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Author Topic: ID doc and GP?  (Read 2356 times)

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Offline minismom

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ID doc and GP?
« on: January 22, 2008, 07:26:06 PM »
I was just wondering if most people here have both an ID doc and a GP or just an ID doc?  What are the pros /cons of having just an ID doc vs. having both?  Mini has only a PID.  I really don't see the point of her having a PID and a pediatrician.  She sees her PID every 6mths and before we even fill a prescription written by one of her other specialists, we check run it by her doc.  So, what do you think?

Mum
www.watoto.com
www.MotherBearProject.org
"Whichever way you throw me, i will stand"
"Don't worry about the world coming to an end today...it's already tomorrow in Australia"  Charles Schultz

Online Miss Philicia

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Re: ID doc and GP?
« Reply #1 on: January 22, 2008, 07:37:25 PM »
My GP is an Infectious Disease specialist so I only see one person, and that's how I've always done it for 15 years.  I never understand why so many people have a GP and an ID, but perhaps HMO's are forcing them to do this.

I was fortunate in that when I was first diagnosed HMO's weren't de rigueur yet in NY, so it was the old fashioned Blue Cross set up and I just saw who I wanted.  A few years later when everyone was on HMO's and I had to do that, I saw him "out of network" and he just wrote off my deductibles and 20% that the HMO wouldn't pay him, as I was seeing him monthly so he was making steady money.  But even years later when I changed HMO's again and had to see a different doctor I was allowed to selected an ID as my GP.  I think it's more dependent on what your HMO allows.

Now I'm on Medicare so it's a non-issue.
"Iíve slept with enough men to know that Iím not gay"

Offline minismom

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Re: ID doc and GP?
« Reply #2 on: January 22, 2008, 07:57:53 PM »
When she was a baby, we tried seeing her PID as her pediatrician since she is board certified as both.  Then, the medical group told doc that she could no longer see Mini as a peds and PID patient.  So, we just quit seeing a pediatrician.  At that point, she was seeing her PID every 2wks plus 10 other specialists in 2 different states.  I saw, and still don't see, a reason to have both.  I was just wondering since I see so many here speak about their "reg" doc and their ID doc.  Just wondering if anyone has found a benefit from having both that I should consider.

Mum
www.watoto.com
www.MotherBearProject.org
"Whichever way you throw me, i will stand"
"Don't worry about the world coming to an end today...it's already tomorrow in Australia"  Charles Schultz

Online Miss Philicia

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Re: ID doc and GP?
« Reply #3 on: January 22, 2008, 08:09:04 PM »
Dunno.  I'm not the best person for what's protocol with a child. :)  Definitely sounds like some weird billing issue or something HMO-ish like I said.

I see no benefit in seeing two doctors, as it opens up too many areas for a lack of communication between the two.  Two sets of records, etc.  Sounds horribly inefficient in my opinion, much less desirable in terms of the extra set of appointments, travel, etc.
"Iíve slept with enough men to know that Iím not gay"

Offline leatherman

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Re: ID doc and GP?
« Reply #4 on: January 22, 2008, 11:08:35 PM »
nearly everytime I bring up a health-related complaint to my ID (who is a really good guy  ;) ), he asks me why I don't have a GP. And I re-explain that the ONLY problems I have are related to teh aids - that makes it HIS problem.  ;)

I remind him how he just showed me good cholestrol numbers, good bp, good temp, good liver, good lungs (even better now at 90 days without cigs!), good everything. Well everything but the low cd4s, VL that won't stay undetectable, and the med side effects.

However, I have begun to wonder if I might just live long enough to have to get a GP if something actually goes wrong with me not HIV-related. LOL

mikie  ;D
(who also has to frequently re-explain to the doctor why he won't take the icky Sustiva  ::) )
leatherman (aka mIkIE)


chart from 1992-2013; updated 2/09/13  Reyataz/Norvir/Truvada

Offline sharkdiver

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Re: ID doc and GP?
« Reply #5 on: January 23, 2008, 09:27:33 AM »
My primary care physician is a HIV specialist ( I have Kaiser).  It just makes it a whole lot easier to get care and I only have to see him and/or the nurse practitioner.  When I was being seen at UC Davis I had to see whoever was available (kinda like how Kaiser was along time ago). I also had the added "joy" of seeing a different student intern each time who insisted on taking an intake each time ( I started making things up because I was getting so pissed about being asked the same questions everytime---hello, read my chart!!)  ok... another story for another time   ;)

Having my GP being an ID streamlined things for me, especially when I've been in the hospital these past couple of years.

Sharkie

and hey... how are you Mum?

Online Miss Philicia

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Re: ID doc and GP?
« Reply #6 on: January 23, 2008, 09:46:57 AM »
I also wonder if this is something of an urban vs. rural issue in terms of HIV treatment.  I've only experienced HIV treatment in 2 large cities both with very significant "HIV communities" of patients so the infrastructure was already there for everything.  Frankly I don't think I'd ever even heard of this having two separate doctors thing until I came on this board.
"Iíve slept with enough men to know that Iím not gay"

Offline Pippet

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  • Life is drawing without an eraser.
Re: ID doc and GP?
« Reply #7 on: January 23, 2008, 05:31:29 PM »
I have a GP and a ID.  I find it to be a huge pain!  My husband, on the other hand, has a GP who specializes in HIV and he only has to visit one doctor.  I think I will be collecting all of my records and changing doctors again soon.

