Housecall MD

What kind of care can a doctor provide me in my home?

Anything that can be done in a doctor's office can be done at your home.  Improvements in technology during the last few years allow us to provide the same level of care.

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Services Provided:

• Medical Visits: Home, Retirement Community

• Annual Routine Wellness Exams

• Follow-up Visit After Hospital Discharge

• Geriatric Assessment and Management

• Dementia & Chronic Conditions Management

• Medicine & Pharmacy Management 

• Palliative Care​

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• Anticoagulation Management: Warfarin​

• Bladder Scans

• Coordination of:

  • Care with other Specialists​

  • In-Home Blood Draw Labs

  • In-Home X-Rays / Ultrasounds

  • Medical Equipment

• Ear and Hearing Aid Cleaning

• Electrocardiograms

• Feeding Tube Replacement

• Flu Shots

• Joint Injections

• Oxygen Evaluation

• Skin Lesion Removal with Electrosurgery

• Supervision of Home Health: Nursing / Physical Therapy / Wound Care / Aides

• Supervision of Medicaid: Aides

• Toenail Trimming

• Wound Treatment

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Can Dr. Postigo manage my chronic health conditions?

In addition to providing general health care, geriatric assessments and management, and medication management, he will be managing your chronic health conditions such as diabetes, heart disease, COPD, arthritis, hypertension, dementia, INR management and more as part of your regular visits.  He will address your long-term health issues to improve your quality of life and help you with Advanced Care Planning.

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Do I need to see a Geriatric Specialist to have a Geriatric Assessment done?

Dr. Postigo is a Geriatric Specialist and will provide you with a Comprehensive Geriatric Assessment on an annual basis as part of your regular medical care.  These assessments help determine your needs in the home, as well as determining your physical and mental abilities, including cognitive impairment and depression.  There is no need to go to a different Geriatric Specialist to have this done.

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What if I need a consultation with another specialist?

Dr. Postigo can make a referral to the specialist of your choice.  You can choose a specialist by: a) searching the internet; b) searching the Rochester Regional webpage (www.rochesterregional.org) and looking under "Find a Provider"; c) searching the University of Rochester webpage (http://www.urmc.rochester.edu) and looking under "Find a Provider".  Let Dr. Postigo know the name, phone, and fax number of the specialist you want to see and we will make the first appointment for your.  If you don't want to select a specialist, we will make an appointment with a specialist in the Rochester Regional System that is accepting new patients.  If the place, date, or time doesn't work for you, you will need to call the specialist's office so you can reschedule the appointment directly with them.

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Can you supervise my Home Health?

Yes.  We work with all the Home Health Agencies of the area.  Dr. Postigo can order and supervise Home Health, including skilled nursing, physical & occupational therapy, and other home health services.

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Does Dr. Postigo provide Palliative Care?

Yes.  Dr. Postigo provides Palliative Care with the goal of improving the comfort and quality of life of patients while continuing to treat and manage their health conditions and chronic illnesses.​

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Does Dr. Postigo provide Hospice Care?

No.  If terminal patients and their families decide to stop all treatments, enroll in Hospice and are in need of a Hospice Home Health Agency, Dr. Postigo coordinates the transfer to the team of Hospice Doctors who then assumes the care of the patient.​

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What if I need some blood work done at home?

The doctor can order these to be done in your home.  Labs are usually done on Wednesdays by Rochester Regional Home Draw Lab, Phone: 585-922-1160.  You should call ahead of home and ready to be seen.  If the patient is not home and ready, or refuses to be seen when the lab technician comes, the home draw service option will be canceled for the patient for all future home blood draws and they will need to get their labs done at a facility.​

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What if I need some blood work, a urine test, or a stool test in a lab?

If needed, Dr. Postigo can order these studies at outside facilities.  You will first need to stop by the facility to pick up the test kit for the collection and then you will need to return to the lab to drop off the sample.  For blood work, you will need to go a Rochester Regional Lab.  Ask the lab to look in their computer's personal FAX folder of the patient for the order from Dr. Postigo.  The order will be there.  You should call ahead of time to confirm that they can find the orders Dr. Postigo sent and also verify the address of the facility.  The general phone number for Rochester Regional Labs is 585-922-1811.  Let them know which lab you are trying to reach and they can give you the phone number of that specific facility or go to the Rochester Regional Labs website: https://www.rochesterregional.org/locations and select Laboratory Service Center for a list of Lab Facilities, location and information.

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​What if I need an X-Ray or Ultrasound done at home?

