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Old 03-11-2008, 04:50 PM   #1
Baybreeze
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Join Date: Jun 2006
Posts: 1,868
Why Do Doctors Not Report Everything in Medical Records??

Okay, I had to get my medical records relating to my back. I've gotten some, but not all, of course one office isn't returning my phone calls; another did speak to me, told me to mail my request, but havent mailed my records back yet. Anyway...in reading through these reports, Im seeing that many times things either aren't reported correctly or were never done. FOr example, when i've got my nerve block and lidocaine injections, both docs reported I tolerated them well. Well, that is not true!! My nerve block, I almost went through the roof with my left sided sciatic pain even worsened; with the lidocaine shots, they hurt like hell b/c I was usually in spasms. Another doc reported my temp & blood pressure each time, but they never check these things. I complained about fever once, my temp wasnt checked & it wasnt even mentioned on any reports. I also see I am diagnosed with SLE (lupus), which I wasnt sure of all this time. Aldo x'd with Fibromyalgia. Last time i was there, it was reported I had multiple fibro tender points, but there was no exam done at all. And I believe where I am tender is where I have spasms. It also said I have bilateraltroncheric bursitis, no idea what that is either, and bilateral SI joint arthritis and cervical spondylosis. Geez, and it also notes iv'e been injected with lidocaine PLUS Kenalog (which I believe it a steroid). If i've gotten kenalog with every lidocaine injection, no wonder i cant lose weight. Well, none of those ever did me any good except for one shot in my ankle once. But i have gotten probably 8 to 10 shots each visit all up & down my spine, in my left shoulder, and rear end.

At least nothing shows they think I was faking anything. But most of the records I got are from before surgery (except rheumy & one urgent care place). My new PM"s office isnt calling me back to get my records of recent ESI's & one urgent care hasnt sent me my records. Im not going to worry b/c I guess I can authorize Voc Rehab to get those records. They said to bring what records I can and if not, bring names & addresses of all treating physicians. I'm also getting my PT records, though most of that is from before surgery and just after when I was doing pretty good. Now had I been seeing them thru my insurance where the PT sends reports to my docs, it would have been noted everytime I had pain or a new problem.

But anyway, Im pretty much just venting..I just wonder why some things arent noted correctly, or wrong, or missing. It really irks me.

Well, I have all those other conditions listed in my one doc's reports, so maybe that will end up helping me in regards to voc rehab. Plus I havent had an MRI since May '07 and things have gone awry since then. My appointment is this Thursday, so I shall see what they think. I didnt go there on my own, I was referred by someone. And when someone in UE showed me jobs for police officers, or retail employees, I told them I cannot stand long & wouldnt be able to those sorts of things. (I wouldnt work in retail again anyway) So they led me to Voc Rehab, who said if I qualify, they will be able to help me find a job and maybe get me more training.
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Old 03-11-2008, 05:34 PM   #2
ladybug8372
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Join Date: May 2003
Posts: 988
Re: Why Do Doctors Not Report Everything in Medical Records??

with you talking about voc. rehab..makes me think of workers comp???

i dont know if its wc drs..or all drs. but mine done the very same thing. said i tolerated and even got better from epidural steroid injections...when the 2 & 3rd one didnt even phase me at all!!!!!!!!! after the 3rd one..i was rated/released from the wc dr care..but 1 month later..i was back in there and then was referred to a surgeon...and on my very first MRI report it showed 2 bulging discs and one rupture....BUT...i never knew about the other 2 discs until i got a copy of the MRI report myself. i just dont get why wc drs are like that...they should be FOR the patient regardless of who is paying the bill.....they say that the drs are to hurry up and get you back to work asap...BUT...if they dont treat your injuries that actually show up on exams/reports, etc....how is that helping anyone?? all thats going to do is make your health worse when you are put back to work...to where you have to make another claim again! they IRRITATE ME!!!
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Old 03-11-2008, 05:42 PM   #3
BlueAtlas
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Join Date: Aug 2006
Location: Virginia
Posts: 3,228
Re: Why Do Doctors Not Report Everything in Medical Records??

Medical records aren't always what they seem, are they? When they say it was tolerated well, that just means that you didn't have any serious complication, like passing out or heart arrythmias, or something like that. Most doctors don't put things like "injection caused extreme discomfort" or "patient had unusually high amount of pain." They don't consider that to not be tolerating it. Go figure. They have a whole different understanding of some basic English!

I hope the Vocational Rehab works out for you. The best part is that they help you land a job, too! Yea!!!

Hope your spirits are okay as you continue to walk through all these hard things at the same time.

Take care,
Emily
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Old 03-11-2008, 06:09 PM   #4
Sage48
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Location: Florida
Posts: 1,192
Re: Why Do Doctors Not Report Everything in Medical Records??

Hope all is going well for you...they should be testing you to see what you may be "good" at...then if additional courses (college) are needed..well they take care of that for you.. I had so many tests it wasn't funny...at each step of the way. there were less and less people in attendance..guess they gave up...NOT ME...Those who kept going finally got the training. Think of something you may like to do...and that your body will allow you to do. Can you type??? Medical records is goods...billing is also good...if you can sit..for a while.. Pay can also be good for either of those occupations...there are courses for them also. I did business mgmt. & marketing...I love to talk!! (also I run off at the key board a lot too!!!). I wish you luck...and much success...

Leslie
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Old 03-11-2008, 06:13 PM   #5
happygirl440
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Join Date: Aug 2007
Location: Rock Hill, SC
Posts: 252
Re: Why Do Doctors Not Report Everything in Medical Records??

Great question! We may never know why Dr's do that. I just got copies of my records from one PM doctor (as I'm applying for SSD) and he states I have Fibro...News to me!
My GP is very good on reporting he even states when my hubby goes with me!
Cindy
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