Typical e-AccessMD Patients
e-AccessMD is a flexible model that offers something for everyone. Below are a few examples pulled from Dr. Dalley’s actual patients. For these patients, and many others, the e-AccessMD model restores the doctor-patient bond and provides them with quicker, more effective care.
James, 74 year old living in an active retirement community:
James has typical Medicare insurance. He sees a Cardiologist for his heart disease and a nephrologist for his kidney disease. He sees his primary care physician 2-4 times a year for his other illnesses and conditions. His visits rarely last more than 10 minutes, although he typically spends almost twice that time filling out Medicare and institutional surveys and paperwork. During each of his annual “wellness visits” he completes a lengthy survey where he must report how many times he has fallen, how much he drinks and smokes and whether he wears seat belts. He thinks the endless query’s are “stupid” but feels compelled to answer or risk losing access to his physician whom he likes and trusts. Now he has a new problem, his enlarged prostate was evaluated by a Urologist and he has prostate cancer. The urologist has recommended surgery over the other possible treatments. James would like to hear the opinion of his personal physician and review the findings with him in person. However the office staff is unable to get him a 15 min appointment for 10 days, and James knows his physician is usually too hurried to go into much depth anyway. James decides to pour through medical websites which make him more anxious, and goes with the surgery as this seems the “surest way to go.”
Although surgery was not a wrong choice, other choices were not wrong either. At e-AccessMD James was able to see his physician right away, just as he was getting anxious and before he spent a lot of time on “webMD” trying to figure out what to do. His doctor was able to look up the most recent research and guidelines for his type of Prostate cancer, and they had a 45 minute discussion going over all options. Together they decided on a non-surgical option, and his doctor discussed his case with his Urologist who concurred. His physician became the key player or “quarterback” for James’s medical team because he had a less hurried practice with time to think and talk, and did not once have to ask James if he wore a seatbelt.
Bob, 35 year old truck driver:
Bob is generally healthy, he is on the road a lot and does not need to see a physician very often. However he does have high blood pressure and needs to have it well controlled to pass his annual DOT exam. He has seen his physician for years and they know each other very well. He noticed his blood pressure going up and he was having more headaches. When he had time to get on the phone to his doctor’s office, he was told he would need to come in and was given an appointment for the following week. He decided he did not want to wait, so he went to an Urgent Care clinic. His wait there was almost 2 hours. After completing 4 pages of paperwork, his $100 visit with the very pleasant nurse practitioner was brief and he was prescribed a new blood pressure medicine. Two days later the medication left him feeling weak and dizzy. After a two week wait he finally saw his Doctor, who quickly realized that the new drug was similar to another one he had experienced similar symptoms from, and easily made an adjustment that stopped his headaches and got his blood pressure back down. He also pointed out that his increased consumption of take-out Chinese food was also increasing his blood pressure. They had a good laugh and Bob felt motivated to lose some more weight and eat healthier.
At e-AccessMD, Bob never went to the office. He did not spend $100 and it did not take 3 weeks to correct his problem. Instead, the very day he called his doctor’s office he had an e-visit with his doctor at a truck stop. His medication was changed, he picked up his new prescription at the pharmacy near the truck stop, and after a couple days he was better. They still had the same conversation about the Chinese food, and Bob even sent a picture of the menu where he was eating and together they went with the chicken salad instead of the barbecue.
Steven, 59 year old Senior Account Executive:
Steven travels every week across the country. Business is booming! He loves his job and would work 25 hours a day and 366 days a year if he could. He is a diabetic and always struggles to stay on his diet and take his insulin regularly. It seems the busier he gets, the worse his diabetes gets. Although he knows what he needs to do, he frequently has questions and concerns but rarely has the time needed to sit down with his doctor. At his last visit he and his doctor made some big changes in his treatment plan. He needed to see his physician much more frequently to review blood sugar readings, answer questions and make adjustments. Since his schedule did not permit this, he did the best he could and did not follow up for 6 months. By then his diabetes had become dangerously out of control and a small scrape on his leg from boarding a plane had developed into a severe diabetic leg ulcer. He had to take time away from his accounts for a month to make the frequent office visits required to get his diabetes under better control and get his leg ulcer healed.
At e-accessMD Steven did e-visits several times a week from his hotel room where he was able to transmit all his blood sugar readings directly to his doctor, discuss all details during live video chats and make timely needed adjustments. His doctor looked at the leg scrape on camera the day it happened and each day thereafter, and when it got worse it was quickly treated and never became a full blown ulcer. At his next office visit 6 months later his diabetes was under optimum control.
Judy, 45 year old office worker and busy mom:
Judy is a healthy office worker who only gets sick when it is most inconvenient. Today is that kind of day. Judy’s back is killing her, she has had painful urination since yesterday evening and she knows she has another one of her “kidney infections”. She was looking forward to bringing snacks to her 4th grader’s end of the year lunch party and later attending her 12 year old’s championship lacrosse match. Then she got the call from day care that her 4 year old has a fever and must be picked up. Judy cannot get through to her doctor, so she takes her last sick day and leaves work to first pick up her daughter. She seems okay, but can’t stay at daycare. Together they go to urgent care where she waits almost 2 hours to get her own antibiotic, misses her son’s lunch and her daughter has two “meltdowns”. She goes ahead and has her daughter seen and started on an antibiotic as well. It is mid-afternoon when she gets home, her daughter has thrown up her antibiotic and is inconsolable. Her husband takes off work early and gets their son to the game just in time.
With e-AccessMD she called the office first thing in the morning and because this was such a typical episode for her, her antibiotic was called in immediately and she left work just long enough to go get her medication, bring her daughter to her neighbor where she rested all day, and Judy returned to work less than an hour later. She enjoyed lunch with her son and everyone watched the lacrosse team.
Judy’s oldest child, Ben, starts college:
Ben has a Lacrosse scholarship. He gets hit in the jaw during a game and is taken to the ER. There is no fracture or dislocation, but the jaw continues to hurt. He goes to the student health department several times, never seeing the same nurse twice, and is prescribed pain medication several times. He gets the feeling that the clinic nurses do not take his pain seriously, and over the course of a few months his grades are dropping and he is thinking of coming home.
Her son unfortunately forgot that his mother Judy had enrolled him in e-AccessMD where prior to starting school he had his pre-college physical, and his physician knows he is normally very tough with a high pain tolerance. After his ER visit, he would have had an e-visit with his primary care physician who would have obtained all his ER records, taken a careful history and after several days of unsuccessful treatment with pain medicine, referred him to a jaw specialist where he would have been diagnosed with another condition and had an office procedure that relieved the pain.