Culture of Villages Health Care

[MoseyInn]

When I initially mentioned I would not name a specific Clinic I was doing that to protect RIVERS FAMILY MEDICINE until I got more information. I have talked to others and found out I am not unique in my frustration and people have specifically mentioned Rivers Family Medicine. I don't understand how this can happen - Isn't there a place people can post complaints ???? or compliments?

I won't mention any specific Doctors or offices. I have had 3 doctors and been in two facilities. I was very healthy when I came and still am. 3 of the doctors I had left because they were over worked and both facilities I found to really not care about "me" as a person or patient.
I moved from Maine, had the same physician for 25 years and know that can be duplicated but I am just thrown off at the treatment I have received. I was prescribed 5 new medications for something that was just a seasonal allergy - sent to sleep studies - and made to take drug tests for a "controlled" substance, a sleep aid. At home I saw a doctor once a year. When I got here it has been 6 x a year. Right now I don't want to see another physican - it is stressful
I am just confused - is it me or is this the system ?

[Stu from NYC]

Have heard a few other stories so we picked family doctor that was not part of village health system.

Why not go elsewhere for a second opinion?

[MoseyInn]

Have heard a few other stories so we picked family doctor that was not part of village health system.

Why not go elsewhere for a second opinion?
I actually did that - well, maybe I didn't . The practice was in the Villages and I don't want to mention the name but that is when I was confronted with "is it a culture". I worked with hospice for 8 yrs so I know that at our ages we are a big boost to the revenue for physicians. But I never expected to feel it happening. .
But thanks for your reply. I should check to see what their affiliation is.

[Dana1963]

Run away as fast as you can Ocala is only about 25 miles for Dr and hospital services

[MoseyInn]

Run away as fast as you can Ocala is only about 25 miles for Dr and hospital services
Can you be a bit more specific? We are 120,000 retired people in the Healthiest Community - is my experience unique - I guess that is what I am asking.

[graciegirl]

Have heard a few other stories so we picked family doctor that was not part of village health system.

Why not go elsewhere for a second opinion?

This person may NOT be talking about "THE VILLAGES HEALTH CARE" but just health care in The Villages. There are many, many, many doctors here that are not part of THE VILLAGES HEALTH CARE.

I am a "doctor snob" in that our youngest was born with a very serious and unusual heart defect as well as other things that go along with Williams Syndrome (including being VERY kind and CHARMING). We soon learned that we needed the best care in the REGION, not just the State. We went to The Cleveland Clinic for her original diagnosis when we lived in Indianapolis and then we moved to Cincinnati where Cincinnati has been in the top three for Children's Hospitals for the last fifty years.

People always get angry with me when I say that the State of Florida is way down the list for EXCELLENT health care with a few spots being VERY GOOD. Gainesville and Tampa both have teaching hospitals.

That said, The Morses have given us a damned good Health Care System and I think our Dr. Rizzi is an excellent PCP. We had two other physicians before ending up in The Villages Health Care System which is not available to everyone, just those with certain insurance.

There are some mighty dicey M.D.s and Dentists floating around in Florida and I often wonder who checks their licensing requirements.

[Northwoods]

I won't mention any specific Doctors or offices. I have had 3 doctors and been in two facilities. I was very healthy when I came and still am. 3 of the doctors I had left because they were over worked and both facilities I found to really not care about "me" as a person or patient.
I moved from Maine, had the same physician for 25 years and know that can be duplicated but I am just thrown off at the treatment I have received. I was prescribed 5 new medications for something that was just a seasonal allergy - sent to sleep studies - and made to take drug tests for a "controlled" substance, a sleep aid. At home I saw a doctor once a year. When I got here it has been 6 x a year. Right now I don't want to see another physican - it is stressful
I am just confused - is it me or is this the system ?

Can you be more specific? There is The Villages Health which is "owned" by The Developer. They have 30 - 60 minute doctor visits, etc. There are also a lot of other physicians that practice in The Villages (like Premier), but they have no affiliation with The Villages Health.

[graciegirl]

This person may NOT be talking about "THE VILLAGES HEALTH CARE" but just health care in The Villages. There are many, many, many doctors here that are not part of THE VILLAGES HEALTH CARE.

I am a "doctor snob" in that our youngest was born with a very serious and unusual heart defect as well as other things that go along with Williams Syndrome (including being VERY kind and CHARMING). We soon learned that we needed the best care in the REGION, not just the State. We went to The Cleveland Clinic for her original diagnosis when we lived in Indianapolis and then we moved to Cincinnati where Cincinnati has been in the top three for Children's Hospitals for the last fifty years.

People always get angry with me when I say that the State of Florida is way down the list for EXCELLENT health care with a few spots being VERY GOOD. Gainesville and Tampa both have teaching hospitals.

That said, The Morses have given us a damned good Health Care System and I think our Dr. Rizzi is an excellent PCP. We had two other physicians before ending up in The Villages Health Care System which is not available to everyone, just those with certain insurance.

There are some mighty dicey M.D.s and Dentists floating around in Florida and I often wonder who checks their licensing requirements.

I know that at least one of the doctors that post on this forum has chosen our excellent Dentist group owned by Dr. Kathleen Williams. She is the best dentist we have ever consulted in my opinion.

[Florida Fan]

Maybe we've just been lucky, but we've never experienced the high level and professionalism of health care as we have at the Creekside Medical Center. Granted, we are extremely healthy, but we are just amazed every time we step foot inside that facility. We've been with them for approx. 14 years and couldn't be happier. Our first two years, we had a doctor not associated with The Villages Health and we were disappointed. The entire staff along with our doctor was not professional and did not take pride in their appearance. The offices were not clean, etc. Everyone has different experiences, but we are continually pleased with the level of care.

[wjmano]

I'm finding it difficult to find a good PCP outside of the Villages Health system. My wife and I are not yet 65, so don't have the Medicare Advantage plan that's generally needed to see a PCP with the Villages Health -- which I've heard good things about. They did tell me, however, there will be a single PCP (Dr Jerry Jones) that starts in October who plans to see patients with private health insurance. It just seems crazy to be limited to a single doctor within their entire network...so would like to find some good alternatives - both male and female PCPs.

[Northwoods]

Maybe we've just been lucky, but we've never experienced the high level and professionalism of health care as we have at the Creekside Medical Center. Granted, we are extremely healthy, but we are just amazed every time we step foot inside that facility. We've been with them for approx. 14 years and couldn't be happier. Our first two years, we had a doctor not associated with The Villages Health and we were disappointed. The entire staff along with our doctor was not professional and did not take pride in their appearance. The offices were not clean, etc. Everyone has different experiences, but we are continually pleased with the level of care.

I don't think it's a fluke. My Villages Health doctor is excellent! I have 12 friends who have The Villages Health primary care physicians and they are all extremely satisfied with their healthcare. All of these people aren't healthy - there's been surgeries, cancer, a stroke, etc. They're all very satisfied.

Now I'm not saying every physician is excellent. I know people have had bad experiences. I think that happens anywhere. I can just say that from my experience and the people I know who go to TVH, people have been very pleased.

[Carla B]

Maybe we've just been lucky, but we've never experienced the high level and professionalism of health care as we have at the Creekside Medical Center. Granted, we are extremely healthy, but we are just amazed every time we step foot inside that facility. We've been with them for approx. 14 years and couldn't be happier. Our first two years, we had a doctor not associated with The Villages Health and we were disappointed. The entire staff along with our doctor was not professional and did not take pride in their appearance. The offices were not clean, etc. Everyone has different experiences, but we are continually pleased with the level of care.

Now, how could you have been with them for 14 years? The Villages Health Care just started about 2012, as I recall.

[Ladygolfer93]

I won't mention any specific Doctors or offices. I have had 3 doctors and been in two facilities. I was very healthy when I came and still am. 3 of the doctors I had left because they were over worked and both facilities I found to really not care about "me" as a person or patient.
I moved from Maine, had the same physician for 25 years and know that can be duplicated but I am just thrown off at the treatment I have received. I was prescribed 5 new medications for something that was just a seasonal allergy - sent to sleep studies - and made to take drug tests for a "controlled" substance, a sleep aid. At home I saw a doctor once a year. When I got here it has been 6 x a year. Right now I don't want to see another physican - it is stressful
I am just confused - is it me or is this the system ?

