The Patient Portal—Help or Hindrance?
We’ve always talked about quick access to all the information we want, when we want it. Gone are the days of ‘snail’ mail and encyclopedias. Now we have Patient Portals! And they are here to stay!
In 2016 the Cures Act went into effect, but the part that pertained to access to patient records wasn’t effective until April 2021. The Dept of Health and Human Services began enforcing the rule which declared that a hospital or doctor must allow access to a person’s health information. Failure to do so could result in fines for the doctor and hospital. Thus, the Patient Portal.
The result is that as soon as you have lab work, x-rays, CT scans, or a diagnostic test, YOU will receive the information (often before the doctor does.). This has led to much confusion and fright for many patients. A test result, read by a patient, out of context, or without a doctor’s explanation, can lead to confusion and anxiety and un-necessary emotional harm. I know this personally, when I received the results of my MRI well before my doctor. Seeing a report that stated “new lesions in areas of the brain,” really freaked me out!
In today’s world of instant gratification with computers, the emotional cost of instant access can be high.
- How have you been able to handle reports on the Patient Portal? What suggestions do you have for other members?
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Yes it is. My father's records were entirely wrong. My father and I sat down with the doctor to go over his medical problems. They had him an alcoholic, diabetic, heart something or other. The doctor assured me it was correct, but it turned out to be another patient with the same name. When I took my father to another hospital ER, I came them the record. Unfortunately, what the doctor change on the computer and what printed out was the old record that was not him. My father was admitted. The doctor did a total work up and found none of the diagnosis were correct. So, yes My Chart helps.
I love that we can see our medical history but I think the doctor needs to see first and send explanation. We can wait a few days for an accurate result!
I do like having immediate access to my results but like others here I feel it requires a lot of work on my part to interpret it and I am sometimes wrong about the results. I actually preferred it before patient portals when my doctor got right back to me about the test. I had one doctor who actually called me at home on the fourth of July to report good results so I could stop worrying. My doctor now writes back one sentence answers to my questions after three days not always answering all of them.
In fact when I saw the notes for the first time I saw my PCP for a Wellness Visit, I thought it was boilerplate form and someone else had done it. And that is not acceptable.
Very interesting to watch who is doing those notes. My Mayo pulmonologist writes excellent notes all by himself. My Cardiologist also writes his own notes and gets the dates of my health events correct.
You are correct about MyChart not being accurate as one would expect. My diagnosis sometimes leaves out important information. I have come to realize that summaries are only opinions as many times my summaries lack pertinent information.
One hospital referred me to a trauma hospital for “emergency surgery “ because a Ct scan showed a torn celiac aneurysm.
The trauma hospital said I had one and to arrange to come back to the hospital “but at this time it isn’t bleeding “. And he said to go to my own cardiovascular Surgeon asap.
My Surgeon said “oh, they always say that and “we have an appointment in March, I’ll see you then “ that’s 3 months away!
I demanded that he see me ASAP and he finally caved in and made an appointment two days away. I walk into the empty waiting area and I immediately was stopped half through the door. “Don’t you live in an assisted living facility?”
I said yeah and she said “shame on them for not providing you with a mask “ she waved me over when she got off the phone and was rude and condescending and gave me a mask. I have 3 in my room, I just forgot to grab one.
I filled out a paper and sat down. The door flings open and it’s the sonogram guy. After a half hour I was taken to an exam room and took my weight and blood pressure and she said “the doctor will be right with you”. He walked in looking annoyed and said “it’s no big deal “ then “I’ll see you in a year”
I said “two cardiovascular Surgeons said I have a tear in my celiac artery aneurysm. He said “well, I didn’t see a tear!” And I said “could it leak or burst?” He said “it could “ and I said “What do I do if it does?”
“Oh we have treatment for that.” What? “ you prefer I get into an emergency that is mostly fatal quickly?” It was obvious he was annoyed and lackadaisical. That’s when he gave me the “I’ll see you in a year.” Comment.
Now what do I do? He’s not interested in telling me that I have a torn Aneurysm and the whole appointment was a disaster and left me worried and wondering if I should just take his word or go for a second opinion. I have decided to get a second opinion. This doctor had nothing to say to me. He didn’t even see the CT scan and he didn’t see a tear. I had a CT scan with a contrast solution and he had an attitude and a sonogram that according to him he didn’t see the tear he said.
@vic83, that's a great idea in the right circumstances!
My goal this time was to arrive at the ED by ambulance while still having symptoms so maybe the cause could be diagnosed.
I should have started out earlier. By the time I was seen, I felt ok. Symptoms gone. Too late. I have to learn how to time it better.
Once something gets into your chart such as a diagnosis, it is impossible to get it corrected. You can try to get medical records to change it but they won't. It is on your record permanently no matter what you can document otherwise. A very important thing to know is that if your physician is reading something on the computer (which they should have done prior to the appointment) they will not hear and remember anything that you inform them of. They will later accuse you of not telling them important information and you will have to deal with the consequences.
OMG, get a new doctor! If your doctor is confrontational, move on!
I have had to have many untruths removed from my records. Too many techs that are in charge of our test results are sloppy, inattentive, and just do cut and paste from previous test reports.
I always read my chart and voice my questions. You are the best representative of you.
Don't accept sloppiness and ineptitude of those that cannot or refuse to properly do their jobs.
You must take the responsibility of you.
The patient portal is only a tool. A means of communication between us and our medical teams. Databases can be corrected. It may take getting to the right person, but it can be corrected.
Take care, keep your head up, be empowered! Don't let any person on your medical team be rude or mistreat you!
I think most doctors are offices are good with being accurate and timely, and you want very much to trust them. But they're human (and computer) too, and mistakes happen. I am glad I read a report of mine, 8 months after they did a CT scan, that stated I had a tumor they somehow neglected to tell me about. So, I know I was in the minority of being one a serious mistake fell through the cracks, but now I have an opportunity to see and read my reports, very timely, and can help us all on my team (mostly me) when I see something they may needed to have reviewed with me.
Yes! I know exactly what you mean about some of those notes being totally wrong. It's like...Who were they thinking about when they put this is my chart?!! Argh!!!