Be well, Pip
Diagnosed Aug. 2006
CD4 246, VL 202,000
Started Truvada/ Viramune 11-23-06
Taken off meds 12-06-06 (Bad Rash)
Started Truvada/ Reyataz, Norvir 1-18-07
Taken off Norvir 3-1-07 (Jaundice)
New doc 3-22-07
CD4 229  VL 1031
My latest cocktail...  Truvada and Kaletra (4-6-07)
CD4 289 VL 350 (5-15-07)
CD4 308 VL 115 (8-06-07)
CD4 349 VL 511 (11-5-07)
CD4 489 VL 383 (2-4-08)
CD4 483 VL <50 (5-6-08) YEAH
CD4 545 VL 108 (9-12-08)
CD4 409 VL <48 (1-27-09) YEAH
CD4 505 VL <48 (5-20-09)
CD4 385 VL <48 (9-15-09)
CD4 609 VL  159 (2-28-10)

Offline BT65

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Re: ID doc and GP?
« Reply #8 on: January 23, 2008, 08:08:41 PM »
Mum, my GP is an ID.  It just makes it easier.  I wouldn't see the need for you to change, unless your insurance dictates to you otherwise.
I've never killed anyone, but I frequently get satisfaction reading the obituary notices.-Clarence Darrow

Offline minismom

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Re: ID doc and GP?
« Reply #9 on: January 23, 2008, 08:37:05 PM »
Mini's on Medicaid which probably likes not having to pay for more doctors.  Her PID (pediatric ID) doc is a board certified pediatrician, so we used her as both.  It was the HOSPITAL itself that told the doctor she could no longer act as both for Mini.  Insurance didn't give a hoot and I liked having her as both.  So, Mini just quit seeing a "pediatrician".  When asked, we just give her PID's name as her GP.  That's who she sees the most anyway, other than her lipid doctor.  But, her PID has been with us since Mini was born. 

Thanks everyone for your insight.  Moochies to all of you! :-* :-* :-* :-*

Mum
www.watoto.com
www.MotherBearProject.org
"Whichever way you throw me, i will stand"
"Don't worry about the world coming to an end today...it's already tomorrow in Australia"  Charles Schultz

Offline bosco

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Re: ID doc and GP?
« Reply #10 on: January 27, 2008, 01:34:04 PM »
I was just wondering if most people here have both an ID doc and a GP or just an ID doc?  What are the pros /cons of having just an ID doc vs. having both?  Mini has only a PID.  I really don't see the point of her having a PID and a pediatrician.  She sees her PID every 6mths and before we even fill a prescription written by one of her other specialists, we check run it by her doc.  So, what do you think?

Mum

I have an Internist and an I.D. Dr. When I went to my first appointment I asked the Dr's P.A. if I should continue going to my Internist or use the I.D. Dr for everything. He advised to continue with my internist for my general health care since they shre all the records anyway. That might just be how this office operates. I'd ask the Doctor? See how his/her office handles that question.
"Dog is my co-pilot".

Offline Assurbanipal

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Re: ID doc and GP?
« Reply #11 on: January 27, 2008, 02:43:25 PM »
I have a general practitioner and an infectious disease doc (and a pulmonologist, a dermatologist, a nephrologist, a gastroenterologist.an orthopaedic surgeon , assorted anesthetists. . .  I've spent a lot of time with a large number of very kind, professional doctors in the last 2 years -- although I'd rather have forgone the experience :)).

I was going to change GP's anyway and so I asked, but my ID doc said she'd prefer not to take on that role -- so I have two at her preference.   At first, except for the inconvenience of scheduling two doctors, it had its advantages in terms of automatic second opinions, but more recently the labs have been putting obstacles in the way of the two docs sharing information --  instead of one just being able to cc the other one on a test, I need to carry the info from one to the other.  Still it's manageable

Assurbanipal
5/06 VL 1M+, CD4 22, 5% , pneumonia, thrush -- O2 support 2 months, 6/06 +Kaletra/Truvada
9/06 VL 3959 CD4 297 13.5% 12/06 VL <400 CD4 350 15.2% +Pravachol
2007 VL<400, 70, 50 CD4 408-729 16.0% -19.7%
2008 VL UD CD4 468 - 538 16.7% - 24.6% Osteoporosis 11/08 doubled Pravachol, +Calcium/D
02/09 VL 100 CD4 616 23.7% 03/09 VL 130 5/09 VL 100 CD4 540 28.4% +Actonel (osteoporosis) 7/09 VL 130
8/09  new regimen Isentress/Epzicom 9/09 VL UD CD4 621 32.7% 11/09 VL UD CD4 607 26.4% swap Isentress for Prezista/Norvir 12/09 (liver and muscle issues) VL 50
2010 VL UD CD4 573-680 26.1% - 30.9% 12/10 VL 20
2011 VL UD-20 CD4 568-673 24.7%-30.6%
2012 VL UD swap Prezista/Norvir for Reyataz drop statin CD4 768-828 26.7%-30.7%

Offline minismom

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Re: ID doc and GP?
« Reply #12 on: January 27, 2008, 03:46:38 PM »
All of Mini's general health stuff, right now, seems to stem from either her HIV, comorbid condition thereof, or medicine side-effects.  Not to mention that at the very mention of HIV, general docs tend to want to treat her as a science project - ordering every unnecessary test under the sun - and bringing in every intern and medical student to get a peek at the HIV kid.  Not speaking about the fact that they need to be educated about the virus, what an u/d VL means, and yes, I'm sure that Zerit isn't a diabetic medication.  I found it very exhausting and time consuming explaining everything over and over. 

Thank you all so much for your input.

Mum
www.watoto.com
www.MotherBearProject.org
"Whichever way you throw me, i will stand"
"Don't worry about the world coming to an end today...it's already tomorrow in Australia"  Charles Schultz

 


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