Maestro Philosophy

Information for you to decide if you want to work with us

Howdy y’all! You are about to review some information that we think is really important for you to know. We will do our best to make this information easy to read, understandable, but still cover everything we must.  So here we go! 


The first, and what we think is most important, is that you know who you are partnering with. Maestro Healthcare has a purpose to improve your overall health and quality of life by focusing on your mental wellness. Simple, but we think currently undervalued in the field. 

Maestro Healthcare provides clinical services by Nurse Practitioner(s) that have specific training in the areas of mental health and substance abuse. This care occurs in collaboration with Medical Doctor(s). What this means to you is that unless mandated or at the request of the Nurse Practitioner, a medical doctor might not be directly involved with your care. Nurse Practitioners have extensive training to allow for them to safely and autonomously assist you in meeting your needs. Please know that in partnering with us, there is no expectation that you will meet with an MD unless you are an established patient of the Medical Doctor who we collaborate with.


Regarding your care with us....We like a metaphor to really bring home our patient care philosophy.  You are the pilot of your own plane. You have somewhere you want to fly, but don't exactly know the best way to get there. So, you pick us up as your co-pilot to help you get to your destination- because we have traveled this journey with other pilots a time or two. There are times you might feel uneasy because you are flying your plane and have to decide where to land, but you have to trust we are helping guide you in the right direction. This means you are the one in control, and we will make recommendations to help get you where you want to see yourself. Sometimes we may not agree, but we work it out because there is not much else you can do at 30,000 feet in the air.  


Now on to the nuts and bolts....  


We believe you have a right to determine what should be done to your body (and mind for that matter) and in order for this to happen, you must be informed. In order to do this, we give you options- with the risks and benefits of each one and we help you make a decision that is good for you. We encourage you to ask questions and even give us a run for our money. This will help us be humble when we have to say, “That's a good question and I don't know the answer, but I can get it.” Some of your options will be medications, therapy, and you always have the option to choose no treatment at all. We will also be glad to provide a referral or resources that might be able to better meet your expectations or needs.   


Communication

We use various means of communication which include text message, email, and telephone. In order for us to use these services with you, we want you to know a few things. First, unless you decline, we will use the information we have on file to communicate with you. There are some risks with privacy involved, mostly on your end. We use services that sound really advanced such as 258-bit encryption, but you probably don't use these same services on your end.  What this means is that we can assure we have done our part providing a safe and secure delivery, particularly with email, but once it arrives on your side it becomes less secure. Please also be careful what you say in emails, the attachments you send, and what network (e.g. employers) you are communicating with us on.  In the event you need to contact us, we want you to understand some very important points. 


First, we are not an emergency care provider for medical or mental health emergencies. In the event you are in crisis and cannot get a hold of us, please call 911 immediately. We are a small but growing practice and we do not have a call center or 24 hours answering service. So knowing this, please set your expectations accordingly and we will get back to you within 24 hours of any message. 


For crisis calls, you may also call the 24 hours crisis line provided by:   Suicide & Crisis Center of North Texas 214-828-1000   National Suicide Prevention Lifeline 800-273-8255    

Medications

This brings us to the next topic, which is usually the one associated with the most urgent calls- medications. In the event you need a refill, pretty please do not wait until you are out or even a few doses from being out before you let us know. We help a lot of people; therefore, we want you to take responsibility for this area. If you have general questions about your medication and it cannot wait until your next visit or you are having a side effect, please contact us. Understand that refills and coordinating with your pharmacy can take several days from the day of your request. 


If it is serious or you are really concerned, please seek urgent care and once stable, let us know.  


Regarding “controlled” or narcotic medications. We certainly do prescribe these medications, however we are both judicious and cautious in our use of this class of medications. In using these medications, we follow the “evidence” and reserve the right not to prescribe them if we believe it is not the best or most healthy choice. Generally, before we prescribe a controlled substance, we get a urine drug screen and will do this at random or as needed. Please understand this and know it is a policy we have based on recommendations from people much smarter than us. 


There are a few types of medication to address specifically. Benzodiazepines are medications like Xanax, Klonopin, and Valium. We find these medications very helpful in certain cases, however we do not keep most of our patients on these medications long-term. If this is a concern for you we understand and would appreciate the opportunity to explain more, however we usually will not change our mind. We also prescribe Suboxone and this medication has its own guidelines for its use in our practice. Lastly, due to Texas not allowing Nurse Practitioners to prescribe stimulants such as for ADHD in a community based setting, we do not do so until this limitation changes.   

Appointments

If you need to reschedule an appointment,  please do so within 48 hours if not for emergent reasons. If you miss more than two appointments, we reserve the right to part ways. The reason we are so strict with this is that other people could have received much needed help during these visits you missed. All this said, we appreciate that the unforeseen and emergencies do happen, and will be reasonable and flexible (why not, we are going to ask you to do the same for us).    


Privacy

Your Privacy is of utmost importance to us.    You have a lot of privacy rights and that is why we have dedicated additional paperwork to this topic in it's entirety.  We will provide this information to you  in writing if you decide to partner with us.



Thank you!

THANK YOU for your time in getting to know a bit about us.  We look forward to getting to know you too!  



Welcome to Maestro Healthcare!