12-08-2009, 21:12
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#1
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Quiet Professional
Join Date: Jan 2004
Location: LA
Posts: 1,653
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Personal Medical Records
I've been thinking about keeping medical records for me and my family on a USB drive or something. Any of you guys doing this?
Upsides/Downsides?
Any tips?
Formats?
__________________
Somewhere a True Believer is training to kill you. He is training with minimal food or water, in austere conditions, training day and night. The only thing clean on him is his weapon and he made his web gear. He doesn't worry about what workout to do - his ruck weighs what it weighs, his runs end when the enemy stops chasing him. This True Believer is not concerned about 'how hard it is;' he knows either he wins or dies. He doesn't go home at 17:00, he is home.
He knows only The Cause.
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NousDefionsDoc is offline
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12-08-2009, 21:17
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#2
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Quiet Professional
Join Date: Mar 2004
Location: Castle Rock, CO
Posts: 2,531
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Makes sense...PDF for format?
__________________
""A man must know his destiny. if he does not recognize it, then he is lost. By this I mean, once, twice, or at the very most, three times, fate will reach out and tap a man on the shoulder. if he has the imagination, he will turn around and fate will point out to him what fork in the road he should take, if he has the guts, he will take it.""- GEN George S. Patton
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lksteve is offline
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12-08-2009, 21:18
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#3
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Quiet Professional
Join Date: Jan 2004
Location: LA
Posts: 1,653
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That's what I was thinking. I've seen a couple with pre-designed forms. MyPHR looks ok and the forms are free.
__________________
Somewhere a True Believer is training to kill you. He is training with minimal food or water, in austere conditions, training day and night. The only thing clean on him is his weapon and he made his web gear. He doesn't worry about what workout to do - his ruck weighs what it weighs, his runs end when the enemy stops chasing him. This True Believer is not concerned about 'how hard it is;' he knows either he wins or dies. He doesn't go home at 17:00, he is home.
He knows only The Cause.
Still want to quit?
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NousDefionsDoc is offline
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12-08-2009, 21:19
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#4
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Quiet Professional
Join Date: Jan 2004
Location: LA
Posts: 1,653
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I wonder how hard it would be to get the Doc's office to fill them in as stuff is done?
__________________
Somewhere a True Believer is training to kill you. He is training with minimal food or water, in austere conditions, training day and night. The only thing clean on him is his weapon and he made his web gear. He doesn't worry about what workout to do - his ruck weighs what it weighs, his runs end when the enemy stops chasing him. This True Believer is not concerned about 'how hard it is;' he knows either he wins or dies. He doesn't go home at 17:00, he is home.
He knows only The Cause.
Still want to quit?
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NousDefionsDoc is offline
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12-08-2009, 21:29
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#5
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Quiet Professional
Join Date: Mar 2004
Location: Castle Rock, CO
Posts: 2,531
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Quote:
Originally Posted by NousDefionsDoc
I wonder how hard it would be to get the Doc's office to fill them in as stuff is done?
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I thought something like that was going to be the wave of the future 15 years ago...
__________________
""A man must know his destiny. if he does not recognize it, then he is lost. By this I mean, once, twice, or at the very most, three times, fate will reach out and tap a man on the shoulder. if he has the imagination, he will turn around and fate will point out to him what fork in the road he should take, if he has the guts, he will take it.""- GEN George S. Patton
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lksteve is offline
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12-08-2009, 21:38
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#6
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Guerrilla
Join Date: Jun 2009
Location: Florida
Posts: 155
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Just some thoughts-
Not sure how the docs are doing where you are, in my area the doctors are charging most everyone for medical records, have substantial lag times for requests (referrals, refills, statement of medical necessity,etc), and have had to cut office staff beyond the minimums. That would lead me to believe that it would be difficult to have the physician update your records. Perhaps if you are using one of those VIP doctor programs you would have no problem or can reach a fee agreement.
Depending on the complication of your health issues it may be worth your while to simply accumulate/input the information yourself. The med list, allergies, and major issues/hospitalizations would be a great foundation. Better would be adding your baseline lab values.
Pretty soon we'll all have chips implanted anyway 
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Saturation is offline
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12-09-2009, 04:28
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#7
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Quiet Professional
Join Date: Apr 2008
Location: 18 yrs upstate NY, 30 yrs South Florida, 20 yrs Conch Republic, now chasing G-Kids in NOVA & UK
Posts: 11,901
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My GP/ Surgeon is still pencil to paper,,
But my Cardiologist has all the rooms wired with laptops. If I want a copy of today's whatever, I just ask at the desk on the way out, normally while setting up the next appointment..
The fact that the Doc's, the PA's, or the nurse all record, "Interactively", makes for a longer visit, but I think the data is much more accurate. Most times, we will review the recorded statement before the end of the session.
The VA clinic in KW and VA hospital in Miami also use laptops in each room..
You may be able to take your thumb drive and plug it into the doc's pc while you wait??
