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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 3 to 27 of 39. Go back in thread:
Posted by wildcard on September 16, 2005, at 14:39:21
In reply to Re: Do paients have the rt to C their file??? » wildcard, posted by Gabbix2 on September 16, 2005, at 14:23:19
thx ; ) i plan on asking next week and didnt know the whole legal issue.
Posted by Gabbix2 on September 16, 2005, at 15:10:51
In reply to Re: Do paients have the rt to C their file??? » Gabbix2, posted by wildcard on September 16, 2005, at 14:39:21
Don't let him/her intimidate you.. remember you have the power of Babble behind you!
Posted by wildcard on September 16, 2005, at 15:22:13
In reply to Re: Do paients have the rt to C their file??? » wildcard, posted by Gabbix2 on September 16, 2005, at 15:10:51
and i know thats a LOT of power! thx again for the support!
Posted by spriggy on September 16, 2005, at 18:03:47
In reply to Re: Do paients have the rt to C their file??? » wildcard, posted by Gabbix2 on September 16, 2005, at 15:10:51
Posted by Gabbix2 on September 16, 2005, at 19:58:01
In reply to Yes... may the force be with you.. ROFL (nm) » Gabbix2, posted by spriggy on September 16, 2005, at 18:03:47
Yeah, it's like the best of babble, all the support and none of the civility reqirements :O
That could be quite handy when dealing with certain Doctors..
Posted by Phillipa on September 17, 2005, at 18:25:53
In reply to Re: Yes... may the force be with you.. ROFL » spriggy, posted by Gabbix2 on September 16, 2005, at 19:58:01
It is your legal right to see your chart but usually the doc wants to review it with you. Psych records are hard to get as the pdocs say things in their notes that could be bad for the patient. Fondly, Phillipa
Posted by Gabbix2 on September 17, 2005, at 19:11:12
In reply to Do paients have the rt to C their file???, posted by wildcard on September 16, 2005, at 13:15:27
The psychiatric facility or Doctor must release your chart to you after a written request.
The only exceptions are if the request has been made as part of a legal dispute
or
it would create a substantial risk that the patient would inflict life threatening injury to self or others;
or
the patient would experience a severe deterioration in mental state;or
it would violate an assurance or confidentiality furnished to another person provided that such portion of the record is disclosed which would not constitute an invasion of privacy of another person.
Posted by wildcard on September 17, 2005, at 19:37:47
In reply to Re: Do paients have the rt to C their file??? » wildcard, posted by Gabbix2 on September 17, 2005, at 19:11:12
Thanks Gabbix2! So i need a written statement authorizing my permission to obtain my file but do i have to read it there?
Posted by Gabbix2 on September 17, 2005, at 19:54:26
In reply to Re: Do paients have the rt to C their file??? » Gabbix2, posted by wildcard on September 17, 2005, at 19:37:47
Hey Wildcard.
You may only need to ask, that's all I had to do.
But if they don't release it you need to write an official request. Once it is released then you are legally entitled to make copies of it for yourself
Posted by wildcard on September 17, 2005, at 20:00:26
In reply to Re: Do paients have the rt to C their file??? » wildcard, posted by Gabbix2 on September 17, 2005, at 19:54:26
Thanks! I will right one just in case though as i know he's not going to be thrilled at my request. I'm curious as to what it will say..lol
I appreciate ur help.
Posted by Phillipa on September 17, 2005, at 20:07:55
In reply to Re: Do paients have the rt to C their file??? » Gabbix2, posted by wildcard on September 17, 2005, at 20:00:26
Gabbix2 where do you live? I've never been able to get pdocs files. They only will release them to another pdoc. That's my experience. Tell me what I need to do to get them. Thanks, Phillipa
Posted by Gabbix2 on September 17, 2005, at 21:31:47
In reply to Re: Do paients have the rt to C their file???, posted by Phillipa on September 17, 2005, at 20:07:55
> Gabbix2 where do you live? I've never been able to get pdocs files. They only will release them to another pdoc. That's my experience. Tell me what I need to do to get them. Thanks, Phillipa
The information I gave to Wildcard was for Connecticut. From what I know they are similar in every state.
