Good point. I don't know the answer. My father's gerontologist, who diagnosed dementia after a cursory screening test, referred my dad to DMV on the basis of MY letter to him about my father's unsafe driving. DMV sent my dad some forms to be filled out, and my dad took them, not to the gerontologist, but to his primary care physician, who said he was "physically able" to drive. My dad is confused about why DMV is saying he has a "medical condition" that may prohibit him from driving, when his PCP and ophthalmologist proclaimed him "safe" to drive. The gerontologist is not "treating" the Alzehimer's, much to my dismay.
What we have here is (1) my dad, who is not sophisticated in these matters, but very "compliant" when someone tells him to do something or not do something, (2) the gerontologist, who gave a gross screening test and proclaimed my father to have "dementia, probably Alzheimer's type," (3) my father's Primary Care Physician, an endocrinologist who treats his diabetes and is foreign-born and may not be knowledgeable about American systems (I'm not being prejudiced, merely factual), and (4) an ophthalmologist who only looks at my father's eyeballs. No one is looking at his mind and his judgement. He has not yet been given an on-the-road test, only a written test, which he failed by 3 points. Of course, he blamed the wording of the questions for his failure, not his own confusion.
He is supposed to go to DMV next week, so we'll see what happens.
This is a classic case of the medical professionals all looking at their own little specialty and not talking to each other. I have tried to get in the middle of this, but they won't talk to me (despite my father having a valid HIPAA authorization for me to have access to his medical records and talk to the doctors). They can't charge anyone for a phone conversation with me, only for appointments with my dad!
I even took all my dad's medical records to a gerontologist at my HMO for her to review. She said I have done everything possible, but she (a friend and fellow book club member) was unwilling to call any of my father's doctors (again, because she couldn't get paid for the time spent making those calls). Grrrrrrr.
So, I doubt that I could get my dad's gerontologist to intervene when he is on shaky ground in his diagnosis and defers to my dad's PCP.
What's wrong with this picture?