quote:

Originally posted by El Cid 92:
The belief that Electronic Medical Records (EMR) can be redacted, removed or corrected is a total falsehood.

Not in EPIC. I can go in, make an addendum, and redact, remove, or correct, anything I'd like. The addendum will be dated differently than the original note, however. I have no idea if the original note is still stored somewhere out in cyberspace, but if someone goes into that note at a later date, they will see my addendum (changed note), and not the original note.

Anyone that asks me that question gets an immediate no. None of their business. I even instruct my kids to answer no.

quote:

Originally posted by Gustofer:

quote:

Originally posted by El Cid 92:
The belief that Electronic Medical Records (EMR) can be redacted, removed or corrected is a total falsehood.

Not in EPIC. I can go in, make an addendum, and redact, remove, or correct, anything I'd like. The addendum will be dated differently than the original note, however. I have no idea if the original note is still stored somewhere out in cyberspace, but if someone goes into that note at a later date, they will see my addendum (changed note), and not the original note.

I don't know anything about EPIC, but my EMR, once the note has been signed, it's permanent. Yes, you can go in and make addendum, correction, addition, etc., but it's going to be just that. It's a new note with a new date and time. The original note, once signed, however, is permanent, where I practice.

This message has been edited. Last edited by: 12131,

My eye doc uses paper records as well as several others who are independent. They all hate Cerner and Epic for obvious reasons.

quote:

Originally posted by sigcrazy7:

Does it count of the Doc asks you to drop your drawers and you set your holstered EDC on the counter? I did that once. Doc never said a word.

I tried to cover mine up by putting my hat over it.

Doc leaned over my shoulder, peering at it, and said, "What's that? A SIG? I've got an H&K."

Another doc told me how much he liked his P320.

quote:

Originally posted by Gustofer:

quote:

Originally posted by El Cid 92:
The belief that Electronic Medical Records (EMR) can be redacted, removed or corrected is a total falsehood.

Not in EPIC. I can go in, make an addendum, and redact, remove, or correct, anything I'd like. The addendum will be dated differently than the original note, however. I have no idea if the original note is still stored somewhere out in cyberspace, but if someone goes into that note at a later date, they will see my addendum (changed note), and not the original note.

Yep… it will still be in Epic. Same as in Cerner, eClinical, Allacripts.

The info will be annotated with a date. You may not see it. But, info that is avail to insurance, institutional, or govt entity is is present.

I’ve worked on rollouts of Epic, Allscripts, & Cerner. So I’ve seen the back-end of the output and not just what is seen by the provider.

Andrew

quote:

Originally posted by Scooter123:
Guy's, the reason that it's noted in your medical record is due to exposure to lead. BTW, I currently have 5 shotgun presses on my loading bench and lead is a concern even though I am careful when handling shot. My concern is the shells, that black residue on my hands after a loading session probably contains some lead. I know I should wear gloves but 2 hours wearing latex gloves gets pretty uncomfortable. Good news is that past tests have been OK but this year I'm trending towards 10,000 rounds fired.

Not believing that a bit. Than they better start asking people if they are rehabbing buildings built before 1978, refinishing antique furniture, restoring antique radios and other electric devices, restoring cars and trucks, use certain types of dinnerware, balance auto and truck tires, artists,plumbers, people replacimg water service lines in Flint and Benton Harbor, in short many things past and present contain lead.

Asking about firearms is clearly fishing for information.

I did exactly that. New Doc liked shiny guns! I have a new 30 something, smoking hot, female doctor now. Even though she won't bend me over,the gun stays in the car.

quote:

Originally posted by sigcrazy7:
Does it count of the Doc asks you to drop your drawers and you set your holstered EDC on the counter? I did that once. Doc never said a word.

quote:

Originally posted by OKCGene:
Doc: Do you have any firearms at home?

Patient: Doc do you mean those evil killing machines we see all over the news? OMG NO I don't have any of those! Why would anyone have such an evil killing machine?

Doc: Writes NO down

Patient: Inwardly smiles because he/she does not have any evil killing machines!!!! None of mine have ever thought about or taken action to be evilly used. They just sit there, and nothing can be done to make them misbehave.
.

I like this a LOT...

quote:

Originally posted by wrightd:
You can't trust anyone in the medical community for anything outside of physical conditions. Guns, hobbies, personal beliefs, psychological issues, marital hardships, personal and family situations, are all off the table. Many in the medical community are official members of the loony toons squad, so you need to be the most boring and uninteresting patient in the hordes of otherwise normal people they see every day. It's the abnormal progressives in the medical community who are the real danger. And it only takes one to ruin your day, career, or worse. All those years of study, training, and sacrifice don't guarantee common sense or normalcy. Look at Washington DC. Lots of educated people in the workforce running the country, and look how they've taken persecuted conservatives and taken us for a ride.

Thank you.

quote:

Originally posted by V-Tail:

quote:

Originally posted by sigcrazy7:

Does it count of the Doc asks you to drop your drawers and you set your holstered EDC on the counter? I did that once. Doc never said a word.

I tried to cover mine up by putting my hat over it.

Doc leaned over my shoulder, peering at it, and said, "What's that? A SIG? I've got an H&K."

Another doc told me how much he liked his P320.

