Should I tell my doc about my steroid use in the U.S?

[AlexDavis43]

Not judging anyone's personal decisions in this context and I appreciate the opinions and suggestions of others.

I've never had a health-related reason to discuss blasting gear with any of my doctors and prefer to remain off-grid like that.

I don't recommend for or against this and I'm not set in stone, just a choice I've made.

 

[Ghoul]

Not judging anyone's personal decisions in this context and I appreciate the opinions and suggestions of others.

I've never had a health-related reason to discuss blasting gear with any of my doctors and prefer to remain off-grid like that.

I don't recommend for or against this and I'm not set in stone, just a choice I've made.

I once told a doc I was using a "grey market GLP" and pulled out the vial to show him, and it destroyed the relationship. No joke, he freaked out and we couldn't work together any longer. This was prior to compounding pharmacies making them, but I imagine you'll get a similar response from most if you mention HGH or Trenbalone.

If it was something normal like heroin I'm sure they could deal, but otherwise their head will explode and that little piece of info has followed me from doctor to doctor.

 

[JuiceStick]

You've provided screenshots from sales slides of a commercial software provider. Your own screenshot says this information will not be shared with an office using software from a different vendor. This is not a universal "Government" system. This is some software they sell to med spas.


EMR is a generic name for medical records stored electronically, as opposed to on-paper, like a computer file vs file cabinet. Having my information stored in a computer file doesn't mean you can read this information just because you also store your information in files on a computer.

 

[Ghoul]

You've provided screenshots from sales slides of a commercial software provider. Your own screenshot says this information will not be shared with an office using software from a different vendor. This is not a universal "Government" system. This is some software they sell to med spas.


EMR is a generic name for medical records stored electronically, as opposed to on-paper, like a computer file vs file cabinet. Having my information stored in a computer file doesn't mean you can read this information just because you also store your information in files on a computer.

Do your own homework. I have no interest in putting together a compelling presentation on systems that any practitioner or medical student could tell you are in widespread, approaching universal, use exactly as I described. Or remain blissfully naive, it's not really a concern of mine.

The key phrases to look up are "EMR" and "EHR", the former being the provider's record, the latter being the interoperable system that connects EMRs.

 

[JuiceStick]

Here is some authoritative information from Uncle Sam:

EMR vs EHR – What is the Difference? - Health IT Buzz

EMR vs EHR? Electronic medical records vs electronic health records? Confusion abounds – learn more about the main differences between EMRs and EHRs.

www.healthit.gov

Electronic medical records (EMRs) are a digital version of the paper charts in the clinician’s office. An EMR contains the medical and treatment history of the patients in one practice. EMRs have advantages over paper records. For example, EMRs allow clinicians to:

• Track data over time
• Easily identify which patients are due for preventive screenings or checkups
• Check how their patients are doing on certain parameters—such as blood pressure readings or vaccinations
• Monitor and improve overall quality of care within the practice

But the information in EMRs doesn’t travel easily out of the practice. In fact, the patient’s record might even have to be printed out and delivered by mail to specialists and other members of the care team. In that regard, EMRs are not much better than a paper record.

Can it be shared? Yes, in this case its called EHR, but only with your consent:

https://www.hhs.gov/sites/default/files/ocr/privacy/hipaa/understanding/consumers/privacy-security-electronic-records.pdf

The key sentence here is:

Information in these records should only be shared for purposes authorized by law or by you.

Without explicit federal or state statutory requirement for sharing this information, it can only be shared with your explicit consent, otherwise it is HIPAA violation.

 

[JuiceStick]

The discussion here is about a centralized national information system sharing patient information, matched to SSNs, like credit report data.

There is no such thing. At least, in the US.

Some reading material about current state of affairs in the field:

Health Records Database and Inherent Security Concerns: A Review of the Literature - PMC

The use of electronic health records (EHRs) has grown significantly in the past decade. Health information databases contain sensitive patient information, including their names and addresses, tests, diagnoses, treatment, and medical history. This ...

pmc.ncbi.nlm.nih.gov

 

[ineffectual]

The best way to start the conversation is to ask, "if I tell you about substance use, will you put it on my chart?"

