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Dznypal

the most dumbest thing I ever heard

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Dznypal

I my app for my physical yesterday--the nurse takes vitals and then goes over whats in your chart

 

any changes in anything--and if your behind in anything

 

so the nurse asks me if Ive had my diabetes eye check and diabetic feet scan

 

 

 

I really got upset---I told her Im in the pre area and never DXed with diabetes

 

I said I want that off my chart---I said its totally false info and could have effects on things like insurance and other things

 

she said she would let the dr know--well lo and behold the dr doenst have the power to remove things from your chart!!!

 

she said they had another patient in that day which the same thing happened to her and she was upset and wanted it removed

 

so theres somewhere there going to call to have it removed---Im going to ask who this superior being is that has all this power and file a complaint

 

 

plus my #s are better then my hubbys  and he never had to jump through all the hoops that I do

 

now with our insurance changing July 1 Im going to see who else I can see

 

another thing she always tries to push on my is a pap--I checked with my onc and she said since I dont have those parts anymore a pap wont do my any good---yet she pushes and I keep pushing right back

 

 

has anyone else ever heard of this

 

thanks

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dowling gram

As far as I know what is on your chart is for the doctors eyes only. I also think the doctor is messing with you when he says he can't remove it.  If you get a new doctor don't have your files sent from your old doctor and the problem is solved. With all the trouble you have been having with this guy I'm surprised you haven't done it by now. I also think you should have a doctor that is not your husband's doctor. You seem to compare yourself with him and that can only cause you grief

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William V

Speculating: Could be in the modern ehealth digital records. This may prevent those changes once "saved" to prevent tampering. would take a new entry to provide a update with justification.

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m2hwb41

I just went to a new-to-me Physician's Assistant yesterday and hope to continue with him as my primary care provider.  ALL of my prescriptions and previous records were on the internet, and they were pretty insistent that if I want them to take me on, I will be signing a release so they can get information from my old nurse practitioner.  No---the days when what you said in the exam room stayed in the exam room and you could trust your health care providers to protect and honor your privacy are long gone.  Before I could see the PA, I also had to sign a release giving my permission for any health care provider in their network involved in my care to access ALL of my medical records.  In my little town, this big corporation controls almost all of the health care.  So--if you cut your hand and go to an urgent care to get it stitched up, the people there automatically have your permission to access records in your file at the OB/GYN office, any mental health care provider that you see, etc.  It was actually pretty horrifying. 

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Dznypal

wow I sure dont like the sound of all that--whatever happened to HIPPA

 

interesting William V---if that what it will take thats what needs to be done---I want all mention of diabetes off my chart cause like I said I was never DXed with it

 

also all you hear is to keep insurance costs down--well if I would go for those 2 tests insurance would be paying for tests that I dont need--how does that even keep costs down

 

Id like to know how this got there in the first place and why it will take an act of God to get it off

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CandaceV

My husband's chart indicates he was seen for a denture fitting.  What???  What does an Internist doc have to do with dentures?  Not only that, my husband has ALL of his natural teeth.

 

He asked to have it removed, was told it was written in stone and couldn't be changed.  So everyone asks if his dentures are still in, he says Yes.  They ask him to remove them (before surgeries), and he tells them they don't come out.  Deer in headlights moment.  He doesn't bother to explain so they probably think he has memory issues too.  He just doesn't care.

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William V
wow I sure dont like the sound of all that--whatever happened to HIPPA

 

interesting William V---if that what it will take thats what needs to be done---I want all mention of diabetes off my chart cause like I said I was never DXed with it

 

also all you hear is to keep insurance costs down--well if I would go for those 2 tests insurance would be paying for tests that I dont need--how does that even keep costs down

 

Id like to know how this got there in the first place and why it will take an act of God to get it off

 

Probably a data entry error or hasty data input by the doc due to time pressures.

My situation. Diagnosed sleep apnea several years ago. No improvement after cpap adjustments and a number of sleep studies. Stopped a slew of meds and voila "sleep apnea" gone! Turns out "rare" drug side effects of swollen throat esophagus and difficulty swallowing were the real problem. These were ignored when told repeatedly to multiple docs n specialists. They felt was "sleep apnea" as I was diabetic. Since went away after stopped drugs where it was rare side effect and doctors believed me , finally. However with today's evidenced based medicine. I would have to prove it with a sleep study again to remove from records. Clinical evidence is not good enough! . Pftt!!! Like that will happen! The sleep techs have a job to justify and will use a magnifying glass with all the previous misdiagnosis!! E records jb evidence based meds. Pfft!!!!

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princesslinda

As far as I know what is on your chart is for the doctors eyes only. I also think the doctor is messing with you when he says he can't remove it.  If you get a new doctor don't have your files sent from your old doctor and the problem is solved. With all the trouble you have been having with this guy I'm surprised you haven't done it by now. I also think you should have a doctor that is not your husband's doctor. You seem to compare yourself with him and that can only cause you grief

I do transcription of voice recognition reports.  These reports are transcribed and sent to the doctors.  The doctors can't edit these reports, but they can dictate an addendum for that date saying the report should say "pre-diabetic," rather than "diabetic," or whatever needs amended. 

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princesslinda

Regarding the Pap smear after hysterectomy, when they do the hysterectomy, there is a "stump" left where the uterus used to be.  They are likely wanting to make sure there is no evidence of recurrence in that small area of tissue where everything used to be. 

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TheBigNewt

We use CPRS, the world's largest and oldest electronic medical records system (EMR). Entries CAN be removed, but I cannot do it personally, and they are only removed if it's an error. I've entered results of a cardiac echo to the wrong patient's chart a couple times. What the provider CAN do is an addendum to any entry no matter when it was made. Of course the addendum says when it was entered when you sign it. And the "problem list" can be changed, new ones added and old ones deleted. Meds lists too of course. And you can see all records everywhere the patient has been going way back all over the country in our system, as well as records from non government health care providers that have been scanned in manually.

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TheBigNewt

Regarding the Pap smear after hysterectomy, when they do the hysterectomy, there is a "stump" left where the uterus used to be.  They are likely wanting to make sure there is no evidence of recurrence in that small area of tissue where everything used to be.

Yup, that's the cervix they swab in a pap smear.

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stevenal

Many of us saw our diabetic complications occur when we were still technically pre-diabetic. Not much point in getting mad, just do what you need to get and stay healthy. I also disagree that preventative checking is driving up costs. It's our reactive health care system that's costly.

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Dznypal

well the mystery has been figured out

 

I was coded wrong!!!!!

 

gee thanks---I wish people who do this would be more careful--if I didnt blew who knows if this ever would have been fixed

 

the manager of the clinic called and said it will be taken off my chart--

 

the person doing this that day must have been having a bad  day cause the nurse said there had another person that day same thing happened to them

 

you really have to watch out for your selve 

 

twice I was scheduled at a clinic that the dr wasnt even there that day--that also was a fine mess!!!--still beats me how you can schedule a patient where the  dr isnt even there that day

 

oh well--just waiting for the proof its off my chart

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Ella.Boo.Bella

HIPPA laws state YOU have the right to not only see everything in your chart but to also demand changes to inaccuracies.  YOU have the legal right to do this and the reason you have the legal right to SEE your records is to review to look for inaccuracies.

Don't take no for an answer.  HIPPA law is on YOUR side as a patient. :)

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