You may want to do a search just in case
Using the name of your state, and "Patient Access to psychiatric records"
Or something similar to thati.e Here are the patients rights according to the state of Florida
Any licensed health care practitioner or records owner must make available copies of all reports and records related to a person's examination or treatment, "in a timely manner, without delays for legal review," upon request of the person or the person's legal representative. (FL Stat 456.057)
Posted by Phillipa on September 17, 2005, at 22:37:05
In reply to Re: Do paients have the rt to C their file??? » Phillipa, posted by Gabbix2 on September 17, 2005, at 21:31:47
Very interesting since I was born and raised in Connecticut. What part of ct are you from? I was from Fairfield County on the Norwalk/Westport line most of my life then Stamford. But back to medical records. Working in psych in NC the pdocs wouldn't let pts have access to their charts unless they could read them with them. But if you change pdocs you can have the records sent to them. Most pdocs don't want other pdocs records as they want to assess the pts for themselves. I find this very interesting as I was put on Disability for a reason I don't know and have no way of finding out why. Something is definitely wrong. Thanks Fondly, Phillipa
Posted by Gabbix2 on September 17, 2005, at 23:26:02
In reply to Re: Do paients have the rt to C their file??? » Gabbix2, posted by Phillipa on September 17, 2005, at 22:37:05
> Very interesting since I was born and raised in Connecticut. What part of ct are you from? I was from Fairfield County on the
I'm not from Connecticut, that's just where the information was from
Norwalk/Westport line most of my life then Stamford. But back to medical records. Working in psych in NC the pdocs wouldn't let pts have access to their charts unless they could read them with them.I'm sure that happened, but lot's of things happen because patients don't know what their rights are, and Doctors can take advantage of that.
Here's a link to the information on patient rights in Connecticut.
http://www.ct.gov/opapd/cwp/view.asp?a=1756&Q=277258&opapdPNavCtr=%7C
But if you change pdocs you can have the records sent to them.Yep, that's true too.
I find this very interesting as I was put on Disability for a reason I don't know and have no way of finding out why.
You do, but you have to find the patient advocacy information for your area.
You have a right to find out whyFondly, Phillipa
Your welcome
Posted by Gabbix2 on September 17, 2005, at 23:30:56
In reply to Re: Do paients have the rt to C their file??? » Gabbix2, posted by Phillipa on September 17, 2005, at 22:37:05
Working in psych in NC the pdocs wouldn't let pts have access to their charts unless they could read them with them.
This is from The Office of Advocacy and disability Gov't of Connecticut:
HOW DO I OBTAIN ACCESS TO ME PSYCHIATRIC FACILITY RECORDS?
You have the right, upon written request, to inspect all of your hospital records and to make copies.
Posted by Phillipa on September 17, 2005, at 23:39:13
In reply to Re: Do paients have the rt to C their file??? » Phillipa, posted by Gabbix2 on September 17, 2005, at 23:30:56
I think it's that one line that if it could be harmful to the pt that they go on. And think of how you would feel if it was charted that you had a dx you were uninformed of. That was essentially what the pdocs said here. That was when I worked in psch. Almost sounds like you would need an attorney. Fondly, Phillipa
Posted by Gabbix2 on September 18, 2005, at 0:00:30
In reply to Re: Do paients have the rt to C their file??? » Gabbix2, posted by Phillipa on September 17, 2005, at 23:39:13
> I think it's that one line that if it could be harmful to the pt that they go on. And think of how you would feel if it was charted that you had a dx you were uninformed of. That was essentially what the pdocs said here. That was when I worked in psch. Almost sounds like you would need an attorney. Fondly, Phillipa
I did have a dx I was unaware of, and had no problem getting my chart.
You are always allowed to ask what your diagnosis is.
I don't really know how to generalize what it sounds like.. I only know what is written.
Posted by wildcard on September 18, 2005, at 0:14:11
In reply to Re: Do paients have the rt to C their file??? » Phillipa, posted by Gabbix2 on September 18, 2005, at 0:00:30
i ck'ed Phillipa and in NC and SC the patient has the right. ? Gabbi, how can u have a dx that they didnt inform u of? I want my records b/c im appealing disability and w/ the dx's i do have, lawyers wld jump to take my case. When i attempted suicide, i didnt even know i received blood until my social security paperwork. And i do agree, patients don't know their rights and therefore get BS'ed. Thats why im getting as much info as possible. thx a bunch!
Posted by Gabbix2 on September 18, 2005, at 0:20:14
In reply to Re: patients files *trigger?* » Gabbix2, posted by wildcard on September 18, 2005, at 0:14:11
> i ck'ed Phillipa and in NC and SC the patient has the right. ? Gabbi, how can u have a dx that they didnt inform u of? I want my records b/c im appealing disability and w/ the dx's i do have, lawyers wld jump to take my case. When i attempted suicide, i didnt even know i received blood until my social security paperwork. And i do agree, patients don't know their rights and therefore get BS'ed. Thats why im getting as much info as possible. thx a bunch!
Good for you. You're very welcome, knowledge is power!