Definitely not you ! Myself and MANY others (you just have not found them yet !) are shocked and dazed by this atmosphere (is it "Florida" or just "The Villages" ?) It' s like a mall here, a retail mall, sell, sell, sell, and sell some more. Medicines "suggested" for things you have never had or thought of, tests, everything you said is true. Never in my life or in my family were we taken to the doctor constantly like it is here. Never did ANY of the doctors in my home town (some were better than others of course but...) NONE of them insisted you come in with NOTHING wrong with you just to take tests and "get a base line" ? If you got flu, or got pneumonia, or fell and may have a broken bone, and you called a doctor, they treated you. They did not start suggesting possible "diseases" that never crossed your mind. "Re-flux disease" ? Do you ever "burp", I can give you a Rx for that. Well, not really, but I suppose I have "burped" once, maybe twice, think it was last Christmas. "Oh, okay, we'll get that fixed, and..... on the way out you pick up another Rx".
No, NO, you are NOT alone, you have every reason to be "confused", and be very very careful, you will find a "REAL" doctor in the sense of the kinds of doctors you had previously, but.... believe me it will take time and patience. It may even be in another town, but do not give up ! Hand in there and GUARD your good health or they will have you on at least 5-7 meds, probably more, and a "sleep test", everyone should have one they say. BE CAREFUL, guard your good health.

[Nucky]

We signed up with UHC and chose Santa Barbara Health Care Center. We both have had some issues since we've moved to Florida and I thank God for each and every person in that building. They have done the correct thing for us every time. Above and beyond the call of duty. Our Doctor is Outstanding.

One thing that doesn't work is the practice of being sent to various locations to schedule an appointment. It was way better when we called Santa Barbara directly. NOTHING'S perfect.

[queasy27]

I have had 3 doctors and been in two facilities. I was very healthy when I came and still am. 3 of the doctors I had left because they were over worked and both facilities I found to really not care about "me" as a person or patient. Right now I don't want to see another physican - it is stressful.

I don't have an answer for you but can definitely say I feel the same. I've had four PCPs in 10 years -- two left the area and two who preferred to issue edicts rather than truly listen to my concerns. I also don't want tests and specialist referrals for every little thing! They aren't even issues I'm concerned about, but more a checklist the physicians have to follow in order to meet patient goals/quotas set by their practice.

It's also stressful for me when a practice has inefficient or uncaring nursing/front office staff, and when I'm made to wait 60+ minutes for an appointment.

I've become resentful and beaten down by the whole system.

Note: My experiences here have been with practices outside The Villages Health.

[Dgizzi]

Run away as fast as you can Ocala is only about 25 miles for Dr and hospital services
Yea, that’s a bit far to go for a doctor or hospital

[golfing eagles]

I'm finding it difficult to find a good PCP outside of the Villages Health system. My wife and I are not yet 65, so don't have the Medicare Advantage plan that's generally needed to see a PCP with the Villages Health -- which I've heard good things about. They did tell me, however, there will be a single PCP (Dr Jerry Jones) that starts in October who plans to see patients with private health insurance. It just seems crazy to be limited to a single doctor within their entire network...so would like to find some good alternatives - both male and female PCPs.

I'm afraid you have been misinformed. IF you are 65, you need to have an advantage plan from UHC or Florida Blue. IF you are under 65, , TVH takes most private insurance. I have Florida Blue and I'm less than 65.

As far as the OP goes, you need to make a distinction between The Villages Healthcare and healthcare in the villages, or Florida for that matter. TVH is in the top 1% of health systems in the NATION, the #1 rated practice in north and central Florida, and has a 98% patient satisfaction rating (I guess the other 2% are on this thread)

[J1ceasar]

Many specialists will make u wait 1 hour just to be sure they don't .

[Paporter]

It’s not you, it’s the medical fields mentality, in treating older patients and the system. I left Villages Health, after been treated so poorly by the staff. I never saw my doctor, just a nurse practitioner. My doctor now, just keeps prescribing me RX, that I don’t need. After 5 years, of seeing him at least 5 to 6 times year, he still doesn’t remember me or the RX he has prescribed to me. I have tell him.. it’s very disturbing. I’m seriously considering going back to my internist in Tampa.

[Paporter]

Can you be a bit more specific? We are 120,000 retired people in the Healthiest Community - is my experience unique - I guess that is what I am asking.

No it is not unique. It is the medical field mentality, no matter which Clinic of Physicians you select. I left Villages Health, after been treated so poorly. My dr of 5 yrs barely remembers who I am, after demanding I follow up every 2 months, or what he’s already prescribed for me. It’s disconcerting and I’m seriously considering going back to my doctor in Tampa. All of the physicians in Lake, Marion and Sumter County abuse the healthcare system.

[golfing eagles]

No it is not unique. It is the medical field mentality, no matter which Clinic of Physicians you select. I left Villages Health, after been treated so poorly. My dr of 5 yrs barely remembers who I am, after demanding I follow up every 2 months, or what he’s already prescribed for me. It’s disconcerting and I’m seriously considering going back to my doctor in Tampa. All of the physicians in Lake, Marion and Sumter County abuse the healthcare system.

Another satisfied customer.......

[dan1952]

I moved from Minnesota and have been trying to find a DR. I had an appointment at the Village Specialty clinic. They wanted to do many tests. I called my primary care Dr. in Minnesota he said the tests were not necessary and only ordered because the insurance pays for them. They are revenue billing machines and not DR's. BEWARE!

[harold63G]

I am not questioning, nor do I doubt, the statistics you cite but I do wonder where I could look at those data in the interest of learning what else is there regarding other issues. Thanks.

[rjn5656]

Not what we experienced. Very pleased with our doctor.

[drgoofy]

is not affiliated with TV. At my initial visit, she was warm, welcoming and fully informed about my history. I was so impressed with her preparation for my visit. I never saw a PA until her partner died, and now I see her PA occasionally for routine things, and I am also impressed with her professionalism. I have been extremely happy with my treatment from everyone in the office. When I visited Quest for my bloodwork, I was asked if I had my orders. I replied that Dr Abrantes' office was supposed to send them. The tech replied that her office staff is very good about sending orders in advance. I'm sure Dr. Abrantes took on most of her partner's patients, so I don't know if she is accepting new patients at this time.

[Travelhunter]

Have heard a few other stories so we picked family doctor that was not part of village health system.

Why not go elsewhere for a second opinion?
I’m interested in changing
Can you share the Dr’s contact info

[Travelhunter]

Can you be a bit more specific? We are 120,000 retired people in the Healthiest Community - is my experience unique - I guess that is what I am asking.

Yes I have the same experience and opinion.

[Bethwill]

Just say no to unnecessary testing and office visits. They push for 6 month follow ups but you don't have to do it.

[NotGolfer]

I'm afraid you have been misinformed. IF you are 65, you need to have an advantage plan from UHC or Florida Blue. IF you are under 65, , TVH takes most private insurance. I have Florida Blue and I'm less than 65.

As far as the OP goes, you need to make a distinction between The Villages Healthcare and healthcare in the villages, or Florida for that matter. TVH is in the top 1% of health systems in the NATION, the #1 rated practice in north and central Florida, and has a 98% patient satisfaction rating (I guess the other 2% are on this thread)

We moved here 10 going on 11 yrs ago. Before TVH we found our own clinics and individual practioners. I lucked out and found someone that was a great fit for me. My other half went to a practice that many on here have found less than adequate as did my other half. After a couple of yrs and 'just' before TVH came on board my practioner left the practice so I floundered and can relate to the OP in that it was awful. I really missed the care I'd been having until someone on this site told me where my "lost" pcp had gone. We signed up with TVH system then and I followed her (she's a nurse practioner) and have been highly satisfied with TVH system. My other half followed suit and agrees with me. We have ALL of our medical records in one system and don't have the myriads of paperwork to fill out when/if we're sent to a specialist. I have an autoimmune issue and for some years traveled to Ocala for my appointments. All fine and good in that the doctor I saw was great BUT the records didn't get sent here. I found he didn't have after-hours contact AND if I ever needed to be hospitalized for my issues, it would be in Ocala. So I found the specialist in the Specialty Clinic here in T.V. to replace him. I still will recommend him to others but so far I'm quite happy being treated here. I think we all can make comparisons to what we were used to back where we moved from. Truth be told though....ALL of the people I used to see "up there" have moved on or retired so it would have been a crap shoot to find someone new there as well. I think with UF coming on board with TVH things will improve even more. Our clinic is Santa Barbara but I've heard good reports from friends who go to Pinellas and Creekside for their care. We will always hear people being not happy but this is the experience I've had. Now dentists is another thing and another conversation. For now I'm satisfied but........

