McGreevy NeuroHealth

Helpful Hints to Enhance Your Experience at McGreevy NeuroHealth


We run a very busy practice with many opportunities for diagnostic clarity and therapeutic recovery.  Please keep in mind the following:

YOUR PHYSICIAN

1) Dr. McGreevy has compassion for you and your situation, regardless of who you are or what your situation may be. He enjoys taking care of you. Please allow him to help you. 

2) Dr. McGreevy is NOT JUST A PAIN DOCTOR. While he is extremely well-qualified and subspecialty-boarded in Pain Medicine, he utilizes his primary training in Neurology to assure diagnostic precision (to the extent possible) prior to treatment.  Diagnostic testing will also be performed as needed when clinically indicated to follow the course of your condition and response to treatment. This is the science of medicine at work. 

3) Dr. McGreevy is NOT JUST A NEUROLOGIST. The physician is double-board-certified and practices both specialties of Neurology and Pain Medicine. While he carries board-certification in the field of Adult Neurology, he does not stop at diagnosis. This is what makes your physician unique. There are a host of treatment possibilities that he provides, particularly in the field of Pain Medicine, unlike most neurologists. This is the art of medicine at work.

4) Dr. McGreevy is NOT A PSYCHIATRIST. This may be confusing. To clarify, he is credentialed as a Neurologist and Pain Specialist by the American Board of Psychiatry and Neurology (ABPN). This is a unique national board that combines training in both fields of Psychiatry and Neurology. What this means to you is that your physician will not treat depression, bipolar, anxiety, schizophrenia, or psychotic disorders, BUT HE WILL screen for some psychological conditions that are relevant to neurological and pain disorders (ie. depression, sleep disorders, etc) and refer you to the appropriate specialist when advised.

5) Dr. McGreevy is NOT A NEUROSURGEON. He does not perform surgery. He does perform non-surgical interventional treatments when warranted. He also knows when a referral to a Neurosurgeon is appropriate.

6) Dr. McGreevy delivers Comprehensive Care:  How well do your doctors really know you and your body? Do they remember you and really understand your body, systems and psyche?

You may ask: Dr. McGreevy is a subspecialist. Why does he care about my breathing, heart rate, blood pressure, blood vessels, eye movements, and balance. I have a primary care and other doctors for all that?

It is true that Dr. McGreevy is a specialist. And he very much respects his colleagues’ expertise and will communicate findings with your doctors. If you already have a specialist for an ongoing/preexisting condition, he will defer management to your doctor. However, Dr. McGreevy is still a physician at the end of the day. That means he does what he was trained to do…be a doctor. He will take charge of your health. He will listen to your heart, lungs, carotids, and abdomen. He will examine your brain, spine and nerves. He has diagnosed life-threatening conditions such as abdominal aortic aneurysms and carotid blockages, and initiated appropriate treatment, before their silent symptoms lead to stroke or sudden death. If nobody looks, you won’t know.

Dr. McGreevy is unique. He strives to know everything about your body and health, because IT IS ALL RELEVANT.  Let's put this in perspective. Pain affects all parts of your body: the immune system (inflammation, chemicals), cardiovascular system (heart, blood vessels), pulmonary system (lungs, bronchi, breathing capacity), endocrine system (hormones, glands, glucose, diabetes, weight gain), musculoskeletal system (joints, spine, muscular imbalances), and neurological system (brain, spinal cord, peripheral nerves, and autonomic nervous system, sleep cycles). Likewise, Medication affects all parts of your body: your digestive system (esophagus, stomach, intestine), hepatic system (liver metabolism), renal system (kidneys and clearance), cardiovascular system (heart rate/rhythm, heart disease), pulmonary system (breathing capacity), musculoskeletal system (bone health), endocrine system (testosterone, weight gain, weight loss, diminished stress response, reduced drive), and neurological system (brain, spinal cord, sleep cycles and autonomic nervous system).

With each visit and each test, he is always learning more about you. That is, everything from the structures/machinery inside your body to the mind, mood and sleep. It is his philosophy that understanding the entire picture provides better patient care. This is what he learned at Johns Hopkins. Allow him to help you.

At McGreevy NeuroHealth, we thrive on being thorough and giving you the best we can. We want to maintain a positive environment. We look for ways to help you. We empower you to be an advocate of and take responsibility for your own health. 

THE PROCESS

1) Wait Times: Please understand that wait times are inevitable. While we strive to accommodate your needs in a timely fashion, the reason you are waiting is not because your doctor went on a coffee break (he doesn't have time for it). He is busy putting everything he has into each patient's case. When your time comes, he will provide the same level of care as with all patients. During this time, take advantage of the multiple educational resources we have to help boost your knowledge of neurology and pain medicine.

2) Lengthy Visits: Please understand that visits are lengthy in part because each patient undergoes comprehensive care with expertise from two specialties. We look at EVERYTHING. 

3) Testing: This practice has many resources to enhance diagnostic clarity and overall understanding of your body. You will undergo testing as requested by your physician. 

