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Error in medical records - question
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<blockquote data-quote="flutterbee" data-source="post: 146717"><p>My GP gave me a copy of the report the rheumy sent to her so I can take it with me to the rheumy I'm going to see for a second opinion. Upon reading the report, I noticed a couple of errors in the paragraph describing my present history. It's not diagnostic errors, just errors with what I presented with.</p><p></p><p>For example, it says that I have had back pain in the upper back and chest for years. That's not true. It's been my lower back just above the tailbone and the sacroiliac area. And it's been since childhood. The upper back pain is much newer starting within the last 4 years and has become markedly worse in the last 6 months.</p><p></p><p>That may not seem like a big deal, but if I end up having to apply for disability (I hope not), I don't want it to look like I'm changing my history around, Know what I mean?? Plus, diagnostically it may end up being very significant. I probably will not see this rheumy again (especially because this report states flat out no fibromyalgia tender points, but that's exactly what he diagnosis'd me with 2 weeks ago). </p><p></p><p>So, I'm thinking of sending a letter highlighting the discrepancies - just to have it documented. First of all, is that a good idea? Secondly, does anyone know how I can make sure that gets into my medical file and gets sent along with any documentation that might be requested by anyone - whether it's another doctor or disability people (heaven forbid)?</p><p></p><p>by the way, not only is my sed rate elevated, but so is my CRP (C-Reactive protein) which is another indication of inflammation. Yet he says I don't have any inflammation. <img src="/community/styles/default/xenforo/smilies/Graemlins/919Mad.gif" class="smilie" loading="lazy" alt=":919Mad:" title="Mad :919Mad:" data-shortname=":919Mad:" /></p></blockquote><p></p>
[QUOTE="flutterbee, post: 146717"] My GP gave me a copy of the report the rheumy sent to her so I can take it with me to the rheumy I'm going to see for a second opinion. Upon reading the report, I noticed a couple of errors in the paragraph describing my present history. It's not diagnostic errors, just errors with what I presented with. For example, it says that I have had back pain in the upper back and chest for years. That's not true. It's been my lower back just above the tailbone and the sacroiliac area. And it's been since childhood. The upper back pain is much newer starting within the last 4 years and has become markedly worse in the last 6 months. That may not seem like a big deal, but if I end up having to apply for disability (I hope not), I don't want it to look like I'm changing my history around, Know what I mean?? Plus, diagnostically it may end up being very significant. I probably will not see this rheumy again (especially because this report states flat out no fibromyalgia tender points, but that's exactly what he diagnosis'd me with 2 weeks ago). So, I'm thinking of sending a letter highlighting the discrepancies - just to have it documented. First of all, is that a good idea? Secondly, does anyone know how I can make sure that gets into my medical file and gets sent along with any documentation that might be requested by anyone - whether it's another doctor or disability people (heaven forbid)? by the way, not only is my sed rate elevated, but so is my CRP (C-Reactive protein) which is another indication of inflammation. Yet he says I don't have any inflammation. :tearinghair: [/QUOTE]
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