The Patient Portal—Help or Hindrance?

Posted by Becky, Volunteer Mentor @becsbuddy, Nov 1, 2022

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?

Interested in more discussions like this? Go to the Just Want to Talk Support Group.

For me it’s been a blessing, I am retired and spend a lot of the time studying my reports, it’s because of this that I knew my Dr was wrong and thankfully I found Mayo Clinic who did listen to me. I had surgery right away and found out I have non-small cell lung cancer in both my lungs. Stage 1, has not spread. If I would of did what my original Dr. wanted, I’d still be waiting.

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@cancerback

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.

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I understand what you mean about being able to access blood test results right away. I am able to do that also but as you said, what do the results mean?
My doctor is so very busy with others' whose CLL is at a later stage and they need treatment and they have many symptoms. I was just diagnosed last week of December 2022 and I will see my doctor next week. CLL is so very confusing.
You are told to watch and wait and that it is slow growing and that no treatment is needed at the moment and not to worry. However, i have no idea if my CLL will become worse and need treatment. Right now I have several symptoms...I am so very tired, my bones ache, I get small rashes and then they go away. The rashes appear out of the blue and go away out of the blue. No where do I see these symptoms on the CLL website. So are my symptoms from CLL or something else? I never has these things happen in the past...except for my bones aching and being tired, I had those symptoms for about a year now.
Do you have any symptoms like that? I feel crazy...

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Does anyone with CLL have symptoms you are experiencing and are in the early stage? The stage being stage 0 or 1? The watch and wait stage.
I feel so alone because at such an early stage, I should not have any symptoms, but I do.
The worst symptom is the bone pain and being so very tired. No swollen lymph, glands, no weight loss, no fever, no night sweats, no infections, I do bruise easily but no nose bleeds, or anything else listed on the CLL symptom list but I feel really lousy! So very tired! And I exercise, and walk everyday. How can I feel so tired when I am in such an early stage, and my blood work is mostly normal. It doesn't make sense. I am not supposed to have symptoms yet, right?

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@georgengirl

For me it’s been a blessing, I am retired and spend a lot of the time studying my reports, it’s because of this that I knew my Dr was wrong and thankfully I found Mayo Clinic who did listen to me. I had surgery right away and found out I have non-small cell lung cancer in both my lungs. Stage 1, has not spread. If I would of did what my original Dr. wanted, I’d still be waiting.

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I am retired and always read the reports too! 14 months ago, I had an abnormal chest-x-ray and went to first available local Pulmonologist. Based on radiologist's recommendations they ordered CT scan and then PET scan. The resulting reports stated potential cancer. I knew the local Pulmonologist had no expertise in lung cancer and requested my scans be sent to Mayo and was called the next day by Mayo. I had surgery three weeks later and had a cancer removed and a diagnosis of multifocal lung cancer. Not only are those reports important to read, but looking up the doctor's background and specialty is also important. Because they do not all have background in desired subject matter, nor does their institution offer the latest treatment options.

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@vic83

I am retired and always read the reports too! 14 months ago, I had an abnormal chest-x-ray and went to first available local Pulmonologist. Based on radiologist's recommendations they ordered CT scan and then PET scan. The resulting reports stated potential cancer. I knew the local Pulmonologist had no expertise in lung cancer and requested my scans be sent to Mayo and was called the next day by Mayo. I had surgery three weeks later and had a cancer removed and a diagnosis of multifocal lung cancer. Not only are those reports important to read, but looking up the doctor's background and specialty is also important. Because they do not all have background in desired subject matter, nor does their institution offer the latest treatment options.

