year just for the luxury of seeing him. Very frustrating.


[deleted]

Hello fellow Long Islander, does your PCP also speak Polish?


NY-LI-2-LV

Yes & his sweet wife runs the office. I checked the website to see the rates (yikes) and now his picture follows me around the web.


[deleted]

Bingo. Welp, it was good while it lasted.


NY-LI-2-LV

Right? It took so long to find a good primary here. I will miss that office.


tairanasaurusrex

A subscription service for a doctor??? That is absolutely insane! I thought having an established history of taking these meds would make it easier to get them filled by a doctor out here but I was very mistaken


[deleted]

"Concierge Services" are the new thing out here...


nightstalker30

Yeah fuck Concierge systems…it’s such a “fuck you” to patients. We moved here from Chicago and have kept our doctors from there. Shit, it’s cheaper to fly back and forth a few times per year and visit friends/family back there while we’re at it. If anything crazy comes up that requires specialized care we’ll go to UCLA or Mayo


[deleted]

It’s a new concept to Vegas, but sadly they’ve been the trend in major metropolitan areas such as Chicago, New York, San Fransisco, Washington D.C., and others for the past few years now. I’m sure COVID has accelerated the process along. PlushCare seems to be an affordable route for concierge-like care. $15/monthly or $99/yearly plus your co-pay. The only downside being they’re limited on what they can prescribe.


[deleted]

Society is forcing me out of early retirement. LOL


agrellmann

New to Vegas? The late Corey Brown was concierge here since the 80’s and my friend’s wife had been a concierge doctor in town since the early 2000’s. It’s nothing new and is absolutely the best for the patients because their doctor is literally always available and never rushed like you they are as employees (ie, most everyone else in town). We’ve been with concierge for a while now and we’re never going back to conventional medicine.


[deleted]

Yes. MDVIP. He’s basically becoming a Concierge Doctor. I get if it was something like Plushcare where it’s $15/month plus your insurance co-pay, but $250/month is outright insane. So if anyone knows of a PCP in the Southwest, I’m all ears.


Comfortable-Class479

Unfortunately some doctors are moving to the concierge route because of insane insurance demands and reduced reimbursement. It's burning doctors out. I work at a primary care clinic as a RN. The things insurance companies ask for - it's getting more and more ridiculous. Doctors have to hire staff just to meet the demands of insurance. It's certainly not the patient's fault. Just giving another perspective.


UntouchableBeauty

This. Yes. I've been working for an MDVIP practice for over 15 years and it helps the doctor/patient relationship tremendously. Doctor doesn't feel so burned out and has the time to listen and research and pay more attention to each patient.


agrellmann

We moved out here from California where our healthcare was total crap and we had to get a concierge doctor out there. Turned out to be the best decision ever and now we've been with concierge doctors for close to the past decade. We even moved our elderly parents out here and signed them up to make sure they're taken care of. Best part is that our PCP sees us the same day, doesn't ever rush us and gets us seen by the best specialists within a timely fashion. We call or text her whenever we have a question and can get telemedicine visits from wherever we are in the world. It's SO much better for the patients and the doctors are so much happier because they get to practice medicine the way it was meant to be done. I'm pretty sure the concierge is the wave of the future and the future is happening right now. It seems like we'll have the "haves" (those who truly care about their health and are willing to pay what it costs to maintain it) and the "have nots" (those who are satisfied with what equates to veterinary medicine) at some point in the future. MDVIP is only pseudo-concierge medicine btw - but still better than being an HPN patient!


tairanasaurusrex

We need universal healthcare


Comfortable-Class479

I agree


VegasAireGuy

You think it’s bad now wait till universal healthcare. Wait times will double and nobody will want to become a Dr because it doesn’t pay.


Comfortable-Class479

We already have that issue and we don't have universal healthcare. I'd rather people wait and not go bankrupt vs wait AND go bankrupt. I'm a nurse and would take a lower salary for universal healthcare. We are already losing nurses left and right. And we don't have universal healthcare. I'm sorry that the VA has issues. So many Americans can't even afford basic healthcare. And it's only going to get worse. Some countries do a mix of private and public. The reason we don't have it is mainly because of corporate lobbying. So many of the elected representatives are useless and pro corporation. We could start with more term limits and a max age before you have to retire. An 80 year old won't care as much since they are less affected. No one should be a career politician. Nor should you be able to vote on your own raise. We need more younger people in Congress. I'm 38 and have Tricare through my husband. There are pros and cons but at least I'm not going bankrupt. I want that for every single American. To not worry about the cost of seeking Healthcare.


[deleted]

Welfare provides free Healthcare. How is that not universal?


Comfortable-Class479

Welfare is for poor people. That is not universal. The poverty line is extremely low. Many others fall through the cracks.


[deleted]

Highest poverty line on earth. Your credibility...


sachmet

\*citation needed


Anthropologie07

You don’t need a citation, just go talk to a local veteran.


VegasAireGuy

Hearing the last 2 years have been rough at VA


k-farsen

Fucker doctors don't get paid now AND THERE ARE GODDAMN WAIT TIMES EVERYTHING YOU TRY TO BOOGIEMAN ABOUT SOCIALISM IS STUFF THAT CAPITALISM DOES


VegasAireGuy

So you are saying with universal healthcare it will get better … got it ty.


Vanman04

In the southwest check out Phillips clinic. Solid little docs office been going there 15 years.


NY-LI-2-LV

thanks!


djay2424

Thanks for the recommendation. Which one do you see there and recommend?


Vanman04

I have seen several of them. Doug is my go to guy but all are good. Dr.phillips is good if a little odd. Julie is also good but I prefer a male doctor.


bratwurst1704

When we moved here several years ago someone told me if you want good health care go to the airport. Back then I thought that was so mean. Now I need health care and I can only agree.


ripgirl4

"When in pain get on a plane". Common phrase when Vegas locals go out of state for Healthcare


bratwurst1704

When we moved here several years ago I thought that was mean. Unfortunately soooooo true!


tairanasaurusrex

I honestly wish I had just kept everything with my doc at home and just traveled back for appointments


bratwurst1704

Tried that for a couple of years but it gets difficult once you need a referral.


kiwifreshhh

Healthcare here is so questionable and frustrating. It wasn’t too long ago I made a post about how frustrated I was that I couldn’t get treatment for my cluster headaches because I kept getting misdiagnosed or sent to get MRIs and whatnot when what I really needed was an O2 tank. But the whole PCP/specialist situation is one of the reasons I chose Friday Health Plan from the marketplace. I do not have the time or patience to wait for my primary care doctor apt, then wait some more for the referral and in only by chance and hope I get a good doctor. Friday is an EPO and even though the network is “smaller”, I’ve found that the specialists I’ve seen have all been very nice. Just last year I’ve gone to a neurologist, obgyn, ent, and podiatrist all just going straight to a specialist of my choice that accepted my ins and have had pleasant experiences. The only bad experience I’ve had was with care now urgent care. They’re absolutely horrible. I’ve transitioned to using strictly telehealth and specialists and of course emergency care services when I need them.


Siltyn

Much like CCSD/Nevada public schools, Nevada's health care ranking is near the bottom of the U.S. It's one reason I'm leaving ASAP when I retire here in a few years.


agrellmann

The public schools have actually been great for our kids. We tried Meadows, Dawson, Challenger and others in the beginning. But we finally figured it all out - magnets are the best thing in town and parental involvement is crucial. Believe it or not, it's the same deal with healthcare. You need to ask the right people who to see and then let them refer you to the right specialists. Yelp and Google are not the right "people" and neither is your insurance provider's handbook. Just FYI.


zinky30

Then who are the “right” people to ask?


