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Help Picking A Pcp

Rowena

By Rowena
in Doctors

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Rowena Rising Star
Rowena
Posted

So I got new insurance, (HALLELUJAH! BETTER INSURANCE!) and now I get to pick who I want to be my doctor instead of going to the stupid student health center and then being refered to other doctors which means a pain in the butt because my insurance is way too picky. (More so than other insurances, darn student insurance)

Anyway, I was going to start with a Primary Care Provider. So I went to my insurance's website, picked my plan and did a search.

Then I narrowed down my options by proximity.

Then I narrowed it down by people in a certain Medical group. (The Intermountain Medical Group if you know what that is...)

Then of course I had to weed out all the pediatric PCPs since I am not a kid... obviously.

But then, I am down to eleven still... How do I pick the right one?

Also, I prefer women as my OB, but when it comes to the PCP, does it make a difference? And are Midwives/CRNs good choices for a PCP?

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kareng Grand Master
kareng
Posted

So I got new insurance, (HALLELUJAH! BETTER INSURANCE!) and now I get to pick who I want to be my doctor instead of going to the stupid student health center and then being refered to other doctors which means a pain in the butt because my insurance is way too picky. (More so than other insurances, darn student insurance)

Anyway, I was going to start with a Primary Care Provider. So I went to my insurance's website, picked my plan and did a search.

Then I narrowed down my options by proximity.

Then I narrowed it down by people in a certain Medical group. (The Intermountain Medical Group if you know what that is...)

Then of course I had to weed out all the pediatric PCPs since I am not a kid... obviously.

But then, I am down to eleven still... How do I pick the right one?

Also, I prefer women as my OB, but when it comes to the PCP, does it make a difference? And are Midwives/CRNs good choices for a PCP?

The only medical people I have encountered are my optometrist and the GYN and her nurse practioner. The GYN said pick a younger doctor for my PCP because she might have heard of celiac disease.

Jestgar Rising Star
Jestgar
Posted

Not a midwife.

My personal opinion (and experience) is that if you have a man and a woman at the same level in their profession, the woman had to be a lot better to get there.

mushroom Proficient
mushroom
Posted

Get one old enough to have had a little clinical experience, but not too old to be jaded and "there's nothing new under the sun" :P (because we all know there is, every day).

Emilushka Contributor
Emilushka
Posted

Midwives can't write prescriptions. CRNs can only write some prescriptions. The best choice for a PCP is an internist or family medicine doc, because they will be able to manage your overall care and write you prescriptions for any medications you might need at any point in the future, including controlled substances (like narcotic pain medications if you had a kidney stone, for example).

I recommend having a gynecologist for monitoring your lady bits and their health and a primary care doc for monitoring the rest of you. Gynecologists keep up on the literature and medical advances within the reproductive zone but they are only rarely up to date on the latest blood pressure medications or recommendations, for example. Internists and family med docs are better about that. Also the musculoskeletal stuff - if you need help with back pain, a gynecologist wouldn't be great at treating that.

You might prefer a DO to an MD, if you're into more alternative options. A DO is a doctor of osteopathic medicine, which is an alternative philosophy to teaching medicine invented within the USA about 150 years ago. They often think of the body more as a whole, focusing on systems and interactions rather than a single disease or symptom. They may be more your style, and they're equivalent to MDs within this country. Again, male or female is up to you. There are lots of DOs of both genders so you hopefully can have your pick.

My personal preference in health care providers is that they be willing to look things up for me. Not that they know everything right away - since they can't possibly know everything there is to know about medicine - but rather that they actively seek out new information to care for me better. If you can find a doc like that, you've found a real advocate for your health and you should stick to them through thick and thin. A good doc is worth his/her weight in gold.

Islander Newbie
Islander
Posted

I agree with Emilushka but would add that doctors who let you play a role in decision-making will probably be a better fit.

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    • trents
      Small Bowel Resection 12 inches

      By trents · Posted

      You might consider asking for a referral to a RD (Registered Dietician) to help with food choices and planning a diet. Even apart from any gluten issues, you will likely find there are some foods you need to avoid because of the shorter bowel but you may also find that your system may make adjustments over time and that symptoms may improve.
    • Ello
      Small Bowel Resection 12 inches

      By Ello · Posted

      I wish Dr’s would have these discussions with their patients. So frustrating but will continue to do research. Absolutely love this website. I will post any updates on my testing and results.  Thank you
    • trents
      Small Bowel Resection 12 inches

      By trents · Posted

      Losing 12" of your small bowel is going to present challenges for you in nutritional uptake because you are losing a significant amount of nutritional absorption surface area. You will need to focus on consuming foods that are nutritionally dense and also probably look at some good supplements. If indeed you are having issues with gluten you will need to educate yourself as to how gluten is hidden in the food supply. There's more to it than just avoiding the major sources of gluten like bread and pasta. It is hidden in so many things you would never expect to find it in like canned tomato soup and soy sauce just to name a few. It can be in pills and medications.  Also, your "yellow diarrhea, constipation and bloating" though these are classic signs of a gluten disorder, could also be related to the post surgical shorter length of your small bowel causing incomplete processing/digestion of food.
    • Ello
      Small Bowel Resection 12 inches

      By Ello · Posted

      Yes this information helps. I will continue to be pro active with this issues I am having. More testing to be done. Thank you so much for your response. 
    • trents
      Small Bowel Resection 12 inches

      By trents · Posted

      There are two gluten-related disorders that share many of the same symptoms but differ in nature from each other. One is known as celiac disease or "gluten intolerance". By nature, it is an autoimmune disorder, meaning the ingestion of gluten triggers the body to attack it's own tissues, specifically the lining of the small bowel. This attack causes inflammation and produces antibodies that can be detected in the blood by specific tests like the TTG-IGA test you had. Over time, if gluten is not withheld, this inflammation can cause severe damage to the lining of the small bowel and even result in nutrient deficiency related health issues since the small bowel lining is organ where all the nutrition found in our food is absorbed.  The other is NCGS (Non Celiac Gluten Sensitivity or just "gluten sensitivity") which we know less about and are unsure of the exact mechanism of action. It is not an autoimmune disorder and unlike celiac disease it does not damage the lining of the small bowel, though, like celiac disease, it can cause GI distress and it can also do other kinds of damage to the body. It is thought to be more common than celiac disease. Currently, we cannot test for NCGS. Celiac disease must first be ruled out to arrive at a diagnosis of NCGS. Both disorders require elimination of gluten from the diet.  Either of these disorders can find their onset at any stage of life. We know that celiac disease has a genetic component but the genes are inactive until awakened by some stress event. About 40% of the general population has the genetic potential to develop celiac disease but only about 1% develop active celiac disease. The incidence of NCGS is thought to be considerably higher. I hope this helps.
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