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That is great advice. It’s frustrating when you wait 3 months to finally see a specialist then find out they’re not exactly the right specialist for your case, so you get referred to a different one with another 3 month wait. Add to it the tests and scans that can take weeks to schedule to complete the diagnosis, then the wait to get treatment scheduled if needed. I lost 4 months in a process once with an entrapped nerve in my elbow; with my symptoms, my PCP referred me to an orthopedic doctor who specialized in shoulders. When I got to him 4 months later, he felt bad that he couldn’t help me, because my elbow fell under orthopedics HAND specialty, not Shoulder. So I had a 3 month wait to get to the Hand specialist, who could finally diagnose and treat my elbow issue. If I had researched on my own up front, perhaps I might have been able to avoid going to the wrong specialist first.

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@dbeshears1

That is great advice. It’s frustrating when you wait 3 months to finally see a specialist then find out they’re not exactly the right specialist for your case, so you get referred to a different one with another 3 month wait. Add to it the tests and scans that can take weeks to schedule to complete the diagnosis, then the wait to get treatment scheduled if needed. I lost 4 months in a process once with an entrapped nerve in my elbow; with my symptoms, my PCP referred me to an orthopedic doctor who specialized in shoulders. When I got to him 4 months later, he felt bad that he couldn’t help me, because my elbow fell under orthopedics HAND specialty, not Shoulder. So I had a 3 month wait to get to the Hand specialist, who could finally diagnose and treat my elbow issue. If I had researched on my own up front, perhaps I might have been able to avoid going to the wrong specialist first.

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Your story is a great illustration of why it is wise to take charge of one's medical care. That is what they mean by telling you to "be your own advocate".

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@annewoodmayo

I have 5, yes FIVE, different patient portals. Some of my doctors can see results from more than one portal, but only my Primary Care Physician can see all of my results. My tech skills are pretty good; yet even so, dealing with multiple portals is stressful.

One doctor has set up his portal site but has no information posted in it and has not provided directions for how to join it.

I cannot access the portal of my most significant specialist, even after spending close to 3 hours with 3 different tech advisers. And that doctor's office prefers the portal to phone calls.

Around the year 1999, then vice president Al Gore identified the problem of multiple portals.

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I have 3 patient portals, but need 2 more in order to have access to all of my health info. I am a stickler for results and findings, so I get printed reports from medical providers that don't have a portal. This is such valuable access to being our own advocate. So, I am HUGE believer in portals!

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Some health systems make the process for a patient to recieve their own records onerous. I had a PetScan back in August which has led to a quandary over is it or isn't it lung cancer. To get a copy of the actual scan imgaery I have to jump through the hoops of sending a "cd" and waiting for them to download it and send it to me in their own sweet time. Fortunately a regional health system which has a top notch cancer center where I've since switched for health care has some sort of shared/mutual aid agreement and they have the imagery.

clearly when $$ is part of the prescription patients are on their own.

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@vic83

I am retired and always read the reports too! 14 months ago, I had an abnormal chest-x-ray and went to first available local Pulmonologist. Based on radiologist's recommendations they ordered CT scan and then PET scan. The resulting reports stated potential cancer. I knew the local Pulmonologist had no expertise in lung cancer and requested my scans be sent to Mayo and was called the next day by Mayo. I had surgery three weeks later and had a cancer removed and a diagnosis of multifocal lung cancer. Not only are those reports important to read, but looking up the doctor's background and specialty is also important. Because they do not all have background in desired subject matter, nor does their institution offer the latest treatment options.

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Thank you for your comment, it was helpful and encouraging. I've been dealing with similar situation since Aug. last year and now am in wait and see limbo, having had first ct scan yesterday since petscan last year.

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@ornerydog

Some health systems make the process for a patient to recieve their own records onerous. I had a PetScan back in August which has led to a quandary over is it or isn't it lung cancer. To get a copy of the actual scan imgaery I have to jump through the hoops of sending a "cd" and waiting for them to download it and send it to me in their own sweet time. Fortunately a regional health system which has a top notch cancer center where I've since switched for health care has some sort of shared/mutual aid agreement and they have the imagery.

clearly when $$ is part of the prescription patients are on their own.

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You have to give them a CD???
They could not send electronically the actual scan to your desired medical center?

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