[jbrown132]

I won't mention any specific Doctors or offices. I have had 3 doctors and been in two facilities. I was very healthy when I came and still am. 3 of the doctors I had left because they were over worked and both facilities I found to really not care about "me" as a person or patient.
I moved from Maine, had the same physician for 25 years and know that can be duplicated but I am just thrown off at the treatment I have received. I was prescribed 5 new medications for something that was just a seasonal allergy - sent to sleep studies - and made to take drug tests for a "controlled" substance, a sleep aid. At home I saw a doctor once a year. When I got here it has been 6 x a year. Right now I don't want to see another physican - it is stressful
I am just confused - is it me or is this the system ?

I had a very good doctor in The Villages. It took me three try’s with other doctors before I found him. I would go to these other doctors and would have a 9:00 appointment and would find out there were five other people with the same appointment time. You were lucky to see the doctor by 11:00. When I finally found the good doctor I thought it was great. I had him for two years and the last time I saw him he said he could no longer treat me as The Villages Health Care system was taking over the practice and I would have to drop Blue Cross if I wanted to continue to see him. He was very upset. My point is, do yourself a favor and get off the merry-go-round. Find a doctor in Ocala, better doctors better hospitals.

[Girlcopper]

I don't think it's a fluke. My Villages Health doctor is excellent! I have 12 friends who have The Villages Health primary care physicians and they are all extremely satisfied with their healthcare. All of these people aren't healthy - there's been surgeries, cancer, a stroke, etc. They're all very satisfied.

Now I'm not saying every physician is excellent. I know people have had bad experiences. I think that happens anywhere. I can just say that from my experience and the people I know who go to TVH, people have been very pleased.
Same here. Theres so many to choose from and more arriving everyday. How about asking a friend or neighbor for a referral rather than asking strangers. Thats a unique concept!

[sallyg]

Lots of stories like yours. It is the way they do things here. Loads of tests, follow up visits etc. Shocking? Unnecessary? Expensive?
We travel to Gainesville when possible for treatment.

[chrissy2231]

Many doctors refrain from "Do no Harm!" The best Medicare insurance is United Health Care Medicare Advantage; also Florida Blue. With a Medicare Advantage plan, you are entitled to use all the doctors in Villages Health care system. My primary is Dr. Uyen Nguyen who is also a doctor who performs osteopathic manipulations. She is the best doctor I'VE had. Be sure to use HealthGrades.com so you can pick the best doctors.

[GOLFER54]

A couple of years ago I broke out with a rash, had 50 + Tests and saw about 10 different dermatologist, no results were conclusive. Medications, Creams, Biopsies, all prescribed did nothing. Wrong diagnosis and years of frustrating, itching and pain. Ended up all that time I had Shingles, let me tell you, it was truly uncomfortable and debilitating. In retrospect I am surprised that these doctors here couldn’t diagnose the problem. All these creams that I put on my skin, has burnt it and to this very day I still feel pain. It seems when doctors can not help, they just say , “ You have a Chronic Condition.” All that time I felt like an experiment. After many years I was prescribed morphine and prednisone which I take to this very day.

[Viperguy]

Medicare. Stretched too thin. Wait until we "all" have it.

[tophcfa]

Medicare. Stretched too thin. Wait until we "all" have it.

Trying to look at a positive if Medicare for all happens. The best doctors will no longer be able to run away from it since everyone will have it?

[golfing eagles]

Trying to look at a positive if Medicare for all happens. The best doctors will no longer be able to run away from it since everyone will have it?

No, they'll just migrate to concierge medicine and cash only.

[theruizs]

We were fortunate enough to have found Lady Lake Family Medicine. We heard some not so good stories about The Villages Health Care System and decided to look around. LLFM’s primary doctor is John Burress, but we have almost always seen his PA, Glen. He is very attentive and we couldn’t be happier with the care we have received over the last 8 years.

[Stu from NYC]

I’m interested in changing
Can you share the Dr’s contact info

I would but heres the thing.

We went to her based on a recommendation.

Have had two appointments but both have been virtual as she is not seeing patients in person now.

Until we had a face to face hesitate to recommend her. Next appt is mid October and hopefully in her office. If you message me than would furnish info..

[Spike380]

Yikes! Avoid Premier Medical!!! My husband had 9 different doctors within 10 yrs and they didn't do a good job helping him-they diagnosed a paralyzed diaphragm as Pneumonia-twice-until he went to Shands. And thats just the beginning. 5 minute appts are standard, and, as one dr. told my husband, I'm just a note taker. He is Now with The Villages Health (yes) and has Dr Rizzi and they, in a few months, did more for my husband than Premier did in 10 years. Don't care where you go or how bad you think the Villages Health is-but please, please, please avoid Premier.

[kendi]

Can you be a bit more specific? We are 120,000 retired people in the Healthiest Community - is my experience unique - I guess that is what I am asking.

I don’t have personal experience with the doctors here yet. But I do hear a lot of good things about them. Social media is the only venue that I see complaints and I tend to take them with a grain of salt. Complainers are louder than the satisfied and usually there are far fewer of them.

[Sontah]

The Villages hospital and er are the absolute WORST...do not ever go there. Yes, run away as fast as you can.

[rmd2]

I know that at least one of the doctors that post on this forum has chosen our excellent Dentist group owned by Dr. Kathleen Williams. She is the best dentist we have ever consulted in my opinion.

Another vote for Kathleen Williams. When I came here I was in an eye doctor office and was talking with another patient in the waiting room. He was a retired dentist now living in The Villages and he told me Dr. Williams was his dentist. She is very good.

[rmd2]

If I have anything serious or semi-serious I go to specialists in Orlando or Gainsville.

[charlieo1126@gmail.com]

I was very happy in the village healthcare , the only reason I left was because I have blue / cross worldwide backing up my Medicare and pay no deductibles ever . There are many good GP’S here but I’ve have been using Dr Villa she is all about traditional and non traditional medicine and is very hands on , I think it’s better to try and find a good doctor here , going to Ocala or Gainesville at some time in future could become much harder to do

[PugMom]

This person may NOT be talking about "THE VILLAGES HEALTH CARE" but just health care in The Villages. There are many, many, many doctors here that are not part of THE VILLAGES HEALTH CARE.

I am a "doctor snob" in that our youngest was born with a very serious and unusual heart defect as well as other things that go along with Williams Syndrome (including being VERY kind and CHARMING). We soon learned that we needed the best care in the REGION, not just the State. We went to The Cleveland Clinic for her original diagnosis when we lived in Indianapolis and then we moved to Cincinnati where Cincinnati has been in the top three for Children's Hospitals for the last fifty years.

People always get angry with me when I say that the State of Florida is way down the list for EXCELLENT health care with a few spots being VERY GOOD. Gainesville and Tampa both have teaching hospitals.

That said, The Morses have given us a damned good Health Care System and I think our Dr. Rizzi is an excellent PCP. We had two other physicians before ending up in The Villages Health Care System which is not available to everyone, just those with certain insurance.

There are some mighty dicey M.D.s and Dentists floating around in Florida and I often wonder who checks their licensing requirements.

Rizzi is my guy, too. i like him very much, he puts me @ ease & i like him as a person as well as a Dr.

[PugMom]

i've had nothing but good luck dealing with Villages Health, for myself & hubby too. where i CAN offer warning is on dentists. some look very nice on the outside, but the inner working & services provided are very lax. i 1st went to someone over on 466, thought i was in good hands, but when the work began it was awful. either Dr.'s not in, canceling appts., inability to complete a simple step, and a constant rotation of staff who always seemed to be 'in training.'
i recommend Sumter Landing Dental. all major work was completed in under a year.

