| It's an emerging trend, and one that many
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| | has not been good, the primary care
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| patients find confusing and
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| | physician often has little knowledge of
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| uncomfortable: their primary doctor
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| | what the patient experienced in the
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| doesn't visit them in the hospital any
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| | hospital. Records are frequently slow to
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| more and doesn't manage their hospital
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| | follow the patient, so on the first
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| care.Primary care doctors are
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| | follow-up visit the office-based doctor
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| increasingly turning the care of their
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| | may have scant information.Without
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| hospitalized patients over to specialists
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| | adequate information the PCP frequently
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| called "hospitalists."The hospitalist is
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| | makes adjustments to treatment plans and
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| a hospital-based doctor who does not see
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| | medications that are counter to the
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| patients in an office-based practice. He
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| | treatment plans initiated in the
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| or she manages the care of patients only
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| | hospital.How To Work With A HospitalistBe
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| while they are in the hospital, turning
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| | prepared. If your trip to the hospital is
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| them back over to their regular
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| | pre-planned, talk to your primary doctor
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| physicians when they are discharged.
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| | about the hospitalists in your chosen
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| During the time a patient is in the
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| | hospital. Find out which hospitalist
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| hospital the hospitalist is responsible
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| | communicates best with your doctor, and
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| for all decisions about a patient's
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| | who your doctor prefers to work with. If
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| care.Advantages of HospitalistsThe
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| | possible, ask your doctor to pre-arrange
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| hospitalist usually knows the hospital,
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| | that this hospitalist will be in charge
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| and hospital politics, very well. This
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| | of your care while you're in the
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| often enables the hospitalist to cut
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| | hospital.Arrive Armed: Never assume that
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| through red tape and "make things happen"
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| | things will go as planned. You may not
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| more efficiently than office-based
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| | feel well, and you will be under stress.
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| physicians.Hospitalists are more readily
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| | The chosen hospitalist may be on
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| available to respond to emergencies in
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| | vacation, out ill, or unavailable. Take a
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| the hospital. Nurses and other care staff
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| | synopsis of your medical history,
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| can usually reach a hospitalist more
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| | including the results of all recent
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| rapidly than an office-based physician,
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| | tests, with you to the hospital. Whenever
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| especially on evenings and
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| | possible have someone stay with you in
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| weekends.Continuity of care within the
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| | the hospital until you have met your
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| hospital is often better. When primary
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| | doctor and given him or her all the
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| care physicians manage inpatient hospital
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| | information you have. Have that person
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| care, the patient is often actually seen
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| | take notes, including the names of all
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| by more doctors, as doctors in larger
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| | your hospital caregivers, their contact
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| practices often take turns seeing all of
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| | information (phone and pager), and the
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| the practice's hospitalized
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| | location of their offices in the
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| patients.Hospitalists are usually more
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| | hospital.Sign a Release: If you can, make
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| accessible to family members. Families
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| | sure to sign a release of information
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| don't have to try to "catch" the doctor
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| | form when you are admitted. This will
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| in the wee hours of the morning or late
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| | give the hospitalist and everyone else on
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| in the evening when he or she is making
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| | your medical team permission to discuss
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| hospital rounds outside of office
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| | your care with the person you appoint.
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| hours.Disadvantages of Using a
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| | Even if you have already given that
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| HospitalistThe biggest disadvantage to
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| | person your Power of Attorney for Health
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| the movement toward hospitalists is the
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| | Care, signing a permission to release
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| loss of continuity of care between the
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| | information is a good idea. You might not
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| primary physician and the hospital. The
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| | be so ill that your Power of Attorney for
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| hospitalist has no previous knowledge of
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| | Health Care goes into effect. In that
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| his new patient. If communication between
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| | case, without authority to release
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| the primary care physician and the
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| | information, you might find the staff is
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| hospitalist is poor, it falls to the
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| | less than willing to share information
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| patient and the family to fill in the
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| | with the person staying with you.Molly
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| gaps.When a patient is discharged from
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| | Shomer helps families who are struggling
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| the hospital the hospitalist relinquishes
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| | with caring for aging parents.
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| care back to the PCP. If communication
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