I always have a gun on me during check ups.

So much so to see a bunch of guys wringing their hands over this is pretty funny.

My Dr has never asked. He knows what I do for a living, and always sees mine holstered in my pants during visits... but never said a word about it.

And for me it was not contact with lead bullets, it was with lead styphnate. Which is created when primers are set off. If was only a concern if I did a lot of indoor training.

quote:

Originally posted by jhe888:
If they are making conversation because they know you and have a genuine interest, fine. You could ask them not to write it down.

Not a good idea, IMO. If you misjudge them, now not only do they know about your firearms, they also know you wanted them kept confidential.

And if it goes in your record, then every medical professional that sees your record (referrals, call-partners, their staff, etc.) also sees it.

If you're concerned about it, just don't answer the question. The MD works for you, not the other way around, and you are not under penalty of perjury for failing to answer.

A lot of the docs are just going with the flow. They were told to ask, and they did. They don't care what the answer is or whether it gets answered or not - they followed procedure.

TL: DR - Just don't address the question/fill in the blank in the form, and don't bring it up.

I hate questions like these. I answer no to almost everything just as a matter of course. When I was going through my cancer stuff the first question every single time was a question about depression. Actually multiple questions, sometimes accompanied by a smiley face chart where I could “rate” my mental health. Always gave straight big smiles.

This is the kind of shit that terrifies me about red flag laws. They will use any angle, abuse any privilege, conflate any data. I don’t trust the fuckers with any information. Paranoid? Not even a tiny bit. We just watched them the last 2 years. Nothing is beneath them.

During the Clinton era the Surgeon General pushed the idea that firearms injuries were a public health crisis. Pediatricians especially jumped on board due to the number of children accidentally shot. The question about firearms ownership crept into medical visits as a result of all that. Some pediatricians even refused to accept children as patients if there were guns in the home. Florida even has a statute that prohibits medical personnel from making treatment decisions based on firearm ownership and no mention may be made in medical records unless it is relevant to treatment. Here is the statute:

790.338 Medical privacy concerning firearms; prohibitions; penalties; exceptions.—
(1) A health care practitioner licensed under chapter 456 or a health care facility licensed under chapter 395 may not intentionally enter any disclosed information concerning firearm ownership into the patient’s medical record if the practitioner knows that such information is not relevant to the patient’s medical care or safety, or the safety of others.
(2) A health care practitioner licensed under chapter 456 or a health care facility licensed under chapter 395 shall respect a patient’s right to privacy and should refrain from making a written inquiry or asking questions concerning the ownership of a firearm or ammunition by the patient or by a family member of the patient, or the presence of a firearm in a private home or other domicile of the patient or a family member of the patient. Notwithstanding this provision, a health care practitioner or health care facility that in good faith believes that this information is relevant to the patient’s medical care or safety, or the safety of others, may make such a verbal or written inquiry.
(3) Any emergency medical technician or paramedic acting under the supervision of an emergency medical services medical director under chapter 401 may make an inquiry concerning the possession or presence of a firearm if he or she, in good faith, believes that information regarding the possession of a firearm by the patient or the presence of a firearm in the home or domicile of a patient or a patient’s family member is necessary to treat a patient during the course and scope of a medical emergency or that the presence or possession of a firearm would pose an imminent danger or threat to the patient or others.
(4) A patient may decline to answer or provide any information regarding ownership of a firearm by the patient or a family member of the patient, or the presence of a firearm in the domicile of the patient or a family member of the patient. A patient’s decision not to answer a question relating to the presence or ownership of a firearm does not alter existing law regarding a physician’s authorization to choose his or her patients.
(5) A health care practitioner licensed under chapter 456 or a health care facility licensed under chapter 395 may not discriminate against a patient based solely upon the patient’s exercise of the constitutional right to own and possess firearms or ammunition.
(6) A health care practitioner licensed under chapter 456 or a health care facility licensed under chapter 395 shall respect a patient’s legal right to own or possess a firearm and should refrain from unnecessarily harassing a patient about firearm ownership during an examination.
(7) An insurer issuing any type of insurance policy pursuant to chapter 627 may not deny coverage, increase any premium, or otherwise discriminate against any insured or applicant for insurance on the basis of or upon reliance upon the lawful ownership or possession of a firearm or ammunition or the lawful use or storage of a firearm or ammunition. Nothing herein shall prevent an insurer from considering the fair market value of firearms or ammunition in the setting of premiums for scheduled personal property coverage.
(8) Violations of the provisions of subsections (1)-(4) constitute grounds for disciplinary action under ss. 456.072(2) and 395.1055.

^^^^^^^^^^^
Thanks for posting that. The majority of physicians I know could care less about firearm ownership. It provides a nice guideline for those few individuals that have problems with firearm ownership.

If asked about firearm ownership, maybe answer a question with a question: "Why do you ask this?"

If I wanted to keep it totally confidential, maybe I shouldn't wear my SIG Sauer cap, nor my NRA one.

If any of my doctors asked me about firearms I’d just say no, except my primary. All I’m going to say!

Read this thread in anticipation of a check up this morning. Questions tagged depression, suicide etc. No gun query, would have said no.

Any challenge I'd suggest flags one as non compliant, yellow, combative...