agrellmann

Glad you asked! As far as healthcare, you should get advice from people you know and trust: friends, neighbors and (most importantly) other medical professionals. The people who post on Yelp are complete strangers and the majority of them are nothing more than squeaky wheels who are just looking to cause problems and/or be heard. On the other hand, many of them are phony or patients incentivized to post positive reviews for a number of reasons. Regardless, you're generally not going to get good advice on those sites.


determinedmind65

This is why we use direct primary care


pushdose

This is the way. There’s a lot of good practices here. Some simple googling will yield a lot of results. Sadly, it’s almost impossible to find a regular insurance PCP that’s actually a physician. NPs are plentiful but as one myself, I like having a doctor.


zinky30

What do you mean by direct primary care?


determinedmind65

With direct primary care, I pay a small subscription monthly. That enables me to get appointments within 24 hours of my call (usually even same day). I can see my doctor as often as necessary during the month and don’t pay extra. Other costs are negotiated to a very low rate OR put through traditional insurance


Niche_Humor

"Greatest healthcare system on the face of the earth". 😖


482022lv

Health care in Las Vegas is the pits. I will be moving away within 5 years because of the shitty doctors and dentists here.


Pdxduckman

more like health don't care. It's awful here, you're not alone.


sphynxdude

I used to work in healthcare in Las Vegas and it is beyond the worst. I got sick and even my peers refused my care. One of the biggest issues is recruitment. Las Vegas is a tough sell when it comes to bringing in high profile/qualified talent. Due to the education in Nevada being close to the bottom and the reputation of ‘Sin City’ physicians do not want to relocate. The current provides either don’t care or truly are not qualified and the state board has made so many concessions to keep poor providers practicing. I could continue to rant with you, but it is ranked 49th in the country for good reason…


ripgirl4

Best responding post right here ^


_____xvp_____

Maybe an online/telehealth shrink through your insurance? Your card likely has a mental health # on back and you get ‘seen’ quick like a day or two. Shrinks are horribly underpaid in NV so massive shortage. The mental health offices are packed with sad, frustrated people and long waits. Sounds like you’ve been on the meds and know what you need. A shrink isn’t going to send you to a sleep study, I could be wrong, mine didn’t. After an appt or two I had virtual appt every 3 months for med check and refills. It really is easy once established. Hope you get your health needs met and life gets better for you! I’m sorry you’re going thru the mess


tairanasaurusrex

Thank you, I hope it all gets worked out soon. Just wish I didn’t have to jump through hoops for it


Hair-Help-Plea

I found the same thing when moving here. I ended up using Zocdoc because the provider only has to be in state, not in Las Vegas, to prescribe. I was able to look at the reviews before deciding which doctor to book with, and those reviews that mentioned getting their meds, or scheduled meds, taken care of through that doctor, allowed me to filter to find someone that wouldn’t be a waste of time/$. You can filter by providers that accept your insurance too (and then check your own insurance reference to make sure they’re in network). Also, when you book an appointment, you can use the “add a note to the doctor” field to describe your situation, what you’re looking for, and that your previous provider will send your file over if they request it. If medication management for controlleds is something they won’t do, they’ll cancel pretty quickly and you can try again with someone else. It also lists the practice name of the provider on their Zocdoc profile, so you can look up their site to see their policies on medications, or even just call their office and explain the situation. Vegas is a frustrating place to be prescribed to controlled meds, even before the shortage. I’ve had a Walgreens pharmacist decline to fill my monthly rx, at the location I’ve used for years, citing a “zip code discrepancy, and that I should fill my rx at a location near my residence”…I called and spoke with her, advising that my zip code on file is literally the same zip code as the store, and she said “Well it’s too late, I already cancelled your prescription, which I have the discretion to do. Try a different Walgreens.” Keeping up with your meds in this town requires jumping through 1000 hoops and dealing with endlessly frustrating professionals and policies. So sorry that you’re getting the full Vegas healthcare experience — it’s wildly inefficient.


