fieldgoal
Stranger
Reged: 10/16/03
Posts: 5
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Hello everybody. I don't post much on the free board. I usually post on the VIP board. In response to all the negative press about our wonderful Doctors and OP's I wrote this...
Hey out there. I think OP's have a much better chance of survival if they have our medical records. Even if we use different OP's throughout the year, we need to make sure that we offer our medical records to them as they are offering a wonderful service to us. Think of all the traveling and phone calls that we'd have to do if it weren't for the legitimate Doctors and OP's who are taking a risk and providing a highly needed service for us. I think we could do this. I just ordered a copy of my medical records from all of the doctors that I have had for the past 3-4 years. When I was with university physicians I had a copy of my medical records sent to them. If we see our primary care physician and let them know about our pain problems - THEY HAVE TO DOCUMENT IT and recommend some kind of treatment. That's what the good Doctors and OP's want - DOCUMENTATION of our condition.
The MSNBC or Washington Post article mentions overdose deaths and teenagers ordering controlled substances - WE ALL AGREE (I believe) that we shouldn't abuse these medications and teenagers shouldn't be able to order them. If our Doctors have our medical records, there won't be any confusion over our age.
Just think of all the lives that have been saved due to legit. Doctors and OP's. Many people have been able to get back to work, parenting and somewhat of a normal life.
Let's be proactive.
Sincerely speaking,
Chuck
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Dante6677
Member
Reged: 08/14/03
Posts: 136
Loc: Fl. Panhandle
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I sincerly agree, If the OP's that dont require these forms dont start shaping up it could ruin it for everyone.
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lemongrass
Board Addict
Reged: 09/23/03
Posts: 361
Loc: IL
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The sad thing is this, any of these records can be altered. People CAN alter any information. Hell, a really skilled person can create their own medical records. Teens aren't stupid. Some of them are masterminds! Anyone, regardless of age, can falsify information. It's up to the individual to provide the proper information. I don't think an OP or IOP should be held accountable if a person submits false information, but there simply is no PERFECT system.
lemongrass
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lemongrass
Board Addict
Reged: 09/23/03
Posts: 361
Loc: IL
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I was just thinking, since we all have first-hand knowledge of how the OP thing operates, how the system can be improved. So let's all think and put our heads together. What sort of system do YOU think would work in order to weed out those who should not be applying for online meds?
lemongrass
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fieldgoal
Stranger
Reged: 10/16/03
Posts: 5
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You're right. Med. records can be altered and we need to put our heads together and come up with some ideas and share/submit them to our doctors and op's. They're doing a lot for us and we need to show them that we support them and appreciate (of course, the legit ones) them for putting themselves on the line to treat us and all people who seek their services. It's hard to weed out people who are abusing their services as good doctors BELIEVE what their patients tell them unless they have a reason not take what they tell them at face value. SO... we need to come up with some ideas.
Medical records and proof of who you are is a good start.
But, what else? I'll post when I get some ideas.
Chuck
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Hertz50
Journeyman
Reged: 04/02/03
Posts: 73
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Unfortunately , when medical care is sought via Telemedicine,
if the documentation isn't in the OP physician's hands, the problem/pain/ailment doesn't exist for all practical purpose.
It is not about honesty or having the correct responses, from a medical-legal standpoint it is about justifying a course of therapy from an established medical record.
Seeking care from an OP not currently requiring med records serves to decrease the legitimacy of the entire industry when strong meds are dispensed lacking documentation.
Whining, complaining , and griping about the companies trying to "get it right" will only encourage the sub standard OP's to continue their careless illegal ways.
We should all be patronizing the good sites that try hard to dispense appropriate, concerned, and justifiable medical care.(Not the pill pushers and you know who they are!)
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Sweetz
Diamond Mind
Reged: 05/11/02
Posts: 764
Loc: Texas!
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What's bad is when you get your records and they are wrong! Mine contained wrong information in the narrative for every visit. Things I never said I was taking. Hell, I had never heard of them. Other things I told him too he got all mixed up and wrote the wrong thing. At the bottom, it did say "transcribed by XXX Co., but not reviewed by doctor", but I doubt he would remember specifics since he never listened to me anyway.
