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RobinA

(10,478 posts)
6. Medical Records
Tue Mar 15, 2016, 08:48 AM
Mar 2016

"Eridani, I recommend you go read all medical records you have access to for yourself and family. Our personal medical records are typically astonishingly, inexcusably, shockingly, even criminal-negligently incomplete and inaccurate."

This is the absolute truth. I have occasion to read medical records of my patients from way back. What a tragic difference.

The problem is that people, due to staffing and volume of work, don't have the time to do those complete histories anymore. The other problem is that paper is completed according to instructions and to answer specific questions only. A history is now a form rather than a narrative. On a history now you fill in blanks and check boxes, and you have a limited time to do it. This is an example of paperwork that could be useful in treating the patient getting buried by the nonsense paperwork being done to fulfill requirements that many times don't even apply. What a damn mess.

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