What info do you share with your Dr?

[hamstring]

Was wondering what people tell their doctor about MJ.

I have had some chest pains while exercising recently so I went to see my doctor and when asked if I smoke I told them only MJ a few times a week.
I thought I needed to give good data in to get good data out. Came home and my wife asks me how it went I told her about the smoking question and she says it was a mistake.

I told her I made sure to ask the doctor if any of this info goes on my insurance record and the exact reply was, “ Well I don’t put it on there.”
My wife has a family member that is a medical transcriptionist and she says that after every appointment the doctor dictates into a recording machine everything that happens and then the medical transcriptionist inputs this into to your medical history.


Is this correct and should I worry about it making it to my insurance company than my employer?

PEACE

 

[Macster2]

My understanding is that that info is priviledged and therefore only between you and your doctor .It may go in your file but ins.co. have no right to see it

 

[robbiedublu]

If the info does make it to anyone else and you suffer negative consequences you have a slam dunk lawsuit. For your doc to release the info to anyone without your permission, including your insurance co. is a bigtime HIPPA violation.

 

[hamstring]

guest and robbie

Thanks for the info it sets my mind at ease a bit. Just thought it was the right thing to do. Doc needs info to make diagnosis with correct info.

 

[DIGITALHIPPY]

tell him all, he wont call the cops, but it can make a differance on what is wrong with you, i.e. side-effects of MJ might me mistaken for 'illness', my doc actualy told me hes happier with me smoking weed rather then drinking/cigs...


hes there to help you, you have whats called "doctor-ptaiant-confidentiality" hes not, legaly, allowed to tell ppl things about you, or any of his patiants.

 

[accessndx]

No...no....no....no...no. Let me set the record straight permanently: YOUR DOCTOR CAN SEND YOUR RECORDS TO YOUR INSURANCE CARRIER WITHOUT YOUR PERMISSION. In fact: you've already signed a contract explicitly giving them this right when you obtained your policy whether you know it or not. It's not a HIPPA violation at all. Additionally if your doctor is "in-network" he or she has signed a contract that basically makes them an employee of that particular insurance carrier and they are OBLIGATED to give any records or data that are requested to determine medical necessity for any treatment, examination or prescription.
However: NOT EVERY DOCTOR DICTATES THEIR VISITS (but that's not relevant at all)......& NOT EVERY DOCTOR WILL MAKE A "PERMANENT" RECORD OF "ILLEGAL" DRUG USE.
Sometimes a doctor will put a "sticky-note" in the chart to denote information that is private and should not be put in a permanent patient record.
Three types of doctors that ABSOLUTELY will put illegal drug use into their permanent patient history are: Anesthesiologists (they'd better, cause if something bad goes down...they're responsible), Psychiatrists (the reason should be obvious), Psychologists...(the same applies).
Your Internist may or may not depending on what is wrong with you...other doctors really could give a rat's ass....
Just make sure you tell your doctor straight out: I don't want this included in my permanent patient record. If you're concerned about what's contained: tell them you want copies of your complete medical records...and you can see emphatically what was written/dictated/transcribed/typed, etc.

TRUST ME. I know what I'm talking about.

DOCTOR-PATIENT CONFIDENTIALITY IS NOT RELEVANT WHEN TALKING ABOUT INSURANCE CARRIERS, LAWYERS, (SOMETIMES EMPLOYERS), ETC. THEY MAKE YOU SIGN CONTRACTS/FORMS IN ADVANCE THAT ALLOW THEM TO OBTAIN THESE RECORDS WHENEVER THEY WANT.

 

[SpacedCWBY]

We knew a girl who, while pregnant, told her doctor that she did smoke/eat cannabis. Right after the baby was born, they apparently took a blood test and turned her in to social services. She had to pee clean for 6 weeks, each accompanied by a home invasion committed by the DSC. She would have lost custody and been put up for child abuse if she wasn't successful. Nice, huh?

 

[zeeba amoeba]

We knew a girl who, while pregnant, told her doctor that she did smoke/eat cannabis. Right after the baby was born, they apparently took a blood test and turned her in to social services. She had to pee clean for 6 weeks, each accompanied by a home invasion committed by the DSC. She would have lost custody and been put up for child abuse if she wasn't successful. Nice, huh?

Everytime I think about pot becoming legal one day, one word comes to mind:

Reparations.

 

[trouble]

We knew a girl who, while pregnant, told her doctor that she did smoke/eat cannabis. Right after the baby was born, they apparently took a blood test and turned her in to social services. She had to pee clean for 6 weeks, each accompanied by a home invasion committed by the DSC. She would have lost custody and been put up for child abuse if she wasn't successful. Nice, huh?

Most all states have laws that require health care providers to test for prenatal illegal drug use and report those testing positive, and the test results can be used in child welfare proceedings. The doctors & hospitals are just covering their asses.

Marijuana also crosses the placenta into the baby, and all new born's go through a series of test starting immediately after birth, including blood test to check blood sugar, thyriod, bilirubin, rh+ factors, ect.



..........................................................................

