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Being as how none of us are legally bound to answer these stupid intrusive questions, AND, that the doctors would use that info against us, violating doctor patient confidence, I'm disinclined to answer their list of probing questions! Normally I'm upfront with them right from the beginning, don't bother asking and I won't be bothered by their asking! Ask me anyway, and I walk out! You should see the looks I get when I explain this!
 
My dad always said there are 2 people in this world that you NEVER lie to. One is our doctor, the other is your attorney.

I don't lie, I just don't tell them. When the doctor asks, I say "next question".
 
Why not use every opportunity you get to have someone's attention (especially someone like a doctor whose influence is not insignificant) on the issue of firearm ownership to start changing a few minds. One could claim oneself not to be a gun owner, but to have a friend who is, and use that as a basis for countering misconceptions, prejudices, misinformation, etc.
 
Many insurances started paying for "quality of care" by requiring screening for mental health issues and drug and alcohol issues regularly (among many other things) They used to pay everyone the same and in order to make more money they instituted crap like this so that they can pay those who jump through the hoops the same as before and everyone who does not do these questionnaires less.

Screening for depression is fine but it is mostly insurance companies and medicare that determine what happens at a visit now, not the doctor or you.

Just a few things that you will see done at a visit that were not the idea of physicians. Every time we dont do all of these we get paid less than we used to.

1. Chief complaint (medicare - even if you have no problems you have to have a complaint)
2. Pain scale 0-10 every visit (started by purdue pharma who makes oxycontin)
3. Problem list, medication list, allergy list every visit (Patient centered medical home requirements PCMH)
4. Smoking status (Uniform Data submission quality data)
5. Weight and BMI and counseling for being overweight (UDS)
6. Depression screening ( PHQ-2 or PHQ - 9 forms - UDS)
7. Colon cancer screening for approprate age (UDS)
8. Cervical cancer screening ( UDS)
9. Documentation of Personal clinician assigned (PCMH)
10. Advanced care directives discussed (PCMH)
11. Risk / complexity level every 90 days (PCMH)
12. Care plan created with patient every 90 days (PCMH)
13. Care plan provided to patient every 90 days (PCMH)
14 Self management goals every 90 days (PCMH)
15. Discussed barriers to care every 90 days (PCMH)
16. Assessed medication understanding every 90 days (PCMH)
17. Assessed medication response every 90 days (PCMH)
18. Counseled on healthy behaviors every 90 days (PCMH)
19. Rate your health question
20. Pain assessment if pain score >0 (several more questions here
21. Anxiety screening (GAD-2 - UDS)
22. Food insecurity screening
23. Patient learning and verbal needs
24. Infectious disease and travel history questions (6 questions)
25. Drug and alcohol screening (UDS)
26. NEW FOR 2018 (Gender Identity and Sexual Orientation)
27. Screening question for physical or emotional abuse at home
28. The following must be documented every visit (meaningful use of electronic medical records)
- Date of birth, sex, race, ethnicity, language, preferred contact
- vitals : height, weight, BMI, BP
- Smoking status
- Problems documented and updated
- Meds documented and updated
- Allergies documented and updated
- Clinical visit summary printed
- Patient web portal login generated
29. There might be some insurances who want problems coded by another physician at another time to be reviewed (this gets more money to the insurance company, not to us)

If any of these are positive (depression, alcohol abuse) we are supposed to document intervention.

There are some duplicates because we have to document them in separate places.

All that is supposed to take place in a 15 minute visit regardless of the reason you are there.
So if you only get 2 forms at the beginning of the visit, you got off light.

All brought to you by government (medicare) and private insurance companies working together to make physicians commit suicide.

Hell of a racket. What makes medical care expensive and even more, this adds to the admin costs. My wife found a huge hole in the processing of the internal information and process's today when she was with me being discharged. All I can publicly say right now.
 
My doctor asked me about my gun and I said it is okay but it doesn't work like it did when I was seventeen. Couple days later the office calls and says my trial sample of Cialis was at the front counter and I could pick it up any time.

Cialis can make it like you are 17 again ? Please tell us more about that ..

Friend of mine at his 40th birthday party long time ago said he felt like he was still 18. Being about 8 beers in at that point I asked him " Really so you can still bang 4 times a night ??" His wife stood there and shook her head and so I called him a liar.
 