4) Educational Resources: Please consider the following resources for patient education:

     Website (navigate to Patient Education)

     Pamphlets at check-out

     Educational Center in the Lobby (TV and pamphlets)

     Florida Healthcare News (your physician is highlighted with an article each quarter)

     Educational Center in the Patient Rooms (this includes interactive kiosks/videos/educational material). Please respect the equipment. 

5) Attire: Bring warm clothes. Certain rooms can run chilly. This is necessary to keep the procedure rooms sterile. Please wear loose-fitting clothes and socks to keep your feet warm.

6) Authorizations: Please understand that you may have to wait UP TO a few weeks before insurance companies authorize your procedure. Rest assured, your procedure is important to us as it is with other patient's procedures. Your authorization requests are submitted within 24 hours of your visit. This is why your physician makes attempts at providing temporary solutions for comfort until we hear from insurance.

7) Billing Questions: Billing issues are to be dealt with our billing office, not our physical office. Our staff can provide pertinent contact information at your visit.

8) Phone System: Please understand that if you don't leave a voicemail on a specific line, we won't get your message. When you leave a voicemail, please jot down who you left the voicemail with. Do your best to limit the calls to urgent matters, so as to not flood our phone lines. If you do not hear from us within 24 business hours of your call and really need something done urgently, come to the office and speak to our front desk manager. We MIGHT be able to fit you into our schedule as an add-on.

PAIN

1) Increased Pain: Pain will often increase and decrease, naturally, over time. If you are experiencing doubling of your pain level for over 24 hours, consider calling 911 or going to the Emergency Room. We do not expect to handle your emergency situation on the phone as it is not realistic. This is especially true if you develop drop-foot (dragging the foot while attempting to walk), severe weakness in an extremity, loss of control of bowel or bladder, or a numb patch where you “wipe”.  The same holds true for uncharacteristic headache, vision change, nausea/vomiting, and sedation (drowsiness).

Otherwise, please call the office to make an appointment for the physician to reassess. Often times, it is muscle spasm or myofascial pain, and he will examine you and find no objective change. Or it may be a migraine. Other times, he may decide on additional testing, and in some circumstances, he may provide trigger point injections or the like if you make an appointment. If Dr. McGreevy finds something wrong, he may order imaging, testing, do a procedure, or refer you to another specialist.

2) We are not an Emergency Room or Urgent Care: If you feel that it is a true emergency, call 911, or go to an acute care facility.

3) Do not belabor your complaints on the phone: Be short, concise and to the point. We will get you into the clinic as an add-on if necessary. In this instance, please expect a possible delay in the lobby until we can accommodate your needs. Other patients who already have appointments are to be seen first.

MEDICATIONS

1) Opioid Risk Management: You know that when you take a controlled pain medication, there is a risk of balance disorders, falls, sedation (drowsiness), altered consciousness, respiratory suppression (breathing problems) and death. That is the reality. We do not force you to take any medications. Should you choose to take such medications, we use risk profiles to evaluate your risks through questionnaires and in some instances, diagnostic testing. We do this because it is the right thing to do, but also because the federal government, state agencies and local agencies strongly recommend it.

2) Early Medication Refills, Lost/Stolen Medications and Multiple Prescriptions: These are intolerable. Your physician has provided the quantity and dose of medication as seen fit under his clinical expertise. There are valid reasons for limitations in pain medication quantities. Please respect your opioid contract. The same goes for obtaining pain medications from any other physician or provider. If you are requiring more pain medications or withdraw when off pain medication, you may need to seek help with a dependence specialist. We can provide a referral as needed. We can also provide non-narcotic pain treatments including injections when appropriate. Lastly, if you lose a script or its “stolen”, or “flushed down the toilet”, that is your responsibility (from the moment you receive the script). It is not our property at that time.

3) Urine Drug Testing: This is necessary for opioid risk profiling (Questionnaires and UDS are performed before treatment with pain medication or controlled medications). Always be prepared to undergo UDS at any time, and have a full bladder when you arrive to each of your appointments. Check with the front desk if we plan on checking your UDS for that particular visit. We may. We may not.

4) THC/Marijuana: If you are positive for any illicit drug including THC (marijuana metabolite), you may be discharged immediately from the practice.

5) Medical Marjiuana: Currently, there are no guidelines with regard to medical marijuana for most neurological and pain conditions. The level of evidence required to allow your physician to comment is lacking until further evidence-based studies prove efficacy. Therefore, do not ask him about Medical Marijuana. Also, the physician won’t prescribe opioids/narcotic medications for you if you are taking medical marijuana.

THE FUTURE

Expansion and Change: McGreevy NeuroHealth is always undergoing expansion. This is one of the qualities of the practice that will never change. Along with this, expect to see changes in testing, treatments, patient flow, policies, and personnel. We will do our best to keep you abreast on changes. Change is necessary.

We feel that if you are better equipped on what to expect, you will have a more pleasurable experience by allowing us to deliver advanced neurological healthcare. Thank you for your attention and the opportunity to help you. 

Yours in health,

Kai McGreevy, MD