The entire NYT header and subheader. Emphasis mine.
Heads Up: That Patient Portal May Contain Your Therapy Notes
Health care systems have been putting therapists’ progress reports online, much to the surprise (and anger) of some patients.
One of the last times I went to the dentist years ago, the hygienist pulled up my chart on the computer to show me something. Very first thing that happens when my chart is opened, a big pop-up reading NERVOUS, MENTAL PROBLEMS appears.
The hygienist tried to close it as fast as a kid closing a porn page when their parent comes around. But I saw it.
She was really embarrassed and I was just shocked and felt like shit about it.
I LOVE AMERICAN MEDICINE!
That’s like writing POOR STUPID on someone chart and showing them wtf
Seriously felt like I was back in “feeble-minded” days of medical diagnosis.
A comment
This happened to me at Northwestern Medicine in Chicago. I saw a GI psychologist in the Center for Digestive Health before this law went into effect and I was livid when I found out that psychology notes in their department are accessible without an additional layer of privacy to ANYONE in Northwestern’s system or any provider that uses Epic MyChart at other institutions. I’m sharing the info to warn anyone else who may be concerned.
I found this out because when I attempted to transfer care with the support of my gastroenterologist and PCP, other psychologists declined to see me saying they had reviewed my records and did not feel it appropriate to see me because I had been seen by Dr. Pandit. It felt like they closed ranks on me.
I incorrectly assumed, because I had seen other psychotherapists in the system and my notes were protracted, that her notes would be protected too. They’re not. Medical Records told me they couldn’t do anything about it, but I could turn off Epic’s Care Everywhere which shares notes with outside providers and I did turn it off.
To add to this as good info to know in the US. There is a push to make patient data accessible everywhere so that businesses don’t hoard it as a valuable commodity (which it is). So there are interconnected networks of businesses that all share data and there must be a treatment use case to access this data.
But of course that network is a giant chain of middlemen data transmitters all transmitting to other middlemen and so on. And they’re all for profit. And they all benefit by sharing as much data as possible at all times because they charge per transaction (per a doctor querying the network prior to a patient’s appointment for example)
So while these middleman companies must attest to sharing data only in specific treatment related cases, the more compliant they are the less profit they make.
The end companies who want the data also profit off of it because they want to use it for research without having to conduct a study, or use it to determine the cheapest outcomes based on drugs and treatments and conditions, or for insurance companies to do all kinds of horrible things with.
Each US state has separate consent laws related to whether your info can be shared with networks as an opt-in or opt-out (opt-out meaning your data is automatically shared unless you explicitly opt out). But that data often still makes it to the middle men who are responsible for not passing it to the final destination.
In a place like China I would be happy with patient info not being silod in some filing cabinet at the provider’s office I grew up at. But of course it’s the US so everything is turned evil and inefficient and insecure.
I work in this industry. Just some awful info. No real point. Everything sucks.
American healthcare may be shitty, and it may be too expensive, but at least
The healthcare industry is a massive failure and on top of that it ruins people financially.
This is reason #5071 why (maybe to my detriment) I don’t trust doctors/psychiatrists/the medical system writ large. I believe in modern medicine but the implementation and surrounding industry are just the stuff of nightmares
Best healthcare system in the world, folks.
