My mom is 86 in what I think is the early stage of dementia. Physically, other than knee and back pain, she is pretty healthy. She only takes one prescription, which is for her thyroid. She does not see a primary care doctor, but a nurse practitioner, which I think is becoming the norm, as there are fewer and fewer doctors around.
Anyway, to my question. I have been taking her to her appts for the last two years or so, since she can't remember when or where they are, nor what happens at them, so she wants me to go because I can "hear better and remember what he says." So I go. What I find strange is that he wants her in there and with blood work, every three months. To me, an annual visit is all that is necessary for a relatively healthy person. I only go to my doctor once a year.
My sister thinks he is just trying to make money -- that is is some sort of medicare fraud. Mom had been going to him every three months before I started taking her. She went in Nov. 2019 and then was supposed to go back in April, but I rescheduled due to COVID. She just went last week and he wants her back in Dec for a "medicare checkup." What is that? He said they would ask her to draw a clock when she first got there when it was a medicare checkup. They have NEVER done that since I've been taking her. Even the neurologist I took her to didn't do that.
This NP is sending her for blood work again as she is deficient in vitamin B12 and D. She had vitamin B12 pills, but hadn't been taking them, so I put them in regular rotation and got her some D as well. He said I could message him through this online healthcare thing, but there is no way to send a message. I think it is okay to call and tell them she hadn't been taking the B12 and to just reschedule this appt to sometime later - maybe in the spring and have her blood work done right before that. The blood work order doesn't expire until 3/14/22. Shoot, I could just bring her back in a year, couldn't I?
Opinions please, as I have no real experience with this and I don't work in healthcare. Maybe that is why I don't understand why he wants her in there for some kind of check up or other every 3 months. Is this normal for geriatric patients?