Horst If the specialist / senior registrar etc sends me a fake diagnoses on a hospital discharge summary or on his personal letterhead, I don't know its fake, because they don't say. Usually on phoning the guilty party, I get told - yes we did add Medication B, because he also suffers from disease X. I scan these letters in patient file like I do with all letters. I add to Past History this new diagnoses. If patient qualifies for an authority, I can now safely apply for authority as diagnoses was made as in-patient / outpatient or in specialists private rooms. If I have an audit, I'm 100% safe as patient satisfies the criteria.
If medication changed, it usually takes a while to settle patient, with multiple new medication. Some of these medication may be short term. So yes the experience for patient, his family, the nursing staff & the GP is far from satisfactory. To make matters worse some specialist tells family that they are using Drug X but it is not on PBS & is expensive. I find the family never remembers this and as you know, under stress & with worries, patients and family members don't comprehend well. Patients believe that any medication given as in-patient will be continued on discharge on PBS - otherwise why would hospital discharge the patient on it? Only when they get the 1st bill from Chemist do we all discover what has happened. More stress & distress for patient, family & GP. Cedric -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Horst Herb Sent: Thursday, 15 February 2007 1:34 PM To: General Practice Computing Group Talk Subject: Re: [GPCG_TALK] In quest of OS Medical Records for AU On Thursday 15 February 2007 10:51, Cedric Meyerowitz wrote: > I phone the consultant in charge asking informing him that nowhere on > discharge summary does it make diagnses of Schizophrenia. If he / she > tells me patient has it, I ask for an appended summary to be faxed - > which happens. If patient does not have Schizophrenia I ask Consultant > to write a hospital script and nursing home picks it up from hospital > Pharmacy. If he declines I ask him what must I do. They quickly help > sort it out. > > I find this solves the problem. I actually once told a RMO that the > famly paid $100.00 for script privately and they are now coming to see > him to get the money back. I had a phonecall from Consultant to > please explain - which I did. Since then compliance from that > Consultant much better. > > The big problem is the waste of time getting hold of thec guilty > consultant / RMO > > Cedric Cedric, I don't understand: - is the result of this that you comply on paper (by somebody else making a fake diagnosis in order to satisfy nonsensical bureaucrat demands) - or is the result that the consultant changes therapy, and if so, what are the outcomes in your experience? I am very interested in this because this is one of the few areas where I reckon the PBS has got it entirely wrong to the detriment of both patients and taxpayers Horst _______________________________________________ Gpcg_talk mailing list [email protected] http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk _______________________________________________ Gpcg_talk mailing list [email protected] http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk
