Medical Records on Computer

[Guest guest]

Ok, no one seemed to reply to my last message about this. so I am

going to ask again.

Do you think that any medical records kept on computers at

orthodontists will also be in the paper medcial records? I do know

that not all the information in paper medical records is not on the

computers.

Also, has anyone ever asked to see their medical records, or to get a

copy of them? As I want to get a copy of mine.

[Guest guest]

I know that at my orthodontist's office, more is on the computer than my file.

As far as looking at your files, I always look at the computer and read my chart

at the orthodontist's, and I read my paper file in the OS office. I don't ask,

I just assume that I can since it is my file. No one has ever said anything to

me.

If I don't understand something, " OD 6 @ 4&5 U & L " for instance, I just say,

" what does this mean? " and they tell me.

If you want a copy, I would ask. I am thinking about asking for a copy of mine

as well.

~Cathy

Medical Records on Computer

Ok, no one seemed to reply to my last message about this. so I am

going to ask again.

Do you think that any medical records kept on computers at

orthodontists will also be in the paper medcial records? I do know

that not all the information in paper medical records is not on the

computers.

Also, has anyone ever asked to see their medical records, or to get a

copy of them? As I want to get a copy of mine.

[Guest guest]

I don't know. My doctors all seem to use the written records.

There, I responded. Happy now?

Jay

> Ok, no one seemed to reply to my last message about this. so I am

> going to ask again.

>

> Do you think that any medical records kept on computers at

> orthodontists will also be in the paper medcial records? I do know

> that not all the information in paper medical records is not on

the

> computers.

>

> Also, has anyone ever asked to see their medical records, or to

get a

> copy of them? As I want to get a copy of mine.

[Guest guest]

Hi,

I'm studying Health Information Management at university, and you

definitely own the information on your records, but the hospital

owns the actual record.

After my surgery, I think it was day 2 in the hospital, I was

wheeled downstairs to get X-rays and they handed me my record to

hold. Being curious and knowing that technically I was allowed to

glance at the information, I opened it up and took a look.

Boy did I ever get yelled at and chewed out because " I wouldn't

understand any of it. " Little did the nurse know that I've taken

many anatomy/physiology courses and I've studied many health records

exactly like my own, so I understood everything I saw.

I hope you have better luck with being able to look at your own

records

> Ok, no one seemed to reply to my last message about this. so I am

> going to ask again.

>

> Do you think that any medical records kept on computers at

> orthodontists will also be in the paper medcial records? I do know

> that not all the information in paper medical records is not on

the

> computers.

>

> Also, has anyone ever asked to see their medical records, or to

get a

> copy of them? As I want to get a copy of mine.

[Guest guest]

I didn't answer because I, for one, haven't a clue. I know my ortho

had a big sheaf of papers about my case. I know my surgeon did, too.

I never asked either to see what was inside, but if I'd wanted to,

I'd bet either one would have shown me.

Sorry. But why not ask the docs, or their record-keepers?

Cammie

> Ok, no one seemed to reply to my last message about this. so I am

> going to ask again.

>

> Do you think that any medical records kept on computers at

> orthodontists will also be in the paper medcial records? I do know

> that not all the information in paper medical records is not on the

> computers.

>

> Also, has anyone ever asked to see their medical records, or to get

a

> copy of them? As I want to get a copy of mine.

[Guest guest]

Most medical offices/hospitals have form you can fill out to request

a full or partial copy of your medical records. They will mail a copy

to you. it is your health info thye will release it to you on your

request. I know this because I have done it before.

Marsha

> Ok, no one seemed to reply to my last message about this. so I am

> going to ask again.

>

> Do you think that any medical records kept on computers at

> orthodontists will also be in the paper medcial records? I do know

> that not all the information in paper medical records is not on the

> computers.

>

> Also, has anyone ever asked to see their medical records, or to get

a

> copy of them? As I want to get a copy of mine.

[Guest guest]

Sorry if this offends some of the fine nurses out there, none of

whom, I am sure, would deal with a patient that way.

