The work

Physician-guided patient advocacy.

Advocacy means making the case that something is important and needs to be done. In a system that runs on seven-minute appointments and three-month waits, an advocate is often the only person in the room whose whole job is the outcome for your family. Dr. Carol Scott is that advocate: an emergency- and internal-medicine physician who sits on your side of the table.

See the five-step process →

Nine common questions

The questions families actually bring.

01

Understanding a new diagnosis

Most diagnoses are delivered in seven minutes. Most families need seven hours to understand them. Dr. Scott closes that gap in writing, in conversation and in the second opinions she arranges on your behalf.

02

Translating a treatment proposal

When a surgeon or oncologist presents a plan, three questions are often left unanswered. What else was considered? What is the trade-off in five years? What are reasonable families choosing in this situation? A physician advocate puts those questions on the table before paper is signed.

03

Evaluating treatment options

Guidelines are written for the average patient. You are not average. Dr. Scott reads the literature for the patient in front of her, weighs trade-offs, and gives a written recommendation the family can discuss without a specialist in the room.

04

Managing hereditary risk

A known family risk for breast cancer, colon cancer, early cardiac disease, or a specific inherited condition deserves a screening strategy for every relevant adult in the family. The advisory builds that strategy and tracks it over decades.

05

Qualifying for a clinical trial

Major academic centers run trials the community physician has never heard of. When a trial is the right option, Dr. Scott identifies it, reads the protocol, reaches out to the principal investigator, and helps the family decide whether to enter.

06

Supporting an aging parent

When the patient is a parent and the advocate is a son or daughter in another city, small problems become large quickly. Dr. Scott acts as the medical eyes on the ground, whether the parent is at home, in assisted living, or moving between hospitals.

07

Handling an insurance denial

Denials that look final are often a first draft. A physician’s letter, written correctly, overturns a surprising number of them. The advisory handles the letter, the appeal, and the follow-up.

08

Preparing for travel and international emergencies

Families who travel for work, for culture, or for a second home abroad need a medical plan that travels with them. Dr. Scott builds the plan, names the contacts, and takes the call if a call is needed.

09

Concierge crisis response

A sudden stroke. An accident abroad. A call at 3 a.m. The first hour of a crisis defines the next six months of it. The advisory’s crisis protocol is the reason most families come to it in the first place.

Dr. Scott accepts a small number of new advocacy engagements each year, by referral. To reach the practice, write to her here.