Published on November 01, 2024

Understanding care options for pressing medical needs

Primary care, 24/7 eVisits, urgent care, the Emergency department — How do you know where to go when medical needs arise?

Imagine. You awaken at 3 a.m. in the throes of what feels like an ear infection. You trip on the way to your mailbox and make angels in the asphalt. Your child slides into home plate on Saturday afternoon and dislocates his elbow. Whom do you call and where can you go for care?  

Primary care: The first line of defense

Primary care doctors know their patients best and are best equipped to address most of their patients’ needs,” says Dr. Mark Carvalho, Chief Executive Officer of Montage Medical Group. “If it isn’t an emergency and you don’t need immediate attention, your primary care doctor’s office should be the first place you call, even if it’s after hours. They know your health history, current conditions, health goals, and other needs.”  

Despite Montage Medical Group’s roster of more than 100 providers, Carvalho acknowledges that establishing care for new patients can be difficult due to a nationwide doctor shortage, including here in Monterey County.  

“Our physician, nurse practitioner, and physician assistant recruitment efforts have been robust and successful,” Carvalho says, “and we’re continuing to recruit more doctors and advanced practice providers to meet our community’s need and increase access to care.”  

Patients who think they are truly having a medical emergency need to go to the emergency department. For chest pain, trouble breathing, bleeding, symptoms of stroke, a kidney stone, or broken bones, the emergency department is the place to go. But for problems like a cough or sore throat, these routine issues can be managed by a primary care doctor, 24/7 eVisit, or MoGo.

— Dr. Mark Carvalho, Chief Executive Officer of Montage Medical Group

24/7 eVisit: Your own personal doctor

For patients who can’t miss time from work, face challenges with transportation, or don’t have a primary care doctor, access to care is just a smartphone away for many minor health issues.  

Montage Health’s 24/7 eVisit service is available to anyone for a flat fee of $25 or less, regardless of insurance coverage. The service can address issues that don’t require an in-person examination such as allergies, skin problems, urinary tract infections, respiratory symptoms, mild digestive issues like constipation and diarrhea, and mild muscle pain like low back pain.  

Patients can receive a diagnosis, treatment plan, prescription, or, if needed, a referral, all from the comfort of their home — or anywhere — using a computer or mobile device. During an eVisit, patients complete an online questionnaire about their symptoms, and within 10 minutes to 1 hour, they receive a response from a healthcare provider.   

Fast and friendly urgent care

Mogo Urgent Care in Carmel, Marina, and Monterey provides high-quality in-person care for minor needs like stitches, X-rays, throat swabs, urine tests, and physical exams.  

“We currently are seeing around 4,000 patients a month among our three clinics,” says Chris Stegge, Chief Operating Officer of MoGo Urgent Care. “We can provide X-rays on site, lab work, rapid tests for strep throat, flu, COVID-19, and pregnancy, and provide a test for urinary tract infections. And we can help you get to the next level of care, if necessary.” 

When in doubt, go to the nearest emergency department  

Call 911 or go to your nearest emergency department for a life- or limb-threatening injury or illness. Community Hospital of the Monterey Peninsula’s Emergency department provides care for issues such as a heart attack, moderate to severe stomach pain, severe headaches, and new neurological symptoms like numbness, tingling, slurred speech, and fainting.  

“Patients who think they are truly having a medical emergency need to go to the emergency department,” Carvalho says. “For chest pain, trouble breathing, bleeding, symptoms of stroke, a kidney stone, or broken bones, the emergency department is the place to go. But for problems like a cough or sore throat, these routine issues can be managed by a primary care doctor, 24/7 eVisit, or MoGo.” 

Care options for urgent health needs 

Not all illnesses and injuries are created equal. Getting the right care at the right location can help you get treated faster and at a cost that is more appropriate for your level of care.

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