But it has been my experience that some nurses are grouchy. Or maybe

most patients are grouchy. Or both. Anyhow, some nurses just seem to

take pleasure in being snippy.

I didn't encounter much of that, but I do remember that while I was

waiting to be wheeled somewhere between recovery and my room (X-ray?

Records? Holding room?) The blood pressure cuff on my arm just

started wildly inflating. I mentioned it, and mentioned it again, and

it got tighter and tighter. Finally, I was afraid that either I or it

would blow up, and loosened the danged thing.

I was given holy what-for by one of my attendants (and in fairness,

she may or may not have been a nurse) for having done anything to it.

I had the morphine, still, but I was not so looped that I didn't know

that she'd been too busy gabbing with someone else about their

children's arrangements for that evening to pay any attention to my

earlier requests for help -- and she was my designated " keeper " of

the moment.

Oh well.

I might, however, when you're up to doing it ever so politely and

sweetly, mention to my surgeon that I was astonished that a nurse had

any problem with my reading my records. And explain what you've

learned in class, and ask whether it's really the hospital's, or his,

policy... Nothing challenging, nothing that might make him defensive.

Just a gentle little query.

Cammie

> Hi,

>

> I'm studying Health Information Management at university, and you

> definitely own the information on your records, but the hospital

> owns the actual record.

>

> After my surgery, I think it was day 2 in the hospital, I was

> wheeled downstairs to get X-rays and they handed me my record to

> hold. Being curious and knowing that technically I was allowed to

> glance at the information, I opened it up and took a look.

>

> Boy did I ever get yelled at and chewed out because " I wouldn't

> understand any of it. " Little did the nurse know that I've taken

> many anatomy/physiology courses and I've studied many health

records

> exactly like my own, so I understood everything I saw.

>

> I hope you have better luck with being able to look at your own

> records

>

[Guest guest]

Hi Cammie,

Not such a good thing with the blood pressure cuff incident!

I noticed quite a bit during my pre-op appointment that the staff

seemed to pay more attention to their visitors than the patient they

were dealing with at that time.

It really isn't fun sitting with your mouth wide open for

impressions with a large metal tray full of chalky goo and then

being forgotten about!! Okay, okay, so the 8-year-old girl who came

to see her was cute :0), but come on now, I just about choked on the

hardened mess in my mouth! Finally I made some noises until she

turned and saw that the impressions were more than ready to come out.

About the medical records thing, I would have said something to the

nurse herself about being rude to me when I glanced at my records

but of course you know that a day after surgery, your mumbling is

understood by virtually no one. I actually started to cry at that

point just out of pure frustration that I felt helpless because I

was unable to stand up for myself..

Unfortunately I won't be using your advice and telling my surgeon

about it, but Fortunately that's because I don't have to see my

surgeon again until after my braces are off!!!! YAY!

> Sorry if this offends some of the fine nurses out there, none of

> whom, I am sure, would deal with a patient that way.

>

> But it has been my experience that some nurses are grouchy. Or

maybe most patients are grouchy. Or both. Anyhow, some nurses just

seem to take pleasure in being snippy.I didn't encounter much of

that, but I do remember that while I was waiting to be wheeled

somewhere between recovery and my room (X-ray? Records? Holding

room?) The blood pressure cuff on my arm just started wildly

inflating. I mentioned it, and mentioned it again, and it got

tighter and tighter. Finally, I was afraid that either I or it would

blow up, and loosened the danged thing. I was given holy what-for by

one of my attendants (and in fairness, she may or may not have been

a nurse) for having done anything to it. I had the morphine, still,

but I was not so looped that I didn't know that she'd been too busy

gabbing with someone else about their children's arrangements for

that evening to pay any attention to my earlier requests for help --

and she was my designated " keeper " of the moment.> Oh well.

>

> I might, however, when you're up to doing it ever so politely and

> sweetly, mention to my surgeon that I was astonished that a nurse

had

> any problem with my reading my records. And explain what you've

> learned in class, and ask whether it's really the hospital's, or

his,

> policy... Nothing challenging, nothing that might make him

defensive.

> Just a gentle little query.

>

> Cammie

>