medicine review for father in law

1,556 Views | 7 Replies | Last: 22 days ago by akaggie
DantheAggie
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AG
My father in law Is 83 and lives in Bryan. He is on several different medications for various issues. We are wondering if some of these medications could be interacting with each other and causing some additional issues. His GP is with Scott and white up there. Who and how do we go about getting another set of qualified eyes on his medicines?
Dan Hunsucker
'94 & '04
danhunsucker@hotmail.com
ct95
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AG
If you don't already have medical power of attorney, get it!!! You won't be able to have those conversations with a doctor until you do.
histag10
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AG
He can also ask his pharmacist.
FlyRod
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.Another vote for chatting with a pharmacist.

My doctor didn't bother to tell me about Paxlovid interactions when I had covid, but my pharmacist sure did (Village Foods).
oklaunion
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ct95 said:

If you don't already have medical power of attorney, get it!!! You won't be able to have those conversations with a doctor until you do.

If you accompany the patient, you can open a dialogue with a doctor and ask them to go over the patient's list of meds without a power of attorney. My father had 3 back surgeries that were unsuccessful and was in pain every minute. Along with that, he had heart and breathing issues while in his 80s. His pill dispenser didn't have enough room to hold everything. Eventually, he became semi-aware of his surroundings and when I took him to his medical appointments, had to use a wheelchair to get him around. Every doctor had their shot at getting him better without (presumably) looking at his current meds.
I had a 2 page list of his meds when we visited the pulmonary doc one day and asked him to look at the list and see if any were causing his doped up condition. He would literally fall asleep while talking.
The doc couldn't believe he was still functional after reviewing the meds. Dad was on 3 opioids plus some other meds like a gout medicine when he had never had gout. We weaned him off of 2 of the opioids over the next couple of months and he returned to being as fully functional as someone in their mid 80s can be.
The point is, many doctors don't review a patient's current meds although I am sure the list is available. Overdoses are possible.
Hornbeck
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AG
I recommend Dr. Mark Florian. Internal Medicine doc, with a lot of experience. I bet he'd be happy to take a look.
Doug Funny
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Quote:

plus some other meds like a gout medicine when he had never had gout.

BSW tends to operate in the HMO/Medicare Advantage mode. Medicare Advantage providers are reimbursed by Medicare at a higher rate for "sicker" patients.. This can lead to over diagnosis and over medication.

If he has an active MyChart with BSW he can allow access for you or your wife. That will allow you to see the meds prescribed and the visit notes. Visit notes are how I realized my diagnoses were being inappropriately padded. A NP suggested I was marginal on one lab. Given my health conditions and my defensive medical consumer posture of researching a lot, I explained that other factors in my health profile impacted that result and related tests did not affirm a potential issue. When I saw the notes I discontinued using that clinic in BSW.

I am not Medicare Advantage, rather regular Medicare with a supplemental policy. My take away is that there's a presumption of MA, thus indiscriminate over diagnosing by organizations that are in the MA mode.

However, this is not limited to BSW. There are several nationwide Medicare Advantage providers under indictment for this fraud.
akaggie
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AG
Another vote for talking to a pharmacist. Pharmacists are often overlooked in the healthcare system, but they are integral members of the healthcare team. Ask for a medication management review.
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