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View Diary: Death of a Family Doctor (35 comments)

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  •  Yes, exactly (2+ / 0-)
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    wader, princesspat

    I have found that I have to have any lab write, directly on the lab slip, the doctors who should get the report and their fax numbers. I cannot count on the lab or the physician's office to share the reports with any other physicians, even though I write a request out that they do so, unless it is written down on the lab slip.

    When I was on dialysis, the dialysis clinic had to do my regular labs. I found out after I'd been on dialysis over two years that the dialysis clinic was not sharing my lab results with my GP, despite my requesting every single month that they do so and providing them with my GP's info. I finally started giving him my own copies.

    HIPPA sure did create a lot more work for me.

    Also, my nephrologist would continually put down in his notes that he had talked with my GP, even though he didn't do it. I had to read the riot act to my nephrologist. If I don't insist very very firmly that one physician inform my other physicians of what's up with me, it'll never happen.

    Organ donors save multiple lives! A donor's kidney gave me my life back on 02/18/11; he lives on in me and in others. Please talk with your family about your wish to donate and sign up to give others the gift of life.

    by Kitsap River on Wed Jul 20, 2011 at 12:27:07 AM PDT

    [ Parent ]

    •  Kitsap! (3+ / 0-)

      Never got a chance to tell you how happy I am for you that you got your kidney.
      A gloss on your comments about your nephrologist saying he had contacted when he hadn't:  With electronic medical record templates there is a tremendous tendency for docs to lie about their consults. They either bring forward into their note of today information that they or others gathered in the past or, worse, check off boxes (often translated by the software into more misleading prose) saying that they had done a "review of systems" or parts of a physical that they clearly hadn't done. Yesterday I even got a consult from a specialist where he baldly noted that he had spent 135 minutes with a patient on a consult.....fat f____g chance that was true.

      Dr. Aaron Roland is a family physician in Burlingame, CA. Follow him on Twitter @doctoraaron

      by doctoraaron on Wed Jul 20, 2011 at 07:03:05 AM PDT

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      •  Thanks! There are a lot of things to get used to. (0+ / 0-)

        with this new kidney.

        Like it being in the front, for instance, and I'll always have a weird looking bulge in my lower abdomen on the right side. It would make me look really lopsided in a bikini, which is one reason I will almost certainly never wear one again. (The amount of skin exposed to the sun is a bigger reason, though; transplant patients are cancer prone, sunscrreen or no sunscreen. I'm using factor 70 sunscreen these days.)

        And most people don't have to get used to peeing about once an hour, but a friend of mine with a transplant told me it is like this for the first year or so.

        And then there's the huge mediset and the huge amount of room all my prescriptions take up in the bathroom cabinet...

        And, of course, a transplant is not a cure-all or even a cure. It sure beats dialysis, though!

        I wish I could come down for half a year or so to serve an unpaid apprenticeship with you. I am still set on becoming a GP. I have a lot of years of school left before I can pursue medical school, though.

        Organ donors save multiple lives! A donor's kidney gave me my life back on 02/18/11; he lives on in me and in others. Please talk with your family about your wish to donate and sign up to give others the gift of life.

        by Kitsap River on Wed Jul 20, 2011 at 10:13:55 PM PDT

        [ Parent ]

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