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WWL>Topics>>5-12 3:10pm Open Mind: Personalized Medicine

5-12 3:10pm Open Mind: Personalized Medicine

May 12, 2014|

Angela talks to Dr. David Myers, Dr. Margaret Pelitere, and Dr. Jim Robinson about personalized medicine.

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Automatically Generated Transcript (may not be 100% accurate)

-- again I want to thank those -- and wonderful parents who talked about -- autism learned an awful lot from them. I'll work shifting gears a little bit we're gonna stay in the medical world but it's something that's very new and very exciting and we have a lot to learn about this too. We're calling it concierge medicine. In its simplest form it's your ability to call a doctor 24/7. Have the same day appointment. With any appointment lasting thirty minutes no five or ten minute run in and out. It will cost you above and beyond what every year and assurances. Roughly 15100 dollars a year. What is the benefit to you and why are more and more doctors joining the movement. To talk about this relatively new way of patient care. -- three local doctors who are members of the nation's largest concierge group MD VIP. Doctor David Myers of Metairie. Doctor Jim Robinson of Covington. And doctor Margaret solitaire of new wallets and I thank each and every one of you for being here. And I've already been corrected and I want you to explain -- need to be -- you know calling concierge medicine you call it -- like. Personalized medicine I think is a better term they really does I think come reflect what we're trying to offer for a patients not practices. On the -- concierge medicine I think implies a more. Exclusive. May be more wealthy type of term and really what we find is that this is a model that's great for all types of patients. In my practice from I really didn't see much change when I changed my practice model. In that demographic makeup of who was in my practice it really -- people from all walks of life. Better explain and I did what if you would how this works. The particular program we offer basically allows us to concentrate on prevention of Madison as opposed to treatment. Allot of on medical appointments are. Usually reactive -- either sick or you have a chronic illness and our point is to try to prevent chronic illness whether that spending additional time. Mitigating things like diabetes and hypertension. But it allows us time to really focus on what the patient's specific. Potential complications Arnold -- Access to other testing and and different things just in conversation with patients to prevent disease. It means that if would you be mine. Primary doctor. Or what I achieved if people are on insurance and -- already -- their primary doctor and they have their specialists have been referred to. Then you -- extra. No we are the primary care doctor you are -- OK correct and all three of us were primary care physicians before. We change our practice model to this new type. And all of us had large practices before. My practice was in excess of 2.5 hundred patients. And -- now -- VIP. -- am. We'll have a maximum of 600 patients have less than that at the present time actually that I don't really wanna get to the point of having 600. And so we we are primary care doctors by nature. So if other patients who wish to join a practice of this type we would basically take that role as the primary care doctor for the patient moving forward. Why did you decide not to do. Well in today's changing medical environment we've all felt the pressure to. He patients faster and faster felt unable to deliver the kind of personalized care that we were trained to do. This enables us to see the patient for considerably longer. The average primary care doctors -- -- schedules on fifteen minutes now -- days. Our appointments are regular points are scheduled on thirty minutes so we can sit down talk to the patient there's time. 22. Handle medical problems better to be -- kind of doctor that we were all trying to be. And so again I am. Thinking of our listeners I'm hoping that if you're listening -- you have any questions he'll give us a call 2601878. That's 260187. Think. But just trying to get our arms around what you're doing. You if if from regular person like myself has insurance. You would be my primary care doctor but I would pay above and beyond what I'm paying for my insurance that's correct that the -- that is paid. To the company at and TV IP. Allows us also to do some very state of the art blood work so what you get for this particular company that latest model works. Is that -- money pays for a very large preventative exam and that includes a one hour physical with each of us. It includes lab work includes other diagnostic testing and so that's typically above and beyond what your insurance would laugh all most of insurance payments or you need you need a code you really needed a disease state basically to allow us to do some of the testing that we are allowed. But instead what we do is we have -- and we do all this testing which are in fact paying for. Win you pay for -- and and basically become a member of the practice. It also allows you the availability from a 24 hour a day seven days a week basis you can reach us on our cell -- The appointment times become longer because we go from. As David mentioned we go from -- 2003004000. Patients to a small panel of you know between 40600. At the most. Did you ever -- 2500 or 3000 patient. Well we were the I would see typically. 