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Old 05-07-2019, 11:47 AM
 
2,729 posts, read 968,680 times
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Quote:
Originally Posted by Scooby Snacks View Post
I know, right? I've worked in healthcare for 15 years, been a patient for decades, and took my grandma to the derm when she had severe skin cancer all over her body, as well as done dermatology treatments for a long term skin condition myself, and neither of us were naked. We had that lame paper own and were uncovered a little at a time. I have also had numerous pelvic exams. No nakedness there either. It may depend on geography, but in my experience, the scribe thing is still relatively uncommon. However, medical assistants and nurses are widely used in exam rooms, no matter what the patient wants. Doctors do not want to be accused of raping patients.
Men and women are treated differently when it comes to their exposure in healthcare, things tending to be more lax with males. For my 1st ever full skin exam a couple years ago I started out with one of those flimsy gowns. I was sitting on the table with it on. After checking my legs and feet he removed it from my shoulders so that it was just sitting on my lap while he did my upper body, and then rather than have me put it back on he had me just stand up and set it aside while he did the genital/rectal portion of the exam as I stood there totally naked. The next time I was better prepared and put it back on myself before he had me stand to do the genital/rectal portion.

Other staff in the exam room is OK with me if they are actively participating in the exam, but not if they are just there as observers. An example of active participation would be cystoscopies where a nurse does the prep. An MA or nurse just standing there as a chaperone is undignified and something I do not agree to, though physicians rarely use chaperones for male patients.
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Old 05-07-2019, 12:19 PM
 
Location: Santa Monica, Ca
6,602 posts, read 3,674,962 times
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Heaven forbid these doctors have you’re medical information right in front of them and can update it as they go.
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Old 05-07-2019, 12:53 PM
 
2,051 posts, read 997,830 times
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Quote:
Originally Posted by purehuman View Post
yes...it's very disconcerting...it's very hard to talk to a doctor whose not looking at you, and typing while you speak....makes me feel that they might not hear what I'm saying....

As in talking to anyone else, make sure you have eye contact and their attention before speaking.



If you speak while they're entering your information on the computer, you're likely to distract them and make them make a mistake anyway. Let them enter your information before speaking.
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Old 05-07-2019, 02:46 PM
 
Location: Southern California
22,642 posts, read 7,806,947 times
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Wonder how all the old doctors "got it" in the olden days of our parents and their parents. No computers then. Anyone ever think of that.
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Old 05-07-2019, 03:01 PM
 
9,121 posts, read 6,087,312 times
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Whether bothersome, good or bad, doctors have much more technology than was available in the olden days when the human mortality rates were much higher than today.

With technological and medical progress comes a whole slew of issues, both extremely good and some bad.

I'd rather have my doc keep his nose buried in his computer while I am there then die earlier like my parents and grand parents generations of easily curable issues that are almost nothing today!

The one serious issue that I have with today's technology is Epix for escribing Rxs

Because of all the drop-down menus, it is too easy to make prescribing errors. Wrong line, wrong med or wrong dose. A pharmacist's and patient's nightmare
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Old 05-07-2019, 03:19 PM
 
1,673 posts, read 1,543,237 times
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Quote:
Originally Posted by jaminhealth View Post
Wonder how all the old doctors "got it" in the olden days of our parents and their parents. No computers then. Anyone ever think of that.

Piles and piles of papers in a medical record for those that saw the same provider for many years. Or piles of papers in various medical records without any kind of cohesion across specialties, if needed.


ETA: On top of that, most of what was in those files was barely legible to someone else reading them. I did medical transcription along with billing, and old files being converted into an EMR system were torturous to attempt to decipher. Many just were scanned in because no one could make heads or tails of what was written.
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Old 05-07-2019, 06:15 PM
 
Location: Middle of the ocean
30,810 posts, read 19,482,545 times
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Quote:
Originally Posted by jaminhealth View Post
Wonder how all the old doctors "got it" in the olden days of our parents and their parents. No computers then. Anyone ever think of that.
Just like anything else that has since been automated. Tons and tons of paper, illegible writing, lots of filing, records destroyed by pests, water, fire, and lost records.

It was awesome!!!
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Old 05-07-2019, 08:15 PM
 
2,051 posts, read 997,830 times
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Quote:
Originally Posted by jaminhealth View Post
Wonder how all the old doctors "got it" in the olden days of our parents and their parents. No computers then. Anyone ever think of that.
Yeah...they had to snail mail your medical information to other doctors that you were seeing. Good luck getting it in a hurry back then, especially if you were going into surgery and they needed your records before your surgery could begin. Now all your records are online where all your doctors and pharmacists can see what is currently going on with you immediately, no waiting for snail mail.

My mother's medical chart was about 6 inches thick, and no doctor or nurse could find what they needed in her chart at the time they needed it. It was a horrid mess, and all of it was handwritten in chicken scratch.
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Old 05-07-2019, 08:17 PM
 
Location: Middle of the ocean
30,810 posts, read 19,482,545 times
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Quote:
Originally Posted by oldgardener View Post
Yeah...they had to snail mail your medical information to other doctors that you were seeing. Good luck getting it in a hurry back then, especially if you were going into surgery and they needed your records before your surgery could begin. Now all your records are online where all your doctors and pharmacists can see what is currently going on with you immediately, no waiting for snail mail.

My mother's medical chart was about 6 inches thick, and no doctor or nurse could find what they needed in her chart at the time they needed it. It was a horrid mess, and all of it was handwritten in chicken scratch.
Yeah, try and find that one medicine she is deathly allergic to in all that.
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Old 05-08-2019, 06:59 AM
 
12,843 posts, read 15,252,143 times
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Quote:
Originally Posted by oldgardener View Post
As in talking to anyone else, make sure you have eye contact and their attention before speaking.



If you speak while they're entering your information on the computer, you're likely to distract them and make them make a mistake anyway. Let them enter your information before speaking.
I've tried waiting for them to quit typing and look at me....doesn't work.
One doctor even told me (when I'd stopped talking like you said) to continue on...the whole time while typing and giving me NONE of his eye contact.
It always starts well...with eye contact...but within minutes, that eye contact is over and the computer gets their eyes from then on.
Every doctor I've seen lately does this....I find it really disconcerting, because as you say, I'm afraid to speak after that because I don't know that they're really hearing what I'm saying.
I know I couldn't be giving someone my full attention when I'm furiously typing as they speak.
I almost feel insulted when they do this....it seems to have all started when electronic medical records came about.....
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