We don’t like to think about it much, but in fact 25% of us are already battling multiple chronic conditions. Medical schools train for treating a single diagnosis. So 75% of doctors aren’t evaluating patients’ maladies comprehensively and are probably making errors, some of which are critical.
Ideally, your PCP is the conduit of the treatment system and is fully advised by all specialists attending you as to your condition. But PCPs are increasingly dissociating from interacting with specialists treating you. Neither the PCPs nor the specialists are reimbursed for in-depth conversation.
This, then, is another reason to consider hiring a patient advocate if you don’t have a family member conversant with the disjointed (no pun, honest!) health care system and the ability to insist your doctors answer all of your questions.