RE: Preventive Measures (Full Version)

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L8bloomer -> RE: Preventive Measures (6/12/2008 11:24:23 PM)

quote:

ORIGINAL: pinksugarsub

He once had his staff leave me a voice mail at the office that my pap results had come back abnormal.  i almost fainted.


You gynecologist's office violated HIPAA (Health Insurance Portability and Accountability Act) by leaving that message of your pap smear results on voice mail. You should report them. You can get more information at the following web site. http://www.hhs.gov/ocr/privacyhowtofile.htm   However, HIPAA hasn't been around forever, so if this was many years ago you may have no recourse.




CalifChick -> RE: Preventive Measures (6/12/2008 11:47:17 PM)

I doubt it's a HIPAA violation, particularly if she furnished the phone number as a contact, and if the voice mail said, "you have reached the voice mail of (whoever)", then the person calling has a reasonable expectation that the voice mailbox belongs to the patient.  "Reasonable expectation" is all that is required.  Further, if the voice mail message said, "you have reached the confidential voicemail..." then "reasonable expectation" has been surpassed.

However, leaving actual test results is poor "bedside manner", unless the message is "everything is fine."  Otherwise, the message should just say "please call our office and speak to (whoever)."

Cali




Asherdelampyr -> RE: Preventive Measures (6/13/2008 12:35:02 AM)

I would not have a sexual relationship with someone that didnt get tested, especially when its free to them to do so (or at least damn cheap)
Unless you go to the doc everytime you so much as get a runny nose, there is a very real chance of you getting something serious, and not geting it treated in time




chickpea -> RE: Preventive Measures (6/13/2008 12:42:20 AM)

quote:

ORIGINAL: pinksugarsub
i think if s'thing happens to my body, i'll notice symptoms, and can seek treatment for diseases i actually have.  i don't want the anxiety of imagining i have everything from breast cancer to colon cancer, etc., once a year or so.

What's  Y/your opinion?
 
pinksugarsub


That's what a very close relative said before she found out she had advanced cancer (by accident).  If only she got checked out sooner, her prospects would be better.  Now she lives with that choice...and perhaps regret?

I myself check myself out A to Z at least once a year.  I'm not trying to prevent myself from having something and play God, just I don't want to live with regret of not catching something sooner when I had the opportunity.




Asherdelampyr -> RE: Preventive Measures (6/13/2008 4:03:21 AM)

exatement chickpea

I get a doc to examine me every 6 months, I have a blood test done every 3 (its free, as im a regular blood plasma donor)
I feel secure in the knowledge that my body is at least clean :P




KatyLied -> RE: Preventive Measures (6/13/2008 7:21:37 AM)

People seem to forget one very important thing about std testing.  For some diseases there is an incubation period (a window of time where the disease is in your body, but you don't yet test positive for it) and this presents a limitation in regarding to the testing.  A test is nothing more than proof of being disease-free at that day in time.  Some diseases require that you wait a number of months and be retested if you fall outside that window.  A clean test does not necessarily mean a disease-free person.  I agree that testing is important and serves a purpose, but people need to understand the testing process for the diseases they are testing for, and have knowledge of any windows (incubation periods) they are dealing with.

more info here




shivermetimbers -> RE: Preventive Measures (6/13/2008 9:38:22 AM)

quote:

ORIGINAL: mistoferin

There are a lot of things that can kill you that don't have any symptoms at all until it's too late. Cervical, breast and colon cancer are a few of them.

What's my opinion? Anyone who doesn't get such testing done and justifies it with reasons like humiliation is a fool. How humiliated do you think you might feel if they have to remove your breasts for no reason other than you waited too long....or when you wake up with that colostomy bag hanging off your side....or even worse, when you are lying there dying from the most treatable cancer with the highest rate of cure to date? And insurance has nothing to do with it. Most cities have clinics that offer those tests free of charge or for very low cost.

Sometimes talking about those "embarrassing" tests with others who have been there done that got the t-shirt is helpful.  I am part of a golf league, and one of the few people under the age of 50.  After a round of golf, and at the watering hole, one guy said he wouldn't be there next week, he had to go for his colonoscopy.  Which brought about tales of the procedure from all the other guys that had it done.  Then age got discussed, and eventually it started to turn towards us "younger" guys.  As I was the oldest of the under 50 crew, the league members said they are going to have a "coming out party" for me when I hit 50 soon, to celebrate being inducted into "the club".  Grown men sharing camaraderie over having a camera shoved up their butts is funny, but at the same time, the stigma of that coming day is long gone, and when it's my turn to "join the club" I'll treat it with the same humor they all did.  Hearing from others, especially those who had something detected, and taken care of right away, is a positive experience to carry when the day comes that I'm drinking go litely all night, and getting a camera run up my pooper the next day. It won't seem so bad afterall.

It's cliche, I know, but an ounce of prevention is worth a pound of cure.  Or to be more crass, a couple quarts of laxative and the crapper cam is worth not having to shit in a bag or be the man of honor at a funeral.




MadameXTC -> RE: Preventive Measures (6/13/2008 1:53:02 PM)

please get the pap test done. it may seem to be a pain but its better to know what is going on. I went to the dr a few weeks ago with some pain and little did I know I had an abnormal pap and now I have to go back to the dr in a week and a half for more tests. :( I am not worrying but had I not had the pap test done I would have never known that there was something going on.




DesFIP -> RE: Preventive Measures (6/13/2008 2:04:58 PM)

By the time you feel symptoms from cervical cancer, it's probably too late. What's the big deal about lying there in a hospital gown for 20 minutes until someone takes a swab and puts it on a slide? I think you're just afraid, which is pretty common, but not a reason not to go.




kyraofMists -> RE: Preventive Measures (6/13/2008 6:46:16 PM)

quote:

ORIGINAL: shivermetimbers
Sometimes talking about those "embarrassing" tests with others who have been there done that got the t-shirt is helpful.  I am part of a golf league, and one of the few people under the age of 50.  After a round of golf, and at the watering hole, one guy said he wouldn't be there next week, he had to go for his colonoscopy.  Which brought about tales of the procedure from all the other guys that had it done.  Then age got discussed, and eventually it started to turn towards us "younger" guys.  As I was the oldest of the under 50 crew, the league members said they are going to have a "coming out party" for me when I hit 50 soon, to celebrate being inducted into "the club".  Grown men sharing camaraderie over having a camera shoved up their butts is funny, but at the same time, the stigma of that coming day is long gone, and when it's my turn to "join the club" I'll treat it with the same humor they all did.  Hearing from others, especially those who had something detected, and taken care of right away, is a positive experience to carry when the day comes that I'm drinking go litely all night, and getting a camera run up my pooper the next day. It won't seem so bad afterall.

It's cliche, I know, but an ounce of prevention is worth a pound of cure.  Or to be more crass, a couple quarts of laxative and the crapper cam is worth not having to shit in a bag or be the man of honor at a funeral.


That is a really awesome story.  You have a great group of friends.

Knight's Kyra




L8bloomer -> RE: Preventive Measures (6/13/2008 10:20:44 PM)

I respectfully disagree Cali. Unless the answering machine was known by the clinic staff to be secure, it is a violation. They would have no way of knowing that the patient alone would be the one to receive that report. I work in a medical lab and we cannot leave results on an answering machine. We cannot even give results out over the phone unless we have a means of verifying who the individual is. For them to leave a result like that on an answering machine is, at a minimum, very careless.




kc692 -> RE: Preventive Measures (6/14/2008 11:05:13 AM)

quote:

ORIGINAL: L8bloomer

quote:

ORIGINAL: pinksugarsub

He once had his staff leave me a voice mail at the office that my pap results had come back abnormal.  i almost fainted.


You gynecologist's office violated HIPAA (Health Insurance Portability and Accountability Act) by leaving that message of your pap smear results on voice mail. You should report them. You can get more information at the following web site. http://www.hhs.gov/ocr/privacyhowtofile.htm   However, HIPAA hasn't been around forever, so if this was many years ago you may have no recourse.





She says shes a lawyer, yad think she knew that???




SeeksOnlyOne -> RE: Preventive Measures (6/14/2008 11:15:58 AM)

quote:

ORIGINAL: L8bloomer

I respectfully disagree Cali. Unless the answering machine was known by the clinic staff to be secure, it is a violation. They would have no way of knowing that the patient alone would be the one to receive that report. I work in a medical lab and we cannot leave results on an answering machine. We cannot even give results out over the phone unless we have a means of verifying who the individual is. For them to leave a result like that on an answering machine is, at a minimum, very careless.


there is a specific box on the hipaa paperwork that you can check, giving them permission to leave results on an answering machine.  since there is such enforcement in the privacy act, i would have to guess that box was checked (if this occurred after the implementation of hipaa).

and if it was before, theres no violation anyhow.

id imagine 1/3 of my paps have come back abnormal in my lifetime......and you go back and get retested in either 3 or 6 months......i would think leaving a msg with someones machine would be the fastest way to get the word to them that they need to schedule an appt for a recheck.




whis31 -> RE: Preventive Measures (6/14/2008 2:08:59 PM)

i use a free clinic in my area for my pap's, when the come back abnormal i get a letter in the mail telling me i need to contact them. and as of now after 6 abnormals and a cervical biospy i'm health!




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