Vista Urology 2.022

A Renaissance in Caring

In clinical medicine, it is well known that a thorough history, consisting of active listening, is the most important step toward developing differential diagnoses. Physical exams, as we are taught in medical school, are intended to confirm or refute the impressions formulated during the patient interview. Lab tests and imaging studies are often not required.

However, despite these repeated lessons during training, healthcare beyond our classrooms has become increasingly backwards: Limited time to listen, even less time to examine and more unjustifiable and dangerous reliance on tests and procedures.

For our entire careers, we have been practicing medicine the way we were taught, which required us to work more and more independently and eventually create Vista Urology.

For many reasons we have decided to close our office and retire from the active practice of medicine. However, we want to continue to offer our experience to patients and physicians. Therefore, given the growing virtual access to care without geographic barriers, and the lessons learned during COVID, we will continue to offer advocacy and guidance through comprehensive virtual consultation, a V-Consult.

Christopher K. Payne, MD
Functional Bladder Disorders

• Ulcerative Interstitial Cystitis
• Bladder Pain Syndrome
• Urinary Incontinence
• Neurogenic Bladder Disorders
• Recurrent Urinary Tract Infections
• Surgical Second Opinion

Jeannette M. Potts, MD
Men’s Health

• Pelvic Pain
• Genital Pain
• Lower Urinary Tract Symptoms
• Dilemmas surrounding Prostate Ca:
• Screening, diagnosis, active surveillance, treatments
• Metabolic Syndrome
• 6 urological consequences in men
• Psychosexual well-being

What to expect:

• A one-time session will be scheduled as a 60, 90 or 120 minute V-appointment.
• Wait time from request to appointment may be 2-4 weeks.
• Because the sessions are virtual, physical examination cannot be performed, and therefore, patients must understand that while differential diagnoses may be considered, a medical diagnosis cannot be made.
• This form of consultation is not covered by medical insurance, and no superbills will be provided.
• A written report with assessment and recommendations will be provided to the patient and their primary urologist or physician for follow up.

What is required:

• Prior to their appointments, patients will provide completed homework assignments which may include a one page timeline, a voiding diary, questionnaires and specific medical records.
• Patients will provide ONLY the specific medical records requested. These are typically ONLY objective data such as lab tests, imaging studies or pathology reports.
• Patients will provide the name and contact information for the physician/urologist who will continue their care. Preferably, this physician would send a letter of introduction, but this is not required.
• Sessions are $500/hour.