__________________
Go raibh tú leathuair ar Neamh sula mbeadh a fhios ag an diabhal go bhfuil tú marbh
"May you be a half hour in heaven before the devil knows you’re dead"
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JJ_BPK is offline
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12-09-2009, 06:54
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#8
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Area Commander
Join Date: Oct 2009
Location: Northeast Utah
Posts: 1,712
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You should be able to fill in most of the crucial information: Name, date of birth. Medical conditions, year (approximately) thos conditions were diagnosed, and surgery with date of surgery (and indication if you have it.) Hospitalizations - date (Approximate), length of stay and reason for stay. Any major complications from surgery or during hospitalization are a plus. Medications and current doses - good to keep in a spreadsheet anyway, IMHO. Allergies - medication and otherwise. Vaccination history and date of last booster for Tetanus/diptheria/pertussis. It should be easy enough to grab a set of vitals, weight and height on yourself.
For the kids you might want to include any particular complications with pregnancy or in the newborn period as well as the above - this becomes less important in aftert puberty. The vitals are less crucial, but growth and weight percentiles are always helpful, as well as the most recent weight (for dosing meds).
A one-time record request may be needed to fill in some of the above baseline information if you've not taken a very active role in your health care. Alternatively, some health systems have a public access version of their electronic charting where you can access your labs and medical history. Afterwards you should be able to keep everything up to date. The vitals are still typically pen to paper and then put in the computer system - you can copy those down at any and all visits. Most doctors offices I've worked in are happy to mail you a copy of their visit notes if you request it. This is different than a record request and typically is provided free of charge.
The baseline lab values are only useful if you have some chronic conditions which lead to abnormal values.
That's my $0.02 on the matter. The only other thing to consider is where you will keep the USB drive to ensure it is secure but is accessible when you need it. What was your intended use for these records?
__________________
"The dignity of man is not shattered in a single blow, but slowly softened, bent, and eventually neutered. Men are seldom forced to act, but are constantly restrained from acting. Such power does not destroy outright, but prevents genuine existence. It does not tyrannize immediately, but it dampens, weakens, and ultimately suffocates, until the entire population is reduced to nothing better than a flock of timid, uninspired animals, of which the government is shepherd." - Alexis de Tocqueville
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PedOncoDoc is offline
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12-09-2009, 08:49
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#9
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Quiet Professional
Join Date: Mar 2006
Posts: 407
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Quote:
Originally Posted by JJ_BPK
You may be able to take your thumb drive and plug it into the doc's pc while you wait??
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I hope not. DoD has banned thumb drives for a reason. It's far too easy to turn those things into an "auto-hack" tool.
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..-. .. -. .- .-.. .-.. -.-- | .- -. | . -.-. .... --- | .-.-.
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Slantwire is offline
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12-09-2009, 09:32
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#10
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Guerrilla
Join Date: Sep 2007
Location: Nashville
Posts: 310
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NDD, GREAT idea. Many are actually advocating this and some have developed cards the size of CC cards for this purpose. Still in its infancy though.
Problem is, it will have to be initiated by your MD as most are not going to let you plug a USB thumb drive into their computer.
Some will give you a CD-ROM with your records if you ask them.
Google has also developed a "secure" online patient based medical record system. But, of course, there are many concerns with this as who knows who has access to the "cloud".
https://www.google.com/accounts/Serv...2Fp%2F&rm=hide
__________________
"And dying in your beds many years from now, would you be willing to trade all the days from this day to that for one chance, just one chance to come back here and tell our enemies that they may take our lives, but they'll never take our freedom?"- Braveheart
de Oppresso Liber
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olhamada is offline
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12-10-2009, 03:53
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#11
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Guest
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I wrote this for a newsgroup back in April:
Quote:
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Originally Posted by Howard Cohodas
Whether you are a xxxx sufferer or not, the
problem of communicating emergency information to
emergency care givers and family can be problematic.
Medical ID bracelets are certainly one answer, but as
a certified nerd, here is a tree-part solution that I
have developed. Some of this was refined during a
Certified Medical Responder course I was taking.
First, is the information in my wallet, including
xxxxx condition, medications being taken and other
medical care information.
In some emergencies, you may become separated from
your wallet. One of our class, an LEO, recalled an
incident where someone was separated from his wallet
by gunpoint and then rendered unconscious, the
condition in which he was discovered.
Thus, second, my cell phone has an entry <space>In
Case of Emergency. The leading space puts it as the
first item in the directory. Should any responder in
an emergency have the presence to look at your cell
phone, this strong clue should be sufficient. The
phone numbers in this item, for me, are my home, my
wife's cell phone number and her work number.
And third, I carry a "thumb drive" as part of my EDC
(Every Day Carry). This is sometimes called a flash
drive. It contains a directory (folder) labeled "_In
Case of Emergency". Here I store images of all of the
emergency ID information I carry in my wallet plus a
text file containing contact information, and medical
care information. In this directory (folder) I have at
a minimum, images of my drivers license, insurance
cards (auto and medical), drivers license, passport,
eye-classes prescription, pilots license and concealed
carry licenses (I'm usually armed).
