Recent comments in /f/rva

gravy_boot t1_j8z0m29 wrote

I used them for awhile for the convenience factor; and my experience was sometimes good, usually fine, and miserable often enough that I switched after a year and a half or so.

Though competent and usually friendly, the docs seemed spread very thin and often completely exhausted. Very long waits and never had the same doc twice. Much higher degree of suspicion around prescription needs but comes with the territory I guess, was mildly annoying but not a huge problem.

Other than general stuff the only real issue I had was, when trying to get approval for a necessary surgery, one of their docs wouldn’t accept my previous (non-local) doctor’s assessment and test results on record, and demanded that I visit another specialist so she’d avoid any liability in signing off that I could be under anesthesia. She implied I might be lying about the reasoning behind their assessment but wouldn’t make a phone call to verify. Just made it a big hassle for me at a really bad time, though perhaps because she was used to being misled by other patients.

In all it’s not terrible and can be pretty convenient, and the people are fine but don’t expect personalized care or an easy time with specialized needs.

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MaryDellamorte t1_j8yktoo wrote

I really wish one of these people would approach me. I would just say the most unhinged shit and make them feel so uncomfortable. Nothing threatening, just stuff to make them question my sanity and make them NOT want to recruit me.

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AdAlternative5545 t1_j8yjg3r wrote

Other side of town, but my husband and I are at Midlothian Medical Care and are very happy with our doctors there. It’s a normal practice, not concierge. We are able to be seen quickly when sick and they have the normal wait for annual well visits, when they run labs, etc. They often spend more than 15 minutes with us. I’ve had some very special medical circumstances that required longer visits, for sure.

The biggest issue I see is that most people who are insured do not go in for an annual well visit. They may not even seek out a dr until they are sick and need someone to see them urgently. Doctors taking new patients want to establish a relationship with their patients and get a baseline so it’s not unusual to wait months for that initial visit with one of the better ones. Patients act like the doctors are transactional but the patients are just as bad! “Why can’t I get a same day appointment with a doctor I’ve never seen before? I just want a prescription!” Whenever you move to a new city, pick a doctor, go for a well visit, get your labs done and show up at least annually. This kind of preventative care lowers medical costs for everyone in the long run!

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Appropriate_Status48 t1_j8yhcnx wrote

Not yet but only because I have not had additional convo with her due to competing priorities. She has tried calling me alot (without prompting) and she texts me out of the blue several times throughout the week. I feel like it is my personal right to not share what I am doing when she pops on my phone. But the need for he to contact me is becoming so "agressive" that i can tell there is a motive.

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solostinlost t1_j8ygpqs wrote

I don’t think concierge medicine is ruining healthcare. I think it exists as a result of our healthcare system already failing.

I’m currently trying to get seen by a doctor for some pain/discomfort without paying thousands of dollars for an ER visit (even with insurance). My old PCP dropped me after 3 years of inactivity, urgent care doesn’t really have the resources for what I currently need, and new patient PCP appts aren’t available for weeks. In my search for care options, this concierge model keeps coming up and sounds like the best option. Idk just my two cents as somebody currently frustrated with our healthcare system. I’ve been having issues for almost 2 weeks and wouldn’t be able to get in with traditional primary care til the end of the month.

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STREAMOFCONSCIOUSN3S t1_j8ybxg2 wrote

The best primary doctor I've ever had moved to a concierge practice. It's sad but it makes sense, insurance alone just won't reimburse enough for a doctor who actually wants to spend time with their patients. Even in some places with socialized healthcare you will have different tiers of care, because it just makes sense. People with money are willing to pay for above-average service in healthcare the same way they are willing to pay more with other services.

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Crazy4Rabies t1_j8y9l0h wrote

Just my two cents as someone who's used one:

I moved here without a PCP and had ended up with a condition that isn't very widely known and basically results in pretty severe episodes that put me in the ER twice. There are some medications thought to treat it but of course the ER couldn't really prescribe me anything, they said I needed to go through a PCP or urgent care. I could not find a damn PCP taking new patients and my insurance for damn months and was so desperate to get relief. I went to get a prescription from urgent care after waiting for 3 hours and the DR told me about a concierge service he knew of.

I was desperate so I signed up, it is $60 a month and they could see me within the week. It has been the most comprehensive care I've ever gotten from a doctor. They said insurance limits how long a covered visit can be to 15 minutes, whereas here I didn't wait at all, spent 45 minutes just talking out concerns, and can make an appointment in person or virtual within a week whenever I want. I've had two flare ups since then and I can message my doctor and she'll have my prescription to my pharmacy within the day and listened to me when things weren't working and offered a handful of alternatives. They also act as a gyno and have done lab work for me.

The service is called Eudoc. Is it fucked up I have had to pay even more to get timely and thorough care? Absolutely. I don't think this is an equitable system and wish I didn't have to deal with it all. But as someone with a unpredictable medical condition it's been incredibly worth it to me. Also looking at their website it looks like the monthly fee is going to go up to $100 a month when I turn 27. Unfortunate, but when I considered cancelling it before my conditioned flared up that week so I'll probably still keep them around.

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