for example, when they chart things like "denies abdominal pain, denies fever, denies diarrhea" etc. they chart an entire assessment as "denies" when they never even did an assessment in the first place. why even do this report if you're not actually assessing the pt? it's especially annoying when they write "denies" on symptoms that are the reasons i'm coming in for evaluation.
or, "lung sounds clear, no wheezing" when they didn't even listen to your lungs. "normal bowel sounds" when they didn't even listen to your stomach.
another thing, i'll preface this by saying my new PCP (i've seen her 3 times) is very kind, compassionate, prompt with my referrals, and eager to help. however it just seems as if she's confused or doesn't know what's going on sometimes - maybe she's not reviewing my information before meeting with me and she hasn't had much experience with me yet.
i notice that on my referral she included a diagnostic code for mixed ibs & constipation. i have Crohns disease & have diarrhea every day of my life almost, with partial obstructions and strictures. completely different from IBS and constipation. now i'm aware these referral codes don't really matter, but i don't want anything to do with IBS anywhere on my chart because i have IBD and i don't want any providers getting confused.
but during my appointment she asked if i take a medication for my IBS. like why are you randomly saying i have IBS when i have a disease that is completely wrecking my intestines and beyond, when you definitely are aware of what disease i have...? it made me a bit nervous that my own primary doctor is confusing IBD with IBS.
i also asked for a referral for a pain doctor and she said i should stay with my current pain doctor.... i don't have a pain doctor yet, that's why i'm asking for a referral... and even if i did have one already & wanted to switch, who would you be to tell me to stay with my current without asking any questions or receiving any context?
the medical system is just so strange sometimes and i'm finding the minute details bother me more and more as i'm going through this flare, just some pet peeves i guess 😅