X-Ray and Ultrasounds are usually done within 48 hours by Ultra Mobile; Phone: 585-424-6270.  Call them to confirm the date and time of the test.​

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What if I need an X-Ray, CT scan, or MRI in the hospital?

For X-Ray, CT scan, or MRI, you will be notified by our office of the time and location where you need to go, since these procedures need to be approved by your insurance first.  If the day and time does not work, you will need to call and reschedule the test.  Rochester Regional Outpatient X-Ray Department Phone: 585-922-2160.  

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Can I have a copy of my lab results and medical records? Can we discuss the recent lab tests?

For Providers within Rochester Regional Health and University of Rochester Medicine Systems:  you can have access to your lab results and other medical information from visits with providers within the Rochester Regional Health or University of Rochester Medicine Systems through the internet. ​

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For Rochester Regional Health System:

Access through the internet at: https://mycare.rochesterregional.org/mychart/

If you need assistance setting up an account, call their help line at 585-922-1234.

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For University of Rochester Medicine System:

Access through the internet at: https://mychart.urmc.rochester.edu/mychart/ 

If you need assistance setting up an account, call their help line at 585-275-8762.

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For visits with Dr. Postigo:

Although Dr. Postigo is not employed by Rochester Regional Health, he is affiliated with Rochester Regional Health, so all the lab work ordered by him is done by the Rochester Regional Labs. Those lab results are available through Rochester Regional’s MyCare (listed above).

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Keep in mind that individual lab test results are best understood in the context of your overall health and medical history. For this reason, Dr. Postigo prefers to discuss your results and what they mean to you during your next appointment.

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If you would like to review your results sooner, or you will like a detailed explanation of all your medical problems we will be happy to arrange a separate appointment specifically to discuss your test results and any questions or concerns you may have.

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For copies of medical records made by Dr. Postigo during his home visits; at this time, our electronic medical records system is not able to provide patients with internet access to these progress notes.

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If you have a specific question about a medical problem, please feel free to send us an email. Dr. Postigo will review your question and respond by the next business day.

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Which Hospital System is Dr. Postigo affiliated with??

Rochester Regional Health.

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What happens if I need to be admitted to a hospital?

You may go to any hospital you choose, and will be followed by a hospital doctor.  If you are hospitalized it is necessary to notify the admission staff that Dr. Luis Postigo is your primary care physician so he can be contacted when you are discharged.

• Dr. Postigo will see you within a week of being discharged from the hospital to make sure you have everything you need following a hospital stay and to make any needed changes in your medicines.​

 

What if I move to an Assisted Living Facility or Nursing Home (including Skilled Nursing Facility, Memory Care Unit Long-term Care Facility and Hospice)?

During your stay in a Hospital, Nursing Home or Assisted Living Facility, you will be exclusively cared for by the facility’s medical team, who will be responsible for all your medical treatment and will take care of any necessary paperwork during your current admission. The medical team typically sees patients between 7:00 and 9:00 a.m. If a family member or friend would like to speak with them directly or discuss any specific concerns regarding your care, that is usually the best time to meet with them.

 

Please note that if you move to one of these facilities, Dr. Postigo does not provide care at: Assisted Living Facilities, Hospitals or Nursing Homes. If you plan to move for a long-term period to an Assisted Living Facility or a Nursing Home (including: Skilled Nursing Facilities, Memory Care Units, Long-term Care Facilities, and Hospice) your care will need to transition to the facility physician assigned there.

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It is important that the patient be evaluated by the facility’s physician, ideally prior to the admission date. This will allow the admission nurse to communicate with the physician on call should any concerns arise on the day of the move. Without an established physician at the facility, the admission nurse may otherwise need to arrange a transfer to the nearest emergency department the day of the admission if an emergency situation arises during the transfer.

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Please contact the admission coordinator promptly to arrange your first visit with the new facility physician, ideally within the next few days. Once the appointment is set, kindly let me know the doctor’s name and the visit date so I can complete the facility’s required paperwork.

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Since Dr. Postigo do not provide medical care at the new facility, if any urgent medical needs arise before care is established with the new provider, an evaluation in the emergency room will be recommended.

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If you return Home or to an Independent Living Facility, Dr. Postigo can resume your care if he is notified. He sees patients in their homes and almost all Independent Living Facilities in the area. If you are unsure whether Dr. Postigo provides care at a particular Independent Living Facility, contact our office, and we will confirm if he goes to this Independent Living Facility for you. We hope this information is helpful, and wishing you a prompt recovery.

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