Why Patients Need to Come Clean About Cannabis to Their Anesthesiologist

MEDPAGE TODAY ^ | February 22, 2024 | Max Feinstein, MD

[nickcarraway]

This is just a soupçon:

Pfizer Bets On Medical Cannabis With $6.7 Billion Acquisition

3 Pharma Companies Investing In Cannabis-Related Treatments

The Big Pharma Takeover of Medical Cannabis

[reasonisfaith]

If a doctor narcs on you he’s committing a felony. Surely you knew that.

Are you here just trying to sow fear and division?

[Harmless Teddy Bear]

I am here to provide balance to the people who want to live in the land of sunshine and thorn-less roses.

Perhaps you remember back a few years where people were objecting to having their medical records disclosed and were told that it was not a problem they had no expectation of privacy when it came to "public health"?

[Augie]

The database that you and a few others claim to be this pervasive evil all-encompassing national thing isn’t that. It is OPT-IN (that means participation is OPTIONAL), and limited in scope to people who are applying for private insurance. Your EMR does NOT automagically send every chart note/lab test/Rx/etc. to this database. Information is shared from your EMR AT YOUR REQUEST when you apply for private insurance.

Only your providers have access to the full chart, at least from a user perspective. Obviously there are numbers of folks who manage and support the EMR systems that have back-end access to everything in a particular EMR database and there are extensive safeguards/auditing to make sure those people are not looking at charts that do not need manual intervention to correct an error of some sort. I have personally witnessed several incidents where auditors called support staff in for questioning when it was discovered that they had accessed the EMR while performing necessary maintenance tasks.

I can assure you that the clerk you meet when you stop at the registration desk for a medical appointment does not have free and unfettered access to your medical record. They have access to REG/SCHED and maybe to billing, but they are not getting into your chart period.

Do yourself and everyone else on this thread a favor - the next time you have a medical appointment ask the registration clerk if he/she/it can access RESULTS in your chart and report back here with the answer you were given.

[Augie]

I am sorry reality offends you.

I'm not the least bit offended. I'm simply trying to educate the uninformed, you being one of them.

I'm sorry you're arguing a topic that you have no knowledge to argue. lol

Low level clerks doing manual data entry to the EMR? LOLOL

The transcription systems are automated now. The provider talks to his/her/its computer and the notes are automagically text-speech converted and entered into the record via HL7 transport. Lab results same thing - straight out of the instrumentation into the EMR via automated HL7 feed. Radiology imaging results same thing.

Manual data entry is rare and typically is only required after unplanned systems downtime, and even then most of the data is cached by front-end systems and waits for the EMR to come back online when automation takes back over.

[Harmless Teddy Bear]

Actually that happened today. I took a minor child to a doctor's appointment. The desk clerk asked if she had had a certain procedure. I did not know and she told desk clerk that maybe it happened in another state. Desk clerk did a search of the records they had and did not find it so did a deeper search and found that yes indeed it had happened in that other state.

So low level clerk was able to access information not only on another net work but in another state for minor child.

I am still sorry if reality bothers you.

But yes. Low level clerks can access your medical records.

[NobleFree]

“Pfizer Bets On Medical Cannabis With $6.7 Billion Acquisition”

Misleading headline, which you should have read past; “cannabinoid-type therapeutics” is not cannabis.