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proexpert37, Educator
Category: Homework
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Experience:  UCLA graduate. Advanced degrees in English and Education.
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Please help me think through the following before my next visit

Resolved Question:

Please help me think through the following before my next visit to my doctor (a psychiatrist)
Issue: patient access to medical records and process notes (for psychiatric patients) is restricted. This is what is being done. The laws have a loophole for this. I have been checking. And, when I request my records from previous psychiatrists, they deny access, they send summaries, short summaries instead. Here is my situation: I want to see my psychiatric record and my doctor’s process notes (psychotherapy notes). I want full access. What is my current doctor going to say about my record and her notes? I really want full disclosure, but I suspect I won’t get it. Here is what I am going to say: what do you think of this situation?
I will try the following:
1. You (my doctor) could say to me: these are my notes. You keep your notes about me, and I don’t get to see them, and I keep my notes about you, and you don’t get to see them. (But there is still a problem. There is still a difference. She is not being professionally observed. I am under observation. Therefore…)
2. After 4½ years, I want to understand, learn, know more – from what you see about/in me. Can you honestly sit there, look me in the eye, and tell me, honestly, that I know everything you are saying in your notes? Is there anything, anything at all, that I don’t know? I want to know everything. How would you feel – via empathy – how would you feel, if you were in my shoes? Would it be okay for me to watch you, study you, analyze you, and then keep my conclusions a secret? Would that be acceptable? Of course not.
3. I us, together, to go through sections of your notes – and not just selections you approve because they are less “sensitive.” I want full disclosure. You demand it, expect it of me. So I should expect it from you. How would you feel if I came to your office and announced that I would share only 50% of my situations with you? You might say: okay, your loss. But I don’t do that. Don’t do that to me.
4. We are supposed to be equals – with mutual respect! You have said this over and over again. How can we possibly be equals if you keep information hidden from me?
5. Look, I respect you. I have a great deal of admiration for you, as you know. So please respect me. Help me learn about me. I have more than just a burning desire, as a professor, to know as much as possible. I have more than that. I have a clear, indisputable, right to know.
6. I care what Dr. (x) has said about me. I don’t really care as much about what Dr. (y) says about me. But this is different! You are different. My interaction with you has been on a much deeper, longer, and more profound level.
7. I have a Ph.D. from Columbia University. I am as educated as one can be. You must respect me. Please don’t insult me and don’t treat me like an inferior.
Submitted: 2 years ago.
Category: Homework
Expert:  proexpert37 replied 2 years ago.
Hello and Thank You for consulting Just Answer. What is your main question? Thank you.
Customer: replied 2 years ago.

 

Thanks - I am asking things like:

How can I persuade my doctor to share all the information with me?

Does my case here sound convincing?

Do you agree with my logic?

What should I say?

Is this the right approach?

Expert:  proexpert37 replied 2 years ago.
Ok...now we are on the same page

:)
Expert:  proexpert37 replied 2 years ago.
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Category: Homework
Satisfied Customers: 1374
Experience: UCLA graduate. Advanced degrees in English and Education.
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proexpert37
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UCLA graduate. Advanced degrees in English and Education.