Because the one doc I work for does mostly surgery and more complacted exams I tell all new patients when making their app to bring a list of meds with them, I also tell all our current patients the same thing as they need to fill out a new form on a yearly basis.

The tech then fills in all the meds. I would say the average is 5 to 7 in the seniors. Some take 20 meds a day. All are entered in the computer.

We also get a ton of referrals for surgery. So of course the primary or the other doc wants a report and it will be on the computer including surgerical notes which are scanned it.

I enter all the medical info including all past surgery, family history etc.
It is very time consuming and it was a lot to learn but it truly benefits the patient in the long run. I also enter all allergies but I can only enter them if you the patient writes them down on the sheet or it is there already.

The problem arises when most people and I am one of those have no idea how to spell the name of a med you are taking. I expect you to call us back with the name, proper spelling and dosage. And NO I don't know the name of the blood pressure med you are taking that starts with a D. I will not guess. Give me the facts. That is all I will enter straight facts.

And while you are peeing for the third time the tech is waiting for you and wondering where you wandered too again.

Oh and by the way if a hospital has your SS number and they do, then so do I and thousands upon thousands of others who work in doc's offices arcoss the country.
Doesn't matter if you were in the hospital in 1972 it is in the records now.
You might not like it, it might not be right, I won't debate that here, but it is what it is with electronic info.
So if you don't want to fill that part in that's ok. I have it regardless and I will keep it as safe as I guard my own which by the way is also there.


Quote Originally Posted by Freedom View Post
Momcat, the move to computerized records is not something any individual doctor, or our PT Marigold, is putting in to place. You have every right to oppose the computerization, and to make that known. I suspect you are bucking the tide on this one, but it is good to have folks like you trying to ensure the integrity of the documentation.


This made me chuckle:
"I had one older patient yell at me "I WILL NOT GIVE YOU MY SS NUMBER" I then asked him for his insurance cards and sure enough he had Medicare and there it was. "

Elyse wrote: "If you have prescriptions from more than one physician, please bring them all or a list (include everything you take!) so we can review them."
I actually did this, my last annual physical. I thought my doc was going to drop to the floor in a dead faint! Apparently, I was the first one in AGES to comply! Hahahaaaa, we had a great laugh once she recovered!