25 to thirty patients today. Those appointments are against were scheduled on fifteen minutes and it's. It's difficult and it's it's not the optimal way to practice primary chairman's. Yeah I think that was clearly the thing that I saw as an immediate benefits for the patients you know that things that. Most patients -- the frustrated -- with today's medical delivery system. Is that they weighed in the waiting room for an hour more. And today. It took weeks of time to get the appointment and then when they finally get through this you know long time. They did a couple of minutes of face time with the position. And it's not that we wanna give our patients last facetime it's just that they -- chimed in to meet the demands that care for that large number of patients is very difficult to deal a primary care setting in that capacity. And and so now. You know we have patients that can be seen within 24 hour notice they don't wait for weeks they don't wait in my waiting him. At all in essence the waiting -- houses the drug reps that are waiting together and let them. And a and the patients are seen for a half hour or or potentially longer if necessary so. And so if five. Feel crummy in the middle of the night -- call yourself and that's correct you've got hooked up -- trying to under and we and we really answer. It it's really sell and I think you know I just can't I can't -- in terrible sore throat centers that are you may do something over the phone you'll sale mean to the office. Me -- in the hospital. Where would we would probably have you made us at the office the next day. I've I would ask -- to call it yeah we would do what we needed to do do overnight but then first thing in the morning call the office and unless there were very unusual circumstances we would have you in the office that day. This is like far a foreign language year. But it's fascinating it is the wave of the future perhaps. It's not concierge its personalized medicine. I want everyone to stay with us and give us a call if you have any questions to 60187. Think we'll be right back. Well we're talking with three local doctors who have joined an organization for a different kind. Of medical care. We initially called concierge but they're calling it personalized care. And done doctor David Myers of Metairie doctor Jim Robinson of Covington and doctor Margaret pillaging of New Orleans and what we're learning is is that. It's not the old way of doing medicine where he had as you said doctor mar 2500 patients 3000 patients and song for ten minutes and they were out. This as designed is you have fewer patients those patients make the decision to pay a certain amount membership for lack of better word. Annually and for that. They get. Complete physical. And the ability to call you 24 sevenths and when you do have. But he -- when you go to the doctor go see you it's for thirty minutes and I think that's the that the definitive thing about this. At what point did we get away from. That kind of care. And that's another thing too when you say that it's kind of -- I feel like it's Marcus -- -- the game you know it's who we all went to med school early to do which was to be able to be there and taken care -- patients have a time to have those relationships my patients I mean. Patients are treated for fifteen years on their their families I. I know their spouses and their kids. And down and that gives us great insight into bonuses -- I know people when their well I know it's like when they're sick and their stories. On and that personalized part. It only comes with time and you can make up for that and you know three minute office so. We had a caller who wanted to know. Do you just work with a personalized medicine or do you have an office separate of that. We do have this all or not that approach with this practice and and one of the other things to keep in mind is this. Just feed that you pay does pay for this very large preventative exam but any other time you come into our office. The regular insurance does apply so you're not have to pay their other visits out of pocket. We actually in fact all of our offices due to billing. We work with your insurance company we are on insurance panels so it is just this type of practice but we do try to make it easier for those other visits. Eat it struck through the urinary tract infections whatever will still be covered by your insurance can. And also to Europe and Medicare as well two rounds you know where all providers for Medicare. Works Medicare patients as well and. If you have to suggest a specialist. As you all are all internist. How does that work we take care of it for you. Usually we try to schedule the appointment. Ourselves. A lot of times there's difficulty getting into a specialist in a timely way but obviously we have relationships with a -- if if a patient. Needs to be seen quickly we can easily get the -- quickly and we make that appointment. And I happen -- can we do have some caller let's go to -- and Metairie Clinton. Rather it's as but dot com that the that the men. That want to say I -- you. He's saying that he missed issue up. We've got -- issues old uncle and parents are going and other I don't think I can hear you well. It. Can everybody hear Glenn totally planned out. Okay we're having a little technical -- always got it now doctor Myers this is -- -- State dot in my eyes on that note saying yeah man that's that your voice didn't want that they admit I've missed -- -- couldn't bother you that you know this. And they even before Beckham went to this kind of thing he's spent a lot of time with the -- does not seen since -- You know within an out man I really did note that effective so. That want mid June and pulled Bogle welcome as well come back to his you know on its. -- we're glad I'd love to take you back in the practice of it works out for you and I certainly hope that you can get some good care outside my office I appreciate your call it meant they can thank you for calling -- let's go to Danny in Slidell. -- -- -- I you don't have one quick question I don't understand how this is any different than rationing health care to those who can pay up or use. It if you went from 2500 patients the 600 patient. Let me just what you patients don't have a doctor now every -- they did that that record but it is would be out