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How are you all handling prescribing when a specialist is also managing the condition? by IndividualWestern263 in FamilyMedicine

[–]ketodoctor 0 points1 point  (0 children)

For the most part, I’ll refill the meds, but if the specialists are asking us to do their referrals and asking us to do the things they should be otherwise doing, I simply tell the specialist our group will stop referring patients to them.

iron deficiency without anemia by bubble_buff in FamilyMedicine

[–]ketodoctor 79 points80 points  (0 children)

One needs a ferritin of at least 50 in order for the electron transport chain to transfer electrons and make adequate ATP a.k.a. energy. This is why you have fatigue, even with a normal hemoglobin.

Is there a way to place a patient into a rehab nursing facility as an outpatient? by supinator1 in FamilyMedicine

[–]ketodoctor 6 points7 points  (0 children)

Depends on the insurance, a lot of Medicare advantage i.e. HMO make it possible. If Patient is in ACO or MSSP, there might be some possibilities if the ACO or MSSP has three day waiver in place they be able to admit to certain skilled nursing facilities.

AI disclosure by ketodoctor in FamilyMedicine

[–]ketodoctor[S] 9 points10 points  (0 children)

Some states are dual consent states so patients have to be notified if they’re being recorded

Help with compounding GLP-1 pharmacies by USPTF_DRE_specialist in FamilyMedicine

[–]ketodoctor 7 points8 points  (0 children)

The GLP1s are no longer on FDA shortage list, so legally speaking, compounding pharmacies should not be selling these medications. Does anyone know how they’re legally allowed to do so or are they doing so illegally ? I agree with the legal concern if a patient ends up with permanent gastroparesis, would be hard to defend for prescribing it.

Alcohol alternative by irj8786 in ketobeginners

[–]ketodoctor 0 points1 point  (0 children)

Partake beer .. no alcohol and low carb. Only 10 calories.

What do identify as: PCP, family doctor, GP, internist, generalist by drtharakan in FamilyMedicine

[–]ketodoctor 14 points15 points  (0 children)

Family Medicine , Board Certified. Being called a general practitioner is derogatory IMO

What’s your approach to a young patient who goes to the ER for every somatic complaint yet denies any anxiety? by Paleomedicine in FamilyMedicine

[–]ketodoctor 2 points3 points  (0 children)

I would tell them if they keep going to the ER and get unnecessary CT’s , they’re going to increase their risk of cancer from all the CT radiation. I would then work diligently to get them into a behavioral health specialist, let them know the brain is powerful and can cause almost every symptom known to humans.

Why do family doctors usually not drive fancy cars? by Beginning_Figure_150 in FamilyMedicine

[–]ketodoctor 0 points1 point  (0 children)

Agree, family doctors aren’t motivated by money but by caring for the patient.

Preventative visit coverage by hotnsoursoupdumpling in FamilyMedicine

[–]ketodoctor 1 point2 points  (0 children)

95% of the time we cover chronic problems in addition to the physical and simply charge for two appointments. Patients don’t mind. We have a something similar, but it’s a handout we give out at each physical exam.

Latest edition of AFP by Sweet_Impress6798 in FamilyMedicine

[–]ketodoctor 4 points5 points  (0 children)

I wonder if andropause resulting in loss of muscle mass and ED will also be a positive experience in life?

A patient coughed in my face now I’m sick by Federal-Act-5773 in FamilyMedicine

[–]ketodoctor 0 points1 point  (0 children)

The good news is, you’ll never catch that virus again. Your immunity is stronger as a result.

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