The reaction to that question will tell you everything you need to know.

that question alone is enough to get a note in your file

I can sense your doubt. Are those your rose colored glasses on the floor?

The system, generically, is simply EMR, electronic medical record. Overall coordination from the government is managed by CMS.

While there are a handful of commercial "front ends" not all are interlinked yet, but they've been becoming more so each year, with the end goal a single universal system.

Providers have a right to access your record in these systems, full stop. All medical information is considered relevant to care, and therefore do not require explicit permission for access.

Typically a state will have 1 dominant system, sometimes 2 if it has a large population..

If you're dealing with a smaller provider they may not participate, but that's increasingly unlikely since it's so cumbersome to get paid from private insurance or, more importantly, Medicare, without it.

Get a diagnostic at any Quest or other chain testing center and those results will be available on all these systems for any provider to see, for instance.

View attachment 311298View attachment 311299View attachment 311300

Are All Medical Records Linked?

A patient’s medical records are crucial to their diagnosis and treatment, and keeping this information available and transparent between doctors and hospitals is an essential component of proper...

calystaemr.com

How would you go about getting blood work done without potentially alerting your pcp?

 

[Dirthand]

that question alone is enough to get a note in your file


How would you go about getting blood work done without potentially alerting your pcp?

1. Merixk health diagnostic
2. Ultalabs com
3 fitnomics researchlabs.org

 

[Country Club Hero]

I would not tell any docs about any illegal activity or consumption unless I knew them personally and knew they weren’t putting my comments in my permanent, online records. I made that mistake before trying to be honest.

I’m old enough to know that when it gets down to the nitty gritty, YOU are the only person on the planet you can 100% trust. Don’t give other people ammunition to take you out.

 

[bigtom343]

My retard doctor said "I can't just order blood work without an actual reason"

Tell me more, where did you find this doctor? Not to do any sterotyping or anything but a detailed physical description would help us avoid them forever.

 

[bigtom343]

I won custody of my kids. If you don’t think they pulled every medical record and blood test after depositioning me, you have a world of hurt coming. HIPPA means nothing in the legal system and discovery will find your records.

Just be wise as Ghoul said

Damn, it sounds like you went through hell in family court. I’m glad you won.

My custody case was a slam dunk because the mom was certifiably unfit. Still it was the most stressful point of my life.

 

[y777]

You can easily get a Telm prescription from telehealth that will be covered by insurance.

This is the way. Just call telehealth and get a “refill”.

Some want to see your old rx bottle. Others don’t. Telehealth will prescribe most of these. Just beware of implications that you now have w a medical problem on the books (blood pressure ) and that may affect your life insurance premiums blah blah.

But re your original quetions NFW id ever tell
Docs re gear use. Far too many eyes on our patient files in the USA. It also makes docs lazy if there are problems down the road. They can just point to gear use as a reason for any problems you may have down the road

 

[Georgetrenson]

I wonder if this would work. Do you have a blood pressure machine? If so check it yourself, if not, you should have one no matter what, they're cheap.

Whether you have high blood pressure or not, but especially if you do, tell him you've been having shortness of breath a little bit. So you decided to check your blood pressure because a friend of yours experienced this, and it was indeed due to high blood pressure--and sure enough your machine shows you had 135/95. Tell him this worries you and you want a reading and blood work to see where your cholesterol levels are at. Any doctor should respond positively to this no? Afterall, you're just trying to be responsible.

Well, it just came back 125/75, and I never get out of breath even doing an hour of stairmaster; dont think thats gonna work lol.

Sometimes I experience some minor discomfort in my chest from mast, so I might just mention that and ask for a checkup. Ill just flat out lie if they ask im taking other medications.

I might possibly be able to find an imaging center in South Carolina when I visit my parents, I feel like the South is more bodybuilding / fitness friendly than the midwest, people love their cheese curds here