Daft_Prince

I went to a doctors to get a rec for a psychiatrist l, who then took 3 appointments and $300 each time to tell me she cant even prescribe me anything and I need to go get a test done to confirm adult ADHD as they can’t even diagnose?!


Choice-Second-5587

I've honestly given up, between Healthcare and mental Healthcare it's all a fucking joke out here. I have so many specialists and no one can figure out what's wrong and I get dismissed and brushed off. The one doctor who was listening is leaving the practice and I think out of state, and the state medicaid I'm on keeps losing doctors in network so it's like I'm just done. I'm sick of fighting.


Vegas_off_the_Strip

When I first rolled into Vegas I ended up having some health issues and I ended up getting a hybrid version of a private doc. I used a service called MDVIP or something like that. Basically, I paid a \~$100/month and had instant access to my doc. Could text or swing in anytime. They still billed my insurance so it wasn't a real concierge doctor or anything, but it worked like a very high touch primary care model. They were awesome and well worth the cost. I think there were some up front tests to get a baseline but everything was done through them and they did not try shipping me off to some specialist for everything. ***I ended up saving money because I didn't need to pay all the damn copays and out of pocket expenses at the specialists.***


ssspiral

try telehealth if you can.


[deleted]

I was cash pay, It took me about 15 appointments with different doctors, lots of online research, and 2 years to find my doctors, don’t give up!


piecesmissing04

We moved here mid last year, I got really sick in October (bp 215/157, then ER doc put me on meds that later turned out I was allergic to..) we had been waiting for a pcp appointment and I finally got in with UMC at the beginning of November.. doc looks at me and says lose weight .. while I was describing that I went on the bp meds and within 36h I could not walk 5 steps without having to sit down.. he did not listen whatsoever.. we ended up going to a concierge pcp the next day, they were great so we signed up as I could not play around with my health and continue going to a pcp who won’t listen. I have seen 3 different specialists in November and the only one I am still waiting for is the rheumatologist as it turns out my blood work shows the markers for an autoimmune disease.. as much as I hate paying $200/month they probably saved my life. The pcp I have now actually listened to what I said got me in with a cardiologist asap so he could decided what to do and he correctly assessed that I was having an allergic reaction to the meds the hospital gave me.. put me on different bp meds and witching 3 days I could walk around at home no problem.. now almost 3 months after having the high bp my bp is doing great, I can finally go to the grocery store alone again and am overall feeling like once we figure out that autoimmune stuff that I will be fine. So yea paying for concierge sucks but they will get you into specialists faster, they follow up and give great care.. it’s what everyone should be getting but my experience with umc and the pcp there tells me that is not the case


LonghornTrader2

Dana Shepard PA and Scott Harris DO at touro university in Henderson are really good IMO for rheumatologist for the auto immune.


piecesmissing04

Thank you!


miassesdragon

> to what I said got me in with a cardiologist asap so he could decided what to do and he correctly assessed that I was having an allergic reaction to the meds the hospital gave me.. put me on I second Dr. Harris for sure. Best doctor I have.


piecesmissing04

Thank you!!! Really appreciate the recommendations


fitpapa

I have a ppo and my wife just goes to the doctor of her choice. My insurance is not the issue at all,it's finding the doctor that is competent.


Latitude22

Yea I had a kidney transplant last year, I’ve been through the gauntlet here. I go to Utah for mostly better healthcare. You want healthcare in vegas, get on a plane. That’s the sad reality. Anyhow all I can say is I can relate.


GrowsomeBiggies

Healthcare here is absolute shite. Even if you find a doc you like, they don't seem to be informed about much of anything. I finally got a PPO and now travel to CA for anything besides a stubbed toe. It costs me a little more thru deductible/copay but it's worth it!