Nothing that you have said here is relevant at all to what I have experienced from some doctors. I'm talking about describing specific symptoms that I am experiencing, and not being believed. Or even explaining that I have been treated in the past by other doctors, for a chronic problem, and not believing that either. In no cases have I ever been trying to get pain medication.

And I don't even drink any kind or amount of alcohol anymore, much less have ever done any kind of drugs during my life. Those are not the sort of issues that I am talking about.

Some doctors don't seem to want to believe what I say, or even bother to check my past records to verify that what I am saying is true. Even when they have a computer terminal right at hand, so they can easily do that.

For example, in my last doctor visit, I complained that my balance problems have continued to plague me. That I have been having difficulty walking at times, and have continued to come close to falling at times. Yet, the doctor had me walk across the room as she watched, and she then said that I was walking just fine, and simply dismissed the issue, without any further discussion. This is despite the fact that these problems have plagued me for years now, and I have suffered 3 major falls over that time, with two of them inflicting most painful injuries on me that took a long time to heal. And all of those records are stored electronically in my medical file.

Doctors just want to rush you in and out so very fast these days. Patients are now just parts on an assembly line. The MD has just a few moments to talk to you and analyze the situation, and then down the conveyor belt you go.

I've not had a consistent doctor at the clinic I have been going to for 2 1/2 years now. I used to have a doctor there that I consistently saw for 12 years, and who knew me well. I was very happy with the care that I received from him. But he is gone, now. Now, I just get whatever doctor is available. So I am now shuffled back and forth. And some of the care that I have received has been atrocious and incompetent, in my opinion.

And tell me this, why is it that clinics go to such great lengths to enter information into their computer records, when doctors hardly ever bother to consult them? I mean, what is the point of even entering all of that data into a computer system, if it is never going to ever be accessed?

I am very down on the medical profession these days. I absolutely hate going to the doctor now. It is just too frustrating of an experience for me, as communications have become a nightmare. I do not respect physicians anymore, because they simply do not respect me.

.
Sounds familiar :eek:
You may have middle ear problems.:(
 
Hell of a racket. What makes medical care expensive and even more, this adds to the admin costs. My wife found a huge hole in the processing of the internal information and process's today when she was with me being discharged. All I can publicly say right now.

Doctors salary contribution to total healthcare costs in the US? 7%
Administrators salary contribution to healthcare costs? 30%

Just like good ol' government, admins will find a way to justify their jobs.
 
I was admitted to the hospital Tuesday night. Triage nurse asked a few questions, one was do you feel safe in your home?

Believe it or not, this is another required question to get paid. Guess what it is for? This is for us to determine if there is any domestic abuse going on. We have to use those very words too. "Do you feel safe at home?" is only supposed to be about domestic abuse. we cant ask a different more obvious question like "is your wife beating the crap out of you?"
 
CR57,

Abcess caused by diverticulosis?

No, I had ulcerative colitis back in 2009, and my colon ruptured in 2011 and I had a toxic mega colon. Removed my colon and I have been pretty good since. 3 bowel obstructions I was hospitialized for over those years. I have been on a cholostomy bag since 2011.

This was an external abcess on my intestine that somehow some bacteria got in the abdominal cavity and formed and abcess. Dr said it developed sometime in the last 2 weeks, but caused by bacteria from my own body. I had taken a couple of bad falls working back in October, but Dr said no factor.

Had 48 hours of IV antibodics, and now a 3 week course of oral antibodics. Diverticulitis was listed as a secondary cause of death on both my parents death certificates and goes way back on my mothers side.
 
Cialis can make it like you are 17 again ? Please tell us more about that ..

Friend of mine at his 40th birthday party long time ago said he felt like he was still 18. Being about 8 beers in at that point I asked him " Really so you can still bang 4 times a night ??" His wife stood there and shook her head and so I called him a liar.
At 67 about one every 8 months is enough, but that being said it is not really worth the effort.
 
"As future health professionals, especially physicians, we have huge amounts of power in our society," said Mattie Renn, a medical student..."

Oh yeah...? You really think so?
Were not too far out from firearms being medically declared a danger to children. Medical kidnappings are growing it wouldnt suprise me one bit.
 
Bolus,

How/Why does domestic abuse fall into the purview of health care professionals?

Isn't this a question for law enforcement?

I appreciate you didn't originate the asking of this question, but perhaps you know why it's being asked by medical folks and not law enforcement?

Further, at what point do intrusive questions that have no medical basis halt?

I would imagine many patients bridle at being questioned in this arena and cause unnecessary stress on the questioner...
 

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