of a -- Well I can tell you that when I made the transition in my practice and I understand there's a lot of the year in that respect. About who's gonna take care of the patients we did. I did contact other positions in the community that more able to take on patients of mine that were not able to. And and so we did make sure that there was. You know transition of care of our patients from my office to the other doctors within the community that could then take care of those patients that we. We have we are. Always very careful not to leave any patient similar to without doctor. And it all into VIP transitions. Couldn't operate in that way so that we we furnish. All the patients with names of doctors who were taking on new patients so that they can transfer their care. And how is -- not rationing health care to those -- can. Only those -- Because there there are going to be doctors civil. Not do this and they will take on the patients -- Today they've got to be I think that the just systematically of life hell cares so much. Everybody wants -- paid too much. Doctors hospitals. -- -- political trump company this system of free market product it it's not like Coke that if you don't like try to go it just stop drinking Coke. With health insurance if you can't afford it you could -- I don't see how this is living a video that they -- today. Well I think that the game where we're certainly not -- it at a point where where saying people are going to be left out hanging we're trying to come make sure that we. Provide that transition to other positions. And again it is a free market venture in that. And a -- membership is open to everybody. We are talking about up personalized medicine and it does Costa an extra -- but we're listening to three doctors who. Have all been internist in traditional practice and now are saying instead of 2503000. Patients are seeing 600. But they're spending the time with the patients. Not always in a reactive oh you're here because you're sick but in a pro active how can we keep you healthy. And by giving them more time is I'm just repeating what you've sent. You're doing the medicine you were trained to do. Yeah and I think one of the things that you were at the last segment -- -- discussion about cost and one of the things that that Jim brought up is a great point and genuine error relate that about you you're benefits to your patient. Well what one of the big and proven benefits is that we keep with this type of practice we keep people out of the hospital. Much more the statistics are now published that. The MD VIP Medicare patient. Has a 79%. Lower rate of hospitalization. Then. Typical Medicare patients that's a tremendous savings obviously to Medicare to the country. We often prevent people from going to the emergency room. Because they call our office they're sick we can get a man then and there we see them that day. Rather than two weeks later so we can take action to keep them from even going to the emergency room. There has been though a a change in my lifetime anyway. Of the insurance and influence of insurance in and the administration of medicine. Taking huge chunks when this man who called was asking the right question about. About money. Now you all are the worker bees are going to have to work longer harder. Because those elements are wanting profits to. -- and I think that one of the things that we talked about in the break as well was. Trying to invest the time now we have. With the patients now. Tom in more detail about things like their medications. -- formula Larry coverages the patients may have. You know not only me in my office staff because we have fewer patients we can focus more individually on each person. And find even better ways to save a patient's cost in their medication coverage. And and also. In the improvement overall on the health of our patients in the population that we're we're taking care of now. We do a lot better with as Margaret said the preventative side and what that means is that. You know if I can get one of my patients for example had a but several patients that. In this last year transition have. Lost a significant amount of weight because I'm spending more time with them about nutrition counseling them getting them access to. Nutritionists and other ways that they can. Become healthier. They are now on last night he's Madison and so instead of spending fifty dollars a month on diabetes pill to keep their blood sugar control now there actually -- -- is in their pocket. Because they're not mean that -- anymore and their their blood sugars are controlled without that medications that we really can. Not only in the hospital signed. You know as far as keeping people I'm an emergency room co pays for that charges for hospitalization. But also on -- and side as well too which can be very expensive for patients. You know I remember. Sort of getting into that medical word world through marriage and learning a lot. About. It's really. Please correct me if I'm wrong but in other words. Doctors today are it's pretty much dictated I think in my own medicine. -- wonderful relationship with my doctor I take two medicines they want not the doctors they -- an insurance company wants to go generic it doesn't work with from. So we go through this dance. And it doesn't work announced now paying out of pocket it's like the Doctor Who understands. Isn't able to help in this particular -- sometimes yes but not now. And so -- -- who's dictating to the government what's the best for the patient that's the issue and I think. That was one of the biggest frustrations with traditional practices it's just you literally didn't have enough time to do. Everything that the patient needed to be serviced and one of the did things we can do now is we can. Then fight the battles individually for you and it was something that we definitely did and our previous practices we all tried to fight every battle for