[KRM0614]

The revenue model for all of the businesses here in the villages is the same for medical as well. They don’t have the resume to practice in good healthcare systems so they get a job here and are expected X number of patients per hour per day! They use the HMO model so the more things they have you do or get tested for the more of Ins Co money they get to keep. I’ve yet to see or hear of a PPO network here. You also need to take charge of your health and tell these folks no.
Turn to Costco for your alllergy needs. I’m still wondering how moving to Florida is a healthy choice over all.

[Rosebud1949]

A good doctor is rare here.( 13 years experience) Its seems to be about MAKING MONEY..... 3 visits a year even if fit. What happened to a visit when you feel sick.!!!! My Dr. billed my insurance $714. 33... For blood tests and an apt for results......This apt was regarded as a LONG VISIT... Long yes, 50 mins wait in the reception, after my apt time and 4 MINUTES actual face to face with the Dr. Who spent most of that time looking at his computer !!!!!!!!!!!!!!!!!

[Ralpha]

I have The Villages United Health Care and I’m very happy with it. I feel like I’m getting the best of care. Dr Fred Kaplan is my PCP and my four specialists are very professional, caring, and Always treats me with respect.

[graciegirl]

A good doctor is rare here.( 13 years experience) Its seems to be about MAKING MONEY..... 3 visits a year even if fit. What happened to a visit when you feel sick.!!!! My Dr. billed my insurance $714. 33... For blood tests and an apt for results......This apt was regarded as a LONG VISIT... Long yes, 50 mins wait in the reception, after my apt time and 4 MINUTES actual face to face with the Dr. Who spent most of that time looking at his computer !!!!!!!!!!!!!!!!!

I am surprised by your post knowing your age.

Preventive care for people over seventy is extremely important and more important because things can change quickly. I believe that making money is not a pejorative and if anyone deserves to make money, a doctor would be she.

All doctors look at their computers now. That is where the test results are and your past history.

[DonnaNi4os]

Physicians everywhere are stretched thin. There simply aren’t enough of them to go around and that is a nation wide dilemma. Add on top of that the ridiculous amount of mandated paperwork associated with insurance claims and it becomes a huge problem. I wish the candidates everywhere would address the problem with incentives for students to become healthcare professionals. By the time a young doctor graduates they have an incredible amount of student loan debt. It is the reason many of our medical students attend medical school in foreign countries. It is simply more cost effective.

On a personal note, I have been fortunate to have found excellent physicians within The Villages Health System including a Cardiologist, Rheumatologist, Radiologist, Orthopedist, General Surgeon, Oncologist and Radiation Oncologist. My primary and Ophthamologist are the only doctors not in TV Healthcare.

[SusanKD]

I’m confused. I thought the village health care system was being taken over by university of Florida health care? So can someone please.

[Holpat39]

Been here 18 years. Started out with private practice doctors and ended up changing numerous times. Rivers Family Practice is an excellent practice but their physicians move on too quickly and new ones are assigned to the patient. Found Villages Health to be the best we have ever been with even going back to 45 years ago up north. Creekside has great doctors and The Villages Specialty Care has the most caring doctors and staff. Never have waited more than 15 minutes to see a doctor.

[Holpat39]

UF only took over the hospital. Not Village Health.

[bpascani]

He/they were with these drs. for a while...before the drs. joined TVHS???? just a thought.

[Bogie Shooter]

He/they were with these drs. for a while...before the drs. joined TVHS???? just a thought.

What is it you are trying share with us?

[JoMar]

In some cases opinions here are related to other posts on restaurants, food, rules. Wherever we came from, it was always better than here. Medical is important but talking about on here is a waste of time if your aren't satisfied. Got talk to the provider and lay out your expectations. They can either accept them or ask you to go elsewhere. In today's litigious society every health care provider must protect themselves and that may involve tests or medications where lack of either could expose them is something goes wrong. I personally am pleased with TVH and the specialists associated with them. But if you are not then go look rather than disparaging a system that so many people find excellent. Take control....it's not that difficult.

[biker1]

If you are not yet 65 (pre Medicare) you can use The Villages Health Care system for your PCP with your private insurance company (assuming they are in network). I have been doing this for some time. Once you turn 65, you will be required to be on a Medicare Advantage Plan to continue to see their PCPs. The Villages Health Care Specialty Drs are different - anyone can go to them.

I'm finding it difficult to find a good PCP outside of the Villages Health system. My wife and I are not yet 65, so don't have the Medicare Advantage plan that's generally needed to see a PCP with the Villages Health -- which I've heard good things about. They did tell me, however, there will be a single PCP (Dr Jerry Jones) that starts in October who plans to see patients with private health insurance. It just seems crazy to be limited to a single doctor within their entire network...so would like to find some good alternatives - both male and female PCPs.

[drgoofy]

352.350.5130
mypulsemeds.com

[mirtle52]

We also moved from Maine and have no experience specific to the Villages Health; however what you describe is what we have experienced in Florida. They seem to be test happy and always bring you back to the office for the results.

[Josefina Valdes]

Well, I have been experiencing the same problems. I got so tired not only for the medications And procedures, but also for the doctors. I came from Boca Raton 2916 and since that time my health change very radical. Tired of that situation we decided to move out.
Some doctor told me that my allergies and chronic joints pains were cause for the construction dust and pollution coming from it and the horrible humidity of the area.
I was prescribed with prednisone many times. That is very bad and dangerous. Finally we had to move from Fenney. I love The Villages but it is not for me. Good luck to you.

[Stu from NYC]

We also moved from Maine and have no experience specific to the Villages Health; however what you describe is what we have experienced in Florida. They seem to be test happy and always bring you back to the office for the results.

My DR, whom we still have not yet met and is not connected to Villages Health, did run many more blood tests than anyone we have seen before but the blood tests were done a week before the visit so we could discuss the results virtually.

[Northwoods]

I’m confused. I thought the village health care system was being taken over by university of Florida health care? So can someone please.

No. The Villages Health is still part of The Villages. Shands does not own The Villages Health. (Note The Villages Health - Primary Care Physicians - is NOT the Villages Regional Hospital. THAT WAS taken over by Shands).

[wjmano]

I'm afraid you have been misinformed. IF you are 65, you need to have an advantage plan from UHC or Florida Blue. IF you are under 65, , TVH takes most private insurance. I have Florida Blue and I'm less than 65.

As far as the OP goes, you need to make a distinction between The Villages Healthcare and healthcare in the villages, or Florida for that matter. TVH is in the top 1% of health systems in the NATION, the #1 rated practice in north and central Florida, and has a 98% patient satisfaction rating (I guess the other 2% are on this thread)

I agree if you're under 65, TVH will take private insurance, but you cannot see but one of their PCP's -- and that one hasn't even started here yet. He starts in October. You can see any of TVH's specialist, however. I have had many conversations with TVH staff and this has been made quite clear to me several times. If I am misinformed (I hope I am), please let me know who I should talk to, to get an appointment with a PCP...other than Dr. Jerry Jones. My other thought...maybe this is a very recent change in policy??

[Halibut]

You also need to take charge of your health and tell these folks no.

People can certainly do that, but doctors can also discharge them for noncompliance. Patients need to realize that they can't simply bend doctors to their will. Ideally, there would be a respectful give and take.

My guess is that many (not all) of those who are highly satisfied with their physicians are also not the type to frequently challenge them or disagree with their advice.

[golfing eagles]

The revenue model for all of the businesses here in the villages is the same for medical as well. They don’t have the resume to practice in good healthcare systems so they get a job here and are expected X number of patients per hour per day! They use the HMO model so the more things they have you do or get tested for the more of Ins Co money they get to keep. I’ve yet to see or hear of a PPO network here. You also need to take charge of your health and tell these folks no.
Turn to Costco for your alllergy needs. I’m still wondering how moving to Florida is a healthy choice over all.

"They don’t have the resume to practice in good healthcare systems"

I'm sorry, I've seen some ignorant medical posts on this site over the years, but this is in the top 3. Why don't you read the profiles of the doctors on TVH web site, and see what their "resumes" are (btw, the correct term is curriculum vitae). My doctor and I practiced in NY together for 30 years, and we could join any "good" healthcare system in the country. There are many other very well trained physicians in TVH, and a few that may not look so good on paper, but are good clinicians anyway. This is why TVH is the #1 rated practice in central and northern Florida and in the top 1% nationwide.

get a job here and are expected X number of patients per hour per day!

