Can someone see a medical specialist without having a primary care doctor?

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I'm going to see a gastroenterologist that I've seen before, but I have since stopped seeing my primary care doctor. Will this be a problem?
Depends on your health plan. Check the details. Some PPO plans let you go to a specialist directly without a referral. Most HMO plans NEVER allow it without a referral.  (+ info)

Can doctors prescribe the birth control pill for women with primary amenorrhea?

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I'm 17 and I've never had a period, so I'm in the primary amenorrhea category. Thing is, I'm getting worried about it and I've been to the doctors (they've already run blood tests and now they're going to send me to a gyno) but what I was wondering was could they prescribe the pill for me to 'kick start' my periods? Are there any instances in where the pill is used to stop amenorrhea?
Please help!
Those are questions you need to ask your gynecologist when you go. Make a list and make sure all your questions are answered.  (+ info)

What are the primary varietals in South Rhone?

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Also, what are the Primary varietals in Nourth Rhone?
What is South Rhone ? North Rhone ?

In those two divisions, there are hundreds of origins, terroirs and producers -

So ask for one origin say eg - "Coteaux du Lubéron" ( by the way are they south Rhone ? ) and I'll find you the species, most of them will be useless for you because there are about 9600
recorded species in the world, and also, thing which people ignore - the geology and situation of the soils -

If you want to play expert, not too late - not yet


60 minutes later - sooo ? no answer - ?

Côtes du Rhône. (Principaux vins : Côtes du Rhône, Côte Rôtie, Hermitage, Crozes Hermitage, Condrieu, Saint-Joseph, Châteauneuf du Pape, Gigondas, Muscat des Baumes de Venise, Côtes du Ventoux, etc)

- Blanc : Aligoté, Bourboulenc, Chardonnay, Clairette, Muscat, Marsanne, Roussanne, Ugni blanc, Viognier.

- Rouge : Cinsaut, Cournoise, Carignan, Gamay, Grenache noir, Mourvèdre, Oeillade, Pinot noir, Syrah, Terret noir.  (+ info)

What are the primary varietals from Spain?

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What are the primar varietals from Oregon?
What are the most prominent grapes of the central coast?
What are the primary varietals of the Alsace region?
Spain:
http://www.civusa.com/consumerCenter/varietals.html
Oregon
http://www.oregonwines.com/varietalguide.php?VarietalTypeID=1
Central Coast
http://winegeeks.com/vintage_charts/california_central_coast_rhone_varietals/
Alsace
http://www.wines-fr.com/alsace/  (+ info)

Is a Primary Care Physician obligated to send a 17 year old Minor using heroin to rehab?

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If a minor of 17 living in Arizona is using heroin and tells their Primary Care Physician would the Primary Care Physician be obligated by law to make said minor attend any sort of rehab?
No, he will be bound by the patient - client secrecy, but he would be a very bad professional not to do his best to convince the minor to enter some kind of out-patient treatment program.

It is just not worth it to use drugs. Please be a good friend and do an intervention on the 17 year old and arrange for the entire network to enter the wilderness on a camping trip taking shifts until he is detoxed and ready for real therapy.

Forget any other method than speaking the 17 year old directly face to face. No one can deal with a problem they don't acknowledge, so avoid all kind of inpatient treatment until he steps by and ask for treatment himself.  (+ info)

what are the effects of chronic secondary hyperparathyroidism?

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50,000iu of vit d keeps it at 30 but PTH still at 185. This has ben going on for 18 months.
Secondary hyperparathyroidism is caused usually by renal failure but also by vitamin D deficiency. The blood picture is affected by the cause.

Treatment is mainly with calcium and vitamin d (calcitriol) as you are having. It requires regular monitoring to get the balance right. There is a natural tendency to have high PTH values and low Vitamin D values. If the results are not improving with treatment you should have a chat with your doctor or an endocrinologist.  (+ info)

Can you designate one health insurance as primary and another secondary?

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I have health insurance through my wives work, and I am starting a new job that offers me health insurance. Can I carry my wives health insurance, and carry a secondary through my work? Or will the two companies fight over who should pay as primary and secondary?
It is determined by where your birthdays fall with in the calendar year. For example, if your birthday is in March and your wife's is in June, your insurance would be primary (for both of you if you are both on both plans, also for your children) because your birthday is earlier in the year. The other would be secondary. If you google "insurance birthday rule" you will find some more information.   (+ info)

How do I handle write offs when the patient has primary and secondary insurances?

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I work for a dental office. I have a patient who has two dental insurances. We are in network with the primary and secondary. The patient came in and the visit was $150. The patient's primary insurance paid $115 with a $35 write off. I want to make sure I am doing this the correct way. When this is the case, we do not bill the secondary due to the write off from being in network with the primary insurance, correct? We still write off that primary insurance portion even though there is a secondary insurance, don't we? So I would not bill the secondary at all? Thanks for any help!
Unless otherwise stated in your provider contract, you are allowed to bill the secondary for any money you did not collect from the primary.

What I usually do is take the primary write-off and bill the secondary insurance for the full fee less the primary payment. If you use an adjustment (depending on your software) to post the primary write-off, it shouldn't show on the claim form.

Here's something to be careful of, however: some insurance plans will take the same write-off as the primary! They stipulate in their contract that you can't charge them more (as secondary) than you charge the primary - even though you have NO contract with the secondary.

It gets plenty complicated. Email me if you need more help. This is kinda my area.  (+ info)

What types of measures can we employ as health care administrators 2 alleviate the misdistribution of primary?

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What types of measures can we employ as health care administrators to alleviate the misdistribution of primary care physicians?
What can we do as healthcare providers to alleviate the misdistribution of doctors.
This sounds like a very interesting concept, if I only understood what you were talking about.
BTW, I've been a medical biologist for many years; both teaching and research.
Could you possibly rephrase it?  (+ info)

Is a primary diagnosis a definitive diagnosis based on results of tests and examinations?

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I was looking on my insurance website under my personal medical summary and noticed that under one my many primary diagnosis -- one is Multiple Sclerosis. I have currently been undergoing numerous neurological exams hoping to get some clarity out of my current condition. My primary care physician stated he was worried I could have MS or Lupus and referred me to a Neurologist. After $17,000 worth of medical bills and no known diagnosis, I wonder if it has been diagnosed MS. I must state that all my other diagnoses state specific disorders or illnesses. Is a primary diagnosis a definitive diagnosis based on results of tests and examinations? Or is it just a doctor's offices' way of getting paid for tests administered?
The working diagnosis or primary can become a definitive diagnosis when there exist positive test that nails the diagnosis.

MS is a diagnosis of exclusion, rather than a positive lab test or imaging.

If the Neurologist has not put MS down as a definitive diagnosis it is still in the process of being ruled out.

The fat lady has not sung.  (+ info)

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