Posted by Phillipa on September 18, 2005, at 0:30:53
In reply to Re: patients files *trigger?* » wildcard, posted by Gabbix2 on September 18, 2005, at 0:20:14
Okay now we're getting somewhere. You're bringing attorneys into it for a very specific purpose that could affect your whole life. And yes i agree that that information should and will be available. See when your're a nurse you are told yes told to write in your notes the worst possible things you can say about a pt. That is mostly to keep a pt in the hospital longer and to get insurance to pay for that you have to have a reason the pt is there. Today only reasons are really suicidal, psychotic, off meds and need to start meds. They don't allow you to just come in for simple depression like in the past. It really all boils down to malpractice insurance and insurance in general. It's hard to be a nurse and write the worst possible things you could say about a pt. And that is what the pdocs feel is detrimental for a pt to read. But how could you receive blood without someone telling you later? Fondly, Phillipa
Posted by Emily Elizabeth on September 18, 2005, at 0:30:55
In reply to Re: Do paients have the rt to C their file??? » Phillipa, posted by Gabbix2 on September 17, 2005, at 23:26:02
Okay, I read through most of this thread, and I had to interject.
In the US, the law that relates to this issue is called HIPPA. This just went into effect 1-2 yrs ago. It applies across states and to all medical records. Google it.
However, the major issue here is not whether you CAN see your file, but whether you WANT to see your file. True, most t's and pdocs will try to encourage you not to see your file, but that is in order to minimize the harm to YOU. Psychology and psychiatry have their own clinical language and way of describing things. It can be very hard emotionally and confusing to read someone's clinical notes on your personality and innermost struggles. It is not like reading, for example, your chart from your OB-GYN. Good mental health professionals write your file as if you would indeed read it some day--sensitive, respectful, etc. However, what seems sensitive to your pdoc may feel cold and judgemental to you--even if your pdoc loves you.
If you decide that you want to see your file, you will want to do so with the pdoc present, so s/he can clarify anything that is confusing. If it is a legal matter, perhaps it makes sense to ask a lawyer exactly what you would need. Or ask pdoc what you should tell the lawyer. Or if you doubt how your pdoc has treated you, seek out a new pdoc for an eval (frankly, if his treatment stinks, his chart notes are likely to be useless too).
I hope I expressed myself clearly here. It would break my heart if you, or other p-babblers, exposed themselves to even more pain. Please feel free to ask me to clarify. I wish you only good luck.
Best,
EE
Posted by wildcard on September 18, 2005, at 0:40:17
In reply to WAIT--Please read this!, posted by Emily Elizabeth on September 18, 2005, at 0:30:55
I understand what u are saying but i am to the point where nothing is working and i want to see what these professionals have observed about me. Yes, it cld. be harmful but it cld. also be helpful. The best T i had worked w/ me using CBT but she quit and i have no ins. so i have to take what i can get. Question, how cld. a doc dx u and have it in ur file w/o u knowing about it? Is this common?
Posted by Phillipa on September 18, 2005, at 0:46:43
In reply to Re: WAIT--Please read this! » Emily Elizabeth, posted by wildcard on September 18, 2005, at 0:40:17
Yes! Yes! Yes! Fondly, phillipa
Posted by Gabbix2 on September 18, 2005, at 0:46:50
In reply to WAIT--Please read this!, posted by Emily Elizabeth on September 18, 2005, at 0:30:55
The question was, do you have a right to see your file. And my answer was yes you do. Not knowing what is in your file can be harmful too, especially when the patient not knowing what has been written about them (that which is not necessarily the truth, but the opinion of the P.Doc) allows this information to be shared with other medical proffessionals, and may end up stigmatizing them
Of course I would want to go over it with someone but not necessarily the P.Doc who wrote it, because I'd want an objective opinion.
I don't necessarily go along that the P.Doc's want to protect their patient, I think often they want to avoid having to explain anything they may have been incorrectly assessed, and legitimately taken issue with by the patient.
If you take the pdocs word as gospel, then I suppose that is not an issue. To me, it's just another viewpoint, and hardly authoritative.
Posted by Phillipa on September 18, 2005, at 0:52:33
In reply to Re: WAIT--Please read this! » Emily Elizabeth, posted by Gabbix2 on September 18, 2005, at 0:46:50
You're both correct. But if someone came in suicidal and read something they didn't think was true about them without someone present to intervene in their behalf it could just could push them over the edge. Another example is someone who comes in manic and doesnt remember stripping off all their clothes in front of other pts and staff. It happens all the time. And that is when male staff are called to restrain the pt. How humiliating. But once their meds are working they don't remember. But it's documented in their notes. Both nurses and pdocs. Fondly, Phillipa
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