Actually, the physicians at TVH are restricted to a patient profile of 1200 and schedule 1/2 hour routine appointments and 1 hour new patient appointments. So yes, X=2:1rotfl:

They use the HMO model so the more things they have you do or get tested for the more of Ins Co money they get to keep.

No, the physicians are salaried, and like every other physician in this country they get no "piece" of any lab test or procedure they order (Google Starke laws)

"You also need to take charge of your health and tell these folks no."

And your medical expertise to disagree with a board certified physician regarding appropriate testing is......??????? (yeah, I thought so)

"I’m still wondering how moving to Florida is a healthy choice over all"

For you, it probably isn't. I hear Luxembourg has good healthcare, why don't you give it a try?

[Rwirish]

Have been extremely pleased with all aspects of the Villages Health Care System.

[tsmall22204]

It is you. You need to take control of your life. This is a community of older people and physicians see the opportunities that is why there are some many. Medicare allows them to charge for everything under their specialty.
Stop allowing the health industry contr your life.

[Travelhunter]

Many doctors refrain from "Do no Harm!" The best Medicare insurance is United Health Care Medicare Advantage; also Florida Blue. With a Medicare Advantage plan, you are entitled to use all the doctors in Villages Health care system. My primary is Dr. Uyen Nguyen who is also a doctor who performs osteopathic manipulations. She is the best doctor I'VE had. Be sure to use HealthGrades.com so you can pick the best doctors.
Is she accepting new patients
Many of the highly rated Drs in tv healthcare are not accepting new patients

[Travelhunter]

I would but heres the thing.

We went to her based on a recommendation.

Have had two appointments but both have been virtual as she is not seeing patients in person now.

Until we had a face to face hesitate to recommend her. Next appt is mid October and hopefully in her office. If you message me than would furnish info..

Thank you I’m interested in leaving tv healthcare because my villages Dr was fired during the pandemic!

[golfing eagles]

It is you. You need to take control of your life. This is a community of older people and physicians see the opportunities that is why there are some many. Medicare allows them to charge for everything under their specialty.
Stop allowing the health industry contr your life.

And yet another "expert" that has no idea of what he/she is talking about. FYI, fees under Medicare are highly regulated and monitored with Draconian penalties for violations. And how do you suggest that individuals with no specialized knowledge or experience "take control of their lives" when it comes to healthcare? If you knew what the healthcare provider knows, you wouldn't have to see him in the first place

[Bacimom]

My experience with finding a PCP has been a discouraging one. At 54 I met a new doctor (not in TV Healthcare System) and I was treated like I was befuddled and incompetent. They desperately wanted to screen my hearing-insisting it wouldn’t cost me anything-maybe she thought I couldn’t hear her? I refused, which flustered her. The nurse asked where I have my prescriptions filled, I responded I don’t take any, so I haven’t used a pharmacy, other than to purchase allergy meds. She spoke to me like she didn’t believe me, and insisted I had to choose a pharmacy at that moment so she could proceed-maybe she was sure the Dr was going to prescribe a bunch of junk? 😂 She actually asked me if I had fallen in the past 60 days, if I knew who the president was and if I had trouble dressing myself....hello? Did she even bother to look up from her laptop?? The doctor proceeded to address me similarly, writing an Rx for piles of bloodwork (tho I had my bloodwork done a year earlier & all markers were normal as usual). He told me he would see me back in 2 weeks to discuss the results. At that point I could no longer contain myself. I asked him why I would need to come back. He said that’s just how I do it. (Cha-ching...let me charge your insurance for a follow up visit) He likes to go over it to make sure his patients understand. I responded that I’ve been in excellent health, exercise daily, have no issues with my weight or blood pressure, etc. I told him his office could call me if there was a concern with the results. Under no circumstance would I come into the office again, exposing myself to that Petri dish environment. He was shocked. What the heck?
I’m searching for a doc outside of this bubble that will treat a patient as an individual, rather than one more member of a herd. If you’ve got a suggestion, LMK! 😄

[Rsenholzi]

Do you like the physician you picked ? If so, what is their name? I am looking for a physician. Mine left the practice

[Sabella]

Definitely not you ! Myself and MANY others (you just have not found them yet !) are shocked and dazed by this atmosphere (is it "Florida" or just "The Villages" ?) It' s like a mall here, a retail mall, sell, sell, sell, and sell some more. Medicines "suggested" for things you have never had or thought of, tests, everything you said is true. Never in my life or in my family were we taken to the doctor constantly like it is here. Never did ANY of the doctors in my home town (some were better than others of course but...) NONE of them insisted you come in with NOTHING wrong with you just to take tests and "get a base line" ? If you got flu, or got pneumonia, or fell and may have a broken bone, and you called a doctor, they treated you. They did not start suggesting possible "diseases" that never crossed your mind. "Re-flux disease" ? Do you ever "burp", I can give you a Rx for that. Well, not really, but I suppose I have "burped" once, maybe twice, think it was last Christmas. "Oh, okay, we'll get that fixed, and..... on the way out you pick up another Rx".
No, NO, you are NOT alone, you have every reason to be "confused", and be very very careful, you will find a "REAL" doctor in the sense of the kinds of doctors you had previously, but.... believe me it will take time and patience. It may even be in another town, but do not give up ! Hand in there and GUARD your good health or they will have you on at least 5-7 meds, probably more, and a "sleep test", everyone should have one they say. BE CAREFUL, guard your good health.

It’s all about money not medical care any more. I couldn’t have said it better. Unnecessary doctor visits, unnecessary medications, unnecessary tests and the majority of patients go along with it. Patients need to start questioning doctors and doing some research of their own when it comes to their health.

[nhtexasrn]

I won't mention any specific Doctors or offices. I have had 3 doctors and been in two facilities. I was very healthy when I came and still am. 3 of the doctors I had left because they were over worked and both facilities I found to really not care about "me" as a person or patient.
I moved from Maine, had the same physician for 25 years and know that can be duplicated but I am just thrown off at the treatment I have received. I was prescribed 5 new medications for something that was just a seasonal allergy - sent to sleep studies - and made to take drug tests for a "controlled" substance, a sleep aid. At home I saw a doctor once a year. When I got here it has been 6 x a year. Right now I don't want to see another physican - it is stressful
I am just confused - is it me or is this the system ? My husband and I are both healthy and only visited the Dr. once a year before coming to The Villages. After finding a PCP here, we were scheduled for all kinds of tests which i felt were unnecessary, but were told it's just to establish a "baseline". We went along with that and figured it was probably a good thing, but also had the feeling that they were gouging Medicare. Anyway, after all the tests and blood work etc, they kept trying to schedule us every 6 months for a Dr. visit. We finally said, "look, we are not coming in to this office every 6 months, see you in a year unless we need you" They said OK, and that was that...As far as the care itself, i guess we are satisfied but haven't had any serious problems.

[diamond2005]

I won't mention any specific Doctors or offices. I have had 3 doctors and been in two facilities. I was very healthy when I came and still am. 3 of the doctors I had left because they were over worked and both facilities I found to really not care about "me" as a person or patient.
I moved from Maine, had the same physician for 25 years and know that can be duplicated but I am just thrown off at the treatment I have received. I was prescribed 5 new medications for something that was just a seasonal allergy - sent to sleep studies - and made to take drug tests for a "controlled" substance, a sleep aid. At home I saw a doctor once a year. When I got here it has been 6 x a year. Right now I don't want to see another physican - it is stressful
I am just confused - is it me or is this the system ?
When I first moved to TV, I went through similar drills.
They always want to refer you to another physician. I realized the “drill”, and now, I decide.

[Sabella]

"They don’t have the resume to practice in good healthcare systems"

I'm sorry, I've seen some ignorant medical posts on this site over the years, but this is in the top 3. Why don't you read the profiles of the doctors on TVH web site, and see what their "resumes" are (btw, the correct term is curriculum vitae). My doctor and I practiced in NY together for 30 years, and we could join any "good" healthcare system in the country. There are many other very well trained physicians in TVH, and a few that may not look so good on paper, but are good clinicians anyway. This is why TVH is the #1 rated practice in central and northern Florida and in the top 1% nationwide.

get a job here and are expected X number of patients per hour per day!

