[EXTERNAL] [IMPROVEDX] The right dx

Vic Nicholls nichollsvi2 at GMAIL.COM
Sat Jan 25 17:47:02 UTC 2014


Oh my! The surgeon I had, had some REALLY interesting notes because they
used voice activation and not scribes. "Small butt of edema" ...
"treating her white count with family" ... and it gets better but I
think you all get the idea. I'm sorry but I did submit changes to my
records and he wasn't pleased. Some of the items he made mistakes on but
some of these were blatant voice program issues.

This same surgeon, I have 6 rabbits who could write English better than
he can.

I had a GI who ... was not a typist. Being in IT and a nurse of his, ok
we ended up laughing at him etc. and he wasn't happy. We had a good time
at his expense though. The new GI, he said his Mom made him take a
typing course. I said God bless your Mom!

Maybe it depends on the doctors? Some they could provide scribes and
some could do voice activation, and hopefully a hospital could hire a
med transcriptionist part time or whatever so they can clean up the
files. With all due respect, there are times when we could and need
record changes, especially for the poor souls and junior registrars
coming behind them.

Victoria


On 1/24/2014 11:27 AM, Robert Bell wrote:
> Could technology replace the scribes in time? Could voice activation programs work efficiently and well?
>
> Rob Bell
>
> Sent from my iPad
>
> On Jan 23, 2014, at 8:09 PM, Dr Wil <dr.will at FUSE.NET> wrote:
>
>> That is why scribes are necessary in the era of EMR so clinicians might be able to use decision support tools and spend more time with the patient and be able to bill for the medical service in order to stay in business.
>> What does everyone else think?
>> Will Sawyer MD
>>
>> Sent from my iPad
>>
>>> On Jan 21, 2014, at 12:36 PM, "Graber, Mark" <Mark.Graber at VA.GOV> wrote:
>>>
>>> This is an important comment, and thanks Victoria for both sending the note to your physician and mentioning it on this forum.  In an ideal world, care would be both patient centered AND knowledge-based.  These goals come into conflict a lot these days - many physicians don't take the time to take advantage of decision support resources, and some believe that their patients will perceive them negatively for doing so.
>>>
>>> Hopefully someday we will get to the point that physicians use decision support routinely, and patients see the value in this, as you did.  The trick is to somehow maintain the patient-centered focus, and not spend so much time at the keyboard that the patient feels neglected.
>>>
>>>
>>>
>>> ________________________________
>>> From: Vic Nicholls <nichollsvi2 at GMAIL.COM>
>>> Reply-To: Society to Improve Diagnosis in Medicine <IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>, Vic Nicholls <nichollsvi2 at GMAIL.COM>
>>> Date: Mon, 20 Jan 2014 20:13:58 -0500
>>> To: <IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>
>>> Subject: [EXTERNAL] [IMPROVEDX] The right dx
>>>
>>> Question for the medical professionals on this list.
>>>
>>> I have a doctor who looked up something in UpToDate at my last
>>> appointment months ago. She gave me another test which showed a problem.
>>> I remembered that.
>>>
>>> I put a note to her, coming up at my next appointment, saying that I
>>> hadn't said so but that I appreciated her doing that. I said there are
>>> those who wouldn't do that in front of a patient, but the fact that she
>>> went searching for an answer on my account really made me feel like she
>>> put my welfare and patient care first.
>>>
>>> Do doctors really appreciate that? She hasn't said anything but I know
>>> she got it. I have asked for the bosses of doctors before and given them
>>> things that I said I appreciated about them and how much it meant to me.
>>>
>>> Thanks,
>>>
>>> Victoria
>>>
>>>
>>>
>>>
>>>
>>>
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