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The Doctor insists that my loved one, who is not ambulatory, come into her office for the assessment. I spoke with Medicare and I was told that a Medicare approved in-home-care agency that works with doctors can do the assessment. I forwarded the information to her and she still refuses. How do I get around this? He needs an updated assessment and care plan.

To GardenArtist, She is the only doctor he sees there is no care team addressing the issues. He just enrolled in the VA health benefit and a home health team will be contacting me next week to arrange an in-home assessment. The swallowing issue is relatively new and has not been seen by any other doctor.

And to shad250, I've always had the sense that she wasn't ever interested. It was never thorough and I would get push back every time I made a suggestion or observation.
Plus, since we missed a couple of appointments she stated that her office reserves the right to drop patients. She ignored the entire non-ambulatory issue. So yesterday the VA stepped up and made him a priority. Thanks to you all for your replies
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Reply to gdbrown
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This doctor is subtly trying to get you to change doctors because she is probably not interested anymore.
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Reply to shad250
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This doctor doesn't seem to be very concerned about your plans, which I think show a lot of intuition and foresight on your part.

Is any of the medical team addressing the swallowing difficulty? This can get worse, and can compromise the daily pleasure of eating. Has he been diagnosed with dysphagia?

Do you have other doctors, specialty ones such as for the diabetes or dementia? These might be better choices to participate in a short and long term care plan.
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Reply to GardenArtist
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He wasn't in a hospital or rehab. His condition has changed to where he isn't ambulatory. He is diabetic and has vascular dementia. Over time, he has gotten weaker, sedentary, muscular atrophy, difficulty swallowing, weight loss, depression and other issues. I know his condition is progressive but the goal is to have a future care plan. His doctor has never put a plan in place and seems to be resistant to establishing one. Plus I need additional training on how to care for him at this stage.
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Reply to gdbrown
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What's the history on his situation? Was your DH in a hospital, in rehab? What happened that he now needs an assessment?

I suspect you have some planning in mind and need an assessment to plan for future care?
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Reply to GardenArtist
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Thank you so much for that advice. I strongly felt that she and I were not on the same page. As I looked deeper into her primary specialties, geriatrics was listed as a secondary interest or specialty. Thank you
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Reply to gdbrown
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You need a different doctor. The doctor you are working with has different standards than you are looking for. Ask him for a referral.
Look for geriatric primary doctors. Call your own doctor for a referral. You might try nursing homes for doctor referrals or visiting physicians. Even the home health or hospice agencies might be able to tell you which doctors they have worked with that will work this way. They may not be willing to make a referral but you could ask how to go about finding the doctors that they work with. A pharmacy once gave me a lead on a weekend doctor back before urgent cares were on every corner. Let us know what works for you.
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Reply to 97yroldmom
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