“I felt like it was too much for me to receive. ‘My wife passed, but I feel very grateful for all the help you offered.’ When he finally called, again, he said, ‘I want to thank you.’
And then, suddenly, the calls stopped for two months. We were addressing his concerns and changing her medication. “I remember I had a patient who was really advanced in her Parkinson’s, and her husband would call almost every two weeks with a question. But he’s learned that having that sense of certainty and safety by hearing from their doctor matters, to his patients and their care partners, so he always takes the time. There are moments, he explains, where, as a physician, you can have a pile of phone messages from patients and it can feel overwhelming to answer all of them.
He’s also learned that there is no aspect of patient care that is too small. Not everyone has the same access to care or resources and support, and he’s learned to hear their needs and do his best to meet them where they are. He has learned to listen and see each patient in their wholeness, including all of their home-life circumstances. Elkasaby what he has learned from his patients. Furthering APP development, he says, “would really create a high level of expertise and contribute to even higher levels of care.”Īt the end of our conversation, I asked Dr. Elkasaby shares our vision for further educational opportunities for APPs, and even an association or fellowship for APPs in movement disorders to certify their skills and expose them to even more of the specialized knowledge and challenging cases they crave.
I see them in practice communicating with each other when they have questions, putting their heads together to improve care.” This is valuable.
#PMD DOCTOR FULL#
They’re doing DBS programming and seeing patients for regular, full visits.
#PMD DOCTOR PROFESSIONAL#
In fact, he believes it’s critical that APPs receive continued professional development and training, helping them deepen their expertise and garner the respect they deserve, just as he has done through his two fellowships. “What I felt during the APP day of the congress was that APPs’ voices need to be heard.” He saw their expertise on display in lectures and panel discussions, and he knows what they bring is unique and valuable. “It was a high standard of care because we were working in harmony.” APPs Deserve Professional DevelopmentĪTMRD solidified Dr. In this integrated model, they received feedback weekly. For example, if a physician refers a patient to therapy in a more isolated model of care, they may never get real feedback on how it went. They’d explore their approaches to patient medication, devices, and therapy. They would meet weekly, sit together, and discuss progress. The key, he insists, was their regular communication. It included a physician, nurse practitioner, social worker, physiotherapist, occupational therapist, and speech therapist-all working together.” “We had a multidisciplinary approach,” he said, “what we called Parkinson complex management. Elkasaby was completing his residency in Germany, he experienced a team approach that would impact his thinking about patient-centered care. Elkasaby, delivering comprehensive care is not something physicians can do alone: “The relationship between the physician and nurse practitioner or physician assistant is so important.” We, as providers, need to have a broader view in order to deliver comprehensive care.”įor Dr. Maybe he needs to build a support network or his caregiver needs help. A patient may have anxiety or maybe needs more safety in his home. “When I say care is a journey with different aspects,” he explained, “I mean that a patient needs to control his symptoms, but it’s not only motor symptoms. APPs, he believes, have their pulse on their patients, and have a meaningful view of each person’s physical and emotional needs. But, for him, the most valuable experience was the APProviders™ Conference day, a full-day, pre-Congress course created for and by advanced practice providers (APPs)-nurse practitioners and physician assistants.
He appreciated the exposure he received to emerging advanced treatments and clinical science and believes what’s on the horizon in movement disorders is exciting. Elkasaby attended our inaugural Advanced Therapeutics in Movement & Related Disorders™ (ATMRD) Congress in June in Washington, DC.
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