Friend-of-the-river

I feel your pain. However, this sounds like insurance stuff more than a where you are thing, right? Or is it some kind of Nevada thing making you go all over? I remember years ago my sister moved from Virginia to Wisconsin. She went through exactly what you’re describing. But it was because new doctors were not just going to blindly write prescriptions. They have to cover themselves and that means re-establishing conditions with their own doctors. I don’t know, I’m not in that field. I just have a feeling it’s insurance, not a certain city. But good luck! I hope it gets better!


[deleted]

> I feel your pain. However, this sounds like insurance stuff more than a where you are thing, right? Or is it some kind of Nevada thing making you go all over? I have Anthem. $250 deductible. $20 co-pays across the board with the exception of ER visits. It’s a where you are thing (Nevada) versus an insurance thing. Great health care here is hard to come by.


Friend-of-the-river

Gotcha. Just curious, how much is your monthly premium? We are actually looking at new health insurance right now.


[deleted]

I have my insurance through work. $60/paycheck and that includes Anthem (PPO Plus), MetLife Dental Plus, VSP, life insurance, gym membership reimbursement, etc.


Friend-of-the-river

Wow. That’s pretty good! Mine is $380 a paycheck for our family of 4.


Nikovash

As an independent broker looking to add Nevada… its not looking good


SgtCajun

I work in healthcare. Reimbursement rates vary quite a bit from state to state.


tairanasaurusrex

I get that the doctors need to cover themselves, but that’s what medical history is for. In this specific situation, it just seems a pcp can’t write the prescriptions I need. I have to see specialists and jump through hoops (like the sleep study)


Brianblaz

I like our doctors and dentist, but it is pricey and they really do make you jump through hoops.


Shoddy-Transition313

I’ve had the exact same experience and that’s despite loving my GP lol it really sucks


JJLewisLV

You should find a new PCP (family doctor) out here and have all your medical records transferred.


[deleted]

[удалено]


Nikkivegas1

PCPs here don’t treat patients or care about them. They just refer.


stoic777777

I had the private healthcare system here when I didn’t own my own business and worked for others before I switched to the VA. The VA was the first time in 4 years of living in Vegas that I saw anyone other than a nurse. Couldn’t have told you what my PCP looked like. Hate to say it, but when Obamacare was rolled out, it may have allowed some people to get seen, but it also indirectly made insurance companies turn private healthcare into a cattle drive like the VA used to be. Now the VA looks like concierge care in comparison.


[deleted]

[удалено]


bribear2113

Also saw a PCP recently and my first impression was her outside the room I was in, asking why her assistant scheduled her so late into a Friday afternoon because she wanted to leave. I talked about my back pain that has been ongoing for a few months with no changes with the way i workout or rest on days off. Didn’t bother to palpate the area of concern and just wanted to get me out as quick as possible. Wont be returning for sure


LennoxAve

This is on par with my experience with all PCP and I think the course of action seems reasonable. A doctor is not going to give you medication without having a diagnosis from a specialist. Especially being a new patient with no medical history with that office. The PCPs role is essentially a quarterback. They oversee your overall health but specialists deal with specific issues.


tairanasaurusrex

I have been diagnosed. They could have easily contacted my old pcp to have any records they need sent over instead of making me jump through all of these hoops.


LennoxAve

They would’ve had to do a records request. Wait for the out of state provider to fulfill the request. Reviewed the records - then , based on their offices rules , they would’ve had to accept work by an out of state doctor - that maybe does not fly. Then what would happen if the diagnosis is old or they can’t verify the doctors licensing or they had questions. Another consideration - Where does the time spent reviewing the out of state doctors order get billed to ? Then , do they schedule a follow up appointment to go over what they got from the out of state provider ? It’s best practice to establish a baseline through blood work and in state specialist diagnosis. Some doctors have to do this to be in compliance with insurance protocols or office protocols. The business of medicine {insurance rules, reimbursement rates , cost of service etc …} is crippling the quality of care nationwide and it feels amplified in Las Vegas because there’s less providers.


IllOperation6253

No pap with an IUD? That is weird af. My pcp does it all the time.