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   Why Do Doctors Not Report Everything in Medical Records?? (Back Problems board)

11th March 2008
Okay, I had to get my medical records relating to my back. I've gotten some, but not all, of course one office isn't returning my phone calls; another did speak to me, told me to mail my request, but havent mailed my records back yet. Anyway...in reading through these reports, Im seeing that many times things either aren't reported correctly or were never done. FOr example, when i've got my nerve block and lidocaine injections, both docs reported I tolerated them well. Well, that is not true!! My nerve block, I almost went through the roof with my left sided sciatic pain even worsened; with the lidocaine shots, they hurt like hell b/c I was usually in spasms. Another doc reported my temp & blood pressure each time, but they never check these things. I complained about fever once, my temp wasnt checked & it wasnt even mentioned on any reports. I also see I am diagnosed with SLE (lupus), which I wasnt sure of all this time. Aldo x'd with Fibromyalgia. Last time i was there, it was reported I had multiple fibro tender points, but there was no exam done at all. And I believe where I am tender is where I have spasms. It also said I have bilateraltroncheric bursitis, no idea what that is either, and bilateral SI joint arthritis and cervical spondylosis. Geez, and it also notes iv'e been injected with lidocaine PLUS Kenalog (which I believe it a steroid). If i've gotten kenalog with every lidocaine injection, no wonder i cant lose weight. Well, none of those ever did me any good except for one shot in my ankle once. But i have gotten probably 8 to 10 shots each visit all up & down my spine, in my left shoulder, and rear end.

At least nothing shows they think I was faking anything. But most of the records I got are from before surgery (except rheumy & one urgent care place). My new PM"s office isnt calling me back to get my records of recent ESI's & one urgent care hasnt sent me my records. Im not going to worry b/c I guess I can authorize Voc Rehab to get those records. They said to bring what records I can and if not, bring names & addresses of all treating physicians. I'm also getting my PT records, though most of that is from before surgery and just after when I was doing pretty good. Now had I been seeing them thru my insurance where the PT sends reports to my docs, it would have been noted everytime I had pain or a new problem.

But anyway, Im pretty much just venting..I just wonder why some things arent noted correctly, or wrong, or missing. It really irks me.

Well, I have all those other conditions listed in my one doc's reports, so maybe that will end up helping me in regards to voc rehab. Plus I havent had an MRI since May '07 and things have gone awry since then. My appointment is this Thursday, so I shall see what they think. I didnt go there on my own, I was referred by someone. And when someone in UE showed me jobs for police officers, or retail employees, I told them I cannot stand long & wouldnt be able to those sorts of things. (I wouldnt work in retail again anyway) So they led me to Voc Rehab, who said if I qualify, they will be able to help me find a job and maybe get me more training.
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