Actually, the physicians at TVH are restricted to a patient profile of 1200 and schedule 1/2 hour routine appointments and 1 hour new patient appointments. So yes, X=2:1rotfl:

They use the HMO model so the more things they have you do or get tested for the more of Ins Co money they get to keep.

No, the physicians are salaried, and like every other physician in this country they get no "piece" of any lab test or procedure they order (Google Starke laws)

"You also need to take charge of your health and tell these folks no."

And your medical expertise to disagree with a board certified physician regarding appropriate testing is......??????? (yeah, I thought so)

"I’m still wondering how moving to Florida is a healthy choice over all"

For you, it probably isn't. I hear Luxembourg has good healthcare, why don't you give it a try?
Allegedly the 3rd leading cause of death In the US is medical malpractice . Does anyone know if this is true?

[graciegirl]

Definitely not you ! Myself and MANY others (you just have not found them yet !) are shocked and dazed by this atmosphere (is it "Florida" or just "The Villages" ?) It' s like a mall here, a retail mall, sell, sell, sell, and sell some more. Medicines "suggested" for things you have never had or thought of, tests, everything you said is true. Never in my life or in my family were we taken to the doctor constantly like it is here. Never did ANY of the doctors in my home town (some were better than others of course but...) NONE of them insisted you come in with NOTHING wrong with you just to take tests and "get a base line" ? If you got flu, or got pneumonia, or fell and may have a broken bone, and you called a doctor, they treated you. They did not start suggesting possible "diseases" that never crossed your mind. "Re-flux disease" ? Do you ever "burp", I can give you a Rx for that. Well, not really, but I suppose I have "burped" once, maybe twice, think it was last Christmas. "Oh, okay, we'll get that fixed, and..... on the way out you pick up another Rx".
No, NO, you are NOT alone, you have every reason to be "confused", and be very very careful, you will find a "REAL" doctor in the sense of the kinds of doctors you had previously, but.... believe me it will take time and patience. It may even be in another town, but do not give up ! Hand in there and GUARD your good health or they will have you on at least 5-7 meds, probably more, and a "sleep test", everyone should have one they say. BE CAREFUL, guard your good health.

AND "Never before" were you as old as you now are. As we age we have more reason to see a physician to monitor our changing health. Do you burp, or have heartburn is a valid screening question for those over fifty. Untreated acid reflux can cause serious issues. When I received chemo for breast cancer I met a man there for cancer of the esophagus which happens when acid reflux is left unnoticed or untreated.

Seeing a doctor for a check up every six months when you are over sixty is very wise indeed. As is getting tests such as those to check thyroid function, sugar levels and how your kidneys are functioning. Also wise to get a colonoscopy if you are over fifty.

I think it very wise to be referred to a specialist for a heart problem or an endocrinologist for thryroid or sugar difficulty or for a dermatologist to look at your skin that is exposed to a lot of sun here in Florida.

All three of us have been very happy with Creekside Villages Health Care.

[bp243]

Is there a female physician who is highly recommended?

[Sontah]

It is not you, it is this horrible system at the villages hospital....very, very poor to say the least. They let people suffer and wallow in waiting area. do not ever go here.

[deestatham@aol.com]

I won't mention any specific Doctors or offices. I have had 3 doctors and been in two facilities. I was very healthy when I came and still am. 3 of the doctors I had left because they were over worked and both facilities I found to really not care about "me" as a person or patient.
I moved from Maine, had the same physician for 25 years and know that can be duplicated but I am just thrown off at the treatment I have received. I was prescribed 5 new medications for something that was just a seasonal allergy - sent to sleep studies - and made to take drug tests for a "controlled" substance, a sleep aid. At home I saw a doctor once a year. When I got here it has been 6 x a year. Right now I don't want to see another physican - it is stressful

I am just confused - is it me or is this the system ?

Like you and so many, I’m totally fed up. We moved from Maryland and had the same doctors for years. In 5 years here I had 4 doctors. Finally found one I liked and Lowenkron, the Medical Director fired him because he questioned things that were being done wrong. How do I know? The doctor told me himself offline. If you research Lowenkron, you’ll find that he was fired from his post in Tampa several years ago but he is a friend of the Morse family. This place is a revolving door of doctors and a goldmine for the drug companies. You might consider keeping your doctor up North and just go back once a year. Just my humble opinion based on my own experience here.

[runkcrun]

I agree, there is a culture here that everyone needs to see a Dr. multiple times a year and see a specialist for any little thing. However, we do not have to do everything a Dr. recommends. We are in control and we have a choice. I inform my physician that I will come in yearly and requests my prescriptions be written for 1 year. I ask questions, and listen to what the Dr. is telling me. If I don't think a test or treatment is necessary, I don't it. I research via reputable sources and make my own decisions on my health care.

[MoseyInn]

I agree with you totally ! Where would I find a list? Since my first post I have spoken to more than a dozen people that have had the same experience and 3 of them with the the same clinic. Rivers Family Medicine. I do not feel that my experience is unique and I would like to know why nothing is said or am I just don't know where to look

[MoseyInn]

Is there a place that people take about this - I do always use "follow the money". but at our age and in this place I think it is criminal to take advantage of elders and yes, even the insurance company - we all end up paying when there is abuse

[Florida Fan]

Now, how could you have been with them for 14 years? The Villages Health Care just started about 2012, as I recall.

You're right. I guess it just seems for ever. Comments remain the same. Couldn't be happier.

[MoseyInn]

So do you think it is a culture or system here, in the Villages or Florida - Is it worth doing anything about it. At first I didn't mention it was Rivers Family Medicine but after talking to other people I am not going to protect them. They need not take advantage of us or the Insurance companies that they bill. Right now I think I am just going to use Urgent Care

[MoseyInn]

Totally Totally Totally agree. You have to be responsible for your health. I can be and it sounds like you can also - but what about the people that feel everyone with a medical degree is perfect and they take test after test - needed or not. I have total respect for the medical profession. My cousin is a neurosurgeon in Washington DC and was shocked at the treatment I received at Villages Family Medical, He had never heard of a physician dismissing a patient. It happens here

[MoseyInn]

So what do you think I should do - can anyone change a culture of medical service in this area. I do know that there are some great doctors here but what about the people that just think that they have to settle. I don't know where to turn to make a difference

[MoseyInn]

Thanks for. your reply - it was helpful. I never heard of Luxembourg and will certainly check it out - or the Dr Profiles. That is one of the reasons for the post.
I agree there must be great doctors here and though my experience was unique - except when I started asking around and found that Rivers Family Medicine came up more than once regarding bad treatment. The other place was Mullbury. In a very short time I had 3 doctors - One of the very, very best was Dr. Wald. He and Dr Collette Mercier and Dr Linda Satterlee were outstanding but they left because of the pressure the system put on them - That is why I went to Rivers Family Medicine. I want you to know that I am not just complaining - I was wondering why this was happening in such a short span of time. I was wondering who stands up for people that don't complain - where is the watchdog ? Can you help me with that? Maybe there is such a system out there and I just don't know about it. Thanks for your reply

[Plants]

You have “ OPTIONS “instead of complaining! Be smart and do research. Just sayin’ I’ve been pleased with my choices.

[graciegirl]

Like you and so many, I’m totally fed up. We moved from Maryland and had the same doctors for years. In 5 years here I had 4 doctors. Finally found one I liked and Lowenkron, the Medical Director fired him because he questioned things that were being done wrong. How do I know? The doctor told me himself offline. If you research Lowenkron, you’ll find that he was fired from his post in Tampa several years ago but he is a friend of the Morse family. This place is a revolving door of doctors and a goldmine for the drug companies. You might consider keeping your doctor up North and just go back once a year. Just my humble opinion based on my own experience here.

I am highly skeptical of this summary. I haven't seen a "revolving door of doctors" at The Villages Health center at Creekside. I see no evidence of Dr. Jeffrey Lowenkron being fired, ever, in his Curriculum Vitae. All doctors prescribe medications that cost money.

This really sounds like it could be a lot of things. A doctor who has lost patients to the Villages Health or a patient who was dropped because of failure to comply with the doctors directions.

Or it could be the truth.