patients. But it gets to the point where you can't do that for 3000 patients on a you know yearly basis. So this does allow us to fight the individual battles. In in every way possible. We now have the time. We really become patient advocates for the best -- The best testing the testing it's really deserved. For the best treatment. If they have to go to a center of excellence. Maybe an MD Anderson or a Cleveland heart. Up for their particular special problem. We can expedite. That visit and get them -- much faster than might otherwise be the case. Okay everyone stay with -- we're gonna continue talk about personalized medicine -- activists. We are talking about a different kind of medical care call personalized medicine. Talking to three local doctors doctor David Myers doctor Jim Robinson and doctor doctor Margaret -- today. Each who have joined. MD VIPs. Which is again you pay a membership fee annually and for that to get real personalized care that simple. You know I'm just reminded that. Having had. Family members have gone to medical is many don't undergraduate and medical school you do that three years -- its analysts you have loans up there you know. And then you open your office you have to have extra people to do all of -- paperwork. And then. An innocent you are dictated to about what kind of medicine you can do -- very frustrating to you when you're saying all the time it takes to fight. For your patient. This goes back in my mind to what medicine. Was and should always -- And you know as that man called can it be for every one. We certainly strive to achieve. A lot of access to our practices we really want to have patience to be able to embrace being a part of our practice. And and see the benefits themselves we've been really pleased in my practice that the really positive. Feedback that we've gotten from the patients. During this last year transition from my office in his previous model to now. And and really we -- -- you know the patients -- you very happy with with the outcomes that they've gotten with the ability that we have just to focus on them personally. Do you turn anyone down. No we certainly -- I I do you -- not allow a large number of new patients in in my practice because of the time constraints I just felt. That. I wanted to be able to -- devote more time to the patients that don't you joined individually correct but I. Three to four new patients a month into my practice but -- that's in generally smaller than most. Primary care doctors take. And a gain that -- that I do you have the space on my schedule to accommodate the patients on average have their members. -- you guys there. And I just would like to add something from an affordability perspective on as David mentioned it's about you know the equivalent of a cable cable bill or less in my house. Monthly and one of the ways it can be paid -- if you have health care savings plan to were aura on FSA so. It it can be even more affordable than you realize it is a medical expense and so you can use those other funds to to cover the fees. In addition also. We wanted to make sure that we made everyone aware that you can look on the Internet that an MD VIP dot com. Which does give a great deal of information about the program in about the ability to join our practices or furthers are out of metro area there are. Practices in Baton Rouge as well as I think in new -- practice coming in. You know I just wonder what is this grows in Morse. Around the country. And you said it started in Florida fourteen years ago. It's been in -- in this area for three or four years ending it this sweeping the nation. What kind of impact this will have. On the traditional medicine. I -- will people start saying wait a minute I'm really not getting. I what I need. I think that that's something that we would all hope to see change -- -- none of the positions that I've discussed with about Andy VIP. Our our unhappy that we're advocating. The degree of interaction with our patients and down and certainly. The patients. But nationally are are certainly craving. Some more time with their docs and so on as physicians we certainly you know would be happy to see that trend increase across the country. Absolutely yeah I completely agree that there's. And the certain there it's over 700 MG VIP doctors now. Over 200000. Lives covered by -- VIP doctors and the trend seems to be growing. The patients are very happy with that as an indicator of that the the annual. Re sign operate for MTV IP is about 94%. So people are happy. Stay with us we'll be right back. It is a trend in medical care that I think we're going to be hearing a lot more about personalized health care. Talking with three local doctors and and really what -- bottom line hearing is that you'll have worked very hard going -- All the way through the school studying wanting to be doctors wanting to help people. And just all of a sudden it's become this treadmill. And so what you're saying this kind of care. Get too -- back to where you started you wanted to help people spend time with people. The practice. In this way is much more enjoyable for us we can talk to our patients we can advocates for them. We can take care of them better when they're out of town it's a better way to practice medicine. You know distrust of the patients as well to. Mean I think that today. Are empowered. As as patients today gain control over their own health they're our inability to see yachts when they need to be seeing more easily. It's you and fast and their health. Bomb and and try to maintain that moving forward as well. Well we will be following this week which you continued success thank you so much for for all of this again anybody interest in learning more its MD VIP. Dot com thank you Angela thank you all that -- that David Myers doctor Jim Robinson and doctor Margaret -- and have a good day everybody.

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