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"If you choose not to decide you still have made a choice."
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rich74880
Stranger
Reged: 10/20/03
Posts: 16
Loc: Oklahoma
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I don't know if this would help but if you have been receiving your medications from a "brick and mortar pharmacy" where you actually see the pharmacist and pay the clerk, you might ask if you can get a copy of all of the scripts that they filled for you for the previous year. I don't know how far back they can go but I've had to do this before our pharmacy got a computer. Talk about time consuming! If you have a print-out showing the medications you have received, that would provide pretty solid evidence to your doctor that you have never taken the medications in questions. I get a print-out at the end of each year for use in preparing my 1040 and that information has been very useful in many ways. The doctor's office should also be able to research your previous visits and see what medications were written in your chart. You can look up any unfamiliar medications on-line at The Rx List to see if your condition could have warranted using any prescriptions that you don't recognize. As with everything in life, anymore... document, document document! All the best, Rich
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"Speak friend and enter"
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Sweetz
Diamond Mind
Reged: 05/11/02
Posts: 764
Loc: Texas!
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I just gave up on him and his records. I have my EEG reports in there and MRI reports. I'm going to get my Urgent Care records. That's where I go instead of the ER when I can. They are quicker and much more personal. Now that they're part of the network, it's cheaper on the insurance co., so they'll be less apt to bitch about it. But, they want 35.00 for my record. Blech.
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"If you choose not to decide you still have made a choice."
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Flavia
Journeyman
Reged: 01/29/03
Posts: 65
Loc: Baja Oklahoma
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That's ridiculous that the doctor got your medical records wrong. I FINALLY got mine, and I read through the first 50 pages, and they weren't wrong, but I never knew doctors wrote each other "thank-you" letters. There were several in my file from specialists thanking my PCP for sending me, saying very complimentary things about me - lovely, charming, pleasant, nice, etc. However, when I got toward the end of my records, they were written in my doctor's handwriting, and I could not read ONE word! I have no idea what he said. Now there's another problem -  Flavia
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In this day and age, you need a crutch to get through life. If you don't, you are dead, in a
coma or seriously mentally impaired.
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BlackCat
Old Hand
Reged: 09/22/03
Posts: 402
Loc: Bed
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I love the doctor thank you letters. The ones I found in my files were typed, well-written, said wonderful things about my charming demeanor, and most importantly the specialist described in detail back to the referring doctor what the condition was, the test results and the diagnosis and next steps. I have found that this is the best 1-2 page letter to use for records-based OPs - not the doctor scrawls of each visit - they don't want to read it and want a nice simple typed summary with a condition, diagnosis, pain documentation, etc....
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Dukey
Journeyman
Reged: 09/24/03
Posts: 88
Loc: New England
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My hematologist wrote "thank you for referring this pleasant and interesting patient".
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mirror
Newbie
Reged: 02/03/03
Posts: 39
Loc: USA w. of Mississippi R.
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Yes, medical records can be altered -- and symptoms can be faked. However, the person who alters medical records -- or fakes symptoms for that matter -- commits a fraud. By requiring medical records, online clinics force drug seekers lacking a legitimate need for controlled drugs to either buy their drugs from marginal operators who don't require records, or to forge or fraudulently alter medical records to get medication from honest clinics. Either way, costs and legal risks increase for the recreational users, while pain sufferers can be confident that they will not be getting prescriptions willy-nilly without consideration of their health history.
In any event, the argument that online ops are bad because bad people can forge records or fake symptoms doesn't hold up at all. Frauds will patronize whatever kind of operation will let them get away with it -- online or brick and mortar. Indeed, the most egregious pill mills, like the ones who service Hollywood stars and certain massively hypocritical radio commentators, always seem to be walk-in or "cash and carry" operations. The honest and effective ops will continue to require medical records and/or evaluations (including physicals) of prospective patients.
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