But I doubt it.

[golfing eagles]

Allegedly the 3rd leading cause of death In the US is medical malpractice . Does anyone know if this is true?

I do, and no, it is definitely not true. This rumor comes from a Johns Hopkins study that found there were 220,000 deaths annually in hospitals "due to" medical mistakes. It would have been better if they stated there are 220,000 deaths in hospitals that incidentally included a medical "mistake".

Now, having spent years as chairman of pharmacy and therapeutics committee, quality assurance committee, chief of staff of my local hospital and sat on the board of directors, let me explain what a "mistake "actually is. I order 650 mg of acetaminophen to be given to a patient at 6 PM. The nurse has to administer it between 5:30 and 6:30. She gets busy helping at a resuscitation and gives the pill at 6:31. This has to be reported to the state health dept. as an error. The patient dies 2 weeks later of his underlying stage 4 pancreatic cancer, and then the Hopkins study counts this as death due to a medical error, what you termed "malpractice"

In 30 years of being involved in reporting to the NYS health dept. , out of thousands of so called "mistakes" I can only remember a few dozen that were significant and a handful that rose to the level of malpractice. But this "3rd leading cause of death" is a great narrative for the media, the state regulators, and the politicians, so I think we will continue to hear this fallacy repeated over and over again

[Stu from NYC]

I do, and no, it is definitely not true. This rumor comes from a Johns Hopkins study that found there were 220,000 deaths annually in hospitals "due to" medical mistakes. It would have been better if they stated there are 220,000 deaths in hospitals that incidentally included a medical "mistake".

Now, having spent years as chairman of pharmacy and therapeutics committee, quality assurance committee, chief of staff of my local hospital and sat on the board of directors, let me explain what a "mistake "actually is. I order 650 mg of acetaminophen to be given to a patient at 6 PM. The nurse has to administer it between 5:30 and 6:30. She gets busy helping at a resuscitation and gives the pill at 6:31. This has to be reported to the state health dept. as an error. The patient dies 2 weeks later of his underlying stage 4 pancreatic cancer, and then the Hopkins study counts this as death due to a medical error, what you termed "malpractice"

In 30 years of being involved in reporting to the NYS health dept. , out of thousands of so called "mistakes" I can only remember a few dozen that were significant and a handful that rose to the level of malpractice. But this "3rd leading cause of death" is a great narrative for the media, the state regulators, and the politicians, so I think we will continue to hear this fallacy repeated over and over again

Thank you for your posts.

[golfing eagles]

I agree, there is a culture here that everyone needs to see a Dr. multiple times a year and see a specialist for any little thing. However, we do not have to do everything a Dr. recommends. We are in control and we have a choice. I inform my physician that I will come in yearly and requests my prescriptions be written for 1 year. I ask questions, and listen to what the Dr. is telling me. If I don't think a test or treatment is necessary, I don't it. I research via reputable sources and make my own decisions on my health care.

You sound like an excellent physician. May I inquire as to your medical education, residency, specialty board and state of licensure????. After all, you must have pretty good training to decide which tests and treatments that your doctors want to order are unnecessary. Also, you qualifications must greatly exceed that of your doctor, since he is willing to have you dictate to him. But maybe it isn't that hard for you, since clearly you consult Dr. Google. (which BTW I have never seen work out too well). I do hope you never run into a medical problem too complicated for your skill set (like a sore throat)

[Brandigirl]

I am highly skeptical of this summary. I haven't seen a "revolving door of doctors" at The Villages Health center at Creekside. I see no evidence of Dr. Jeffrey Lowenkron being fired, ever, in his Curriculum Vitae. All doctors prescribe medications that cost money.

This really sounds like it could be a lot of things. A doctor who has lost patients to the Villages Health or a patient who was dropped because of failure to comply with the doctors directions.

Or it could be the truth.

But I doubt it.

This is what I think the OP was referring to: Clinic Fails, USF Official Jumps to New Job at the Villages | Health News Florida (https://health.wusf.usf.edu/post/clinic-fails-usf-official-jumps-new-job-villages#stream/0) and: Ex-USF Physicians Chief Sues for $600K | Health News Florida (https://health.wusf.usf.edu/post/ex-usf-physicians-chief-sues-600k#stream/0)

[JoMar]

I agree, there is a culture here that everyone needs to see a Dr. multiple times a year and see a specialist for any little thing. However, we do not have to do everything a Dr. recommends. We are in control and we have a choice. I inform my physician that I will come in yearly and requests my prescriptions be written for 1 year. I ask questions, and listen to what the Dr. is telling me. If I don't think a test or treatment is necessary, I don't it. I research via reputable sources and make my own decisions on my health care.

Wow, what reputable doctor would prescribe meds for a year unless they are placebo's? Please give us their name so we can avoid.

[MaryShields]

We are moving to the Villages from MN and have had excellent health care here. I am a retired DNP and am very aware of practices. I’m nervous about Florida and would appreciate any recommendations for a good clinic and PCP. Thanks much,
Mary Shields

[Sabella]

Wow, what reputable doctor would prescribe meds for a year unless they are placebo's? Please give us their name so we can avoid.

There called maintenance medicines that you will take the rest of your life.

[MoseyInn]

Thanks Northwoods - that is good to know

[Stu from NYC]

Wow, what reputable doctor would prescribe meds for a year unless they are placebo's? Please give us their name so we can avoid.

In our case in order to control cholesterol and blood pressure we go on drugs and do not come off (unless periodic blood tests say we should).

To make it easier we get our pills from a mail order pharmacy in 90 day batches that come every 3 months.

[theruizs]

Wow, what reputable doctor would prescribe meds for a year unless they are placebo's? Please give us their name so we can avoid.

My neuropathy medication (non-narcotic) is prescribed for 90 days with 3 refills (1 year total). However, I see my pain doctor every 3 months for evaluation, so it can be canceled or changed if necessary. I am very glad you have not had a problem that requires long term medication, but there are many of us who do.

[JoMar]

In our case in order to control cholesterol and blood pressure we go on drugs and do not come off (unless periodic blood tests say we should).

To make it easier we get our pills from a mail order pharmacy in 90 day batches that come every 3 months.

I do also, but I go back to have the medication reevaluated and adjusted. I don't get a prescription for a year and I know of nobody that does. The post I responded to said they get a yearly prescription.

[Stu from NYC]

I do also, but I go back to have the medication reevaluated and adjusted. I don't get a prescription for a year and I know of nobody that does. The post I responded to said they get a yearly prescription.

We do not seem to be on same page so let me restate what we get.

Our DR gives us prescription good for 4 shipments 90 day supply each time of our maintenance drugs.

Every 6 months we get a very inclusive blood test to make sure our organs are functioning properly.

For example some cholesterol drugs can do harm to your liver so it is necessary to monitor liver function.

In my experience this is very common especially when dealing with mail order pharmacy owned by Medicare Advantage provider.

[theruizs]

... I don't get a prescription for a year and I know of nobody that does. ...

Actually, you likely do but just don’t know it. One year prescriptions are given for long-term care/control of cholesterol, neuropathy (as in my case), seizures, etc. That does not mean theses people only see a doctor once a year, they likely have regular exams or blood tests to be sure all is well. It is more common than you think.

[Ladygolfer93]

I don't have an answer for you but can definitely say I feel the same. I've had four PCPs in 10 years -- two left the area and two who preferred to issue edicts rather than truly listen to my concerns. I also don't want tests and specialist referrals for every little thing! They aren't even issues I'm concerned about, but more a checklist the physicians have to follow in order to meet patient goals/quotas set by their practice.

It's also stressful for me when a practice has inefficient or uncaring nursing/front office staff, and when I'm made to wait 60+ minutes for an appointment.

I've become resentful and beaten down by the whole system.

Note: My experiences here have been with practices outside The Villages Health.

Couldn't have said it better ! Have you had ANY "luck" finding a really quality physician that does not have a checklist in one one hand and the quota for the month in the other ? I am just not used to the whole "system" here in Florida. Pretty much like socialized medicine with a more acceptable sounding label I guess. I miss my doctors back "home", not matter who you go to it's nothing like here, but, I love Fl, my home, my friends, and the state so need to keep looking, looking.... !