 

[robbiedublu]

Sorry accessndx, but I think your answer is kind of true but is a bit misleading. Read the HIPPA act. Your medical info cannot be released to anyone including your insurance co. without your permission. Now, that said, there are some issues. Some docs (probably many docs) just release the info anyway if asked, but that is a for sure violation. Some docs have you sign some kind of a consent to release info if asked by your insurance co. when you're filling out all the paperwork before you see them. Read everything you sign concerning payment and related issues very carefully. You may have given consent without even realizing it. If you're billing insurance for the visit they may have your unwitting permission to access the info. All insurance plans vary though so you'd have to check the fine print of your plan to know.
Regarding the original issue, I think it would be very very unlikely for that kind of info,even if released to your insurance company, to make it back to your employer. If it did happen and you suffered some negative consequence, i'm sure you could find many attorneys happily willing to take the case on a contingency.
The whole pregnancy/baby issue is a seperate issue entirely. A baby or fetus cannot decide for themselves if they want to be exposed to pot or other drugs, and child protective services decides for them (and the answer is no!)

 

[hamstring]

Thanks for all the sound advice. I do believe now it is very prudent to ask your DR and make sure he/she agrees not to put MJ use on permanent records.

For Christ sake is nothing sacred anymore. I mean F*** do they want good info from their patients or not. You go in looking for understanding and treatment and they stick it up your arse especially if you’re over 40 hahaha
Thanks again.

 

[robbiedublu]

Ive worked in health care for over 30 years and I dont believe that moderate pot smoking has any negative health effects other than effects felt immediately after smoking. For instance if you smoke some really highly potent sativa your heart rate might speed up for a little while. My point is I think it is rarely important to share the info with your doc. I would never even tell an anesthesiologist or surgeon that I smoked. They aren't going to do anything differently because they have that info.

 

[boroboro]

Most services are accompanied by a diagnosis, when the service is submitted for payment with the insurance company. I wouldn't want these diagnosis codes following my services:

305.2 Cannabis Abuse
304.3 Cannabis Dependence
292.89 Cannabis Intoxication
292.81 Cannabis Intoxication Delirium
292.89 Cannabis-Induced Anxiety Disorder
292.11 Cannabis-Induced Psychotic Disorder, With Delusions
292.12 Cannabis-Induced Psychotic Disorder, With Hallucinations
292.9 Cannabis-Related Disorder NOS


I coundn't find a cannabis-related diagnosis code that was more like "Bah, don't worry, he's just a pothead".

 

[binaryfission]

Sorry accessndx, but I think your answer is kind of true but is a bit misleading. Read the HIPPA act. Your medical info cannot be released to anyone including your insurance co. without your permission. Now, that said, there are some issues. Some docs (probably many docs) just release the info anyway if asked, but that is a for sure violation. Some docs have you sign some kind of a consent to release info if asked by your insurance co. when you're filling out all the paperwork before you see them. Read everything you sign concerning payment and related issues very carefully. You may have given consent without even realizing it. If you're billing insurance for the visit they may have your unwitting permission to access the info. All insurance plans vary though so you'd have to check the fine print of your plan to know.
Regarding the original issue, I think it would be very very unlikely for that kind of info,even if released to your insurance company, to make it back to your employer. If it did happen and you suffered some negative consequence, i'm sure you could find many attorneys happily willing to take the case on a contingency.
The whole pregnancy/baby issue is a seperate issue entirely. A baby or fetus cannot decide for themselves if they want to be exposed to pot or other drugs, and child protective services decides for them (and the answer is no!)

Bold added

i think that is his point. most people don't realize when they sign up for insurance that they do give the insurance co. access to their confidential medical records. i think his point is valid enough for concerned parties to call and insurance rep and ask.

PEACE

 

[VirginHarvester]

If the info does make it to anyone else and you suffer negative consequences you have a slam dunk lawsuit. For your doc to release the info to anyone without your permission, including your insurance co. is a bigtime HIPPA violation.

Not sure that's true. If it is in your medical files and he turns it over to an insurance company they can use it. When the doctor is making notes that's what insurance companies obtain. The only way it's privileged in my opinion is if you tell him, he knows about it, but he doesn't record it anywhere in writing.

 

[johnipedestran]

No...no....no....no...no. Let me set the record straight permanently: YOUR DOCTOR CAN SEND YOUR RECORDS TO YOUR INSURANCE CARRIER WITHOUT YOUR PERMISSION. In fact: you've already signed a contract explicitly giving them this right when you obtained your policy whether you know it or not. It's not a HIPPA violation at all. Additionally if your doctor is "in-network" he or she has signed a contract that basically makes them an employee of that particular insurance carrier and they are OBLIGATED to give any records or data that are requested to determine medical necessity for any treatment, examination or prescription.
However: NOT EVERY DOCTOR DICTATES THEIR VISITS (but that's not relevant at all)......& NOT EVERY DOCTOR WILL MAKE A "PERMANENT" RECORD OF "ILLEGAL" DRUG USE.
Sometimes a doctor will put a "sticky-note" in the chart to denote information that is private and should not be put in a permanent patient record.
Three types of doctors that ABSOLUTELY will put illegal drug use into their permanent patient history are: Anesthesiologists (they'd better, cause if something bad goes down...they're responsible), Psychiatrists (the reason should be obvious), Psychologists...(the same applies).
Your Internist may or may not depending on what is wrong with you...other doctors really could give a rat's ass....
Just make sure you tell your doctor straight out: I don't want this included in my permanent patient record. If you're concerned about what's contained: tell them you want copies of your complete medical records...and you can see emphatically what was written/dictated/transcribed/typed, etc.

