30 Min Consultation with Dr.DiCenso


Price: $150.00


Consult with Dr. Richard DiCenso : This Doctor Makes House Calls

You Asked - I Listened! Many of you approached me with the request to chat and to get my common sense clinical input on daily matters and issues relating to your chronic symptoms prior to deciding if the M.A.P is for you or you have questions for Dr.D. that are just too long to email?

You asked me to make it affordable and easy to get access to me! Well now you can put me 
to work for you before making the commitment to purchase the Matrix Assessment Profile or after the MAP! 

A pre-M.A.P. consult is an easy way to discuss your quick questions, concerns and apprehensions about whether the M.A.P. is for you and how the evaluation results might contribute to improving or resolving your chronic health care issues.

 I am now available as your private coach to personally guide you through the maze of options for achieving and maintaining your optimal well-being.

Primary care clinicians – struggling to fit multiple agenda items into the 15-minute visit – cannot meet every need of their patients with chronic conditions. Half of patients leave primary care visits not understanding what their doctor told them. Though shared decision-making is associated with improved outcomes, only 9 percent of patients participate in decisions regarding how to participate in managing their own care. Average adherence rates for prescribed medications are about 50 percent, and for lifestyle changes they are below 10 percent.

In the face of these discouraging statistics, primary care must take on a new task: working with patients to ensure that they understand, agree with and participate in the management of their chronic conditions. A pre-M.A.P. consultation is one way to accomplish this function.

My consultation with you can be defined as helping you to gain the knowledge, skills, tools and confidence to become an active participant in your care so that you can reach your self-identified health goals.

The familiar adage “Give a man a fish, and he eats for a day. Teach a man to fish, and he eats for a lifetime,” demonstrates the difference between rescuing a patient and empowering a patient. In acute care, rescuing makes sense: surgery for acute appendicitis or antibiotics for infections. For chronic care, patients need the knowledge, skills and confidence to participate in their own care.

Specific functions and goals associated with a pre-Map consult

A pre-Map consult encompasses five principal roles:

1) providing self-management support
2) bridging the gap between clinician and patient
3) helping patients navigate the health care system
4) offering psychological and emotional support and
5) serving as a continuity figure for the inevitable questions and concerns that arise during the process of moving from symptoms to solutions.

Providing self-management support.
Self-management support is essential for patients to extend their health care outside the clinic walls and into their real lives. Consulting trains patients in seven domains of self-management support: providing information, teaching disorder-specific skills, promoting healthy behaviors and lifestyle choices, imparting problem-solving skills, assisting with the emotional impact of chronic illness, providing regular follow up and encouraging people to be active participants in their care. Patients have better health outcomes when provided with disorder-specific knowledge and skills. For instance, a recent analysis of 53 randomized controlled trials concluded that self-management support improves such conditions as blood pressure and glucose control.

Bridging the gap between clinician and patient.
Throughout the care process, there are plenty of opportunities for disconnects between the clinician and the patient. Prescribing supplements and medications is one example. It is a two-part endeavor:
1) writing prescriptions or recommending specific supplements and
2) making sure patients obtain, understand and actually take the recommendations as prescribed. Physicians perform part one but typically lack time to address the critical second part. A pre and post M.A.P. consult can bridge these gaps by following up with patients, asking about needs and obstacles, and addressing health literacy, common misconceptions and inundation of partial truths widely available across social media.

Helping patients navigate the health care system. Many patients, particularly the elderly, disabled and marginalized, need a navigator to help locate, negotiate and engage in services. Before and during the M.A.P. process I can help coordinate care and speak up for patients when their voices are not heard.

Offering emotional support. Coping with illness is emotionally challenging. Well-intentioned but rushed clinicians may fail to address patients' emotional needs. As trust and familiarity grow, I can offer emotional support and help you cope with your illnesses as our relationship grows.

Serving as a continuity figure. In addition connecting with patients prior to and also during the Matrix Assessment process creating familiarity and continuity provides a powerful and stable foundation for managing the ups and downs of the recovery process.

These services are right for you when you are currently high-functioning and

a) At a crossroad and like to discuss your options
b) Wish to improve your personal health care challenges in a strategic and efficient manner.
c) When you have no clinical issues/symptoms interfering with thoughts and emotion management of your condition.
d) You are looking for a doctor to participate as an objective consultant who joins with you to advance you on your journey!

Pre and post M.A.P. consults are a brief check-in and ongoing communication service via Skype, phone, or e-mail. Although it does NOT replace or conflict with the services provided by your primary care physician it is a stable, knowledgeable and predictable doctor-patient relationship that can serve as a reliable and comprehensive second opinion without leaving your home or additional expenses beyond the cost of the initial consult.

This type of body-mind-behavior interaction incorporates the way our thoughts, feelings, beliefs and biological processes influence our well-being, while focusing on culturally diverse clients and their well-being as it relates to age, ethnicity, disability, spiritual or religious background, disabilities, gender and socioeconomic status.