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Re: Hazards of PHRs?- Lying to the MDs
by Lorie Obal on Monday October 22, @02:20PM
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| I knew patients would misrepresent their medical history to stock up on painkillers, but I never realized the domino notification effect once a physician gets suspicious (from physician comment on another site):
"For example, I've been lied to many times by patients regarding narcotic pain medicine prescriptions. For example, I treated someone this year to whom I gave an rx for 30 vicodins. I get a letter a month later from the State Controlled Substance guys (because one physician who rx'd to this patient requested a print out of the patient's controlled substance prescription records - which triggers a letter sent to everyone who rx'd him controlled medicines in the past.) So this guy had gotten the equivalent of 30 vicodins daily over a period of a few months (from many doctors, using different pharmacies, often getting two or three rxs in one day.) This means either he is in fulminant liver failure from all the tylenol or he's selling it for fun'n'profit."
The thing to keep in mind is that there are always people ready to game the system. A patient-controlled PHR, would seem to contribute to this problem if accepted at face value. |
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