TRUST ME. I know what I'm talking about.

DOCTOR-PATIENT CONFIDENTIALITY IS NOT RELEVANT WHEN TALKING ABOUT INSURANCE CARRIERS, LAWYERS, (SOMETIMES EMPLOYERS), ETC. THEY MAKE YOU SIGN CONTRACTS/FORMS IN ADVANCE THAT ALLOW THEM TO OBTAIN THESE RECORDS WHENEVER THEY WANT.

this man is correct.

I tell them NOTHING.

TRUST HIM He knows what he is talking about.

peace
jip

 

[iluvtogrograss]

Tell them only what they need to know. If you think the info stops with your Dr. you have another thing coming. Your insurance carrier will find out. Whether anything is ever done about it by the insurance carrier is another story. Just like rule number one when growing, never tell anyone!!!!

 

[Doctor Who]

No...no....no....no...no. Let me set the record straight permanently: YOUR DOCTOR CAN SEND YOUR RECORDS TO YOUR INSURANCE CARRIER WITHOUT YOUR PERMISSION. In fact: you've already signed a contract explicitly giving them this right when you obtained your policy whether you know it or not. It's not a HIPPA violation at all. Additionally if your doctor is "in-network" he or she has signed a contract that basically makes them an employee of that particular insurance carrier and they are OBLIGATED to give any records or data that are requested to determine medical necessity for any treatment, examination or prescription.
However: NOT EVERY DOCTOR DICTATES THEIR VISITS (but that's not relevant at all)......& NOT EVERY DOCTOR WILL MAKE A "PERMANENT" RECORD OF "ILLEGAL" DRUG USE.
Sometimes a doctor will put a "sticky-note" in the chart to denote information that is private and should not be put in a permanent patient record.
Three types of doctors that ABSOLUTELY will put illegal drug use into their permanent patient history are: Anesthesiologists (they'd better, cause if something bad goes down...they're responsible), Psychiatrists (the reason should be obvious), Psychologists...(the same applies).
Your Internist may or may not depending on what is wrong with you...other doctors really could give a rat's ass....
Just make sure you tell your doctor straight out: I don't want this included in my permanent patient record. If you're concerned about what's contained: tell them you want copies of your complete medical records...and you can see emphatically what was written/dictated/transcribed/typed, etc.

TRUST ME. I know what I'm talking about.

DOCTOR-PATIENT CONFIDENTIALITY IS NOT RELEVANT WHEN TALKING ABOUT INSURANCE CARRIERS, LAWYERS, (SOMETIMES EMPLOYERS), ETC. THEY MAKE YOU SIGN CONTRACTS/FORMS IN ADVANCE THAT ALLOW THEM TO OBTAIN THESE RECORDS WHENEVER THEY WANT.

Excellent post! I totally agree. Don't tell anybody about smoking or growing!
You must spread some Reputation around before giving it to accessndx again.

 

[moonymonkey]

doctors...lol....attorneys....very tricky....seen 13 yrs of leal sht....on 2 accidents...wat a doctor tells u an wat he writes down are 2 diff. things...2 ways of recovering from acident are phscological an physical....attorney,can tell u somthing in his office 4 times the same day..next week i didnt say that....need witness or something in writing wen speakin settlemen figures...might ven need friend witnes to go to doctot visits with you..if threatened to do that...hey cut me doc...for a operation,well now you he own,s it if he fuks up...without good resonses...sorry about that....i wud tell you def. of acident,but cant legal action cud be brought.doc u cant tell them how fuked up u are only were it hurts,then they av to figure it out,instead of by passing problem....not only that,but he cud write behing ur back patient is convinced he,s all screwed up...notgood for you...weed yep they know so wat...im still in middle of case after 4yrs...of insurancecarrier not doing wat doc ordered....wen to physcriatris,they know i smoke,they said i didnt need there help....its bout geting well from injuries now,an future spinal operation..says u are stable enough to b operated on...law suit prevention...mak sure u always get medicane from doc...incase ofinvestegators at doc, office..if u start paying for your xrays,chances are somthing is wrong in the case.. if they cant fix a problem in 1 year,thats disability,under theama guidlines for disability..lik i told my attorney im not playing around with theses people...justice...4 broken discs,massiv headaches...yea im trying just to tolerate the pain an legal bowl of sht...bunch of fuk,s..were are the peoples rights...??? its just crap!...never iscuss ur life with doc,just tell him were it hurts...bunch of real jokers..big game,got no game...sorr bout the rant....mm/happy veterans day....SACRAFICE....

 

[yamaha_1fan]

I never saw a doctor and had an insurance company turn me down because I had a possession charge on my record.