[JimJohnson]

Knock on wood, I’m enjoying good health in my 70’s. I am with the Villages Health Care/UnitedHealthcare. I had my last bi annual checkup scheduled for April, but due to Covid I called in to cancel and reschedule during November. I then got a call back later informing me that November would make it a year since my last appointment and that could compromise my future approval of Doctor referrals and subscriptions. I did not think much of it till now that if I want to wait longer for a checkup, I may lose my subscriptions for medications, I.e. blood pressure and cholesterol medication. To be clear, I truly love the care I get now, but have became concerned that my doctor is pressured to have me increase my office visits.
Question: Is it normal to require Bi annual checkups for healthy patients?

[Stu from NYC]

Knock on wood, I’m enjoying good health in my 70’s. I am with the Villages Health Care/UnitedHealthcare. I had my last bi annual checkup scheduled for April, but due to Covid I called in to cancel and reschedule during November. I then got a call back later informing me that November would make it a year since my last appointment and that could compromise my future approval of Doctor referrals and subscriptions. I did not think much of it till now that if I want to wait longer for a checkup, I may lose my subscriptions for medications, I.e. blood pressure and cholesterol medication. To be clear, I truly love the care I get now, but have became concerned that my doctor is pressured to have me increase my office visits.
Question: Is it normal to require Bi annual checkups for healthy patients?

As we get older more things can go wrong with our bodies so why not get checked more frequently?

Better chance to find if something like heart or blood pressure has developed a problem we are not aware of.

[Medtrans]

Knock on wood, I’m enjoying good health in my 70’s. I am with the Villages Health Care/UnitedHealthcare. I had my last bi annual checkup scheduled for April, but due to Covid I called in to cancel and reschedule during November. I then got a call back later informing me that November would make it a year since my last appointment and that could compromise my future approval of Doctor referrals and subscriptions. I did not think much of it till now that if I want to wait longer for a checkup, I may lose my subscriptions for medications, I.e. blood pressure and cholesterol medication. To be clear, I truly love the care I get now, but have became concerned that my doctor is pressured to have me increase my office visits.
Question: Is it normal to require Bi annual checkups for healthy patients?

I think seeing a physician twice a year is fair and better for you in the long run. They need to monitor your cholesterol and blood pressure. Just because you’re on medication doesn’t mean it is controlled with no changes. Life happens and your numbers could go up or down.

[Dan9871]

Question: Is it normal to require Bi annual checkups for healthy patients?


I have annual appointments for check ups at Villages Health.

I don't think any doctor can give you a prescription if they haven't seen you in the last year.

Maybe your doctor wants to track how you are doing on your current prescription.

Many, maybe most, of the doctors in Villages Health are maxed out on the number of patients they have. They probably are a good number of people lined up for your doctor and Villages Health might like to give one of them your slot if you are not going to be going to appointments. They probably consider you as having left the system if you haven't had an appointment for over a year.

[coffeebean]

The Villages hospital and er are the absolute WORST...do not ever go there. Yes, run away as fast as you can.

Has TV Hospital and ER improved since the buy out by UF Health, the owner of Shands? I would hope so. I'm waiting to hear glowing reports.

[MoseyInn]

Yes, that was exactly my experience and I had a feeling I was not the only one - but my question to you - are we really isolated cases or is this really a culture and where do I go to find out more. I own my own health but I have friends that are really seeing a Doctor or tests weekly. Breaks my heart.
It is not funny but I had sleep tests scheduled too.... I didn't go and got billed $250. I told them I was going to contact the insurance company - that was the last bill I received. I am sure they would have tried to fit me for that sleeping device. Some people need it, I certainly didn't - but that is what I mean about culture.

[MoseyInn]

Yes, I agree with you and if you are on a medication I think they should check up on you. But at a point it becomes more than checking up - it becomes income and expense. But - totally - they are responsible when they prescribe medication and I do understand there are now laws because of doctors over prescribing. I am talking about common sense

[MoseyInn]

agree

[Northwoods]

Knock on wood, I’m enjoying good health in my 70’s. I am with the Villages Health Care/UnitedHealthcare. I had my last bi annual checkup scheduled for April, but due to Covid I called in to cancel and reschedule during November. I then got a call back later informing me that November would make it a year since my last appointment and that could compromise my future approval of Doctor referrals and subscriptions. I did not think much of it till now that if I want to wait longer for a checkup, I may lose my subscriptions for medications, I.e. blood pressure and cholesterol medication. To be clear, I truly love the care I get now, but have became concerned that my doctor is pressured to have me increase my office visits.
Question: Is it normal to require Bi annual checkups for healthy patients?

I also have The Villages Healthcare (UH) and am extremely happy with my physician and how they approach healthcare. My appt. is always on time and it's a 30 min appt so the Dr. is very thorough and I never feel rushed.
I did notice that when I turned 65 my appt's went from 1x/year to 2x/year. The PCP bi-annual appt is $0 co-pay. So all is good.

[Topspinmo]

When I initially mentioned I would not name a specific Clinic I was doing that to protect RIVERS FAMILY MEDICINE until I got more information. I have talked to others and found out I am not unique in my frustration and people have specifically mentioned Rivers Family Medicine. I don't understand how this can happen - Isn't there a place people can post complaints ???? or compliments?

I won't mention any specific Doctors or offices. I have had 3 doctors and been in two facilities. I was very healthy when I came and still am. 3 of the doctors I had left because they were over worked and both facilities I found to really not care about "me" as a person or patient.
I moved from Maine, had the same physician for 25 years and know that can be duplicated but I am just thrown off at the treatment I have received. I was prescribed 5 new medications for something that was just a seasonal allergy - sent to sleep studies - and made to take drug tests for a "controlled" substance, a sleep aid. At home I saw a doctor once a year. When I got here it has been 6 x a year. Right now I don't want to see another physican - it is stressful
I am just confused - is it me or is this the system ?


If you’re very healthy why are you seeing doctor 6 times year ANd taking 6 new medication’s? You have the right to say no, I don’t need that. IMO drugs are pushed too much in too many cases. Sometimes the side effects are worse the symptoms you have?

I like my doctor at villages health till he flow the coop and I got kicked out of village health cause I wouldn’t join UHC for supplement I didn’t need just to stay in village health care.

IMO I also think women are prayed upon by health care providers over prescribing drugs.

[Ladygolfer93]

I actually did that - well, maybe I didn't . The practice was in the Villages and I don't want to mention the name but that is when I was confronted with "is it a culture". I worked with hospice for 8 yrs so I know that at our ages we are a big boost to the revenue for physicians. But I never expected to feel it happening. .
But thanks for your reply. I should check to see what their affiliation is.

While it is so convenient, there is a price to pay for living in a non-public (type) of "city" where you have no elected city officials, where everything from how, and when, and who handles your mail, to your medical care, banks, radio station, newspapers, on line communications, every aspect of your life is controlled by one powerful force, money. We all accept this willingly, cheerfully, so the alternative is to drive much further than we would like (the reason many came, little need for an auto in day to day life, possible to go doctor, dentist, even for dialysis in a golf cart, gasoline budget plummeted from the previous daily commuting, more $$ for travel, vacations, new golf clubs...) but the time has come when for many, life may be more like it was before retirement; best doctor may be in Gainesville, or Orlando, or even Tampa. Best dentist may be in Ocala. Best insurance agent, gym, or bank may be in Leesburg. Other wise, you are quite right, you are limited to what is offered within a golf cart ride, I agree. As to airing an opinion, that seems to be dangerous most everywhere these days. Look what is said to people who express that they prefer not to wear a mask, or go swimming right now, or to those who wish to dine out. Control seems to be the name of the game these days.

[MoseyInn]

I may have asked you before but how do you check. Is there a reliable system that you know of. I agree it is up to us to own our health and you sound like that is what you have done

[MoseyInn]

Then what do you do? I have received conflicting reports. I realize we are at an age that thing start falling apart and I also have had friends crying that since they retired here all they do is see doctors . Our age group doesn’t usually argue with authority , Maybe there isn’t abuse in the system here but I just wonder if anyone has looked into it . A reporter or a lawyer . Or the state ?

[MoseyInn]

Don’t get beaten down. There has to be an answer. We have earned the right to be protected and taken care of . Health is big business and big business has regulations . Just has to find it.