Tangentially, I have another directory (folder) that
contains photocopies of everything else I carry,
especially my credit cards. This directory is encoded
to prevent unauthorized access, but would come in
handy if my wallet were lost or stolen. You can add
other stuff hard to replace in case of a fire at home,
like certificates, policies, inventories written or
photographed.
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I began writing the specs for a software application when I discovered the following two products already in the marketplace.
911 Medical ID
MED Flash
(Full disclosure: I am considering becoming a distributor for the 911 Medical ID. I'm in the middle of my "due dilligence" process).
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12-10-2009, 20:42
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#12
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Quiet Professional
Join Date: Jan 2004
Location: LA
Posts: 1,653
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Quote:
Originally Posted by Pinhead
I hope not. DoD has banned thumb drives for a reason. It's far too easy to turn those things into an "auto-hack" tool.
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DOD banned them for the reason that they are your user name. I don't however see many allowing my thumb drive in their network. That's a lot to ask.
Can they charge for medical records? I would have thought that would be illegal.
__________________
Somewhere a True Believer is training to kill you. He is training with minimal food or water, in austere conditions, training day and night. The only thing clean on him is his weapon and he made his web gear. He doesn't worry about what workout to do - his ruck weighs what it weighs, his runs end when the enemy stops chasing him. This True Believer is not concerned about 'how hard it is;' he knows either he wins or dies. He doesn't go home at 17:00, he is home.
He knows only The Cause.
Still want to quit?
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NousDefionsDoc is offline
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12-10-2009, 20:55
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#13
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Quiet Professional
Join Date: Jan 2004
Location: LA
Posts: 1,653
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Quote:
Originally Posted by HowardCohodas
I wrote this for a newsgroup back in April:
I began writing the specs for a software application when I discovered the following two products already in the marketplace.
911 Medical ID
MED Flash
(Full disclosure: I am considering becoming a distributor for the 911 Medical ID. I'm in the middle of my "due dilligence" process). |
The 911 Medical ID "Buy Now" button doesn't work. What's the price?
__________________
Somewhere a True Believer is training to kill you. He is training with minimal food or water, in austere conditions, training day and night. The only thing clean on him is his weapon and he made his web gear. He doesn't worry about what workout to do - his ruck weighs what it weighs, his runs end when the enemy stops chasing him. This True Believer is not concerned about 'how hard it is;' he knows either he wins or dies. He doesn't go home at 17:00, he is home.
He knows only The Cause.
Still want to quit?
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NousDefionsDoc is offline
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12-11-2009, 07:41
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#14
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Area Commander
Join Date: Oct 2009
Location: Northeast Utah
Posts: 1,712
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Quote:
Originally Posted by NousDefionsDoc
Can they charge for medical records? I would have thought that would be illegal.
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They can't charge you for providing you your personal information - they CAN charge you for processing the request, making copies, administrative fees, etc.
__________________
"The dignity of man is not shattered in a single blow, but slowly softened, bent, and eventually neutered. Men are seldom forced to act, but are constantly restrained from acting. Such power does not destroy outright, but prevents genuine existence. It does not tyrannize immediately, but it dampens, weakens, and ultimately suffocates, until the entire population is reduced to nothing better than a flock of timid, uninspired animals, of which the government is shepherd." - Alexis de Tocqueville
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PedOncoDoc is offline
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12-11-2009, 07:45
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#15
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Guerrilla Chief
Join Date: Jul 2004
Location: Phoenix, AZ
Posts: 880
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IMHO, the issue/problem with electronic medical records (jump drive, smart card, etc) is they are only useful when you arrive at a facility that can read it on a computer. Statistics would show that the major intervention in the field for severe trauma is what sets the stage for ultimate success or failure (yeah, I know, a lot of variables go into that statement....time, distance, level of care, etc) but having a readily accessible medical info "card" that can be read in the field could be the difference between life and death.
An example, read this..... http://www.tacticalmedicine.com/files/TWMay09.pdf
Now the field issue for the above article I wrote was less important because of proximity to the trauma center, but put yourself in the sandbox, in the rural areas or wilderness where travel /transport times are extended and I would rather have the medical information available to the field medics/docs AS WELL AS the hospital personnel. I think having both would be the best of all worlds: complete medical history for the facility (jump drive , etc) and a brief history that includes meds, allergies, major medical problems, emergency contact info and primary doc (laminated card). I would be happy to post what I use with local law enforcement...every SWAT member and eventually the entire dept. will have a laminated card on them with this info....we have areas that are extremely remote so the USB idea won't be optimal.
ss
__________________
'Revel in action, translate perceptions into instant judgements, and these into actions that are irrevocable, monumentous and dreadful - all this with lightning speed, in conditions of great stress and in an environment of high tension:what is expected of "us" is the impossible, yet we deliver just that.
(adapted from: Sherwin B. Nuland, MD, surgeon and author: The Wisdom of the Body, 1997 )
Education is the anti-ignorance we all need to better treat our patients. ss, 2008.
The blade is so sharp that the incision is perfect. They don't realize they've been cut until they're out of the fight: A Surgeon Warrior. I use a knife to defend life and to save it. ss (aka traumadoc)
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