Posted by Brenda on February 26, 2000, at 11:25:53
In reply to Re: Mis-Diagnosis, posted by Noa on February 26, 2000, at 11:15:20
> Good thing you were so assertive and persistent.
>
> This is dangerous. The wrong dx on permanent records bothers me, but what alarms me is the immediate danger to the patient! The practice should be reported for encoding the first doctor's dx incorrectly. Bad mistake. Did the doc write both the numeric code and the verbal name of the dx? That would allow the person doing the inputting to confirm the code matches the name. If he did not, only putting the code, that leaves more room for error. But, the doc that you raised the issue with and who dismissed your concern should definitely be reported. Much worse mistake. Mistake is even the wrong word. He made a DECISION not to listen to your concern seriously and not to check it out to make sure the records were correct, and made the decision to prescribe meds knowing that the patient had reason to believe a medical error had been made. This was arrogant of him, and I think could be considered malpractice. If you had taken the wrong meds and had been harmed by them, it would have been on his head.
>
> Similar errors seemed to be happening between doctor and pharmacy, with doctors' handwritten scrips being misread. Easy to do, because the handwriting is bad, and because so many of the meds have similar names (with Zs and Xs and Ys in the name?).JTR, Noa, I must apologize. I am mis-diagnosis. My first time on a chat board/room. Didn't know the protocol. Leary of using my name. Okay now that's taken care of.
Yes, one was miscoded. Used an ICD9 code (I don't know what that is)instead of DSM IV code. Apparently the two codes don't translate into the same diganoses. The diagnoses on the form were listed as "Psychosis NOS and Manic Depression," neither of which I have. The first psychdoc never meant for the psychosis nos to be there and she thinks I'm Bipolar II, but didn't code it that way. Also, don't think I'm BPII. Since I quit the Topamax I feel 100% better. The Zoloft is working fine. I will try to get this straightened in a civilized way - if not I'll call some of those snakey lawyers we've talked about.
BTW - this is a really big step for me. I'm not very assertive and have a HUGE HISTORY of minimizing stuff. Took big courage for me to stand up for myself. I was "high" all day yesterday with my new assertiveness. To myself - GO GIRL.
poster:Brenda
thread:23067
URL: http://www.dr-bob.org/babble/20000220/msgs/24082.html